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I was in my mid-40s. I was tired all the time. I would get exhausted just walking across my apartment (and not because it was so spacious, either!). Eventually, I was diagnosed with a lung condition and sleep apnea. My heart was an afterthought. I spent years sleeping with a CPAP machine and visiting emergency rooms every few months to be treated for exhaustion and passing out. It was my lungs, the doctors assured me. I wasn't getting enough oxygen and that's why I was always tired. And I didn't know enough to question their opinion.
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