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A detailed symptom and trigger history Medication and supplement review Food and reaction tracking Evaluation for allergies, MCAS, histamine intolerance, gut disorders, or other causes Lab testing when clinically appropriate Dietary strategy that avoids unnecessary long-term restriction Targeted supplement discussion when appropriate Clear instructions for what to do during severe reactions Follow-up to evaluate response and adjust the plan When to Call a Doctor Patients should contact a clinician if symptoms are frequent, worsening, affecting multiple systems, interfering with eating, causing unexplained weight loss, or requiring repeated antihistamine use without a diagnosis

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