What is Histamine Intolerance? Surprising Symptoms You Need to Know | Dr. Elizabeth Boham

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View Show Notes From This Episode: bit.ly/ep-950
Have you ever experienced unexplained allergy-like symptoms, digestive issues, or persistent fatigue? It could be histamine intolerance, a condition that’s more common than you think. In this episode, Dr. Elizabeth Boham joins me to examine real patient stories, dive deep into the gut-brain connection, and share how you can manage histamine intolerance through personalized treatments, stress management, and gut health optimization. Whether it's genetic or lifestyle-related, histamine intolerance doesn't have to be a lifelong battle.
In this episode, we discuss:
The common symptoms of histamine intolerance
The importance of the DAO enzyme
Why low-histamine diets may not be a long-term solution
Why stress and gut health are key triggers
The difference between histamine intolerance and and mast cell activation syndrome (MCAS)
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[@tetneeley]

Two to four weeks recommendations/restrictions on those foods to restore your body/guy balance: 1. Remove all alcohol from your diet 2. Eat freshly made meals (freeze the leftovers) as the histamine increases with time. 3. Minimum adjectives (like sulfates etc) in the food as it could spike the histamine level. 4. Aged cheese and fermented foods. 5. Canned and smoked foods 6. Soy sauce, vinegar (again, any fermented foods) 7. Avocados, spinach, citrus foods - as it may triggered the histamine spike. Root causes: - stress - mold

[@louisebotos7321]

and leaky gut

[@effigy8620]

And oestrogen

[@lindapelle8738]

Do eggs have sulfates?Thank you for the summary I love seeing this summary after I watch the video or before if it seems long and boring. I appreciate people taking the time to do a summary 😊

[@SorrentoRoadGardenLife]

Can you please add the handout for the histamine diet and the supplements mentioned, as promised. Thank you so much!

[@christyheckler8305]

I also cannot find it.

[@scjordan3]

I can't find the handout for the low histamine diet.

[@brendaplans1992]

I clicked on “View Show Notes from this episode” and there are 2 very helpful pdf attachments. Best to you!

[@davidbooyer4851]

Histamines are the second leading cause of Vertigo! My wife stumbles a lot lately sinus runs for no clear reason. When she eats certain foods the nose flows! Watching this video intensely! Of course we have been to the doctor symptom pill symptom pill…

[@allhimwithme5115]

And motion sickness, too! I'd throw up in my carseat (1974, LOL) after they'd give me a box of raisins in the car - dried fruit is a HIGH HISTAMINE FOOD and low DAO production runs in my family but we didn't know until very recently!

[@louisebotos7321]

yep! 😮

[@raginald7mars408]

This had crippled most of the Life of my Mother - and nobody knew that Scandal!

[@allhimwithme5115]

Me, my mother, and grandmother, too! My grandmother has passed, but my mom and I are learning and healing together. Sorry your mom never knew!

[@wendylpa]

Thx for this informative vid! Don’t forget that histamine can also drive chronic scalp problems, not just body rashes. Took me 15 years to figure this out since conventional MD’s had NO CLUE. I addressed the hist imbalance & my scalp cleared up & my hair is regrowing! My scalp issues were considered seborrheic derm, but root cause was hist all along!

[@TheKezhaya]

What did you do to fix the problem?

[@wendylpa]

@@TheKezhaya primary change was greatly reducing hist foods that I was consuming daily (cacao, lemons, avocados, etc.). I can still eat them a couple times/week but have to be careful. I’m on a low hist diet in general now. Also take an antihist & DAO enzymes.

[@louisebotos7321]

​@wendylpa with all respect that's not addressing the root cause, you've addressed the symptoms only .

[@wendylpa]

@@louisebotos7321 that’s fair but I also did genetic testing that confirmed I have genetic mutations that don’t clear hist efficiently/I’m likely also low in DAO = an unholy union. When I addressed both hist & DAO the scalp issues cleared. So I’m as close to root cause of the chronic scalp disorder as I can get…since I’m stuck w these gene mutations.

