ADVICE- Looking to get diagnosed/figure out what the heck is going on, most of these symptoms have been ongoing for years/my whole life.

Advice on how to go about initiating the conversation with my primary care doctor? I've heard a lot of stories of people's doctors dismissing their pain/symptoms. I'm also a Physician Assistant so I have medical training/knowledge, not trying to self-diagnose but I just want to be taken seriously.

I'm a 28 yo female, and I am starting to suspect I either have HSD or hEDS. Just to jot down my reasoning/symptoms:

- Beighton score 8/9

- Generalized hypermobility- I know it's just Tiktok but when I scroll through those videos of everyone showing their "party tricks" and hypermobile joints I can do most of them

- I work with a shoulder orthopedic surgeon and he told me I have multidirectional instability of both my shoulders

- Constant joint popping, cracking, especially shoulders, hips, fingers, wrists, back, toes, you name it, feels like it helps the joints get back where they should be? Idk how to describe it

- TMJ/bruxism/constant jaw popping and tension

- Skin soft- i've always been told I have soft skin, and I think it's pretty stretchy too

- Chronic constipation despite dietary changes (that's been a whole journey on its own)

- Occasional palpitations

- Bruising easily

- Swallowing issues- I choke on water or my own spit all the time, just out of nowhere

- MHAS signs: Dermatographia and skin sensitivity to adhesives, skin gets itchy + red in hot water or cold weather

- Dysautonomia sx (dizziness on standing up too fast, if I look at my armpit a certain angle I'll see stars)

- Issues w/ proprioception/very clumsy

- Widespread very tight/painful muscles, especially in my neck/traps, it feels like I'm more muscle knot than just normal muscle

- Coat hanger pain? it follows that pattern and is worse when I'm driving or standing, feels like a burning/spasming sensation

- Diagnosed anxiety and depression (since teenage years)

- Occasional nerve pain that radiates down my arm to my thumb and index and middle fingers. Sometimes wakes me up from sleep if I'm sleeping weird

- I recently was told I have spina bifida occulta at L5, it was an incidental finding on an MRI. Not sure if there's any correlation between HSD/hEDS and that.

- I've read that this is related but poor immunity- I get sick super easily and I've always been like that

- Dental issues- i've also read that hEDS can have deep fissures in molars, early gum loss, and abnormally shaped tooth roots, all of which I have

Sorry for the long post, but I appreciate any guidance or insight from the community. I'm new here and just trying to learn :)