In this episode of The Human Upgrade, Host Dave Asprey uncovers the overlooked role of mast cells—your body’s frontline immune defenders—and how they can silently drive allergies, brain fog, anxiety, gut issues, and chronic inflammation. Joined by leading functional medicine physician Dr. Tania Dempsey, Dave explores how Mast Cell Activation Syndrome (MCAS) connects to mitochondria, hormones, and metabolism, and why it may be the hidden root behind mold toxicity, Lyme, long COVID, and autoimmune triggers. You’ll learn how to stabilize mast cells using biohacking strategies like fasting, ketosis, cold therapy, sleep optimization, supplements, and smarter not harder tools, plus how brain optimization, neuroplasticity, and personalized functional medicine can calm inflammation, restore resilience, and extend longevity.
Millions of people are living with unexplained symptoms like allergies, brain fog, anxiety, and chronic fatigue without realizing the hidden cause: mast cells gone rogue. In this episode of The Human Upgrade, Host Dave Asprey sits down with leading functional medicine physician Dr. Tania Dempsey to uncover how Mast Cell Activation Syndrome (MCAS) drives inflammation, disrupts mitochondria, and sabotages metabolism—and what you can do to switch it off.
Dr. Dempsey is internationally recognized for her work in functional medicine, biohacking, and chronic illness. She co-founded the AIM Center for Personalized Medicine, has published groundbreaking research on MCAS with Dr. Lawrence Afrin, and treats some of the most complex cases of immune dysregulation, autoimmune disease, and environmental illness. Her expertise helps you understand why mast cells are the missing link in allergies, long COVID, Lyme, mold toxicity, and even hormone disruption—and how to reclaim control of your biology.
Dave and Dr. Dempsey break down how mast cells interact with mitochondria, hormones, and the nervous system, showing how chronic inflammation accelerates aging and blocks human performance. You’ll discover why biohacking tools like fasting, ketosis, supplements, red light, cold therapy, sleep optimization, and smarter not harder lifestyle strategies all influence mast cell stability. They also explore why brain optimization, neuroplasticity, and nootropics are essential for calming inflammatory cascades, and how functional medicine provides practical solutions beyond conventional treatment.
You’ll Learn:
This episode is essential for anyone serious about hacking inflammation, protecting longevity, upgrading metabolism, and achieving high performance with resilience and clarity.
Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners,?The Human Upgrade?is the top podcast for people who want to take control of their biology, extend their longevity, and optimize every system in the body and mind. Each episode features cutting-edge insights in health, performance, neuroscience, supplements, nutrition, hacking, emotional intelligence, and conscious living.
Episodes are released every Tuesday, Thursday, and Friday (audio-only) where Dave asks the questions no one else dares, and brings you real tools to become more resilient, aware, and high performing.
Keywords: mast cell activation syndrome, MCAS, chronic inflammation, mitochondria dysfunction, histamine intolerance, functional medicine, biohacking, allergies, brain fog, long covid, mold toxicity, Bartonella, Lyme co-infections, oxalates, salicylates, mast cell stabilizers, immune dysregulation, neuroinflammation, chronic fatigue syndrome, autoimmune triggers, personalized medicine, longevity supplements
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00:00 — Trailer
A fast-paced preview of Dave’s journey, MCAS, and Dr. Dempsey’s insights.
01:10 — Introduction
Dave shares his personal struggles with chronic illness and why MCAS matters.
03:27 — Why So Sick Today?
Dr. Dempsey explains how toxins, infections, and modern environments overwhelm immunity.
05:57 — MCAS Explained
Breaking down mast cell activation, how it differs from allergies, and why it drives inflammation.
08:33 — Mold & Environment
Exploring mold exposure, SIRS, and environmental stressors as hidden root causes.
11:36 — Spotting MCAS
Why symptoms span multiple body systems and why doctors often miss the diagnosis.
13:43 — Personal Stories
Dave and Dr. Dempsey share lived experiences of nosebleeds, brain fog, and daily struggles.
15:15 — Research & Biohacking
The role of science, biohacking tools, and lifestyle shifts in managing mast cells.
16:35 — Managing Triggers
Antihistamines, diet, and strategies to calm mast cells and reduce flares.
20:15 — Gut & Stomach Acid
How MCAS affects digestion, stomach acid levels, and leaky gut.
22:42 — Reaction Timing
Why mast cell reactions can hit instantly or days later, and how “cheat days” backfire
25:30 — Hormones & MCAS
The powerful effects of testosterone, estrogen, and hormone swings on mast cell activity.
28:39 — Thyroid & Mitochondria
How mitochondrial stress and thyroid hormone conversion intersect with MCAS.
32:28 — Chronic Illness Navigation
Practical advice on when to self-manage and when to seek a specialist.
40:06 — Insurance Battles
Why the current system blocks real care and how patients can fight for themselves.
44:44 — Cholesterol & Ethics
How insurance incentives distort treatment and the truth about cholesterol.
49:11 — Personalized Care
Why individualized medicine and MCAS-literate doctors make all the difference.
53:24 — Circadian & Stress
The impact of poor sleep, light exposure, and emotional stress on mast cells.
58:24 — Testing Approaches
How to safely test interventions, especially for ultra-sensitive patients.
01:01:35 — Collagen & Joints
The link between mast cells, connective tissue, and joint hypermobility.
01:04:34 — MMPs & Aging
How enzymes like MMPs accelerate aging and what therapies can counteract them.
01:09:12 — Access & Experimentation
The realities of sourcing medications, self-experimentation, and care barriers.
01:13:14 — MCAS & Mental Health
How anxiety, depression, and panic can be direct results of mast cell activation.
01:17:46 — Benzos & Stigma
Why benzodiazepines can stabilize mast cells despite their controversial reputation.
01:20:23 — Vaccines & Spike Protein
The role of spike protein from COVID and vaccines in worsening MCAS.
01:25:18 — Research & Treatments
Dr. Dempsey and Dr. Afrin’s cutting-edge research and emerging therapies.
01:26:12 — Nicotine & Focus
How nicotine and biohacking tools can clear brain fog in MCAS patients.
01:29:24 — Closing
Where to find Dr. Dempsey’s clinic, podcast, and resources for further help.
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