I eat pretty strict keto with lots of eggs, fresh meat, about a cup of green vegetables at most meals, and lots of fat from butter, ghee, olive oil, macadamia nuts, and avocado. I use a tsp. of MCT oil in my coffee. I try to limit my consumption of high histamine keto foods, such as cured meets, aged cheeses, olives, capers, wine, chocolate, and pickles. These are some of my favorite foods, though, so I do eat them occasionally. When I’ve overloaded on them, I get immediate redness around my mouth and itchy lips. If I really overdo it, I’ll have a full blown allergy attack and eczema flair. You might look at high histamine food lists to see if you are eating a lot of those foods. I find that I can keep my skin issues and histamine intolerance in check now by eating moderate-histamine keto. Just doing a low histamine diet didn’t provide relief for me. I think the key for me is that keto reduces the inflammation. I hope keto cures you eventually, too. Best to you! D