definitely likely to be related to the issues swallowing, in my case i stopped being able to take my pills until i was on an antacid

pretty common to have both in people with HSDs as well (and ive noticed that many with HSDs have mood disorders and are trans), you might try and screen yourself with the beighton scale, i think the general threshold is 5/9. youd get best results out of seeing a doctor but it can be an indicator and a topic starter with the doctor at least