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B12 deficiency can also be an issue if you have had weight loss surgery, have a very poor diet, or follow extreme or restrictive diets for a long time

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When histamine levels exceed the body's degradative capacity, individuals may experience a wide range of symptoms including headaches, flushing, nasal congestion, gastrointestinal disturbances (such as bloating, diarrhoea, or abdominal pain), skin reactions (urticaria, itching), palpitations, dizziness, and fatigue

[78] Restrictions on freedom of movement and physical distancing can lead to a disruption of essential care and support for older persons

"Moderate alcohol consumption and triglyceridemia"