Kalah

I've seen huge improvement on Mestinon. It is the only thing that has helped to improve my fatigue. I drink 2 Liquid IV packets in 3 + liters of water a day and take 2-4 Vitassium Salt Stick caps as well. I have also had good luck with a stationary recumbent bike. When I started, I could only go for 5 minutes. Now I do an hour or more a day. I've read of several people having luck with functional neurology as well. Best wishes!

Avocados are pretty high in histamine, so if you are having mast cell activation that could definitely be a trigger. Do you have allergies? I have oral allergy symdrome so I react to avocado even though my true allergy is to birch. But the symptoms you're describing definitely sound like a possible mast cell reaction. Look into the stages of anaphylaxis. It's important to remember that you can have levels of anaphylaxis WITHOUT going into shock or respirtory arrest. Those of us with Mast Cell often experience anaphylactic type episodes so those symtoms are very common. But Mast Cell degranulation can almost literally cause any symptom in any system.