Low Histamine Diet Guide

Reduce dietary histamine. Foods to avoid and alternatives.

4 to 6 weeks elimination, then long-term management
Recommended duration
Symptom improvement in 1-4 weeks
Expected rate

Calorie calculation examples by profile

Sedentary woman, 40 years old, 143 lbs

Maintenance calories 1700 kcal
Deficit: 0 kcal/day

Active woman, 40 years old, 143 lbs

Maintenance calories 2000 kcal
Deficit: 0 kcal/day

Sedentary man, 40 years old, 176 lbs

Maintenance calories 2100 kcal
Deficit: 0 kcal/day

Active man, 40 years old, 176 lbs

Maintenance calories 2500 kcal
Deficit: 0 kcal/day

Understanding histamine intolerance

Histamine is a molecule naturally present in the body and certain foods. Intolerance occurs when the body cannot break down enough histamine (DAO enzyme deficiency). Symptoms include headaches, hives, digestive problems, fatigue, and nasal congestion.

High-histamine foods to avoid

Fermented and aged foods are the richest: aged cheeses, cured meats, wine, beer, vinegar, sauerkraut, soy sauce. Also: fish (especially canned), tomatoes, spinach, eggplant, strawberries, citrus fruits, chocolate.

Freshness first

Histamine increases with time and temperature. Favor very fresh foods, cooked and consumed quickly. Freeze immediately what you don't use. Avoid leftovers older than 24 hours and foods left at room temperature.

DAO enzyme, your ally

DAO (diamine oxidase) breaks down histamine in the intestine. DAO supplements exist and can help before meals. Some foods inhibit DAO (alcohol, black tea) while others support it (vitamin C, B6).

Important

Never go below 1200 kcal/day (women) or 1500 kcal/day (men) without medical supervision. Too aggressive a deficit can be dangerous for your health and counterproductive for weight loss.

Low Histamine Diet Guide

Important: Histamine intolerance should be diagnosed by a healthcare professional. Other conditions can cause similar symptoms. Don’t follow this diet without prior medical evaluation.

Histamine intolerance is often overlooked but can significantly affect quality of life. An adapted diet can make a big difference.

Food Classification

TO AVOID (high in histamine or histamine releasers)

Cheese and dairy:

  • Aged and fermented cheeses
  • Yogurt, kefir, fermented milk
  • Sour cream

Meat and fish:

  • Cured meats, sausages
  • Smoked or dried meats
  • Canned fish (tuna, sardines)
  • Shellfish

Fruits and vegetables:

  • Tomatoes, spinach, eggplant
  • Strawberries, citrus, ripe bananas
  • Avocado, kiwi

Beverages and other:

  • Wine, beer, champagne
  • Black tea
  • Vinegar
  • Chocolate, cocoa
  • Nuts and peanuts

ALLOWED (low in histamine)

Proteins:

  • Fresh meats cooked immediately
  • Very fresh fish or frozen immediately after catch
  • Fresh eggs
  • Fresh legumes

Fruits and vegetables:

  • Apples, pears, melon
  • Carrots, zucchini, broccoli
  • Lettuce, cucumber
  • Sweet potato, potato

Grains and other:

  • Rice, quinoa, millet
  • Fresh bread (yeast-free if sensitive)
  • Olive oil
  • Fresh herbs

Practical Tips

In the kitchen

  • Buy and cook daily
  • Freeze unused portions immediately
  • Avoid marinades and slow cooking
  • Prefer steaming or baking

Daily life

  • Keep a food and symptom journal
  • Identify your personal tolerance threshold
  • Tolerance can vary with stress and menstrual cycle

Mistakes to Avoid

  1. Eliminating all suspect foods at once: Go gradually
  2. Forgetting histamine releasers: Some foods don’t contain histamine but stimulate its release
  3. Neglecting freshness: An allowed food can become problematic if no longer fresh
  4. Ignoring other factors: Stress, medications, hormonal cycle also influence

Why Voical Can Help You

With Voical, track your meals and note your symptoms to identify problematic foods and your tolerance threshold. This data helps you personalize your diet and share it with your healthcare professional.

Frequently asked questions