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Zachary Spiritos MD MPH on Instagram: "When you first learn how many tests exist for mast cell activation syndrome… it feels incredible. Chromogranin A (off PPIs), plasma histamine, heparin, urinary leukotriene E4, tryptase, 2,3-dinor–PGF2α, N-methylhistamine — the list goes on. It feels like a whole toolbox of answers. 🙌 But here’s the truth no one tells you: These tests fall short a lot of the time. Why? Because they’re measuring mast cell mediators — chemicals that survive only minutes in th
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