ALPHA GAL SYNDROME (AGS) **** RED MEAT ALLERGY **** As part of a discussion about Alpha-Gal syndrome we need to sort out fact from fiction. As Dr. Berry pointed out, people tend to panic before getting the facts. To that end I wanted to do a deep dive into AGS. Exactly what is it, what causes it, is it permanent, are there cures? Does everyone who’s bitten by a lonestar tick going to get AGS? If you test positive for the AGS antibodies does it mean you have AGS? These are important questions to be addressed. In the links section I included traditional research links as well as a list of YouTube videos on the subject including a great one from Dr. Ken D. Berry. EXACTLY WHAT IS ALPHA-GAL SYNDROME? Alpha-gal syndrome (AGS), also known as alpha-gal allergy or red meat allergy, is a serious, potentially life-threatening allergic condition triggered by the sugar molecule galactose-alpha-1,3-galactose (alpha-gal). This molecule is found in most mammals (like cows, pigs, sheep) but not in humans or birds/fish. cdc.gov Causes It typically develops after a bite from certain ticks, most commonly the lone star tick (Amblyomma americanum) in the United States. The tick’s saliva introduces alpha-gal into the bloodstream, which can sensitize the immune system in some people, leading it to produce IgE antibodies against alpha-gal. cdc.gov • Not everyone bitten by a lone star tick develops AGS. • Other ticks (in different regions) can also trigger it. • Further tick bites can worsen the allergy by increasing antibody levels. my.clevelandclinic.org Symptoms Reactions are often delayed, starting 2–6 hours (sometimes up to 10 hours) after eating mammalian meat or exposure to other alpha-gal sources. This delay can make diagnosis tricky. mayoclinic.org Common symptoms include: • Hives, itching, or flushing • Swelling (lips, face, throat, eyelids) • Wheezing, shortness of breath, or cough • Abdominal pain, diarrhea, nausea, vomiting, or heartburn • Dizziness, fainting, or in severe cases, anaphylaxis (a life-threatening reaction with airway constriction and blood pressure drop) my.clevelandclinic.org

Not every season is meant for blooming. Some seasons are for clearing the weeds. Some are for strengthening roots. Some are for resting beneath the soil where nobody can see the work being done. We live in a world obsessed with visible progress, but some of the most important transformations happen in silence. If things feel slow right now, it doesn't mean you're stuck. It may simply mean you're becoming. 🌿✨ Nourished Roots Apothecary

Today I pause with deep gratitude for the men and women who gave their lives in service to this country and for the families who continue to carry their memory. Their sacrifice purchased freedoms many of us enjoy every day, often without realizing the cost. As you gather with loved ones, share a meal, sit around a fire, work in the garden, or simply enjoy the sunshine, take a moment to remember those who never made it home. May this day be filled with gratitude, peace, meaningful connection, and remembrance. May we honor their legacy not only with our words, but by living fully, loving deeply, and caring for one another. Wishing each of you a blessed Memorial Day. ❤️🤍💙 With gratitude, Cristal Nourished Roots Apothecary 🌿