A 55-year-old female patient presents with chronic spontaneous urticaria.
A 55-year-old female patient presents with chronic spontaneous urticaria. The lesions come and go but have been present for 6 months and have not responded to high-dose second-generation antihistamines. A blood panel does not reveal any abnormalities and the physical examination is normal. They have no known comorbidities and no trigger has been identified. What is the next step in management?
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