Black spots in vision daily, lightheaded, pressure in back of head, tingling in left hand and foot. Out of breath. Brain fog. 24 years had since 15.

Chronic head ache. It sound like you might be having chronic headache, may be migraine like headache, You might want to consider anxiety problem also.
Neurological vs fibr. This coudl be neurological or fibromyalgia. You need to discuss this with your physician. The tingling could be neurological but also may be paresthesias which are peculiar skin sensations.