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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

doi: 10.1038/aps.2013.176 103 ZhangYLiHYZhangZHBianHLLinG

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Which means a 6cm fibroid might shrink to only 4-5 cm because most of the volume is on the outside of a sphere (or the fibroid).\ The gold standard for surgical treatment is and remains laparoscopic myomectomy surgery for fibroids

10.1073/pnas.2005885117 103 GuoL.ChenY.LiH.YinF.GeM.HuL.et al (2022)