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Common signs include: Chronic hives Itching Gastrointestinal distress (bloating, diarrhea, food intolerances) Brain fog Mood swings Anxiety Fatigue that doesnt improve with rest Rapid heart rate Blood pressure fluctuations Allergy-like reactions in the absence of known allergens If this sounds like your experience, it could be time to speak to an MCAS doctor who understands how to help