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Why a Compounding Pharmacy May Be Central in MCAS Care Many medications used in Mast Cell Activation Syndrome management fall into one of three categories: Not commercially available in appropriate oral form (e.g., ketotifen) Available only in fixed strengths that limit gradual titration Contain excipients that may trigger symptoms in sensitive patients Because of these limitations, compounding pharmacies may becomes integral to executing a layered MCAS therapy plan

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