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Other symptoms include: Chest pain when taking a breath (pleurisy) Dry eyes and mouth (Sjgren syndrome) Eye burning, itching, and discharge Nodules under the skin (most often a sign of more severe disease) Numbness, tingling, or burning in the hands and feet Sleep difficulties The diagnosis of RA is made when: You have pain and swelling in 3 or more joints

I dive deeper into histamine-containing foods in my article, Mast Cell Activation Syndrome (MCAS): When Histamine Goes Haywire

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Int J Mol Sci 25(10):5122 Reiter RJ et al (2024) Dual sources of melatonin and evidence for different primary functions