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in Journal of Nutrition vol

doi: 10.1358/dof.2011.36.9.1665562 46 BiniszewskaOJacenikDTarasiukAFichnaJ

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However, medical oversight remains crucial

Research confirms that without adequate riboflavin (to synthesize FAD for the MAO pathway) and niacin (to provide NAD+ for the ALDH pathway), the body cannot safely clear the toxic intermediate aldehydes generated during the breakdown of histamine, leading to severe cellular toxicity and symptom flares