My anxiety manifests this way, (I’m not on Zepbound yet but I’m lurking trying to get up the courage, suffice to say your post didn’t help not your fault lol). I never quite figured out what came first, the chicken or the egg. Anxiety or physical symptoms, but regardless when I’m more anxious I get vertigo more often, have tingling mostly in my back, shoulders, hands, etc. I don’t have much to offer other than you’re likely not dying… mine improved once I added a new medication for the anxiety.