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Acute measurement of serum tryptase or urine metabolites of mast cell mediators is especially important when symptoms do not meet diagnostic criteria for anaphylaxis or are not entirely typical of MCA [3, 7]

Kelly CJ, Alexeev EE, Farb L, Vickery TW, Zheng L, Eric LC, et al

High B12 Levels Elevated vitamin B12 levels are less common and usually not due to dietary intake alone

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