M., Abdel-Rahman, M
Corticosteroid and NAC nasal douching significantly reduced symptom severity more than two-fold, resolved mucosal edema, and restored mucociliary function in recurrent acute rhinosinusitis patients compared to steroid with ambroxol, leading to better long-term satisfaction (121)
Takahashi H, Kanno T, Nakayamada S, Hirahara K, Scium G, Muljo SA, et al
The information below reflects research-focused handling opinions and general laboratory guidance only
High-Histamine Foods to Minimize During Challenging Seasons: Aged and fermented foods (aged cheese, sauerkraut, kombucha) Cured and processed meats (salami, bacon, deli meats) Leftover proteins (histamine increases as food sits) Certain vegetables: spinach, tomatoes, avocado, eggplant Vinegar and vinegar-containing foods Alcohol (especially red wine and beer) Foods That May Help: Fresh (not leftover) proteins: chicken, fish, beef cooked and eaten immediately Most fresh vegetables (except those listed above) Rice, quinoa, and other gluten-free grains Apples, pears, and most berries (good sources of quercetin) Fresh herbs: basil, thyme, oregano Taking probiotics that increase histamine production is a major overlooked contributor to elevated histamine levels and seasonal intolerance to pollen and pets