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Each compounding pharmacy creates its own protocol without standardized ratios, concentrations, or quality assurance processes beyond state board requirements

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Fresh meat (chicken, turkey, lamb) cook and eat promptly Freshly caught and frozen fish (cod, trout, salmon) if frozen immediately Eggs (fresh) Gluten-free grains (rice, oats, quinoa, millet) Most fresh vegetables (zucchini, carrots, broccoli, pumpkin, lettuce, cucumber) Most fresh fruits (apples, pears, blueberries, watermelon, mango except citrus/berries noted above) Plant-based milk alternatives (rice milk, coconut milk, oat milk without additives) DAO (diamine oxidase): DAO is the major extracellular enzyme which degrades dietary histaminein the gastrointestinal tract

The speed of response depends on factors including the severity and duration of deficiency, the presence of neurological complications, and individual metabolic differences