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Mast cell activation syndrome (MCAS) flares up when mast cells, which are located throughout the body, inappropriately release excessive amounts of chemical mediators, such as histamine, in response to a trigger, including one or more of the following: Alcohol An allergen Certain chemicals Certain food items (which vary among individuals) Certain fragrances (such as perfume or cologne) Certain medications Exposure to sunlight Heat or cold Heavy metals Infection (bacterial, viral, or fungal) Mold/fungus When mast cells function as they should, they help defend the body against threats, such as harmful viruses, bacteria, and fungi

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Others may find that medication becomes less effective over time, requires dose adjustments, or cannot be tolerated long term

The present review provides an overview of the fundamental role of copper and its metabolic pathways in physiology