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doi: 10.3168/jds.2017-12689 16 BatistelF.ArroyoJ
Too many mast cells or mast cells that are too easily activated can lead to mast cell activation syndrome (MCAS)
Oral semaglutide exists (brand name Rybelsus), but it requires a specific formulation with SNAC (sodium N-[8-(2-hydroxybenzoyl) amino] caprylate) to survive stomach acid
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Only increase if lower doses plateau and you tolerate well
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