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And Ergothioneine can directly capture free radicals, activate peroxidase, chelate divalent metal ions (such as copper ions) to promote the clearance of free radicals and inhibit the catalytic oxidation of copper ions

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Frequency depends on baseline B12 status and clinical goals

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Here are some of the most common manifestations: Skin Symptoms: Flushing or redness Hives or urticaria Angioedema (swelling) Itching Dermatographism (skin writing) Gastrointestinal Symptoms: Abdominal pain or cramping Diarrhea and/or constipation Nausea and vomiting Acid reflux Food intolerances Cardiovascular Symptoms: Tachycardia (rapid heart rate) Blood pressure fluctuations Lightheadedness or syncope (fainting) Chest pain Respiratory Symptoms: Wheezing Shortness of breath Throat tightness Chronic cough Nasal congestion Neurological Symptoms: Headaches or migraines Brain fog Memory issues Anxiety Insomnia Dizziness What makes MCAS particularly challenging to diagnose is that symptoms can occur in any combination and severity