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Limit: White bread Processed cereals White rice Regular pasta 5

Theres no reliable way to predict in advance whether someone will be a positive responder or will experience worsening symptoms, which is another argument for extreme caution and close monitoring if trialling these drugs in someone with known MCAS

These include: Nausea and vomiting typically most pronounced during dose escalation and often improving with continued use Diarrhoea or constipation affecting bowel habit regularity Abdominal pain and discomfort ranging from mild cramping to more significant discomfort Dyspepsia and gastro-oesophageal reflux related to delayed gastric emptying Injection site reactions are classified as 'common' (affecting up to 1 in 10 people) and may include redness, itching, bruising, or localised swelling at the subcutaneous injection site

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