Your nail changes are most probably due to nutritional deficiencies.
Take supplements for
vitamin deficiency.
And make lifestyle changes and food eating habits changes for acidity and gastric issues
because pantop or antacid decreases the absorption of nutrients like
calcium and vitamins in long run.
So you can't depend on pantop or antacid in long run you can take for acute symptoms
But try to change your lifestyle
1 .Avoid spicy food .
2.Avoid lying down immediately after eating food , either take a small walk or be sitted don't lie down on bed .
3.Eat your food according to circadian rhythm
Have your dinner before 7pm .
4Avoid late night dinner and mid night snacks .
5Avoid excessive coffee or tea intake .
Next Steps
Do all these changes in lifestyle gastritis will improve and for anxiety either consult a doctor for symptoms so that you get that reassured feeling of being okay
If symptoms of anxiety are from very long time as you r saying since 2020 you can consult a doctor anxiety symptoms also.
Health Tips
Don't take proton pump inhibitors like pantop or antacid for very long time they could cause nutritional deficiencies
n dont take supplements for too long without consulation they could also cause you side effects of toxicity.