It is often seen alongside: Ehlers-Danlos Syndrome (EDS) POTS (Postural Orthostatic Tachycardia Syndrome) Small Intestinal Bacterial Overgrowth (SIBO) Mold illness (CIRS) Lyme disease and co-infections Long COVID or post-viral syndromes Autoimmune disease (e.g., Hashimotos, lupus) Histamine intolerance Diagnosing MCAS MCAS is a clinical diagnosis, supported by lab testing
However, you should always speak with your healthcare provider before starting a nutritional supplement or making a lifestyle change
[DOI] [PMC free article] [PubMed] [Google Scholar] 30.Piel F.B., Rees D.C., DeBaun M.R., Nnodu O., Ranque B., Thompson A.A., Ware R.E., Abboud M.R., Abraham A., Ambrose E.E., et al
Multifunctionality and possible medical application of BPC-157: literature and patent review (2025) Current Pharmaceutical Design (PMC) Sikiric P et al
If you already have a thyroid nodule: Benign nodules are not a contraindication Routine surveillance should continue as recommended Screening ultrasounds are not required just because you start a GLP-1 medication A physical exam and baseline thyroid labs are usually sufficient
If you find subcutaneous injections uncomfortable at this volume, splitting into two injection sites (36 units each) is an option some researchers use, though it is not strictly necessary