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Diagnosing MCAS Diagnosing mast cell activation syndrome involves running lab tests to check for elevated levels of tryptase in the blood and for elevated levels of N-methylhistamine, 11B -Prostaglandin F2α (11B-PGF2α) and/or Leukotriene E4 (LTE4) in the urine

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'They do it by, you know, taking Anavar and Deca and all the things that now are prescribable by doctors — and which is good because at least it can be monitored by a medical professional,' he says