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Additional diagnostic tools Blood tests: Check for immune system activity or autoimmune disorders Skin tests / skin prick testing: Identify potential allergic triggers, such as foods, insect stings, or environmental allergens Allergy tests: Help pinpoint specific substances that may cause your hives Oral food challenge or food diary: To examine suspected food triggers Skin biopsy (rarely needed): Examine a small sample of skin to rule out other skin conditions Even if a clear trigger isnt found, which happens more often than you might think, there are ways to manage symptoms, and knowing how to handle them can bring a lot of reassurance

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