Mast Cell Activation Syndrome (MCAS) is a complex immune condition where mast cells release excessive amounts of chemical mediators. The most common example is histamine, which is closely connected to allergy symptoms. These mast cells play a critical role in immune defense and inflammation, but when they become dysregulated, they can trigger widespread symptoms affecting multiple systems in the body.
Many people in the Dallas–Fort Worth area struggle with MCAS symptoms like brain fog, gut issues, fatigue, anxiety, headaches, hives, and cardiovascular complaints. Because symptoms vary widely and overlap with many other conditions, MCAS is frequently overlooked or misunderstood. 
But Dr. Morcom provides hope. Let’s address the root cause of your MCAS.

Top Mast Cell Activation Syndrome (MCAS) Doctor in Dallas/Ft. Worth

What Is Mast Cell Activation Syndrome?

Mast cells are immune cells found throughout the body, especially in the skin, gut, lungs, and blood vessels. Their job is to respond to threats by releasing chemical mediators such as histamine, prostaglandins, leukotrienes, and cytokines.
In MCAS, mast cells become hypersensitive and overreact to stimuli that would not normally cause a problem. Instead of responding appropriately, they release excessive mediators that lead to inflammation across multiple organ systems.

Common symptoms may include:

  • Skin reactions such as flushing, hives, itching, or swelling

  • Gastrointestinal issues like bloating, diarrhea, nausea, or abdominal pain

  • Neurological symptoms including brain fog, headaches, dizziness, or anxiety

  • Fatigue and exercise intolerance

  • Cardiovascular symptoms such as palpitations or lightheadedness

  • Respiratory symptoms like shortness of breath or nasal congestion


Because histamine affects nearly every tissue in the body, MCAS can look very different from person to person.

Histamine Is a Signal, Not the Enemy

In functional medicine, histamine is not viewed as the problem itself. Histamine acts like a fire alarm—a warning signal that something deeper is wrong.
When histamine levels are persistently high, it means the immune system is responding to ongoing stressors. Simply suppressing histamine without addressing the root cause often leads to incomplete relief or symptom recurrence.
Common root contributors to MCAS include:

  • Mold exposure and mycotoxins
  • Heavy metals such as mercury, lead, or aluminum
  • Chronic infections including Lyme disease
  • Bacterial, fungal, or parasitic overgrowth in the gut
  • Leaky gut and intestinal inflammation
  • Chemical and environmental toxin exposure


The goal of functional medicine is to identify why mast cells are overreacting and address those drivers systematically.

Chronic Fatigue and Low Energy

Fatigue develops because cells are literally low on fuel. To compensate, the body slows metabolism and downregulates non-essential functions. Over time, this leads to persistent exhaustion that does not improve with rest.

Chronic Pain and Inflammation

Poor mitochondrial function increases oxidative stress, meaning free radicals accumulate faster than the body can neutralize them. This drives inflammation across tissues.
In the nervous system, inflammation can cause nerve hypersensitivity and exaggerated pain signaling even when imaging shows no structural injury. In muscles and connective tissue, mitochondrial dysfunction often appears as soreness, stiffness, or fibromyalgia-type pain.

Hyperthyroidism

Hyperthyroidism is characterized by excessive production of thyroid hormones, causing symptoms like rapid weight loss, anxiety, irritability, and heat intolerance. Common causes include autoimmune disorders, such as Graves' disease, and thyroid nodules.

Goiter

A goiter is an abnormal enlargement of the thyroid gland, which can occur due to iodine deficiency, Hashimoto's thyroiditis, or Graves' disease. Symptoms can include swelling at the base of the neck, difficulty swallowing, and breathing issues.

Thyroid Cancer

Thyroid cancer is the growth of malignant cells in the thyroid gland. Symptoms may include a lump in the neck, changes in voice, and difficulty swallowing. The cause multifactorial and due to the oxidative stress from numerous sources, but genetic factors and exposure to radiation can also increase risk.

Common Strategies for Managing MCAS Symptoms

While addressing root causes is essential, symptom support plays an important role in calming the immune system and improving quality of life during the healing process.

Avoiding Triggers

Identifying and avoiding triggers is often the first step. Triggers vary widely but may include:

  • Histamine-rich or high-tyramine foods
  • Mold, pollen, or environmental allergens
  • Chemical exposures such as fragrances or cleaners
  • Stress and emotional overload
  • Temperature extremes


Reducing exposure helps decrease the overall histamine burden on the body.

Dietary Modifications

A low-histamine diet can be a powerful short-term tool for symptom relief.

Common dietary strategies include:

  • Avoiding aged, fermented, or processed foods
  • Limiting artificial additives and preservatives
  • Reducing alcohol and leftover foods


Food sensitivity testing may be useful to identify foods that provoke immune activation beyond histamine alone. Temporarily removing these foods allows the immune system to calm while deeper issues are addressed.

Targeted Supplements

Certain supplements may help stabilize mast cells or support histamine breakdown when used appropriately.

Commonly considered options include:

  • Quercetin
  • Diamine oxidase (DAO) enzymes
  • Vitamin C
  • Specific flavonoids


Because responses vary, supplement protocols should always be personalized and guided by a practitioner experienced in MCAS.

Genetic Considerations

Some individuals have genetic variations that impair histamine breakdown or methylation pathways. These pathways are essential for clearing histamine from the body.

A functional genomic analysis can help identify:

  • Reduced DAO activity
  • Methylation challenges
  • Detoxification pathway weaknesses


Understanding genetic predispositions allows for more precise and effective treatment strategies.

Stress Regulation

Stress is a powerful trigger for mast cell activation. Chronic stress raises inflammatory signaling and directly stimulates mast cell degranulation.

Helpful approaches may include:

  • Mindfulness or meditation practices
  • Gentle yoga or breathwork
  • Nervous system regulation strategies


Calming the nervous system is often essential for calming the immune system.

Professional Guidance and Testing

MCAS requires a thoughtful, individualized approach. Working with a functional medicine practitioner familiar with immune dysregulation allows for:

  • Appropriate testing
  • Identification of root causes
  • Step-by-step treatment planning


This avoids the common cycle of trial-and-error symptom suppression.

Tracking Symptoms and Triggers

Keeping a symptom diary can be extremely valuable. Tracking foods, exposures, stress, and reactions often reveals patterns that are not immediately obvious and helps guide treatment adjustments.

A Functional Medicine Path to Healing MCAS

MCAS is not a one-size-fits-all condition. Some people improve quickly with dietary changes and mast cell support, while others require deeper work addressing toxins, infections, gut health, and immune balance.
Functional medicine focuses on:

  • Identifying immune stressors
  • Strengthening detoxification pathways
  • Restoring gut integrity
  • Supporting nervous system regulation
  • Gradually addressing infections and toxic load


When the root causes are addressed, mast cells often become less reactive, histamine levels stabilize, and symptoms improve naturally.

For individuals in Dallas–Fort Worth struggling with unexplained allergic reactions, gut issues, fatigue, or multisystem symptoms, Mast Cell Activation Syndrome may be an important piece of the puzzle.

A functional medicine approach offers a personalized, root-cause strategy that goes beyond symptom suppression and focuses on restoring immune balance. With the right guidance, consistency, and individualized care, many people experience meaningful improvement and regain confidence in their health.

If MCAS symptoms are affecting your quality of life, exploring a functional medicine evaluation may be the next step toward lasting relief.

MCAS Care in Dallas–Fort Worth

Dr. David and the entire Integrative Wellness Fx team are passionate about sharing their expertise to empower you with knowledge supportive of your holistic health & lifestyle.

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