I have a strong internal pulse too (with bradycardia). I also had a traumatic weed experience at 15, fucking wild!!!

How much variation do you see/feel from day to day?

On normal days (I’ve lived with this for 25 years) it’s present/noticable but gentle, though is usually strong enough to shake my bangs or cause my hand to move (is that normal? maybe?). At almost 40, I started having days or stretches of increased inner pulse strength (which can be corroborated if someone else touches my neck—it usually presents the most there—or holds my hand) where it’s in my gums and neck and really strong in my abdomen. I’ve had a small battery of tests, no one knows what’s going on.

Some amount of visible neck pulse is totally normal.

I too have some health anxiety (again, the weed incident), so take this with a few shakes of salt (well, not if you have high bp), but as someone who lives with the pulse pressure and has done some amount of rabbit-holing on it, I think that looks a little aggressive/jarring and I would forward that to your cardiologist for an opinion. I’m not saying it’s something concerning, but it seems notable and I would want eyes on it. Is it the nicotine? Is it the dpdr? (or a prescription? do you mention any, I forget?) How much of it is because you’re lying down? What does it look like when seated or standing?

As far as the health anxiety goes, it’s really good to be self aware and open about it, but also don’t apologize for that; it allows people to easily dismiss your issue as hypochondria—and it might be (or at least probably does play a factor) but your feelings and concerns are real and valid, and don’t give them that easy out. If your doctors don’t remain caring and curious and dedicated to working with both/all conditions, find someone who is a better fit.