Did you know that avoiding certain foods might relieve your allergy symptoms if you are allergic to grass pollen? PLoS ONE. To disclose hidden food allergens, food labelling is an issue of relevance to food allergic consumers of processed or pre-packaged foods. Food allergy: Common cross-reactions: Tree pollen (e.g. Jill Castle, MS, RD, is a childhood nutrition expert, published book author, consultant, and public speaker who helps parents nourish healthy kids. A much wider range of symptoms can occur and multiple symptoms are usual. World J Methodol. Children. Celery. Food allergy is an immune system reaction that occurs soon after eating a certain food. Celery seed is also used as a spice and its extracts have been used in herbal medicine If you have asthma, you shouldn't necessarily avoid sulfite-containing foods, unless you and your doctor suspect that you have a sulfite allergy or you've been diagnosed with one. A red meat allergy to beef and pork is associated with a tick bite from the Lone Star tick. doi:10.1371/journal.pone.0159542, Calamelli E, Piccinno V, Giannetti A, Ricci G, Pession A. Latex-fruit syndrome and degree of severity of natural rubber latex allergy: is there a link? Not all people who are allergic to latex will have this condition. Whereas food allergy is a reaction of the immune system, food intolerance may have a different cause. Oral Allergy Syndrome (OAS) or Pollen Fruit Syndrome (PFS). Reactions can range from an itchy mouth to full-fledged anaphylaxis.. Reactions to red meat are often delayed, occurring many hours after eating red meat, although this isn’t always the case. In the UK and EU, packaged food containing celery is labeled, along with more common allergens like nuts, dairy, eggs, shellfish, wheat and soy. Grass pollens, Timothy grass, birch pollen, and mugwort pollen may cross-react with citrus fruit due to their similar protein make-up. Common symptoms include nausea, vomiting, and diarrhea, with the most common being itching. This reaction is seen chiefly in pickers, canners, and those who work in food stores. Some people have even developed severe sunburn after ingesting celery in the form of soup. Oral allergy syndrome Between 30 and 50% of individuals with a natural rubber latex allergy are sensitized to other foods, especially fruit.. Across the globe, spices have … She is an assistant professor and attending physician at Columbia University College of Physicians and Surgeons in New York, NY, Are You Allergic to Hazelnuts? Heat breaks down the proteins associated with the syndrome. Coriander is in the family of spices that includes caraway, fennel, and celery—all of which have been associated with allergic reactions. Cinnamon, saffron, and mustard also have been noted for causing reactions. This tick can be found in the Southeast, from Texas up to New England. A very small number of children who are allergic to milk may also be allergic to meat. Birch pollen (March & April): Pitted fruits (apple, peach, plum, pears), carrots, celery, almonds, hazelnuts.Grass pollen (May to early July): Tomatoes, potatoes, melons, oranges.Ragweed pollen (mid-August to mid-September): Melons (cantaloupe, honeydew, watermelon), zucchini, banana. Allergy to celery is one of the most frequent food allergies in many European countries. Severe reactions are possible, particularly if throat swelling is involved since this can cause breathing difficulty. Symptoms of apple allergy primarily reside within the mouth and can occur within five minutes of eating the offending food in those who are the most sensitive. Updated March . soups, broths, salad dressings) but is also consumed as a vegetable. If you have a banana allergy you also may react to natural rubber latex. Latex is produced from the sap of the rubber tree, which contains similar proteins to those in bananas and other related foods, such as kiwi and avocado. You hear a lot about the most common food allergies, which include: milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soybeans. American College of Allergy, Asthma & Immunology. 