@jasparhunter, I’m curious, when the clonidine helps, is the relief fairly immediate, and does it feel like a calm settling overall or specifically a change in the breathing sensation? Also, do your air hunger symptoms tend to track more with blood pressure spikes or more independently of them?

It sounds like you’re doing exactly the right thing by bringing this to your doctor in January. I hope that conversation helps move the needle for you, and I’d be very interested to hear what you learn after that visit.