ROOT CAUSES CLINIC
MCAS Supplement Reference Guide
Find the supplements in your care plan. Learn about each option and how to use it.
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Start low. Add one at a time. Build as you feel stable.
Use only the products your care team has recommended. You do not need every layer or every supplement.
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These options may help with histamine-related symptoms. Choose only what is in your care plan.
Handout reference: Quercetin 500–1,000 mg a day; luteolin 50–200 mg a day; vitamin C 500–2,000 mg a day; PEA 300–600 mg once or twice a day. These are reference ranges, not a starting dose for everyone. DAO is taken before a histamine-rich meal as directed for that product.
Check the label: Combination formulas may contain quercetin, vitamin C, nettle, PEA, curcumin or resveratrol. Avoid doubling up. Nettle root and nettle leaf are different products.
DAO enzymes
HistaGest-DAO™ — Designs for Health · 60 tablets
DAO Enzyme — Seeking Health · 90 capsules
DAO Enzyme — Pure Encapsulations · 60 capsules
Histamine Digest Puremax — Omne Diem · 60 capsules
Vitamin C
Liposomal Vitamin C — Nutra BioGenesis · 100 capsules
C-500 Calcium Ascorbate-C — NOW Foods · 250 capsules
Buffered C 500mg Gentle Vitamin C for sensitive individuals* — Vital Nutrients · 220 capsules
Quercetin and flavonoid combinations
Quercetin 500mg — Jarrow Formulas · 200 capsules
Mast Cell Nutrients — Seeking Health · 60 capsules
Quercetin + Nettles — Designs for Health · 90 capsules
Nettle
Stinging Nettle Root Extract 250mg — NOW Foods · 90 capsules
PEA alternatives
PEA (Palmitoylethanolamide) — Bioclinic Naturals · 90 capsules
(PEA)+ With Meriva® Curcumin — Enzyme Science · 60 capsules
PEA Soothe Support — Neurobiologix · 90 capsules
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Use this layer to address needs found in your history, diet or lab results.
Handout reference: Magnesium 200–400 mg of elemental magnesium a day; zinc 10–30 mg a day when indicated; riboflavin (B2) 10–50 mg a day. Your care team should guide B6, copper and selenium use. Vitamin D should follow your needs and lab results.
Check the label: Count elemental magnesium, not the weight of the whole compound. The B2 product below contains 100 mg per capsule, which is above the handout range. Review the dose before use. A separate vitamin D product is not included in this selection.
Magnesium alternatives
Neuro-Mag® Magnesium L-Threonate — Life Extension · 90 capsules
Magnesium Glycinate, 120 mg — Pure Encapsulations · 90 capsules
Magnesium Glycinate Chelate — Designs for Health · 150 Grams
Targeted nutrient support
Zinc Bisglycinate 15mg — Thorne · 60 capsules
Vitamin B6 - 25mg — Nutra BioGenesis · 90 capsules
Copper (Glycinate) — Pure Encapsulations · 60 capsules
B-2 100mg — NOW Foods · 100 capsules
Selenium — Thorne · 60 capsules
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Gut support depends on your symptoms and how you respond. Probiotics are not one-size-fits-all.
Handout reference: L-glutamine 2–5 g once or twice a day. Follow product-specific directions for butyrate and enzymes. Digestive enzymes are generally used with meals. Your care team should guide the probiotic strain, starting amount and any gradual increase.
Check the label: The two enzyme formulas below differ; one includes betaine HCl. Butyrate formulas also differ. Zinc carnosine is discussed in the handout, but no product is linked in this selection.
Butyrate and tributyrin alternatives
Tri-Butyrin Supreme™ — Designs for Health · 60 Softgels
ButyrEn — Allergy Research Group · 100 capsules
Glutamine
L-Glutamine Powder — Protocol for Life Balance · 454 Grams
Digestive enzyme alternatives
Digestive Enzymes Ultra — Pure Encapsulations · 90 capsules
Digestive Enzymes Ultra w/ Betaine — Pure Encapsulations · 90 capsules
Probiotic alternatives
ProBiota HistaminX — Seeking Health · 60 capsules
Mega SporeBiotic™ — Microbiome Labs · 60 capsules
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This layer focuses on antioxidant support. Add products only when your care team recommends them.
Handout reference: NAC 600–1,200 mg a day; alpha-lipoic acid 100–600 mg a day; glycine 1–3 g a day. Your starting dose may be lower.
