it's hard to diagnose or determine the cause of your issues or give medical advice one way or another. The consensus seems to be to see doctor/specialists and even though the wait is crazy long unfortunately that's the best advice. Even if there was a doctor here they wouldn't be able to give you good diagnosis through a forum without detailed medical info, lab values, history and physical, etc. I'm a nursing student but I have no clue what's going on (that could just be me being a dumdum or being a clueless student lol) but given your symptoms i can't even begin to figure out what the cause is. I do agree with Opinionated about effects of nicotine on bp/hr and stols about having a referral for smoking cessation. Sending support your way!
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I think the prime thing to do when you have health issues are are worried about them is to see a doctor. Don't google symptoms as all that will do is scare you with info that may or may not be reliable.
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