Shortness of Breath

Why Breathlessness Needs a New Approach

Shortness of breath—also called dyspnea—can feel frightening, especially when it appears without warning or persists despite normal test results. At Patients Medical in New York City, we look beyond the lungs to understand the full picture.

Using a blend of conventional diagnostics and functional medicine, we identify the deeper imbalances contributing to your symptoms—whether related to inflammation, cardiovascular strain, nutritional deficiencies, hormonal imbalance, or mitochondrial dysfunction. Our goal is to help you breathe freely again, without relying solely on inhalers or suppressive medications.

What Is Shortness of Breath?

Shortness of breath is the subjective feeling of not getting enough air. It may come on suddenly (acute) or develop gradually over weeks or months (chronic). It often worsens with exertion but may also be present at rest.

Common sensations include:

  • Tightness in the chest
  • Air hunger or gasping
  • Labored or shallow breathing
  • Inability to take a full breath
  • Anxiety around breathing

Our Integrative Treatment Approach for Acute Diarrhea

In our integrative practice, we explore a range of potential contributors that are often overlooked:

Cardiopulmonary Issues

  • Asthma, COPD, or reactive airway disease
  • Congestive heart failure or arrhythmias
  • Pulmonary hypertension

Silent Inflammation & Immune Triggers

  • Chronic infections (e.g., Epstein-Barr, Lyme, mold toxicity)
  • Allergies and environmental irritants
  • Autoimmune inflammation affecting the lungs or vessels

Nutrient Deficiencies

  • Low iron or ferritin (anemia)
  • B12 and folate imbalances
  • Magnesium and potassium depletion

Thyroid and Adrenal Dysfunction

  • Hypothyroidism can slow respiratory effort
  • Adrenal fatigue can reduce oxygen delivery under stress

Mitochondrial Dysfunction

If your cells can’t produce energy efficiently, muscles—including respiratory muscles—struggle to function properly

Anxiety or Emotional Trauma

The breath-mind connection is real. Emotional patterns can cause or amplify dyspnea—even in the absence of physical disease

Advanced Testing We Offer

To uncover the “why” behind your shortness of breath, we use personalized diagnostic tools:

✅ Complete blood count (CBC), ferritin, B12, magnesium

✅ Thyroid panel (TSH, free T3/T4, reverse T3)

✅ Cardiac markers and ECG referral

✅ Inflammatory markers (CRP, homocysteine, ESR)

✅ Respiratory function evaluation (spirometry, oxygen saturation)

✅ Adrenal stress profile (salivary cortisol curve)

✅ Mitochondrial function testing

✅ Toxicity panels (heavy metals, mold, VOC exposure)

✅ Functional GI testing to assess systemic burden

Integrative Treatment Options for Shortness of Breath

Our care plans are tailored to your root causes. Treatment may include:

Nutritional & Dietary Support

We recommend anti-inflammatory, oxygen-enhancing nutrition including leafy greens, healthy fats, and low-sugar foods. Anemia and micronutrient deficits are corrected using food and supplements.

IV Vitamin Therapy

Therapeutic IV infusions may include:

  • B12 and folate
  • Magnesium and trace minerals
  • Antioxidants (glutathione, vitamin C)
  • CoQ10 for mitochondrial function

Herbal & Nutraceuticals

Depending on the cause, we may suggest:

  • Adaptogenic herbs for adrenal fatigue
  • Iron bisglycinate or liposomal B12 for anemia
  • Anti-inflammatory botanicals like turmeric, boswellia
  • Mitochondrial support with PQQ, NAD+, or carnitine

Stress Reduction Therapies

Breathing difficulty often fuels anxiety, and vice versa. We offer:

  • Breathing retraining and breathwork coaching
  • Meditation and guided relaxation
  • Acupuncture for nervous system regulation
  • Emotional support for trauma-linked dyspnea

Hormone Balancing

We address thyroid, adrenal, and sex hormone imbalances to support overall respiratory stamina and metabolic health.

Case Study: John’s Path to Breathing Freely

John, 48, came to us after a year of unexplained breathlessness. He had seen a pulmonologist and cardiologist—both of whom found no clear issue.

Our testing revealed:

  • Subclinical hypothyroidism
  • Mitochondrial inefficiency
  • Mold exposure
  • Low magnesium and B12

We created a comprehensive plan including:

  • Detoxification and gut repair
  • Low-dose thyroid support
  • IV nutrient therapy and mitochondrial cofactors
  • Breathing exercises and adaptogenic herbs

In 8 weeks, John’s breathing had normalized, his energy returned, and he reported “feeling like himself again.”

Testimonials

Frequently Asked Questions

 Yes. Emotional stress activates the sympathetic nervous system, which can lead to shallow breathing and air hunger—even without physical lung disease.

 We go deeper. Many causes of breathlessness are metabolic, inflammatory, hormonal, or neurological—requiring a more comprehensive lens.

 No. We work integratively and can support your care while communicating with your existing providers.

 Yes. Many of our tests can be done remotely, and we offer video consultations nationwide.

 Absolutely. Every patient receives a plan based on their labs, symptoms, and root causes.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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