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Why This Matters in MCAS In MCAS, chronic mast-cell activation in the gut, brain, and connective tissues can damage the enteric and autonomic nervous systems, contributing to symptoms such as nausea, motility issues, dysautonomia, and neuroinflammatory fatigue

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doi: 10.3389/fphys.2019.00139 21 LiG.FuJ.ZhaoY.JiK.LuanT.ZangB

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Drug interactions Oral contraceptives (birth control pills) containing estrogen and progestin may increase the requirement for pantothenic acid (43)