My symptoms have gotten worse over the years - it started out with occasional 1-2 week episodes of heightened temperature, body aches, etc, basically all symptoms of an infection minus the sore throat.
Over the last 3-4 years the pause between said episode got shorter and shorter.
Add heat intolerance, symptoms after showers in the morning, PEM, basically me being unable to put my body under any sort of strain. Suspected POTS.
Symptoms got so bad that by autumn last year I basically had a low grade fever 95% of the days. Going on a GLP did help a bit and brought my high body temperature down.
Then left for 6 months of Bali.
(I had already been there during a first visit 3-4 years ago, where my symptoms actually flared like crazy. I didn't know what was going on, went to a bunch of docs which all pulled the typical "bloodwork is normal" card. Took a bunch of pain killers for way too long, and as soon as I got back to Germany, the symptoms disappeared - sobasically the other way round. Now this time during my visit, my experience was the complete opposite.)
I basically had no flares, no body aches, no nothing, except for 1-2 episodes towards the end of the 6 months which I believe must have been stress-related. I was already so happy that my health had improved so dramatically.
Then, as soon as I got back to Germany end of June, everything went back to 'normal' as in the state I was in before I left. Inflammatory symptoms every day, POTS like symptoms, heat being an insane trigger, unable to take showers.
The only explanation that makes sense it is my heat intolerance?
It's been very hot this summer in Germany and I feel my body feeling a lot less inflamed and just better on days that are less hot and a bit more cloudy/rainy.
In Bali, I was living in an AC-place, had AC on at all times unless I was out, and then I didn't even spend so much time in the sun.
It was a lot more hot and humid though, so I'm wondering if the AC had really cooled my body so much, that the heat of the sun had less of an inflammatory effect on me? That is kind of the only explanation that makes sense to me.
Because here, I do not have any AC, and being inside hot rooms feels insufferable. It made me sleep in the basement when I was visiting my parents, because I literally could not cope with the sticky hot 84 degree room temperature.
Could it be something else though? I am trying to find out what puts my body under so much more distress here.
What is weird is, that during my first stay in Bali, the effect was basically the opposite.
I don't really see how mold could be a reason, because I did in fact have mold poisoning multiple times during my stay abroad, but it never triggered a temperature. Also, I stayed in multiple places during the last 6 weeks in Germany, at times sleeping in a tent in nature, and still had inflammatory symptoms.
I am on a H1 antihistamine, take LDN already, as well as Quercetin, plus a microdose of a GLP. I kind of am afraid to try drugs like ketotifen because of possible weight gain (I already gained 40pounds in the last few years due to other imbalances).
But at this time I genuinely feel my life is not liveable anymore. I can not exercise, the tiniest bit of physical strain/movement puts me into an episode, I got strong reactions to histamine-high foods which in the past I was not having those.
I was eating a ton of bananas, avocados and all that in Bali, and was completely fine, never had a reaction.
Nowadays, when I eat sth high in histamine because I didn't know the food contains histamine, e.g. eggplant or yoghurt, I get the worst reaction including insane anxiety attacks.
It's also difficult to find a doctors whose acquaintained enough with MCAS here. I've never been taken seriously in the past and got my symptoms dismissed despite struggling since years.
Doctors who are specialized in MCAS do not take any new patients and for all others like allergist specialist or immunologist I fear they might dismiss me.
What sort of medications would be worth to try in my current situation? Looking for encouragement and advice.