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Histamine intolerance is a condition where the body cannot effectively break down histamine, leading to an accumulation of this compound in the bloodstream. It is caused by a deficiency in the enzyme diamine oxidase (DAO), which normally breaks down histamine in the digestive tract. The Histamine, Plasma test is the most important test for diagnosis because it directly measures histamine levels in the blood.
Histamine intolerance is caused by a deficiency in the enzyme diamine oxidase (DAO), which is responsible for breaking down histamine in your digestive tract. When your body does not produce enough DAO or when the enzyme is not functioning properly, histamine accumulates in your bloodstream instead of being broken down. This buildup leads to symptoms that resemble allergic reactions even when you are not exposed to allergens. Certain medications, gut health issues, and genetic factors can also contribute to reduced DAO activity and worsen histamine intolerance.
The Histamine, Plasma test is the most important test for histamine intolerance because it directly measures the amount of histamine circulating in your bloodstream. Elevated plasma histamine levels indicate that your body is struggling to break down this compound effectively, which explains symptoms like headaches, flushing, itching, and digestive problems. The Histamine Release (Chronic Urticaria) test is also valuable as it evaluates abnormal histamine release patterns, particularly useful if you experience chronic hives or persistent skin reactions. Together, these tests provide a comprehensive picture of how your body is processing histamine and whether intolerance is the underlying cause of your symptoms.
You should get tested if you experience recurring headaches, skin flushing, itching, hives, or digestive issues like bloating and diarrhea after eating certain foods, particularly aged cheeses, fermented foods, alcohol, or cured meats. Testing is also recommended if you have allergy-like symptoms without any identifiable allergen triggers or if antihistamine medications seem to provide relief for your symptoms. If your symptoms worsen after meals or if you notice patterns related to specific high-histamine foods, getting tested can help identify whether histamine intolerance is the root cause and guide you toward the right dietary and treatment approaches.
What this means
Your plasma histamine level is elevated above the optimal range, which may indicate an active allergic response or excessive histamine release in your body. This elevation could explain symptoms like hives, flushing, itching, or digestive issues you may be experiencing.
Recommended actions
Follow a low-histamine diet by avoiding aged cheeses, fermented foods, alcohol, and processed meats
Keep a symptom diary to identify potential triggers for histamine release
Manage stress through meditation or yoga, as stress can trigger histamine release
Consider retesting in 4-8 weeks after dietary and lifestyle modifications
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