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    Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of and finding treatments for complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia (FM), long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.

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Has Anyone Seen Dr. Lawrence Schwartz for MCAD?


OK, this is a 2-part question.

It's possible that my daughter, who has CFS, FM and GI issues, may have an underlying mast cell activation disorder. She is going to get the initial round of testing for tryptase and other potential markers. I do know that even if such markers are negative, that it's still possible that she may still have MCAD.

My 1st question is whether anyone has seen Dr. Lawrence Schwartz (rheumatologist) in Richmond, VA and if they know he treats MCAD. I believe he does. If anyone has seen him, can you share your experiences?

My 2nd question is that as far as treatment, I know the standard ones are an H1, H2 blocker and cromolyn sodium. If that treatment protocol doesn't work, then I wonder if he would consider more out of the box treatments? Or, would he be more of a conservative practitioner who only offers traditional treatments?

The reason I am asking is to see if it would make sense to see him vs. someone more locally.

Thanks in advance.

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Many people try Ketoifen before cromolyn sodium, or as well as, depending on what the main symtpoms are. It can also take a long time to get the right H1 and H2's - some work, some don't some cause reactions...its a merry go round trying to get the drugs all right.

Other than medication, the only other things I think can help are Vitamin C, Neuroprotek or Quercetin, Low H diet and anything else that reduces inflammation. MCAS is also more likely if she has EDS or chronic infections like Lyme. I have them all - M.E, Lyme and co infections, EDS and MCAS.

I wish her luck! I found some good FB groups for MCAD's, with a lot of knowledgeable people.