Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis of different possible causes that may lead to your complaints: thyroid gland dysfunction, chronic inflammation, arthritis, a lung disorder, sleep apnea, etc..

For this reason, I would recommend consulting with your attending physician and performing some tests:

- a resting ECG and cardiac ultrasound
- a chest X ray and pulmonary function tests
- complete blood count
- thyroid hormone levels
- PCR, ESR for inflammation
- blood electrolytes.

A polysomnogram may be needed in case of suspicions of sleep apnea.

You should discuss with your doctor on the above issues.

Kind regards,

Dr. Iliri

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