For people with seasonal allergies, some U.S. cities may be tougher to live in than others.

The Asthma and Allergy Foundation of America (AAFA) announced its 2018 picks for the 100 most challenging places to live with spring allergies. The cities were ranked based on pollen and mold counts, allergy medicine usage, and availability of board-certified allergists.

This year’s report named McAllen, Texas, as the top Spring Allergy Capital in the country. The top 10 cities on the list are…

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