[@wendylpa]

@@louisebotos7321 That’s fair but it’s as close as I can get to resolving my chronic scalp issues since my MD’s only knew rx steroids = no bueno. I also did genetic testing that confirmed I don’t clear hist efficiently. So reducing hist & adding DAO is the closest I could get to root cause since there’s no changing our hard wired genetic mutations…

[@evebonda]

I’m 45 year old women and I’ve been having migraines around period since I was a teenager. The older I got the longer my migraines lasted. I also struggled from time to time with histamine intolerance. I discovered solution for my migraines few months ago. I make green juice from 30 different leafy greens and vegetables. (I use slow juicer) I make big batch once in two weeks and freeze it in small jars. One jar (around 2cups) lasts two days. I drink it every single day in the morning prior breakfast for the last 4 months. Haven’t had a migraine since I started. In addition I am more consistent with taking magnesium especially one week prior period.

[@canterbury8991]

life long migraine sufferer and haven't had any since starting 500 units magnesium glycinate at bed....why don't neurologist tell us this?

[@amylambert2365]

some leafy greens are high in oxalates - like spinach.

[@tanyaweinbergq2647]

So what about the green spinach Leaves??

[@louisebotos7321]

It's very individual

[@kathybjorn1001]

Possible good news for your migraines. I suffered terribly from menstrual migraines at least 5 times a month. When I went through an early menopause culminating at 45 years old. I've never gotten a migraine like those again! Hopefully you'll be so lucky.

[@patriciamasterson4721]

I recently broke out in hives in both arms. I awakened in morning with these horrible welts. Also the chronic vertigo was more acute. My teeth began to hurt. Am 82 and extremely concerned. Surprised as I live clean. BD and organic everything for my lifetime. But 10 months ago got Covid. Everything seems off balance. My doc said nothing about histamine. But rub antihistamine on it. It was so bad it took two weeks to dissipate.🧐 I need a Functional medical doctor. Not a cream to rub!😢

[@lindapelle8738]

Regular drs can’t help no training or interest to learn by looking on internet.

[@danielaanghel3718]

I get ringing in my ears,head,the blood pressure ( diastolic) goes up;I take histamine blockers and it works

[@kathymohr2568]

Heavy metal toxicity can also cause mast cell activation and histamine intolerance! That hasn’t been mentioned yet.

[@hdmedia7404]

Suffering from dermatitis for 20 years now ... it will kill me. I cannot stand the inflammations anymore. Help me please ...

[@aafursa]

Adding magnesium, vit E, zinc, evening primrose oil, vitamins B complex, getting enough vitamin D either through supplement or sun exposure, lowering sugar intake, and cutting out processed foods helped me. I also use this oil (psoria oil) after washing hands and my hand dermatitis is almost none existent. I also incorporated healing body meditations. Good luck! Your body can heal anything!

[@earthmamma85]

I developed histamine intolerance years ago while I was vegan. I got so bad that near the end of my vegan diet I couldn’t eat anything without throwing up most of what I just ate. I developed all the symptoms of histamine intolerance… I was a freaking mess. I couldn’t figure it out, nor did the doctors. Years after I cut most of the plants out of my diet I had a horrible flare and broke down and just wanted answers. KZbin apparently heard my plea and recommended a video on it and a freaking miracle happened. I knew I had gut issues and went into gut healing process. All the fermented foods were introduced week by week, and that freaking caused my body to freak out. So it’s been two years I’ve known about this issue and I’m still trying to figure out my diet. I’ve talked to doctors and they just dismiss it. I live with horrible itching and throw up often. Though it’s better, it’s still not gone. Almost every food that has histamine or histamine promoting compounds, I have been excluded from eating. I’ve seen two gastroenterologist and all they did was scope my tummy, and told me to take an antacid. So if anyone has any suggestions on a doc to see in Missouri please let me know.

