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Overlapping conditions and diagnosis: Many other conditions have mast cell activation as a component, including idiopathic abdominal pain, GERD (heartburn), chronic urticaria, fibromyalgia, atypical drug and insect bite reactions, allergies, chronic sinusitis, pharyngitis and vocal tension, dermatographism, chronic headaches, interstitial cystitis, and atrial fibrillation.[ref] Additionally, some researchers point out the growing evidence of mast cell involvement in several different autoimmune diseases, including MS, type 1 diabetes, and rheumatoid arthritis.[ref] Let’s dig into some of these in more depth, exploring how they relate to mast cell activation

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But they depend entirely on you remembering them daily, and without testing, you have no way to confirm they are working