Hi Gabe. I was lucky to find your post late last night after googling for the umpteenth time symtpoms I've had on and off for years. I will keep this brief, but I have all of the symptoms you have, and have had them for about 12 years. They come and go, but after years of searching, I believe it is liver related, like you mentioned at the end of your op.

I have one genetic variant for Alpha 1 Anti-trypsin deficiency. I had this tested through 23andme. You should definitely check for this. I find that I can eliminate my symptoms if I liver cleanse. First I'll fast for about 24 hours. Then when I resume eating, it's mostly fruits, vegetables, and non-processed foods. I don't over eat when doing this, and I also stick to water only. Then I'll feel better. But I haven't been doing this as of late, and of course my symptoms have been present.

I should mention I'm only 28 years old. I've had an ultrasound done a few years ago that showed my bile ducts in my liver were plugged. I'm almost positive this is related to the genetic condition I mentioned above, as this condition can cause your liver to back up as you lack a gene that codes for something to remove a protein (?). I'm not a medical professional as you can probably tell but that is my layman understanding of it.

I would recommend you get a 23andme test, or some type of genetic test, to check for this. Best of luck.

EDIT: I didn't mention everything else as I wanted to be brief, but I should probably also mention that I have GERD as well, and have had it for about 10 years. I also have had chronic nostril inflammation for about 15 years. Again, I think this is liver related because everything is backing up as the liver is plugged. Please get tested for Alpha 1 Anti-trypsin deficiency if you haven't already.