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L.KergoatM.et al (2015)

Hence, patients with MCAS often go undiagnosed and continue to experience episodes whenever theyre exposed to a trigger that has yet to be identified

Hi Jimh thanks for your prompt reply , I attended a meeting with the GP and my mum about three weeks ago, I was asking why they reduced her thyroxine, but my mum was so stressed she bombarded the GP with her ailments, and I got distracted, the GP put all theses symptoms down to old age, when I suggested it might be Mums thyroid and asked if she could be tested for inflammation ( re choking ) the GP said we only do TSH and T4 and they are normal

This article provides a detailed, professional review of Potential side effects, categorized by system, along with discussion of theoretical risks and long-term considerations