Happy Birthday LMA!!!!!
I hope that your appointment today brings you some peace of mind...that you are able to reset, and use some coping skills/Rx to get calm enough to enjoy your birthday and time out with your family and friends!
For today, simply try to enjoy and stay in the happy B-day moment as best you can...
...soon, however, consider making an appointment with your OBGYN to discuss your possible hormonal issue (so sorry to hear of your miscarriage loss! :(...) To see what can be done to help you manage them and improve your mood/decrease anxiety.
Birthday hugs!
S.C.