High Hematocrit of 54 but low Ferritin of 29

There isn't nearly enough information provided here to make a determination, but I'm going to guess sleep apnea.
I went with your initution and ordered a cpap machine and with a nasal pillow mask. Lets see if that helps..

Here is the reason why I am still not sure if its sleep apnea now. I have lost close to 60 pounds since last year. I went from 236 pounds to 180 pounds. But I might have some anatomical issue that makes my breathing worse or upper airway restriction which happens in nonobese people too.
 
I went with your initution and ordered a cpap machine and with a nasal pillow mask. Lets see if that helps..

Here is the reason why I am still not sure if its sleep apnea now. I have lost close to 60 pounds since last year. I went from 236 pounds to 180 pounds. But I might have some anatomical issue that makes my breathing worse or upper airway restriction which happens in nonobese people too.
The main cause a thick neck for obstructive sleep apnea (OSA)
 

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