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For intermediate-risk patients, hydration plus the uric acid-lowering drug allopurinol (Zyloprim) or rasburicase (Elitek), is recommended to prevent TLS

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Specifically, it explains why: Antihistamines can significantly reduce skin and respiratory symptoms by blocking histamine receptors Low-histamine diets may lessen symptom severity by reducing overall histamine burden in the body Vitamin C and quercetin can be supportive, as both help stabilize mast cells and improve histamine breakdown, thereby dampening the inflammatory response associated with progesterone hypersensitivity N-Acetyl Cysteine (NAC) supports glutathione production and inflammatory regulation, which may further help reduce the downstream effects of mast cell activation when used alongside antihistamines and dietary strategies