Hi Friend
Today I want to talk about something that’s becoming more common than anyone realises:
Mast Cell Activation Syndrome (MCAS).
I will be doing a live webinar on this topic today, i do a weekly webinar inside my community:
If you’ve ever experienced:
random reactions to foods
unexplained fatigue
dizziness
flushing
itchiness
gut upset
anxiety spikes
“brain on fire”
sensitivities to smells, chemicals, heat, cold, or stress
…then you may have been living in the MCAS loop without even knowing it.
But here’s the real secret:
MCAS doesn’t just affect your immune system.
It affects your nervous system, your gut microbiome, and even your microglia — the brain’s immune cells that control pain, inflammation, mood, and fatigue.
Let me explain.
🔥 What is MCAS? (In simple language)
Mast cells are immune cells that sit in places like your:
gut
skin
blood vessels
nerves
brain
lungs
sinuses
They act like bodyguards.
Their job is to detect danger and release chemicals (like histamine) to protect you.
But in MCAS, something changes.
These mast cells become trigger-happy — releasing chemicals even when there’s no real threat.
Suddenly your body thinks:
🌡️ “This food is dangerous.”
🌬️ “This smell is dangerous.”
💬 “This stress is dangerous.”
This is why so many symptoms feel random, unpredictable, or unrelated.
They’re not unrelated.
They’re connected through mast cell signalling.
🧠 MCAS & The Nervous System: The Overreaction Loop
Your mast cells and your nerves talk to each other constantly.
When mast cells activate, they stimulate the vagus nerve, pain fibres, and the sympathetic system.
This can cause:
sudden anxiety
“tired but wired” feeling
heart racing
temperature swings
dizziness
panic for no reason
insomnia
neuropathic pain
But here’s the interesting part:
Your nervous system can activate your mast cells, too.
Meaning:
Stress → activates mast cells
Mast cells → activate nerves
Nerves → activate mast cells again
A closed loop.
This explains why MCAS flares so often happen during:
life stress
arguments
sensory overwhelm
illness
trauma
sleep deprivation
hormonal shifts
Your body isn’t weak.
It’s overprotected.
🌱 MCAS & Your Gut Microbiome: The Missing Link
The gut is packed with mast cells — and when they become reactive, they can:
break down the gut barrier
increase food intolerances
trigger IBS-style symptoms
increase gut sensitivity
alter the microbiome environment
But it goes deeper:
1️⃣ Mast cell mediators affect beneficial bacteria
Certain histamine-producing bacteria flourish when mast cells are inflamed.
This changes your tolerance to foods dramatically.
2️⃣ Stress chemistry affects the microbiome
Norepinephrine + cortisol (from stress) can shift bacterial populations within HOURS.
3️⃣ Microbiome imbalance re-triggers mast cells
Dysbiosis → endotoxins → mast cell activation → more inflammation.
Another closed loop.
This is why MCAS is rarely just an allergy issue.
It’s a gut–brain–immune loop.
💛 The Hopeful Part: You Can Calm This Loop
MCAS does not mean your body is broken.
It means your body is overreacting because it learned to survive.
And that loop can be calmed from multiple directions:
✔ Nervous system stabilisation
Breathwork, vagal toning, grounding, somatic work.
These reduce mast cell firing.
✔ Gut support
Low-histamine rotation, gentle probiotics, gut lining repair, fibre variety.
This reduces inflammatory triggers.
✔ Trauma-informed approaches
Mast cells respond directly to emotional memory and stress signals.
When you calm your survival system, mast cells calm too.
✔ Microglia calming
Sound therapy, meditation, anti-inflammatory routines.
Microglia + mast cells work closely together — you calm one, you influence the other.
✔ Gentle, structured pacing
Crashes → mast cell activation
Stability → mast cell calming
It’s all connected.
🌟 What I want you to know
MCAS is not rare.
It’s not “allergies.”
And it’s not “in your head.”
It’s a whole-body pattern of overprotection, shaped by:
stress
trauma
infections
immune triggers
gut imbalances
environment
nervous system setup
And the most hopeful part?
Your body can unlearn this pattern.
With the right tools, you can break the loop and build predictable energy, calmer digestion, fewer reactions, and a more stable baseline.
This is exactly what we work on inside the Mend Collective — safely, gently, and step by step.
Tomorrow we will discuss how to diagnose mcas!
Stay Well
Dr Ahmed
