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@bothwell
I'm heavier than I need to be for hill-climbing, but not massively so. I've taken up running recently and I also get it during that, but looking back over my life I was always this way - I remember being jumped by a gang of bigger kids when I was about 7 and one of them took pity on me and told me to run for it while the others were discussing what to do with me. I managed to run maybe a quarter of a mile before having to stop and struggle to get my breath back (by which time all the other, more normal, kids had easily caught up with me :/ ), and I wasn't a fat kid at the time.
I am moderately concerned that I might be using "there is something medically wrong with me!" as an excuse not to just push it with the exercise, though. I don't have to actually stop to get my breath back, just slow down the effort a bit. If it were proper asthma I'd need to stop, right?