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A gut-focused plan may include: digestive health assessment gut microbiome support probiotics or prebiotics when appropriate digestive enzymes DAO support in selected patients broader gut-healing measures Why this matters: poor digestion can increase symptom sensitivity gut inflammation may affect histamine handling dysbiosis may contribute to immune reactivity a damaged intestinal environment can make food responses harder to control That is one reason mast cell care often overlaps with work on reflux, bloating, cramping, food reactivity, diarrhea, and post-meal symptoms
Common side effects of taking too much include: Nausea or an upset stomach Heartburn Diarrhea A mild "fishy" body odor (this happens when the body breaks down high doses of the supplement) Additionally, recent studies highlighted by organizations like the Cleveland Clinic have noted that gut bacteria can interact with L-carnitine to produce a compound called TMAO (trimethylamine N-oxide)
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