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Another medication to be aware of is metformin, widely used to manage prediabetes and type 2 diabetes

Patients should be advised to: Consume fresh foods wherever possible and avoid prolonged storage Keep a detailed food and symptom diary to identify personal triggers Manage stress , as psychological stress can influence gut function and histamine release Consult a registered dietitian experienced in food intolerances for a structured approach to elimination and reintroduction (typically 2-4 weeks of restriction followed by systematic challenges) Regarding medications and supplements: Never stop prescribed medications without consulting your healthcare provider If you take oral contraceptives, be aware that Mounjaro may reduce their effectiveness