[@rochelle1055]

All I can eat right now for gut healing is homemade chicken broth by boiling 4 piece chicken thighs with bone ins and skin that was previously frozen. I thaw it right away then cook it right away with a pot full of water to make the broth. I have to remove skins before I freeze them because I'm getting nauseous with too much fat.Then I freeze it all separately. I add low histamine low FODMAP veggies: lacinto kale, rutabaga, arugula, chard, cabbage, broccoli, sea salt. I can tolerate that. When it's time to eat, I pull out a piece of frozen chicken, cook the veggies in broth diluted with water to taste, and add in the frozen chicken piece. Add Himalayan salt. For lunch I eat frozen turkey patty cooked on stove top in ghee. I can tolerate green plantains and sweet potatoes. I cook them on stove top with ghee. I can tolerate steak frozen and immediately thawed and cooked. Look for recipes on cooking plantains: tostones. I am going to start taking a DAO supplement and am working with a functional medicine doctor who ran tests on me. I can eat cassava chips and taro chips with oil made from palm oil. I eat plantain chips. I take digestive enzymes from designs for health. Try dao from "designs for health" or "seeking health."

[@justdawndb]

There's a Dr in Wentzville that has helped someone I know.... they're not on the level of these two, better than most. Sending hope.....

[@lindapelle8738]

@@rochelle1055How long do you cook the chicken if the chicken is frozen when you put it in the broth.? Thanks I’m going to try this sounds like a good idea easy on the gut.I never tried green plantains, interested in going to give it a go. Thanks for the ideas

[@mollasima3251]

Try eating only carnivore for a week.

[@ntclee5072]

2 minutes into video..talk of woman with migraines and what came to my mind that I learnt quite sometime ago was ppl with migraines are often deficient in magnesium. But if the body is deficient in one important mineral quite of its low in others!

[@tomprovan50]

Dr Boham is great her sulfur information is amazing

[@christiroseify]

I like that you said there are different probiotics... My gut disturbances are different. Sometimes, Kefir helps to settle my stomach and sometimes I need to eat green olives to settle it. I'm still learning but it seems to be a difference between stomach upset because of too much bile and upset because of not enough bile.

[@WilliamWallace-sc9cx]

You definitely don't have Histamine Intolerance, you could have other problems but not Hist Intolerance 👍

[@christiroseify]

@@WilliamWallace-sc9cx ROTFL... Thank you for your medical diagnosis, I'm amazed that your name is not more well known... ROTFL...

[@Msaltares91]

I second the drinking keifer for stomach disturbances has helped me so much with acid reflux.

[@lindapelle8738]

Have you looked into testing for SIBO? You might want to do some research on that. Mine caused me massive nausea.

[@christiroseify]

@@lindapelle8738 I have SIBO... I've actually been working on healing my gut for the past 8yrs. The SIBO and histamine are hopefully the last issues healing. We shall see. Right now I'm in the stage where the better I feel, the more I realize how truly sick I've been all my life.

[@beckyf2991]

I don't see the handout you mentioned in the video. Can you please make that available?

[@roxannebudd1978]

Go to where it says more under the video and click on that. It will bring up a box to the right it’s like the second link there. click on link and it’s there.

[@KarinaWow]

​@@roxannebudd1978 I see no link to this handout, just to the transcript and promoted products. Please link it here if you see something I don't. ty!

[@vasilikispitadaki7477]

Thank you so much!! I am really grateful for all this information!!❤❤❤

[@NancyJSmith]

So interesting about fermented foods as they also add good bugs like sauerkraut.

[@rosalindjenkins7790]

Where can I get a list??!!!

[@rosalindjenkins7790]

PLEASE 🙏🏼

[@roxannebudd1978]

Read my note above to others asking the same thing.

[@KarinaWow]

@@roxannebudd1978 again, it's not in the notes here, transcript, or anywhere else, please link if you've seen it.

[@AnnaWretling]

Thank you so much for this!!!! ❤

[@user-he3ek3cs4z]

guide is not attachwed!

[@shellywood533]

Wow! Im getting so run down from eating right and then being told different information. I really listen and try hard. At 72 maybe I should give up!

[@kathleeneparker98]

NEVER give up! I've was sick for 40 years, and finally (because I was stubborn) discovered what doctors couldn't be bothered with, I have A SEVERE GENETIC FORM OF PERNICIOUS ANEMIA. I disagree with some of the approaches of functional medicine doctors, but only such common sense approaches will work. If you have evidence of high histamine (fatigue, stuff nose of a morning, dry skin) take charge and play around with whatever approach works for you. I don't believe (from experience) all the testing or addressing hormones is necessary. The key is if you support your body, it'll do much of it for you.