Check the label: NAC strengths vary. Some formulas add selenium. See Layer 1 for vitamin C and Layer 2 for B2 and selenium. A standalone glycine product is not included here. New or worse symptoms are a reason to pause and contact your care team.
NAC alternatives
NAC 500mg — Seeking Health · 90 capsules
NAC N-Acetyl Cysteine 600mg — Protocol for Life Balance · 100 capsules
NAC 1000mg — Protocol for Life Balance · 120 tablets
Alpha-lipoic acid
Alpha Lipoic Acid 600mg — Protocol for Life Balance · 60 capsules
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B vitamins, choline and TMG should fit your care plan. More is not always better.
Handout reference: TMG 500–1,500 mg a day; choline 250–500 mg a day. B12, folate, B2 and B6 doses depend on your needs and response.
Check the label: Folinic acid and methylfolate are different forms. The 5 mg methylfolate product is five times the strength of a 1 mg option. They are not direct dose swaps. One B12 formula also includes folinic acid. TMG powder needs careful measuring. Choline compounds and citicoline do not provide the same amount of choline per milligram.
TMG alternatives
TMG 750mg — Allergy Research Group · 100 capsules
TMG Powder™ — Biotics Research · 240 Grams
Choline alternatives
Choline (bitartrate) — Pure Encapsulations · 100 capsules
Citicoline (CDP-Choline) — Life Extension · 60 capsules
B12 and folate alternatives
Hydroxo B12 with Folinic Acid — Seeking Health · 60 lozenges
Adenosyl/Hydroxy B12 — Pure Encapsulations · 90 capsules
L-Methylfolate 5 mg — MethylPro · 30 capsules
L-Methylfolate — Seeking Health · 60 capsules
5-MTHF 1mg — Thorne · 60 capsules
Folinic Acid Lozenge — Seeking Health · 60 lozenges
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Choose these options based on your goals, symptoms and response.
Handout reference: EPA plus DHA 1–2 g a day; curcumin 500–1,000 mg once or twice a day, depending on the formula; resveratrol 100–500 mg a day; L-theanine 100–200 mg once or twice a day. Bromelain should be compared by enzyme activity as well as milligrams.
Check the label: Curcumin formulas differ in absorption and are not direct dose swaps. One omega-3 formula adds vitamin D3. Count the combined EPA and DHA amount. See Layer 1 for PEA options. Rutin is discussed in the handout, but no product is linked here.
Curcumin
Curcumin PC — Protocol for Life Balance · 60 capsules
Curcumin Phytosome (formerly Meriva) — Thorne · 60 capsules
Curcumin Phytosome 500mg — Jarrow Formulas · 60 capsules
Resveratrol
Resveratrol — Pure Encapsulations · 120 capsules
Omega-3 alternatives
ProOmega® 2000-D — Nordic Naturals · 60 Softgels
ProOmega® 2000, Softgels, Lemon — Nordic Naturals · 60 Softgels
Bromelain
Bromelain 2400 GDU/g 500mg — Protocol for Life Balance · 90 capsules
L-Theanine
L-Theanine 200mg — Protocol for Life Balance · 60 capsules
Open a product to check its current label and available sizes in the Root Causes Clinic Fullscript store. Confirm the size before you order.
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Use your care plan first. The six layers are a way to organize options. They are not a schedule that everyone must complete. Products in the same group are often choices, not a list to take together.
Start with the amount your care team recommends. Add one product at a time and allow time to see how you feel. Check your medicines, allergies and other supplements with your care team before starting.
If symptoms get worse, pause the new product and contact your care team. Do not assume a reaction means a supplement is working. Seek urgent medical help for severe symptoms such as trouble breathing or fainting.
Tell your care team if you are pregnant, nursing, preparing for surgery, or have kidney or liver disease. Supplements can interact with medicines and may not suit every person.
This guide is for education. It does not replace your personal care plan or medical care.
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Product links open the Root Causes Clinic Fullscript store. You may be asked to sign in or create an account. Check the current ingredients, label directions, strength, size and price before you order.
Root Causes Clinic earns revenue from purchases made through our Fullscript store. You may buy supplements elsewhere.
Availability and labels can change. If a product is unavailable, ask your care team before choosing a replacement. A similar name does not mean the same ingredients or dose.