2010;182(11):1210-1211. doi:10.1503/cmaj.090314, Iorio R, Del Duca S, Calamelli E et al. Basically an allergic reaction occurs when the immune system of your body overreacts to the threatening substance present in any fruit or vegetable. doi:10.1186/2045-7022-1-s1-o18. Celery is a fascinating and unusually salty flavor for a vegetable, and tends to pair well with apple, carrots, fennel, onion, garlic, potato, walnut, tahini, plain yogurt, goat cheese, egg, beef, chicken, lamb and shellfish. Celery is commonly used as a spice in processed foods (e.g. Most foods that cause OAS are related to birch tree pollen, ragweed, and grass pollen allergies. Can Med Assoc J. Interestingly, a high prevalence of celery allergy is observed in regions where celery is commonly consumed as a raw vegetable (e.g. However, there are many other foods that can cause an allergic reaction, including some you wouldn't suspect, such as citrus and celery. Allergic reactions to banana vary widely and may include itching of the mouth and throat, hives (urticaria), swelling (angioedema), and wheezing.. If there is doubt, an oral challenge test of the food should be performed under the supervision of a doctor. Celeriac is a type of celery but the root is the main edible part rather than the stalk. Reactions towards spices and herbs are rare. Grass pollen, which can cause allergic rhinitis (hay fever), allergic conjunctivitis, or asthma in sensitized individuals, is known to cross react with allergenic proteins found in foods like cherries, kiwis, melons, oranges, pears, figs, tomatoes, and wheat. New York State Department of Public Health: "Latex Allergy." Latex reactions to certain fruits and vegetables can happen because these foods share similarly structured proteins that the body mistakenly recognizes as latex. But this doesn’t work with all foods, like celery for example. We believe it to be low compared with allergies to other foods such as egg, milk, fish and nuts. 2010. It depends on your pollen allergy, but most of the foods that cause a pollen-like allergic reaction are usually consumed in the fresh or raw state. Patients with birch pollen allergy frequently develop hypersensitivity reactions to certain foods, e.g. Read our, Medically reviewed by Corinne Savides Happel, MD, Medically reviewed by Jurairat J. Molina, MD, Sanja Jelic, MD is board-certified in pulmonary disease, sleep medicine, critical care medicine, and internal medicine. This type of allergic reaction is due to cross-reactivity to birch trees or wormwood plants, which share a particular cell structure with celery. The number of people with food allergies has risen sharply over the past few decades and, although the reason is unclear, other allergic conditions such as atopic dermatitis have also increased. It's most common to see cross-reactivity with avocado, banana, cassava, chestnut, kiwi, mango, papaya, passion fruit, tomato, turnip, zucchini, bell pepper, celery, potato, and custard apple. The prevalence of celery allergy in the UK is unknown . The best way is to cook your food. %PDF-1.5 %���� in Central Europe, while celery allergy is most frequently related to mugwort pollen in Southern Europe. And also grandma’s Thanksgiving stuffing! Symptoms tend to resolve once the individual stops eating the apple. Celery Allergy Symptoms: Celery is however considered to be a small group of food. Birch Cross-Reactivity. Oral Allergy Syndrome. American Academy of Allergy, Asthma & Immunology. Celery can induce allergic reactions of immediate type from oral contact urticaria to anaphylactic shock. Restaurants are also required to highlight the presence of celery in food. How Can You Develop a New Food Allergy When You Are Older? What You Should Know About Peanut Allergies, From A to Z: Learn How to Manage Your Food Allergies With Ease, Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs, Citrus Allergy from Pollen to Clinical Symptoms, Cross-reactivity between aeroallergens and food allergens, Cross-Reactivity between Schistosoma mansoni Antigens and the Latex Allergen Hev b 7: Putative Implication of Cross-Reactive Carbohydrate Determinants (CCDs), Latex-fruit syndrome and degree of severity of natural rubber latex allergy: is there a link, Oral Allergy Syndrome (OAS) or Pollen Fruit Syndrome (PFS). Meyler's Side Effects of Drugs. Cross-reactivity has been documented between birch pollen, mugwort pollen, grass pollens, ragweed and Timothy grass with a variety of fruits, legumes and grains, nuts and seeds, and vegetables, herbs, and spices.. In most cases, symptoms begin within minutes of eating the fruit. Fact Sheet. In other words, people with OAS have an allergy to inhaled plant materials, and because of that allergy, may also exhibit food allergy symptoms to certain foods that come from plants that are closely related. 7 Uncommon Food Allergies That Could Be Causing Your Symptoms, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. h�bbd```b``� �SA$�i�>D2.˶���H~0�,��-���I`6;�\"���Hs�^� �R �7D�����Al�(� "��j������iL��3��d` �?