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A 41-year-old woman with brain fog, insomnia, vertigo, neuropathic symptoms, blood pressure lability, postural orthostatic tachycardia syndrome (POTS), dermatographism, macular erythematous rash, flushing, burning skin, severe gastroesophageal reflux, migratory joint pains, vaginal pruritus, intermittent hoarseness, and chemical sensitivity

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