What do you think is triggering it for you - the wheat in the pasta perhaps or the dairy? I tried a month without any dairy thinking that might be the cause of the sinus issues but nothing changed. I do suspect Parmigiano might have a histamine trigger though.
I have stopped the diary and does feel better than with diary.
I have also stopped the McDonald's Cola which made me cough and get runny nose after drinking it, ironically this seems to not really make a difference in how everything else works for me, compared to diary removal.
For me the main trigger was pretty clear, 48 hours after the extraction of the infected 1st premolar on the maxilla the new life began with each and every day dizziness, balance issues, and other sort of issues.
There is way too much backstory to this event and with the event after, a ton of things happened before and after it.
My sinus issues have been labeled by several specialist as coming from the tooth, basically the infection when from the teeth inside, not the other way around, but even this one has it's own long story how my initial doctors refused to pull the teeth out even it caused me for month crippling headaches, temple pains and kept me in bed.
After a huge amount of time ( a couple of years) I said I cannot take it anymore and went to get the tooth pull out, coincidentally some puss was present at the moment of extraction and the bone had been eaten up a bit by the infection.
But my issues with the maxilla are not done, I still have other types of issues which were present at the same time with that infection and precise the infection basically issues in front and back of that 1st premolar.
I also had tinnitus after this vent triggered but it was sporadic and short lived. Right now it is even more sporadic, but I am not taking that 250mg of aspirin anymore neither have I eaten diary anymore.
My main issue is not really vertigo, it is all day long dizziness, floating sensation and equilibrium issues.
After walking for a while I feel like my legs start to not really hold up anymore, pressure built up in the sinuses, head, etc. a state of debilitation starts hard to concentrate, if aggravated the situation requires me to stay in bed.
Sometimes I get just the incipient state of vertigo, but not the full one.
Anxiety can happen maybe 10% of the days, I can also be really bad and have no anxiety.
I have been taking various B1 forms, felt nothing from any of them really, to pressure relief, no nothing really, maybe more agitation than anything.
I have not tried Thiamine Pyrophosphate, yet.
Highly important for me is that my situation gets aggravated if don't eat 8 our of 10 times (Weirdly not 10 of 10 times), which also coincides with the fact that I get acute allergies if I don't eat, this actually happened to me for way longer than my current health issues.