Question: 31 year old male, 6ft 2 239lb. basometabolic labs all normal, echocardiogram normal, no allergies to food or medication. Stage 1 hypertension mitigated with Losartan potassium 50mg. Normal diet, no caffeine or sugar supplimentation. a1c's all normal and non-prediabetic, 80-106 blood glucose level average. Electrolytic panel normal. Operation history: gallbladder removal, tonsilectomy, hernia repair, upper endoscopy and colonoscopy. Symptoms onset within the last year only. symptoms include: fatigue, trouble breathing, dizziness, irritability, faint feeling, nausea, symptom-induced panic. Heart does have a minor premature ventricular contraction history. minor pain in upper left shoulder. Sometimes a tightness on the left side of the throat, a feeling of flushing or draining, in the head and what feels like a minor tension band headache. patient is hydrated and well rested. Symptoms all have a sudden onset and peak within an hour, however all lab results show normal. Every doctor I've spoken to passes it off as anxiety, when I have no medical history or family history of anxiety. Looking for potential further answers.

also clean toxicology panel, normal blood gas levels and oxygenation, no sign of stroke or arterial clogging via Abdominal CT, no visible calficiation or arterial hardening, no sign of nerve damage