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When activated, the mast cells in the skin release mediators (histamines, tryptase, TNF-alpha, CXCL9, etc.) that cause inflammation, flushing, itching, or burning.[ref] Related article: Rosacea, underlying causes, genetic susceptibility Dermatographism and mast cell activation syndrome: In a survey of mast cell activation syndrome, dermatographism was found in 89% of the patients.[ref] Dermatographism is when you get welts or raised red lines when you scratch your skin lightly

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Alpha-lipoic acids role in the antioxidant defense system Exogenous ALA enters cells through the sodium-dependent multivitamin transporter (SDVT)

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At the end of the day, you should make healthy lifestyle choices that make the most sense for your own body