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Afrin is a board-certified hematologist/oncologist who recently wrote a book, Never Bet Against Occam: Mast Cell Activation Disease and the Modern Epidemics of Chronic Illness and Medical Complexity. Two important books that address the complex syndromes that may underlie many chronic, multisymptom, multisystem disease conditions are: What is MCAS

Gastrointestinal side effects are common and can lead to treatment discontinuation, but they can be mitigated by gradual dose up-titration

Your dose may change over time

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