When Eating Feels Like a Minefield: A Story of MCAS, Ketotifen, and Low-Dose Naltrexone By Yoon Hang Kim, MD, MPH Board-Certified in Preventive Medicine | Integrative & Functional Medicine Physician 🎥 Watch the short version: MCAS, Ketotifen & LDN — a client story For people living with mast cell activation syndrome (MCAS), eating can feel like a minefield. A food that was fine last month triggers flushing, hives, gut pain, or brain fog today. Over time, many people respond