Make Visible: Understanding Complex Illness

#13 The role of Mast Cells in complex illness: what they are and how to calm them with Dr. Theoharis Theoharides

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Apr 22, 2025
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INSIGHT

Mast Cells Are Everywhere

  • Mast cells are present throughout the body, including the brain, and release over 350 different molecules.
  • Their activation is influenced by physical and emotional stress, pathogens, and can cause diverse symptoms.
INSIGHT

Cumulative Triggers Overflow Mast Cells

  • Mast cell activation can occur cumulatively from multiple small triggers, like stress, chemicals, or infections.
  • Both triggers and a lack of natural inhibitors affect why some people have exaggerated mast cell reactions.
ADVICE

Test Stool Histamine for Gut Activation

  • Measure total histamine in stool to detect gut mast cell activation, even if biopsies are inconclusive.
  • This helps target interventions to calm mast cells in gastrointestinal conditions.
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