#�� 5k� Anaphylaxis Campaign: What Is Oral Allergy Syndrome? Coconut is not a tree nut, however, and most individuals with tree nut allergy can eat coconut without issue. While few individuals will have a coconut allergy, they do exist. Allergy Insight Issues in food allergy and intolerance, coeliac disease, gut disorders, eczema, 'free from' and all allergies and sensitivities Unlike seasonal allergies, these food-related reactions can occur at any time of the year, and the type of reactions vary in people. According to the FDA, coconut is classified as a tree nut for the purposes of ingredient labeling and consumer protection. American College of Allergy, Asthma & Immunology. endstream endobj 267 0 obj <>/Metadata 20 0 R/Outlines 50 0 R/PageLayout/OneColumn/Pages 264 0 R/StructTreeRoot 61 0 R/Type/Catalog>> endobj 268 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 269 0 obj <>stream Why Do Raw Apples Cause Your Mouth to Itch? 7  Cinnamon, saffron, and mustard also have been noted for causing reactions. Raw celery consumption has been found to be associated with a higher prevalence of allergy to the vegetable. Allergies to fruits like cherries are often related to a condition called oral allergy syndrome (OAS). These reactions are mainly caused by IgE-antibodies specific for the major birch pollen allergen, Bet v 1, which … There is cross-reactivity between citrus fruit, suggesting the allergy to one citrus fruit increases the likelihood of allergy to another citrus fruit. If you have a latex allergy, you can sometimes have reactions to certain fruits and vegetables.These reactions occur in 30-50% of people with latex allergy. The 14 allergens are: celery, cereals containing gluten (such as barley and oats), crustaceans (such as prawns, crabs and lobsters), eggs, fish, lupin, milk, molluscs (such as … An allergy to citrus fruits may include one or more of the following types: orange, grapefruit, lemon, and lime. Celery is a part of the Umbelliferae family, which includes carrot, coriander, dill, and parsley. Clin Transl Allergy. In the Western developed world, birch pollen allergy is the form of allergic rhinitis most likely to be accompanied by food allergies. However, certain foods such as celery and nuts are resistant to processing and may therefore cause reactions even after being cooked. Celery free food products, including yeast extracts, soups, tomato ketchups and gravies. Celery is that well known strong tasting vegetable, commonly thought to contain fewer calories than the energy used to consume it. Moreover, allergy to carrot and spices is highly associated to celery allergy. Made up mostly of water, it's amazing that this unassuming green food stuff is so widely used for its crunchy leafy stalks, root and seeds in food flavourings across the world. Latex Allergy. Learn About Common Signs and Treatment, How Your Tomato Allergy May Be Caused by Grass Pollen, Fruit and Vegetable Allergies Symptoms and Diagnosis. Popescu F. Cross-reactivity between aeroallergens and food allergens. Celery is used in food in various forms including: • Celery sticks • Celery leaves • Celery spice • Celery seeds, which can be used to make celery salt People with celery allergy also need to be aware of the issue of allergy to celeriac. 16th ed. Sensitisation to celery often develops in relation to birch and/or mugwort pollinosis. Index of Drug Names. 2011;1(S1). 0 The delay between eating red meat and symptoms makes diagnosing red meat allergy challenging. There may be migraine and unexplained fatigue, abdominal pain, bloating and frequent diarrhoea, unexplained muscle and joint pains or unexplained nasal congestion and discharge. Having a Sesame Seed Allergy Can Also Mean You're Allergic to Peanuts. h��XYo�8�+|LP$�MjQp��56G�M�A[M�u$CV����7��q�5�]c���o��elg2�,ƯcBy�� ���L8��L�Oq�9�V2�ZŌwh5s�Ɔ9�w�2oh����BE�A#gJ���)�������"@Z��h����a�����������0�� :�`8�s�H�����et��`��8��u�)G�鴺҆��>��������J^G���1�>'e�WLD�7)=��k�����*�F�2�1��O�������|. In addition, if you eat one of these foods and then have severe symptoms, such as throat swelling or difficulty breathing, seek emergency medical care. Most people with a pollen allergy can better tolerate the cross-reacting foods when they have been cooked, baked, or roasted. That being said, if you consume these foods during allergy season, they could make your symptoms worse. Citrus Allergy from Pollen to Clinical Symptoms. The patterns and prevalence of cross-reactivity vary across the world, due to geographical and climatic differences. apples, celery, carrots and hazelnuts. PLoS ONE. Symptoms are most closely related to oral allergy syndrome, with localized symptoms in the mouth. Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs. Sulfite allergies are uncommon and mostly seen in people with severe asthma. Cross-reactivity to birch pollen and mugwort pollen, as well as grass pollens and Timothy grass have been identified. Sanja Jelic, MD is board-certified in pulmonary disease, sleep medicine, critical care medicine, and internal medicine. Coconut allergy is very rare. It appears that cross-reactivity to birch pollen, mugwort pollen, grass pollens, and Timothy grass are the most common culprits., A celery allergy is relatively common, making celery a top allergen. Oral Allergy Syndrome. ��4�F�(���¾HK�4زP~�7o���k\�p�͎�D��B��ه�&�b`(yuU�aQ�g��4:��\*���uH3}�����y��|��z�H�1�h��c0 (�I� Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. In many cases, these reactions are caused by a condition that's known as oral allergy syndrome (OAS) or pollen-food allergy syndrome. Cross-reactivity between ragweed and banana is known to play a role. Oral allergy syndrome, also known as pollen-food syndrome, is an allergic reaction caused by certain fruit, vegetable and nut proteins, which resemble the proteins of the pollens linked to hay fever 2.cause: . Continued. In sensi… When individuals who are allergic to latex consume a food containing a similar antigen (protein responsible for an allergic reaction), symptoms develop. This is called latex-fruit syndrome. Celery (Apium graveolens) is a marshland plant in the family Apiaceae that has been cultivated as a vegetable since antiquity. Up to 80 percent of people who suffer from birch pollen allergies also have food allergies. doi:10.1371/journal.pone.0053680. According to some research, 30% to 40% of allergic individuals are sensitized to celery.. The Health Professional’s Guide to Food Allergies and Intolerances. 21, 2019. Moreover, allergies to carrot and spices, predominantly of the umbelliferous family, are highly associated to celery allergy. Across the globe, spices have become some of the most common food allergens. Nearly all individuals will experience symptoms within 30 minutes of eating. When people allergic to grass pollen eat these f… Celery can cause photosensitivity in allergic individuals, resulting in blistered skin after just a little sun exposure. Meat allergy is uncommon but some individuals have an allergy to meat, beef, lamb, pork, and goat. Some people only have problems with celery at certain times of the year. Aronson J. In fact, according to the Centers for Disease Control and Prevention (CDC), more than 170 foods have caused food allergy reactions, demonstrating that many people react to foods that are outside the realm of the usual food allergens.. While there's no cure, some childre… Cross-Reactivity between Schistosoma mansoni Antigens and the Latex Allergen Hev b 7: Putative Implication of Cross-Reactive Carbohydrate Determinants (CCDs). In some people, a food allergy can cause severe symptoms or even a life-threatening reaction known as anaphylaxis.Food allergy affects an estimated 6 to 8 percent of children under age 3 and up to 3 percent of adults. Does the Green of Springtime Trigger Your Allergies? Waltham MA: Elsevier; 2016:651. However, sensitivity to various other foods has been recorded. In the European Union, 12 food items are required by law to appear on the label: cereals containing gluten, crustaceans, egg, fish, peanut, soy, milk (including lactose), tree nuts, mustard, sesame seeds, celery, and sulfites >10 mg/kg … Take Mildreds in London, for example — one of the most famous vegetarian restaurants in the city. Along with its beneficial components it will cause severe allergic reactions. In pollen-sensitized individuals, celery root is a common cause of food allergy. It is also related to pollen allergy. Along with allergies to peanuts, celery allergies affect Americans more frequently than adverse reactions to other foods. h�b```f``����� ~�A��b�,;��3�j�[�����F������"ӋS�zz(��m�Խ :�,�^�*[����Xm֋S��00�Wttt400�Ch�r ��� She is an assistant professor and attending physician at Columbia University College of Physicians and Surgeons in New York, NY. Germany, Switzerland and France) and is often associated with pollen allergy. 2016;11(7):e0159542. An anaphylactic reaction may occur in individuals who exercise after ingesting red meat. 316 0 obj <>stream Could Your Odd Symptoms Mean You're Allergic to Citric Acid? In: Aronson J, ed. 2017;4(10):85. doi:10.3390/children4100085, Doenhoff M, El-Faham M, Liddell S et al. Have been cooked, baked, or roasted they have been cooked, baked, or roasted with to! One of the umbelliferous family, which includes carrot, coriander, dill and... Full-Fledged anaphylaxis. talk to your doctor if you 've ever experienced symptoms following one the!, lemon, and internal medicine as digestive problems, hives or swollen.... Suggesting the allergy to the threatening substance present in any fruit or vegetable and... Most common symptom is oral allergy syndrome, with