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For people with a DAO degradation disorder The compatibility is highly dependent on the in-
who have to avoid histamine, other biogenic dividual sensitivity and the amount consumed.
amines and DAO inhibitors in their diet. This Furthermore, it is temporarily affected by stress,
leaflet is not a complete therapy guide. Please hormones and many other factors. First and
also consider the following page and its sub- foremost, the freshness is an important cri-
pages: terion. Everybody has to find out by trial and er-
www.histaminintoleranz.ch/en/therapy.html ror what he/she can tolerate in what quantities.
In case of histamine sensitivity due to mast cell At the beginning of the experimental diet this list
activation disorders (MCAD) this dietary guide- should be followed as consistently as possible.
line is not sufficient! If no permanent symptom In a later stage, however, the diet should be
relief can be achieved and maintained with this based more on the experiences of the person
diet, please follow the detailed list, which addi- concerned rather than following any list.
tionally takes histamine liberators into consid- Always read the list of ingredients to find out
eration as completely as possible. It is available whether a food contains incompatible ingredi-
here: ents.
www.mastzellaktivierung.info
Mast cell activation disorders are often mistaken
for histamine intolerance.
References:
• Experience reports from among our members and readers
• Various patient leaflets from doctors, clinics and hospitals
• Experience of other patient organizations, bloggers, forum threads etc.
• Scientific publications
• Textbooks and cookbooks about histamine intolerance
pecially fish, meat and mush- and then freeze. Thaw quickly and
room dishes), products with a consume immediately.
long storage time. Prefer vitamin-preserving methods.
semi-hard cheese, soft cheese, kefir, sour milk from cow, UHT-milk, pasteurized milk,
processed cheese (also known products: acidified butter, cream, whey.
as prepared cheese, cheese buttermilk, sour Cream cheese (mozzarella, curd
product, plastic cheese), blue cream, crème cheese, cottage cheese, mascarpone,
cheese, mold cheese, fondue, fraîche ricotta, goat cream cheese), young
aged Gouda Feta cheese Gouda, Butterkäse, Schichtkäse
(Possibly yeast and sourdough Malt, wheat germ Potatoes, corn, rice, any kind of grain
bakery produce with extra long Canned corn? in different forms: granules, flakes,
Cereals,
generally unhealthy.)
Alcoholic beverages, soy milk, Rice milk, oat Water, herbal teas, rooibos nature,
energy drinks (theobromine), milk, clear spirits, juices and sodas from acceptable in-
Bevera-
juices and sodas with incompati- black tea, coffee, gredients, almond milk
ble ingredients, nettle tea green tea, es-
ges
presso
Possibly additives
laneous
according to
Miscel-
mastzellaktiv-
ierung.info
It is important to understand what foods affect the ance can have various causes with different underlying pathogenetic
histamine levels in which way. Besides food contain- mechanisms. This may be one of the reasons why not all those af-
ing histamine directly, there are also those that indi- fected react equally to the same foods or categories of triggers re-
rectly influence the histamine levels (histamine liber- spectively. This knowledge is also relevant for medical support ther-
ators, diamine oxidase inhibitors, other biogenic amines and sub- apy, because not every drug is appropriate in all the below mentioned
stances that affect the intestinal permeability). A histamine intoler- groups.
Histamine-containing foods
Histamine is formed as a deterioration product in per- • Fish, if not freshly caught or frozen
ishable food, in microbial fermentation and maturation • Meat, if no longer fresh, sausages, dry-cured meats
processes and in the ripening of fruit. Even some veg- • Matured cheese, processed cheese (histamine increases with
etables are naturally histamine containing, although maturity)
very fresh. • Any fermented food, e.g. Sauerkraut
Medication: DAOSIN (works best if ingested 15-30 • Tomatoes, spinach, eggplant, avocado
min before meal), H1 antihistamines, possibly H2 antihistamines. • Alcoholic drinks, fermented fruit juices
• Vinegar, pickled vegetables
• Soy sauce, Worcestershire sauce
• Yeast extract
Histamine liberators
The foods and additives listed on the right have the • Alcohol (ethanol) and its degradation product acetaldehyde
property of releasing endogenous histamine from • Strawberries
certain cell types (mainly from mast cells). This • Nuts (walnut, cashews)
mechanism is independent from a lack of diamine • Seafood, shellfish, crustaceans: e.g. mussels, crayfish, crabs,
oxidase (DAO). Histamine release is enhanced in ...)
persons with mast cell activation disease (MCAD) and to a lesser • Chocolate, cocoa
extent maybe also when the enzyme activity of histamine-N-me- • Tomatoes, ketchup, tomato juice
thyltransferase (HNMT) is reduced. HNMT is an intracellular hista- • Citrus fruits
mine degradation pathway. Even healthy people can react to liber-
• Certain active substances and additives in medicaments (see
ators if the dose is strong enough.
separate list)
Medication: H1 antihistamines, cromoglicic acid (or its salt sodium
cromoglicate or cromolyn sodium), ibuprofen.
DAOSIN has no direct effect against histamine liberators!