Theres no defined or accepted equivalence chart when switching from injections to tablets or vice versa, says Eric Nolen-Doerr, MD, an endocrinologist and weight management specialist at Boston Medical Center in Massachusetts
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But in MCAS , mast cells are ultra-sensitive and relentless, firing too often and causing a wide variety of symptoms: Common MCAS Symptoms: Skin: flushing, hives, itching, swelling Digestive: bloating, nausea, constipation or diarrhea, food reactions Brain/Nervous System: brain fog, fatigue, anxiety, dizziness Heart/Blood Pressure: rapid heartbeat, lightheadedness Lungs/Airways: tightness, wheezing General: trouble sleeping, temperature sensitivity, feeling wired but tired Musculoskeletal: widespread pain, burning sensations Some patients experience reactions approaching anaphylaxis intensity