Not taking anything away from them, but I just want to try to contextualize how important each one may be. Any lab will do that. And I’ll kind of take you through my thought process that I apply, and we can kind of bring that to a low sulfur diet because you started this conversation as, what do you apply? It’s on everything else, but the food is how I treat. DrMR:  And again, the upper level cut off is 40 to be into the positive? Now, unfortunately, a lot of these look like histamine responses. It’s hard on the patient. Ask one of my docs at the clinic to do that for me. Although histamine gets a bad rap, it’s actually a vital neurotransmitter that dilates blood vessels for the immune system for example. Maybe a skosh longer. DrMR:  OK. And let’s go into some diets. Unlike oxalates, you can begin to lower your salicylate load immediately if you suspect you are sensitive. I have a relatively low profile online. So I’ve been working with rheumatology patients, autoimmune, and inflammatory arthritis patients now for the last 10 years. Open to it, but I think it’s been way overstated. And those things are just indicative to me, if I see a histamine intolerance, and I see a lot of histamine intolerance in rheumatology. And you start there. If you suspect you are sensitive to sulfur, you can eliminate it immediately. I don’t recommend using it until after a while using molybdenum, to avoid the risk of sulfur overload (which results from sulfur intolerance and the metabolism struggling to process it). There’s a lot on sulfite because there’s a lot of sulfite sensitivities. And an evolution of the low FODMAP diet or another level of rigor could be the low FODMAP plus SCD diet, which in my mind is also very similar to the fast tract diet that Norm Robillard has, I think, done a great job with. But there’s also that smell that doesn’t always apply to everyone. And I kind of brought those two things together. And obviously, you have to shift down. Say you’re following a dietary template like Paleo or AIP and not seeing results; these are additional rocks you can look under with the help of a holistic or integrative nutritionist. The Great 8: Foods for Optimal Thyroid Health. And then I’m going to start to think the next rung down is where we start thinking about FODMAPS and histamines because those diets are very high in plants. Then I’m going to start thinking about, what about that diet is potentially problematic to the patient? Or to indicate this might be an issue. And I agree, I’ve seen it take up to 6 months to really get full benefit or resolution of symptoms from a low oxalate diet. It really depended upon the individual, but I spend a lot of time with SIBO. This book offers wide-ranging coverage of histamine intolerance. And I think it speaks to, in those patients that I’ve really seen this with, we were treating their SIBO and they always felt better. That’s R-U-S-C-I-O-20. Other symptoms that you look for. Of course, I see patients both via telemedicine, via Skype, and also at my physical practice in Walnut Creek, California. There’s a toxicity to the patient. And the other thing I wanted to mention around symptoms for her that I’m also hearing is that she smells ammonia. We may need to start slower and to start with a few foods. Her GFR was down to 31. Living with Histamine Intolerance: A guide to diagnosis and management of HIT - A patient's point of view" by Genny Masterman. And also we’ll establish a low-fructose diet for those who are wondering about that. Calcium oxalate is a mineral found solely in plant foods (as well as in bits of animal products we usually don’t eat, such as the bones or shells). and if you’re in the Seattle area, I’m at the However, some histamine activity is beneficial : People who take H2R antihistamines produce … So I’m definitely curious to get your opinion on all of that, Heidi. I do question water source. There’s a couple of other things in there to consider, which is a low histamine diet. But you had said swelling, weight gain, this feeling of inflammation, gas and bloating. HT:  That I’ve seen, it’s been all of the cases. I’ve seen some people who have sulfur issues that when they get out into the country, or they get out to the water, they get away from the city, it’s like they can function again. So I stopped trying to track that one after a while. Again, not a lot in terms of the research, but now we have websites kind of popping up around CBS and genetic issues and sulfur oxidase genetic issues. 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