One of the specificities of Ciguatera lies in the occurrence of "hypersensitivity" to scertain foods and drinks (regardless of the presence of ciguatoxins), even environmental factors (intense physical activity, exposure to the sun, etc.); resulting in the transiant reactivation or accentuation, by peaks of a few hours to a few days, of certain symptoms related to the poisoning (itching, general malaise, muscle pain/weakness, etc.).

In order to limit this phenonemon, it is recommended to follow a specific diet, free of marine products, animal proteins (especially red meats), alcohol, coffee and nuts for a period of one month minimum or until symptoms disappear.

It may be that this "hypersensitivity" to certain foods persists over time (several months, even years). It is therefore recommended to keep a diary of triggering foods and note the nature of reactions associated and their intensity. These foods will need to be avoided for several weeks, then reintroduced one by one.

In some cases, the hypersensitivity can extend to other food products, such as plant-based proteins, high-fat products, dairy products, foods rich in histamines, etc.

The diet must be adapted on a CASE-BY-CASE basis.

This phenomenon will disappear spontaneously with time

 

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