[@carolined5923]

Great informative video, thank you.

[@feargodorallah4456]

Where can I get functional medicine care in NYC ? Can you help find a good doctor near me.

[@roxannebudd1978]

Might have to do some searching. A lot more are working on line too. I know the clinic that Dr. H and this dr. B Come from do online visits. Good luck.

[@teresamartin8344]

Amazing! Thank you!

[@raymondburns288]

Where is the geo engineering conversation?

[@lizmallen3461]

Please have Sally Norton on!!!🙏🙏

[@sabupurushothamankochupara2860]

Nonsense always talk about it and no solution I got lot of information from the comments..

[@francocinelli7369]

BEE VENOM!!!!!!!!!!!!!!!!!IS TH CURE!

[@Ananimous7777]

How is that?

[@francocinelli7369]

@@Ananimous7777 PROVEN BY AN MD IN TORONTO..............LOST HIS LIC,,,,,,4 'CURING;'' ASHMA THIS WAY

[@parisconstantinou8299]

also mega dosages of vitamin c and fresh bee pollen.thank you for reminding me bee venom though , a great healing strategy for histamine intolerance and other ailments...by the way emf pollution is one of the multifactorial causes.

[@gayanemadatian3771]

👍👍👍👍👍👍

[@veenao3149]

Could you please talk about Mast Cell Activation a little moe?

[@davidbooyer4851]

Histamines are the second leading cause of Vertigo! My wife stumbles a lot lately sinus runs for no clear reason. When she eats certain foods the nose flows! Watching this video intensely! Of course we have been to the doctor symptom pill symptom pill…

[@bani491]

Feed her some pork or Beef kidneys

[@kathryntreadway6647]

My histamine nightmare was brought on by mold. Does MTHFR play a role as well?

[@allhimwithme5115]

Anyone here struggling with this - *there's HOPE. I am free of this after a basically life threatening issue with histamine.* I had a *severe asthma* attack (almost worthy of the hospital) every time I ate ANYTHING (not just high histamine food) when my issue was at its worst because your body makes histamine to start the stomach acid flow and I was THAT sensitive. So, needless to say, I learned to fast. And, I attribute fasting (prolonged 3-5 days and IF) and eating low histamine food to my healing. It took about 6 months to get so my asthma essentially went away and another 6 to really get on solid ground. Now, I can eat what I want as far as histamines go, but I'm mindful not to let the bucket get too full since I think I probably have issues producing DAO.

[@sabupurushothamankochupara2860]

Great advice.I am planning to stick to this method.By the way please mention what food you consume on a daily basis

[@robyn6849]

Thanks for sharing!

[@justdawndb]

Thank you for sharing. It's a hard road you traveled, I know from personal experience. I have finally figured out fasting will be my only way out of the perpetual "sensitivities."

[@allhimwithme5115]

@@justdawndb YES, and very clean, low histamine food until your histamine load is reduced and your gut more healed. Search on "MCAS low histamine food lists" and read the top information on the top page that comes up (brightly colored veggies as the banner). Then use the food lists - it was my go-to. You CAN DO IT. I'm on day 8 of my longest fast ever (for maintenance). Never would have dreamed it possible.

[@beatasol4447]

Please invite dr D"Adamo and talk about blood type diet, and role of lectins in triggering histamine release.

[@davidbooyer4851]

Ok how do you get probiotics that aren’t derivatives of milk or fermented products? So what are good probiotics?

[@saranadaf]

Bacillus Subtilis is soil based

[@louisebotos7321]

there certain strains you can take and others to avoid. 😊

[@alphafitter4699]

Seeking Health’s Hisatmine X

[@coya4321]

mine is from mold toxicity and prob heavy metals as well..I am among 25% of the population and my body cant detox biotoxins on its own--..for years i suffered with bloating, itching, chronic stuffiness, dizziness and chronic fatigue..5 months ago my health took a dive and I have been very sick..my bloodwork points to CIRS and we do have water damage in mutliple places here and I have fillings--12 for over 40 years now..

[@s.c342]

This is so timely!!!! My neck breaks out with certain food, my nose gets stuffy and I have med brain fog. I’m still trying to figure out what foods cause this. Thank you so much for taking the time to discuss. I can’t tell you how emotional I am that you guys are posting this information. Thank you, thank you thank you! Last thing, I don’t see in the show notes, the phases, and the protocol per phase. I would be forever grateful if you could post it, please.

