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Chicago, IL, USA: American Academy of Medicine

The study also noted a higher risk of hyperpigmentation in the copper peptide group compared to dermaroller alone

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Histamine-rich foods you may want to experiment with reducing include: Avocado Citrus Chocolate Dried Fruit Tomatoes Spinach Canned or smoked fish Aged cheese Alcohol Eggs Nuts Cured meats Leftovers (especially ones with meat) Addressing the nervous system Psychologic stress can exacerbate MCAS symptoms (15)