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The most frequently reported stomach-related side effects include: Nausea and mild stomach upset are amongst the most common complaints, typically occurring shortly after taking a supplement, especially on an empty stomach

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The most common laboratory tests for MCAS include: Serum tryptase : An enzyme released by activated mast cells N-methylhistamine : A breakdown product of histamine measured in 24-hour urine Prostaglandin D2 or its metabolites: Measured in blood or urine Leukotriene E4 : Measured in 24-hour urine Chromogranin A : A marker for neuroendocrine activity It's important to note that many MCAS patients have normal tryptase levels between reactions, and some have normal levels even during reactions

Shortly thereafter had a respiratory infection with etanercept held for 1 month, restarted one month later and then held for 3 months