[@lindah629]

Corn chips can cause breakouts on neck or face, I used to get the same problem after eating anything with corn. Have a lot of food intolerances that cause me to get severely stuffed up and can’t breathe.

[@allhimwithme5115]

do a search on "MCAS histamine food lists" and the one I used religiously until I got this under control should pop up at the top. The information BEFORE THE LISTS is ESSENTIAL so don't skip it to get to the lists, LOL!

[@werwerwerwer4104]

​@@lindah629Take out everthing,and eat only grass fed grass finish beef for at least 9 days with VitC supplemt and reintroduce other food one by one.But the real problem is fixing the gut. You are going to feel great after 9 days but carnivore is not a long term appropried diet it is just a reset.

[@lindapelle8738]

@@lindah629me too, gluten is a big one

[@lizmallen3461]

My histamine issues began when my body finally reached a breaking point with oxalate accumulation after decades of consuming high oxalate so called healthy foods… been dumping oxalates for 18 months. Symptoms have improved remarkably as well as having healed my leaky gut with BP 157.

[@gazlloyd9478]

whats BP 157?

[@user-he3ek3cs4z]

Yes what is BP 157

[@LauraKotch-tr9wb]

High​@@user-he3ek3cs4z

[@LauraKotch-tr9wb]

I'm 70 & have mast cell disease; misdiagnosed all these yrs. IGg infusions now. It's incurable at this stage

[@roxannebudd1978]

@@gazlloyd9478I believe blood pressure is/was 157.

[@3rdDayPromise]

A starving person knows food is the solution, but if they don’t have the resources to get food they will die. In our country, you can educate yourself online and know what is wrong but not have the resources to heal yourself and know death will be the result. Different kind of starvation due to lack of resources. So glad God doesn’t check income but offers grace to everyone and Heaven for the end of the journey. That said thanks information is helpful.. will do what I can with diet… suspected avocado and might be the probiotic…

[@michele0324]

Ironically some of the foods that may help with inflammation, like onions, aren't part of a low FODMAP diet for SIBO.

[@KarinaWow]

Hi there, this is a great episode, three quick questions: 1) can you recommend which brand of DAO enzyme to take? 2) can you link to the food phases handout that Dr. Boham mentioned? I couldn't find it in the show notes or elsewhere. 3) can you explain the difference between MCAS and histamine intolerance? I never heard a clear distinction. Thank you!

[@roxannebudd1978]

Look up Seeking Health they have Histamine Nutrients which is a good source of DAO and they also have a DAO and a probiotic for people with histamine issues. Also go back to the more button and click on it, it will bring up a box on the right, it’s like the second link.

[@KarinaWow]

@@roxannebudd1978 Apparently SH's was the lowest performing of all tested DAO supplements in this study, so I'm going with a diff brand: www.biorxiv.org/content/10.1101/2023.04.13.536689v1.full.pdf

[@KarinaWow]

@@roxannebudd1978 There's no link to any handout, just partner products and the transcript (where this is also no link to a handout). Also, SH's was the worst rated in this study, so I'm going to try a diff brand first www.biorxiv.org/content/10.1101/2023.04.13.536689v1.full.pdf

[@JrStone-jr4mo]

Bed bugs can increase your histamine levels.

[@jovoorheescollinsmphbsnbch6245]

For my fellow health professionals, please let me note: If you have diabetes patients who cannot control their blood sugar, consider they also have this and they may really need to avoid certain foods. I have like 10 case studies where this has been true.

[@BB-ev7dw]

I have been having consistent dry nasal congestion and aura ( only ) migraines consistently. My life is really dominated by this. I have been stressed and un restful and overly troubled by my own life and the news about the rest of the world. People seem so aggressive - I long for safety and peaceful vibes. I live in S Africa. I AM AMAZED BY YOUR REFERENCE TO AURA MIGRAINES AND NASAL CONGESTION!!! Thank you

[@sandyclay8549]

@drmarkhyman and team... Could you please add the pdf of the low histamine diet stages that Dr. Bowman mentioned as well as supplement list? Thank you!

