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Add in common life situations like intense exercise, high fat and protein meals, or a life phase like puberty or menopause, and the challenges increase

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Additionally, Ozempic slows gastric emptying, meaning food remains in the stomach for longer periods, which typically prolongs the sensation of satiety after meals, though this effect may diminish somewhat with ongoing treatment

When combined with antioxidant therapy, success rates are very high

Thirdly, the patient should be tested for serum tryptase, an enzyme secreted by mast cells during the peak of a symptomatic episode