 [ Symptoms ] can having your tubes tied cause anxiety  i am 27 an had my tubes tied 4 years ago ever since then i have had anxiety that is just getting worse and worse i have not been able to make myself an appointment because of how bad i am getting i can not talk to people with out shaking and heart pounding i am to a point where i can not even go into a store to buy milk handing the cashier money is to gut wrenching and embarrassing i am trying to help myself and maybe if i know more of where it stemed from i can maybe overcome this [ Disease ] lungs are not muscle so there is nothing specific you can do to train them like you might your legs but aerobic activity will get them back into what they do best which is process oxygen and send it to your heart and after just a year of smoking you will get it back i suggest you just go slowly and work within your capability keep in mind that it is not just the lungs you are fighting but deconditioning too even if you had not been smoking you would still be struggling since it is been a year with no activity do not expect to get right back into where you were fitness wise when you stopped particularly if you were very fit but you will notice effects in just a few weeks if you pace yourself and within a few months your fitness will improve substantially so give it 12 16 weeks to notice real differences and then you can take it from there good job on quitting smoking it is the most dangerous health risk there is