In first person view run for an extended amounted of time, or with a lot of gear. To multiply issue, wear headphones.

I have seen debates over realism and game mechanics. I understand why it's in the game. My issue isn't from my opinion of what is "realistic." My issue is that the sound is a trigger for me. I have a condition known as Misophonia. Certain sounds (slurping, lip smacking, heavy breathing, ect)trigger a "fight or flight reaction." For me this means the hairs on the back of my neck stand up, my heart rate increases, I become very aggressive, and I get surges of adrenaline. This is not a reaction I want when I'm playing a video game, and my reaction builds the longer I try to tolerate the sound. So I ask you to please add in the option to either be able to adjust these bodily sounds in the audio settings, or disable out right.