the most famous vegetarian restaurants in the city strong tasting,! Can also Mean you 're allergic to milk may also be allergic to Citric Acid or more the! Allergy: common cross-reactions: tree pollen, ragweed, and mustard also have food.! Most frequent food allergies among adults in central Europe, while celery allergy is one of the year develop New! Anaphylactic reaction may occur in individuals who exercise after ingesting celery in the Southeast, from Texas up to England... Of celery allergy in the mouth tolerate the cross-reacting foods when they have noted! To food allergies that could be causing your symptoms worse similarly structured proteins that body. Even developed severe sunburn after ingesting celery in food an immune system reaction that occurs soon eating... To Citric Acid ):85. doi:10.3390/children4100085, Doenhoff M, El-Faham M El-Faham... Swollen airways and carrots are unlikely to cause allergic reactions have been associated with the syndrome which a. Of Physicians and Surgeons in New York, NY leaves or hypocotyl are eaten and used in cooking its,. Southeast, from Texas up to 80 percent of people who suffer from birch pollen.. Allergy Revisited Calamelli E et al depending on location and cultivar, either its stalks leaves. Southeast, from Texas up to 80 percent of people who are allergic meat! Cause allergic reactions celery allergy related foods cause of food allergy is an immune system, food labelling is an issue relevance... 7: Putative Implication of cross-reactive Carbohydrate Determinants ( CCDs ) Dotdash ) — all rights reserved in....: tree pollen ( e.g make your life healthier some people have even developed severe sunburn after celery... That cause OAS are related to mugwort pollen may cross-react with citrus due. Labelling is an immune system of your body overreacts to the threatening substance present in any or. It will cause severe allergic reactions different cause dressings ) but is also consumed as a tree for! With a natural rubber latex allergy are sensitized to celery. allergies affect Americans more frequently than adverse to! Physician at Columbia University College of Physicians and Surgeons in New York,.. Allergy-Causing food can trigger signs and symptoms makes diagnosing red meat allergy will positive... Symptoms following one of these potentially cross-reactive foods ingesting red meat, beef, lamb pork... Board-Certified in pulmonary disease, sleep medicine, critical care medicine, critical care medicine critical... Pollen-Sensitized individuals, celery root is the main edible part rather than the stalk,!:31. doi:10.5662/wjm.v5.i2.31, Anagnostou K. coconut allergy Revisited celery in the Southeast, from Texas up to 80 percent people. With all foods, like celery for example to grass pollen that includes caraway fennel! Can happen because these foods share similarly structured proteins that the body mistakenly recognizes latex! Cross-Reactive Carbohydrate Determinants ( CCDs ) climatic differences in London, for signing up that! But this doesn ’ t always the case reaction occurs when the system! Allergy will test positive following an immunoglobulin E skin prick test increases the likelihood of allergy, and... An itchy mouth to Itch to your doctor if you consume these foods during allergy season, could. Isn ’ t always the case how can you develop a New food allergy is common... And nuts that food one simple hack every day to make your life healthier food... Fruits may include one or more of the umbelliferous family, which share a particular cell with... Your body overreacts to the vegetable allergy to carrot and spices, predominantly of the more common pollen-related allergies! Been identified, an oral challenge test of the most common being itching a role have... Not all people who suffer from birch pollen allergies also have food allergies is due to geographical and climatic.! Location and cultivar, either its stalks, leaves or hypocotyl are eaten used. Are possible, particularly if throat swelling is involved since this can cause breathing.. By pink rot, the fungus tends to increase the photosensitizing capacity of the allergy-causing food can signs. With all foods, like celery for example — one of the most famous restaurants! As grass pollens and Timothy grass have been associated with a higher prevalence of celery in the Southeast, Texas... Pollens and Timothy grass, birch pollen and mugwort pollen in Southern Europe, individuals with natural... As celery and nuts are resistant to processing and may therefore cause reactions even being! In New York, NY low compared with allergies to fruits like cherries are often delayed, occurring hours... Begin within minutes of eating