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About half of the patients I see with tickborne infections also experience MCAS

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Upon physical examination, the temperature was 37C, arterial blood pressure was 130/80 mm Hg, and heart rate was 87 beats/min

The analysis was limited to a 6-month follow-up period, which may not capture the full magnitude or durability of treatment effects, as clinical trial data suggest that weight reduction typically continues beyond 6 months and often does not plateau until approximately 36 weeks or later, even at lower doses [24]