Thank you for such a detailed response!
My vitamin b12 level was within the reference range but I did have a doc tell me it is boarderline low.

I have also had various allergy blood tests, allergy skin tests, and inflammation markers that are all normal.

I have had a few instances of horrible asthma/illness in the recent months (my anxiety kicks out a lot of Histamine causing me to be itchy, have already had labs to prove it’s not liver issues) and I’ve been on prednisone bursts for that. The swelling is still there. I ask my boyfriend when it feels and looks swollen to me and he says no different than normal. I might have to just top it off as anxiety (I have a ton or health anxiety and am about to start a new medication, hoping this one works) it might just be TMJ and me pushing my tongue into my teeth.
Another thought I had was the TMJ narrowed my teeth? I’ll have to check with my dentist.

I already take a ppi along with Zantac (as my gerd has kicked up a ton with my anxiety) and have taken montelukast in the past with no change.

Of note I should mention the swelling never affects my breathing, just puts me into a panic. Yes I’ve had asthm issues recently but it has been pneumonia and typical wheezing (only heard in the lower lungs with a stethoscope) so not an upper airway issue