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24 Similarly, it is prudent to prescribe ursodeoxycholic acid during the first year of GLP-1 receptor agonist therapy to prevent gallstone formation

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High-Histamine Foods to Minimize: 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 proteins cooked and eaten immediately Most fresh vegetables (except those listed above) Rice, quinoa, and other gluten-free grains Apples, pears, and most berries Fresh herbs: basil, thyme, oregano Important : Avoid probiotics that increase histamine production, such as Lactobacillus fermentum, bulgaricus, casei, and reuteri