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Just wanted to share a cheap suggestion that has helped me with poor breathing due to narrow breathing passages. This was temporary due to bad respiratory virus, but was effective. Nyquil and breath right strips. Probably using NyQuil every night is not a good idea, but could perhaps use on occasion, or some other nasal dilator drug such as asthma medications/ steroids. But the breath right strip can be used all the time, and it really does open up your nasal passages noticably in my experience. Maybe worth a try.

I'm no expert so don't take too much stock in this suggestion, but I figured I'd speak up on the off chance it helps you.

I experienced similar symptoms with eating anything causing extreme day long fatigue. This was a problem for me for over a several month period. It started as diarrhea when eating my typical diet of seemingly healthy foods. Then it progressed to eating very little and getting exhaustion from eating even when diarrhea wasn't triggered. I reasoned that I probably had IBS, and worked on figuring out what foods trigger it. For me I found it was the following: milk products, high fat products, animal fat, any meat except low fat chicken and fish, high fiber vegetables, high fiber grains, high FODMAP food such as fruits. Eventually I settled on a diet that cuts out all of my IBS triggers and I feel much better.

Another major trigger is meal frequency and size. If I eat too much at one time I suffer from IBS and exhaustion. I suspect that this may also be a factor for you. So I suggest eating small meals many times throughout the day. This helped me tremendously as well.

Lastly, medication was very effective in managing the issue as well. Imodium and peptobismol can be used in combination pretty frequently. This slows down your digestion and reduces gut inflammation, which I hypothesize is what causes the extreme exhaustion symptom. You can also see a doctor for IBS and they can prescribe you other medication that has a similar function but is perhaps stronger such a viberzi, though Imodium and peptobismol worked well enough for me. When I want to experience a cake or something outside my diet, I take all this medicine preemptively, including lactase if having dairy, and eat a small amount of it, and make sure not to do that too often.

I don't know if any of this will actually apply to your situation, but regardless I sincerely hope you find a solution as I did. I certainly understand how poor health is one of the hardest things to deal with emotionally.