🌿 What Is MCAS?

 

Mast cells are immune cells involved in inflammation, allergic reactions, and cellular signaling. In MCAS, these cells release mediators inappropriately or excessively, causing widespread, fluctuating symptoms that often appear unrelated.

 

MCAS frequently overlaps with:

• POTS

• Dysautonomia

• EDS (Ehlers-Danlos Syndrome)

• Chronic fatigue syndromes

• Long COVID

• Chemical or environmental sensitivities

 

Understanding these connections helps create a calmer, more stable daily life.

 

🌿 Common Symptoms of MCAS

 

MCAS symptoms vary widely but often include:

Skin

• Flushing

• Itching

• Rashes or hives

• Temperature intolerance

Gastrointestinal

• Nausea

• Bloating

• Reflux

• Cramping

• Loose stools

• Food reactions

Cardiovascular / Autonomic

• Rapid heart rate

• Lightheadedness

• Dizziness

• Blood pressure fluctuations

Neurological

• Brain fog

• Headaches or migraines

• Fatigue

• Sensory sensitivity

Respiratory + Systemic

• Throat tightness

• Shortness of breath

• Congestion

• Reactions to fragrances or chemicals

 

Symptoms often flare in cycles and may feel unpredictable.

 

🌿 Triggers We Commonly Identify

• Heat

• Stress

• Menstrual cycle changes

• Certain foods

• Alcohol

• Environmental exposures

• Fragrances

• High histamine foods

• Exercise or overheating

• Viral illnesses

 

A key part of your visit includes identifying your pattern.

 

🌿 In-Person MCAS Appointments in Bellingham, WA & Telehealth Care Across WA State

 

If you’re close to Whatcom or Skagit County, you can be seen in person for a calmer, grounded evaluation.

If you live elsewhere in Washingtonyou can access the same comprehensive care through telehealth.

MCAS symptoms often make leaving the house difficult.
Telemedicine makes specialty care accessible and supportive.

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🌿 Your MCAS Evaluation Includes

 

Each visit is structured but gentle, tailored to your sensitivity level and symptoms.

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✔️ Comprehensive symptom mapping

Identifying patterns across skin, GI, neurological, respiratory, and autonomic systems.

 

✔️ Trigger identification

Food, environmental, hormonal, stress, and temperature-related triggers.

 

✔️ Stepwise stabilization plan

Using a “low and slow” clinical approach to avoid flares.

 

✔️ Medication + supplement evaluation

When appropriate, discussion may include:

• H1 blockers

• H2 blockers

• Mast cell stabilizers

• Cromolyn

• Quercetin

• Ketotifen

• Low-dose naltrexone (when clinically suitable)

• Others based on assessment

 

✔️ Nutrition guidance for mast cell stability

Including low-histamine options and food rotation strategies.

 

✔️ Overlap evaluation

How MCAS interacts with POTS, EDS, GI dysmotility, and long COVID symptoms.

 

✔️ Personalized written plan

Provided after every appointment for clear follow-through.

 

🌿 Who This Service Is For

 

Washington patients experiencing:

• suspected or confirmed MCAS

• unexplained allergic reactions without clear allergy

• chronic GI symptoms with negative GI workups

• flushing, rashes, or temperature sensitivity

• autonomic symptoms that worsen after meals

• POTS + MCAS patterns

• hypermobility + mast cell symptoms

• long COVID-related mast cell activation

 

🌿 Pricing

 

Clear, simple pricing:

• Initial Visit: $250

• Follow-Ups: $100

 

Superbills available for possible out-of-network reimbursement.

 

🌿 You Deserve Calm, Stable, Clear Care

 

MCAS can feel overwhelming and unpredictable.
With the right support, stability is possible.

 

Whether you prefer an in-person visit in Bellingham or a telehealth appointment from anywhere in Washington, specialized mast cell care is available at Galene Health.

👉 Book Your MCAS Evaluation
 

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