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Sorry, Puppydog, as I don't have a response to your specific question. In fact, I'd never heard of MCAS before, so I had to look it up. Wow! How did you ever arrive upon such a diagnosis? Fascinating, as, based on my short reading on-line, this condition appears to have a number of issues in common with PANDAS/PANS, with the exception of the fact that I don't see any mention of an infectious or bacterial trigger.

 

Hope someone else here can respond to you in the affirmative. In the meantime, if you can find someone who can treat the individual components, perhaps that would be helpful to some degree?

 

All the best!

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