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Several factors can reduce DAO levels or activity, including: Gut inflammation (due to infections, food intolerances, IBD, parasites) Leaky gut (increased intestinal permeability) Nutrient deficiencies (e.g., vitamin B6, vitamin C, copper, zinc) Medications (e.g., NSAIDs, antibiotics, antihistamines, antidepressants) Chronic stress Microbial imbalance (dysbiosis) Genetic polymorphisms affecting DAO gene expression Damage to the intestinal lining where DAO is produced is one of the most common contributors to low DAO activity and histamine intolerance

Int J Mol Sci (2019) 21(1):169

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But the question that started it all was always the same: how do you help the human body do more of what it's already designed to do, without introducing anything foreign