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What AAAAI Guidelines Actually Recommend Avoid known allergens whenever possible, such as pollen, dust mites, and pet dander Use intranasal corticosteroids as the preferred first-line treatment for persistent symptoms Add second-generation oral antihistamines for additional relief without heavy sedation Consider intranasal antihistamines combined with nasal steroids if symptoms remain uncontrolled Discuss allergen immunotherapy for moderate to severe cases that do not improve with standard care These steps reflect decades of clinical research

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