Generally speaking it’s COPD. (Typically chronic bronchitis.) That may not be true for you but if you’ve never looked into it sleep apnea may be at play. Look into getting in a sleep study to see if you fit the criteria where having a CPAP at night can help you. Everyone I know that did this raves about improvement in their quality of life.
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Yup. All that has been brought up. Hopefully, it's something simple.
Cool man. Sounds like you're in with some good providers.