Hi AA and welcome!
I have had both hot and cold episodes with anxiety/panic.
One reason may be due to the fact that the SNS, when stressed, will pull blood into the major muscle groups for fight of flight puporses...which would leave the extremities feeling cold.
...and yes, it is common for symptoms to come up in random combos, even at random times...making it hard to deal with due to the unpredictable nature of this condition.
Please see the top of the main forum page here to find our self help Resource guide, with great material to help you reach your managment goals...
...and post with us anytime for sharing and support! We are glad you've joined us.
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Scaredy Cat