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A gut-focused plan may include: digestive health assessment gut microbiome support probiotics or prebiotics when appropriate digestive enzymes DAO support in selected patients broader gut-healing measures Why this matters: poor digestion can increase symptom sensitivity gut inflammation may affect histamine handling dysbiosis may contribute to immune reactivity a damaged intestinal environment can make food responses harder to control That is one reason mast cell care often overlaps with work on reflux, bloating, cramping, food reactivity, diarrhea, and post-meal symptoms

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JAAD case reports, 2(2), 150152