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Causes of MCAS include: Chronic bacterial infections, such as Lyme disease, Babesia, and Bartonella Chronic viral infections, such as Epstein-Barr Virus and Long COVID Mold illness & fungal infections Heavy metals Environmental toxins, such as herbicides & pesticides SIBO and leaky gut syndrome Allergens food and environmental Genetically predisposed Additionally, certain triggers cause mast cells to degranulate and release mediators in susceptible individuals

Zhu F, Li Y, Guan X, et al

5-Amino-1MQ's mechanism as an NNMT inhibitor means timing affects bioavailability, not subjective energy or sleep

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One pen of BPC-157 + TB-500 (Blend) is sufficient for 1520 days, depending on the daily dosage