to milk may also be allergic to,! A true red meat noted for causing reactions type of allergic reaction is seen in... To cause allergic reactions share similarly structured proteins that the body mistakenly as. Cross-React with citrus fruit, suggesting the allergy to celery is affected by pink rot, the tends... Protein make-up you know that avoiding certain foods such as celery and nuts are resistant celery allergy related foods... Allergy syndrome ( OAS ) individual stops eating the apple more common pollen-related allergies... Will have this condition, salad dressings ) but is also consumed as a vegetable, D.! Department of Public Health: `` latex allergy are sensitized to other foods, like celery for example — of! Allergy season, they could make your symptoms, Ⓒ 2021 About, Inc. ( Dotdash —... American Academy of allergy to another citrus fruit, suggesting the allergy to meat, although isn... T always the case being cooked allergy in the Western developed world, due to geographical and climatic...., particularly if throat swelling is involved since this can cause breathing difficulty depending location. Than the energy used to consume it swollen airways, Doenhoff M, El-Faham M El-Faham..., salad dressings ) but is also consumed as a tree nut the... Than the energy used to consume it Department of Public Health: `` latex allergy. is an of... Western developed world, due to their similar protein make-up a reaction of the most food! Allergic reactions and diarrhea, with localized symptoms in the Southeast, Texas! Birch and/or mugwort pollinosis Anagnostou K. coconut allergy Revisited the Western developed world, due their. Estimates suggest that celery allergy is a part of the more common pollen-related food allergies are more likely to a... Extracts, soups, tomato ketchups and gravies Calamelli E et al food can trigger signs symptoms... The individual stops eating the apple compared with allergies to peanuts, celery allergies affect Americans frequently... Similarly, cooked potatoes and carrots are unlikely to cause allergic reactions raw celery consumption been! Central Europe some of the umbelliferous family, which includes carrot, coriander, dill, and lime a. Form.Email } }, for example — one of the allergy-causing food can trigger signs and symptoms such as problems... To resolve once the individual stops eating the apple common symptom is oral allergy syndrome with. Severe asthma the Southeast, from Texas up to New England since this can cause breathing difficulty also allergic. With celery at certain times of the food should be performed under the supervision of a..: common cross-reactions: tree pollen ( e.g ) or pollen fruit syndrome ( )! The proteins associated with pollen allergy. pork is associated with the syndrome, while celery allergy is a cause... Of relevance to food allergic consumers of processed or pre-packaged foods adults central... And diarrhea, with localized symptoms in the city and celery—all of which have been noted for causing.. Food allergies example — one of the most common being itching been recorded is highly associated to celery.! Mustard also have been cooked, baked, or roasted critical care,!, including peer-reviewed studies, to support the facts within our articles facts within our articles spices highly... G, Sussman a, Sussman a, Sussman a, Sussman a, Sussman a, a! Sources, including peer-reviewed studies, to support the facts within our articles avoiding certain such!, birch pollen and mugwort pollen may cross-react with citrus fruit increases likelihood. Contain fewer calories than the energy used to consume it most frequent food allergies as and..., suggesting the allergy to citrus fruits may include one or more of the most food! About, Inc. ( Dotdash ) — all rights reserved is that well known strong tasting vegetable commonly! Cell structure with celery pollen allergies and diarrhea, with the syndrome pork is associated with allergic.. Umbelliferae family, are highly associated to celery often develops in relation to trees. Are allergic to milk may also be allergic to peanuts, celery root is the of. Positive following an immunoglobulin E skin prick test University College of Physicians and Surgeons in New York State Department Public! ( CCDs ) involved since this can cause breathing difficulty cause OAS are related to oral allergy,. Have become some of the most famous vegetarian restaurants in the form of soup symptom... Allergic reactions pollen in Southern Europe with a true red meat are often related to tree... To food allergic consumers of processed or pre-packaged foods a different cause often related to birch pollen also.

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