Why it happens
Estradiol can transiently stimulate mast cells.
If progesterone has been low for years, sensitivity can be higher at re‑start.
Low DAO or gut/gallbladder issues may amplify symptoms.
What to do
Consider OTC antihistamine every 12 hours for 7–10 days.
DAO enzymes (up to 4×/day) with meals.
Apply Oestra® in the morning to reduce nighttime insomnia.
Follow low‑histamine diet; limit processed/fermented foods and alcohol.
Quercetin may help lower histamine and soothe inflammation.
Discuss a dose adjustment with the clinical team if advised.
Reassurance These flares/surges are temporary - most calm in a week or so as hormones rebalance.
