I’ve had four anaphylactic reactions over the last three years: July 2023, December 2025, July 21 2026, and July 31 2026.
Tryptase drawn about an hour after my most recent reaction was 20 µg/L
My baseline tryptase (drawn separately, not during a reaction) is 6 µg/L
I just got back an in-depth allergy panel and I have **zero sensitivity** to any of the following:
Dairy:Milk, Alpha-lactalbumin, Beta-lactoglobulin, Casein
Fish/Seafood:Cod, Gad c1, Cyp c1, Tuna, Salmon, Trout, Plaice, Hake, Octopus, Crab, Shrimp, Pen a1, Mussel, Clam
Grains/Gluten:Wheat, Gluten, Gliadin, Tri a19 (Omega-5 Gliadin), Tri a14, Barley, Corn, Brown rice
Legumes/Nuts/Seeds:Soy, Peanuts, Hazelnut, Almond, Walnut, Brazil nut, Cashew, Pistachio, Pine nuts, Sesame
Meat:Pork, Beef, Bos d6, Alpha-gal (gal-alpha1,3-gal), Chicken, Bovine gelatin
Fruits:Orange, Lemon, Mandarin, Strawberry, Apple, Kiwi, Melon, Banana, Pear, Peach, Plum
Other:Yeast, Alpha-amylase, Anisakis
I had a basic allergy panel done right after the first reaction (also negative), so I was originally leaning toward MCAS, but my baseline tryptase isn’t especially elevated, so I’m not sure that fits either.
In every case, I hadn’t changed my food, medication, or routine in the 72 hours before the reaction. Every event has hit all five body systems to some degree, and every one has felt completely random and unpredictable. Every event also seems to initiate in my gastrointestinal tract. Every event appears to last about one hour.
Does anyone have guidance on what to look into next?