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Mast cell activation syndrome (MCAS) is a recognized condition, with its own diagnostic code since 2016, in which mast cells (the immune cells behind allergic reactions) misfire and dump histamine and other chemicals at things that were never threats. The result is repeated episodes across multiple body systems: flushing, hives, gut cramping, a racing heart, lightheadedness, and a chemical surge that can feel exactly like a panic attack, which is part of why it gets mistaken for anxiety. It comm
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