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Common triggers include 2: Stress Certain foods (especially high-histamine foods) Alcohol (including alcohol in hand sanitizers and herbal medications) Strong odors (perfumes, smoke, cleaning products) Large temperature fluctuations Infections and toxins Certain medications (NSAIDs, antibiotics, morphine, aspirin) Exercise Irritation from clothing (such as clothes that are too tight or itchy fabric) Bug bites or allergic reactions Additives in medications (colorants, preservatives, fillers) The result may be recurring, multisystem symptoms mimicking severe allergic reactions, often with no identifiable allergen

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