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I have sleep apnea and specifically asked my doctor if there was a best or better sleeping position, and she said no. I find laying on my back causes the least interference with the mask, but I've yet to manage to actually sleep on my back yet, been trying for like 3 years now.

Ever try a weighted blanket?

I haven't. I'm pretty comfortable on my back, just can't seem to fall asleep.

If they open source it but the app isn't allowed on the app store, how will anyone install it?

In my understanding it can be allowed as long as they do not market it as medical app?

If they're on Mac, they can import it into XCode and install it as a development app.

We've been sideloading iOS apps for years without any issues. You can use Xcode, or sideloadly, or altstore, or like a hundred other ways.

It is healthy, unless you have sleep apnea or snore a lot.