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Endocrinology 128 : 153, 1991

It is a major cellular antioxidant, involved in defense against oxidative stress and redox signaling

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These diagnostic criteria and classification were largely endorsed by an international group of experts in 2012 and have slightly evolved since then with the addition of two other MCAS categories: combined or mixed (patients meeting criteria for primary and secondary MCAS) and hereditary alpha-tryptasemia(HT)-associated MCAS (patients with either primary, secondary or idiopathic MCAS and HT) [3]

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Check that they use sterile equipment and have protocols in place to handle any adverse reactions