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Multiple chemical sensitivity
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==Management== There is no single proven treatment for MCS<ref name="Toronto" /> and no scientific consensus on supportive therapies.<ref name="Toronto" />{{Rp|17}}<ref name="Canberra"/> The literature generally agrees on the need for MCS patients to avoid the specific substances that trigger reactions for them as well as [[xenobiotic]]s in general, in order to prevent further sensitization.<ref name="Toronto" />{{Rp|17}}<ref name="Canberra"/> The goal of treatment is to improve [[Quality of life (healthcare)|quality of life]], with fewer distressing symptoms and the ability to maintain employment and social relationships, rather than to produce a permanent cure.<ref name="Current" /> Some literature recommends a [[multidisciplinary]] treatment approach that takes into account the uncommon personality traits often seen in affected individuals and physiological abnormalities in sensory pathways and the limbic system.<ref name="pmid30088144" /> Common [[self-care]] strategies include avoiding exposure to known triggers and emotional self-care.<ref name="Current" /> Healthcare providers can provide useful education on the body's natural ability to eliminate and excrete toxins on its own and support positive self-care efforts.<ref name="Current" /> Avoiding triggers, such as by removing smelly cleaning products from the home, can reduce symptoms and increase the person's sense of being able to reclaim a reasonably normal life.<ref name="Current" /> However, for other people with MCS, their efforts to avoid suspected triggers will backfire, and instead produce harmful emotional side effects that interfere with the overall goal of reducing distress and disability.<ref name="Current 2021" /> Treatments that have not been scientifically validated, such as "elimination or rotary diversified diets", hormone supplement and chemical detoxification through [[exercise]] have been used by people with MCS. "Controversial treatment methods offer hope of improvement to many individuals with MCS.<ref name="Current" />" Unproven treatments can be expensive, may cause side effects, and may be counterproductive.<ref name="Current" /> Various combinations of different antioxidants together with "detoxifying" measures that are not evidence based are recommended by some authors. "Treatment with a multitude of pills and infusions may lead to "catastrophizing", thus making patients perceive their disorder particularly negatively; this phenomenon is known to have a negative impact on the subsequent disease course ... such treatments place a significant financial strain on patients."<ref name="pmid32026633">{{cite journal |vauthors=Harter K, Hammel G, Fleming M, Traidl-Hoffmann C |title=Multiple chemical sensitivity (MCS) - a guide for dermatologists on how to manage affected individuals |journal=J Dtsch Dermatol Ges |volume=18 |issue=2 |pages=119β130 |date=February 2020 |pmid=32026633 |doi=10.1111/ddg.14027|doi-access=free }}</ref>
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