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Sadly, it did not include the role of nutritional deficiencies in autoimmune disease or neurocognitive symptoms. Yes, an interdisciplinary approach would help a lot, you just need to include a low histamine diet trained dietitian who also knows about magnesium and vitamin D metabolism.

Also, regarding the under-reporting, the smart autoimmune patient may have learned to keep their mental health symptoms to themselves as medication is generally used and often dangerous rather than helpful.

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