Many reasons but from my experience it was heart disease, in particular blocked arteries. That is not meant as a diagnosis simply to illustrate it can be serious but it might not. Go see a doctor.
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It could be numerous issues. Its possible that it’s from some sort of heart and/or lung problem, it could be from simply over exerting oneself, a musclular skeletol issue, etc. I am not a doctor and none of this is medical advice.
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