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One thing we see quite often in patients with mast cell activation syndrome is reactive hypoglycemia. Blood sugar can drop after carbohydrate-heavy meals, but in many cases it also falls seemingly at random, leaving patients shaky, anxious, sweaty, light-headed, and exhausted. For many people, these episodes are among the most distressing symptoms they experience. Interestingly, one of the therapies that can help stabilize this pattern is a GLP-1 agonist or a GLP-1/GIP combined agonist—medicatio
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