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Never Bet Against Occam: Mast Cell Activation Disease and the Modern Epidemics of Chronic Illness and Medical Complexity

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Never Bet Against Occam: Mast Cell Activation Disease and the Modern Epidemics of Chronic Illness and Medical ComplexityDr. Afrin earned a B. S. in computer science at Clemson University in 1984 and then an M. D. at the Medical University of South Carolina (MUSC) in 1988, where he also pursued internal medicine residency and hematology oncology clinical and research fellowships. While on faculty at MUSC from 1995 2014, he was active in undergraduate and graduate medical education, educational and information technology administration, and practice and research in

Dr. Afrin earned a B.S. in computer science at Clemson University in 1984 and then an M.D. at the Medical University of South Carolina (MUSC) in 1988, where he also pursued internal medicine residency and hematology/oncology clinical and research fellowships. While on faculty at MUSC from 1995-2014, he was active in undergraduate and graduate medical education, educational and information technology administration, and practice and research in hematology/oncology and medical informatics. Since the mid-'00s, his clinical work has increasingly focused in hematology, especially mast cell disease. In 2008 Dr. Afrin started coming to understand that a newly recognized type of mast cell disease, now called mast cell activation syndrome (MCAS), was the underlying diagnosis in many patients he was seeing who were each suffering large assortments -- quite different from one patient to the next -- of chronic multisystem inflammatory illnesses of unclear cause. Dr. Afrin soon gained experience that MCAS is far more prevalent than the only mast cell disease previously known to medicine (the rare disease of mastocytosis) and that most MCAS patients, once accurately diagnosed, can eventually find significantly helpful medications targeted at the disease. The frequency and magnitude of the improvements Dr. Afrin has seen -- even the relief that comes from finally having a unifying diagnosis other than "psychosomatism" -- have spurred him to focus in this area, not only tending to the needs of his patients but also pursuing research to advance our understanding of the disease and helping to educate other professionals who in turn can help even more of the many people who have long been suffering not only the symptoms of the disease but also the natural concern of not understanding why one would be so "unlucky" to have acquired so many medical problems. As it turns out, such patients are not so unlucky and truly have just one root issue (and a very common one at that) which has the biological capability to develop, directly or indirectly, into most or all their previously diagnosed problems. There is a great deal yet to learn about this, but even with just the present very limited understanding, the opportunity to diagnose and help patients with MCAS seems to be enormous and Dr. Afrin felt a description of the disease, written for the general public, might help lead some MCAS patients on a journey to diagnosis and improvement sooner rather than later. He joined the University of Minnesota in 2014 to further his interests in this area. He has an extensive record of peer-reviewed publications and has spoken widely in his areas of interest.

If you have questions pertaining to Dr. Afrin's book, or would like more information, please email [email protected].

You can also visit www.mastcellresearch.com. Or, find us on Facebook @facebook.com/mastcellresearch/, and Twitter @MastCellHelp.



Binding Type: Hardcover
Publisher: Sistersmedia, LLC
Published: 03/15/2016
ISBN: 9780997319606
Pages: 472
Weight: 2.27lbs
Size: 10.00h x 7.01w x 1.00d
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SKU: 5597336568

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Elizabeth Funderburg
Omaha, US
★★★★★ 5
Great Toy For Aggressive Chewers
Color: Green, Color: Green
My Boy loves it! It is a little heavy but it keeps him busy. Very strong and sturdy for aggressive chewing. We named it Ally the Alligator. He loves it definitely would recommend!
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Reviewed in the United States on May 25, 2026
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Larry
West Palm Beach, US
★★★★★ 4
Quality material and looks good.
Color: Green
Great chew toy for medium to large dogs. Seems to hold up to their chewing. Very heavy and could damage floors or furniture if your dog happens to throw it in the air.
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Reviewed in the United States on April 10, 2026
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Cynthia Brann
Houston, US
★★★★★ 5
Alligator chew toy
Color: purple, Color: purple
Excellent for heavy duty chewing. Good size for medium size (15-25lbs.). An instant hit with my dog. Very durable. I feel it is safe for my dog to have unsupervised. I rate this HIGHLY RECOMMEND.
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Reviewed in the United States on May 22, 2026
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S Bowman
San Leandro, US
★★★★★ 3
Held Up Better Than Most for My Aggressive Chewer
Color: purple, Color: purple
I have to give the Fuufome Dog Chew Toy for Aggressive Chewers a solid 3 out of 5 stars. I have a very high-energy Lab mix named Boone who is an extremely aggressive chewer. Finding toys that last in our house is nearly impossible. This is actually his second toy like this - the first one is currently in my yard in three different pieces. While I don’t believe this toy was advertised as indestructible, I still hoped it would fully survive Boone’s chewing. Some parts have held up well, which is more than I can say for many other toys we’ve tried. However, he was still able to do some noticeable damage to the rubber portion after consistent use. To be fair, it did last longer than most toys we’ve purchased, which says a lot considering how tough Boone is on his things. For moderate chewers, I think this would hold up quite well. For truly aggressive chewers like mine, it’s tougher than average but still may show wear over time.
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Amazon Customer
Grantham, US
★★★★★ 5
Best toy for heavy chewers
Color: Green
My dog is an aggressive chewer and I have trouble finding toys that last longer than 5 minutes before being so destroyed it is no longer safe to let him keep it. He loves this toy and naws on it for hours daily. Yes, it has multiple chew marks, but it is still intact completely. No little pieces have been chewed off. I highly recommend this toy for any dog especially those who destroy every toy in seconds like mine does.
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Reviewed in the United States on October 12, 2025

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