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Hives are a sign of increased histamine, usually as a combination of excess histamine intake, slow histamine metabolism, methylation defects, excessive intestinal histamine production, reduced antioxidant capacity, or mast cell activation, says Astrid Boeckelmann, ND , a functional medicine doctor at Novomed Centers in Dubai

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The compounded medication costs around $300 to $400 for a monthly supply and is easily accessible, even during drug shortages

If fasting guidelines are instead meant to minimize aspiration events without respect to residual gastric contents, then I think we need to start questioning what amount of residual gastric contents (and what type) are clinically significant.2 Oprea and colleagues published a correspondence this month addressing some of the criticisms of their article

If we are not sleeping well, it does not matter what else we do, we will never feel our best