Your friend should go to the doctors and get a physical. The dizziness, the blacking out upon standing, the dry mouth, feeling cold, difficulty breathing, and an elevated heart rate can be symptoms of anemia, B12 deficiency, or a thyroid problem. Also, anemia can cause preexisting anxiety to get much worse, so even her panic attacks could be tied to a physical cause. In any case, she really needs to talk to a doctor about everything she is going through.
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