@ready4vacation , sorry for the delay in responding. I do not believe my episodes were due to hypoglycemia since I wear a continuous glucose monitor and always have a good idea of my blood sugar level. I can only describe what I experienced. It could be different from yours. My episodes came out of no where and weren’t related to any particular event. And, they felt different from panic attacks, because I had those many years ago for a short time. These were different.

To summarize, I was under a lot of stress, both personal and family. I had just been diagnosed with post covid syndrome and B12 deficiency. I did have some physical symptoms, but not related to my episodes. I saw neurologists, rheumatologist, endocrinologist, dermatologist, ENT, etc, It was overwhelming and stressful. I sought a therapist who had a medical/healthcare background. We addressed how I could manage my medical care, seek diagnoses, etc. with tools to help me find peace. I found that for me, there was a fine line between being a staunch advocate for my health and accepting diagnoses. He gave me feedback and support. My episodes decreased and became less intense . For me, I learned to accept that I had done due diligence in my healthcare and should go out and live my life. I also discovered how some family dynamics were impacting me negatively. He gave me confidence to address them, Gradually, I realized how much better I was. I am very grateful. I still have some issues for which I seek treatment, but it’s manageable.

I hope you can find answers and something that helps.