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Might be histamine intolerance. Try eating fresher food for a few weeks to check
It’s not just about freshness, though. Some foods simply contain or release more histamine than others (red wine, shellfish, fermented foods, etc).
I mean, they say their diet is unchanging. It’s already a controlled variable as a result.
I swear histamine is like the most confusing shit to understand if it’s a problem for you. I had to make a spreadsheet