Services for MCAS, hEDS and POTS

reading AGA Clinical Practice Update on GI Manifestations in Hypermobile Ehlers Danlos Syndrome with coexisting Postural Orthostatic Tachycardia Syndrome and/or Mast Cell Activation Syndrome: expert review

I have been providing dietary support for Mast Cell Activation Syndrome (MCAS) since 2019, and for hypermobile Ehlers-Danlos Syndrome (hEDS) and Postural Orthostatic Tachycardia Syndrome (POTS) since 2024.

I also provide dietary support to adults living with long-COVID who have symptoms of Mast Cell Activation Syndrome (MCAS) and/or Postural Orthostatic Tachycardia Syndrome (POTS).

I continue to stay abreast of the latest dietary interventions and recommendations for managing this “trifecta” of disorders.

Please note that the dietary support I provide is an adjunct treatment to the various classes of medications that may be prescribed by your doctor or specialists, which may include different types of antihistamines (H1, H2), gastrointestinal or blood pressure medications, etc.

Services for MCAS, hEDS & POTS

Since the nutrition needs of each person with Ehlers-Danlos Syndrome (hEDS), Mast Cell Activation Syndrome (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS) are different, and ~60% of individuals have been diagnosed with more than one of these disorders, which symptoms take priority needs to be factored in. My approach to supporting adults living with long-COVID who have symptoms of MCAS and/or POTS is similar. For this reason, an Initial Consultation is the first step.

  • During the Initial Consultation, we will meet to discuss your diagnoses, symptoms, and goals, and together will decide on the best approach for starting services.
  • Subsequent services will be provided as a Complex Clinical Nutrition Appointment or a specialized clinical package, outlined below.

Complex Clinical Nutrition Appointments for MCAS, hEDS and POTS

Implementing a Low Histamine & Bioactive Amine diet
✔ Identifying problematic FODMAP foods
Development or adjustment of nutrition strategies
Review of nutrition concerns, symptoms

How Much Do Complex Clinical Nutrition Appointments Cost?

Complex Clinical Nutrition Appointments for MCAS, hEDS and POTS are billed on a per-appointment basis.

Cost: $170 (GST exempt). Appointments are 50 minutes, with 10 minutes for reviewing clinical data, answering questions, and discussing options for the next stage of care.

How to Get Started?

Visit the Book An Appointment tab
Complete the Intake and Service Option Form using point form (use the additional page available there if more room is needed)
Select the Initial Consultation only to start.
Drag and drop a PDF of your most recent downloaded lab test report or email it to our office (no jpegs or PDFs of jpegs, please)
Book your Initial Consultation appointment

Questions About Booking, Billing, or Extended Benefits?

Our FAQ page answers questions about booking, billing and payment options, appointment confirmations, extended benefits claims, and much more. If you have questions that are not answered there, reach out through the Contact Us form at the bottom of that page.

Meet to Discuss Symptoms & Services

The first step in service for those with hEDS, MCAS, or POTS is to book an Initial Consultation.
Get started by clicking the button below.

Book an Appointment


Questions and Answers

Q: Why is an Initial Consultation required for hEDS, MCAS, and POTS services?

A: Approximately 60% of individuals with these conditions are diagnosed with more than one of them. Because the symptoms of hypermobile Ehlers-Danlos Syndrome (hEDS), Mast Cell Activation Syndrome (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS) are different for each individual, there is no set package. An Initial Consultation enables us to meet to discuss your specific symptoms and prioritize your digestive or systemic triggers.


Q: How does a “both sides of the clinical desk” perspective affect your care?

A: I was diagnosed with Mast Cell Activation Disorder (MCAD) nearly a decade ago and have first-degree family members living with hEDS and POTS. As a result, navigating these overlapping complex conditions is a daily reality, not only an academic interest. Understanding these disorders from both sides of the clinical desk enables me to provide empathetic, practical, and highly realistic strategies based on the current literature and lived experience.


Q: Can nutrition support manage histamine intolerance or mast cell flares safely?

A: Yes. As part of a medical nutrition therapy plan, structured elimination of bioactive amines, including histamine, helps reduce total systemic mast cell load. The focus is on identifying your current thresholds for bioactive amines so that overall nutritional needs can be met through other foods.