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tfaperson1, very well presented medical information.
9 sounds like sleep apnea. https://www.droracle.ai/articles/60147/is-mirtazapine-remeron-contraindicated-in-obstructive-sleep-apnea-osa
While sleep apnea alone can cause memory loss "Mirtazapine-induced confusion may present in several ways: Direct cognitive impairment: Manifesting as disorientation, memory problems, or difficulty concentrating " https://www.droracle.ai/articles/356686/can-mirtazapine-remeron-cause-confusion
I am just guessing though. I'd probably start with a sleep study looking at sleep-apnea.
Bless your struggle with luck.

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Replies to "tfaperson1, very well presented medical information. 9 sounds like sleep apnea. https://www.droracle.ai/articles/60147/is-mirtazapine-remeron-contraindicated-in-obstructive-sleep-apnea-osa While sleep apnea alone..."

@gently Thank you, but I think that is unlikely for it to be affected by Mirtazapine, because I have been taking Mirtazapine since I was 8-10 years old, and I didn't start having problems until thirteen. Additionally, Mirtazapine's primary goal is to help me sleep, and if I forget it, I definitely sleep worse. In addition, when I was thirteen I had a lower ratio of drugs to body weight than when I started taking it, as I started on 22.5 milligrams and only 2 months ago upped it to 30, and in that time period I have gone from maybe 70-ish pounds to 125 pounds. Hence, I think while sleep apnea definitely is possible, my medication likely is not an issue.
I have been known to make literal ghost sounds in my sleep, and one of my brothers whom also has my condition does not have sleep apnea, but has such an offset sleep cycle that specialists gave up. Apparently, he is five or six hours off schedule, and now operates on a 36 hour schedule.
I am starting to think it is insomnia caused by a thyroid issue, as hyperthyroidism could explain my difficulty concentrating, feeling of hunger, breathing issues, fast heart rate, and other symptoms. However, I am a little confused about the cold-sensitivity, as that is associated with hypothyroidism, but that could be because I always have needed to consume more food than the average child, and I simply have not been getting enough to properly regulate my temperature. I have though been experiencing increased sweating at the same time, and given that I grew a foot in four years, hyperthyroidism seems more likely.
Another point of contention is my blood pressure, which is rather low, but this has always been a problem for me, to the point that I consume more sodium than is generally advisable just to be able to not faint, which has happened on occasion.
Perhaps my pre-existing medical condition has caused an atypical presentation, although I would like to know if any of you have any other ideas of what could be causing it!