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Fortified Vitamin B or thiamine subcutaneous injections are more commonly used, though thiamine is prescription only

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It screens for common indoor toxins such as ochratoxin A, aflatoxins, gliotoxin, zearalenone, and trichothecenes , many of which are known to activate mast cells, increase gut permeability, and impair neurological function 29

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Some patients may be candidates for combination strategies, but this should only be done under medical supervision