[@AnneGregory-l5k]

Thank you both very much for chairing this information ❤

[@brendaplans1992]

This is very enlightening. I started having idiopathic urticaria at 49yo. After 4 years of looking for answers at doctor after doctor, I finally found an allergist who helped and put me on monthly Xolair injections when I was 53, which I have now taken for nearly 7 years. I went through menopause at 57 and after seeing this episode I can’t help but wonder if my body spazzed out when maybe I was in perimenopause and maybe the histamine is under control now and maybe don’t need the Xolair now at all. Thank you for the episode.

[@alexcavanaugh3581]

Dr. Mark talks too fast

[@louisebotos7321]

he looks exhausted

[@michele6391]

Can histamine reactions cause an EBV virus to reactivate? I had horrible allergies last fall, then EBV, then Mono.

[@timrowe234]

Mark- can you put the handout link up for the food phases please?

[@mystrength5640]

Hi Doctor Hyman Please Could you LIST Frozen FROZEN Fish, Which will have the lowest HISTAMINES?? Tnx in advance 🎉

[@denisehaig7737]

Thank you so much I can't thank you enough for this information

[@Denise-fx1oc]

Heat in the shower brings out hives but nit the sun. I have every test in the book. I eliminated fruits & veggies, which helped.

[@lindapelle8738]

Does anyone know if eggs have sulfates? I take apple cider vinegar before meals for digestion, is apple cider vinegar also a no-no. Just a little with water doesn’t seem to bother me but who knows I have so many symptoms

[@brendaplans1992]

According to the handout (list of high histamine and low histamine foods) it appears that vinegar is high histamine but it shows that apple cider vinegar is the lowest.

[@DanicaElle]

This is great!! I just went to a sinus surgeon who couldn’t find anything wrong with me despite constant sinus issues and migraines. I’m suspecting histamine is where I should experiment next. I’m also considering carnivore for a short period of time. Would love the handout for histamine diet phases.

[@roxannebudd1978]

Go to the line under the video where it says more and click on that. Then go down where it says show notes and click on that. You can find the list there.

[@glorial1017]

@@roxannebudd1978 it took me to the podcast but no list of mentioned supplements . :(

[@davidbooyer4851]

Leaky gut! Yes! How long does it take to heal the gut? What to do?

[@melissaskaggs7229]

GAPS is an excellent way to heal the gut.

[@sylviarogerson7662]

What is GAPS?​@@melissaskaggs7229

[@JulieTobin-Ruszczyk]

​@@melissaskaggs7229what is GAPS?

[@ulgengokalp9050]

​@@melissaskaggs7229What is GAPS?

[@Fromtheseatoriver]

Try to use a glue 😂

[@love2paddle365]

What about hereditary alpha tryptasemia. Presents like mast cell activation and mastocytosis but I have an extra copy of a gene that causes elevated tryptase. I inherited from my father. My histamine levels are always normal. I can control most symptoms through my diet but not all symptoms.

[@user-he3ek3cs4z]

Tx , for guide but isn’t opening

[@werwerwerwer4104]

the only positive side of histamine intolerance is that it s difficult for cancer to survive

[@louisebotos7321]

mast cell cancer ...

[@werwerwerwer4104]

@@louisebotos7321 it has been demonstrated that histamine binding to H2HR can inhibit IL-6 binding to the cancer cells, which leads to less IL-6 expression and inhibition of cancer cell growth

[@shelleywhite1949]

What DAOs do you recommend?

[@roxannebudd1978]

Try seeking health

[@lr306805]

@@roxannebudd1978those caused a flare in me :(

[@user-he3ek3cs4z]

Not one doc has ever told me about this, I have all these symptoms since perimenopause, and after menopause!

[@barbvest1834]

That’s me too.. it’s been 10 years since my menopause and my migraine and fatigue have only gotten worse.. I’ve seen so many doctors.. this was never even mentioned.. makes me so angry, so many years of suffering.. and no help from doctors.. frustrating!

[@roxannebudd1978]

Most doctors don’t know about this.

[@StephieGsrEvolution]

Yeah I'm itchy as hell right now! 😅

[@Joe_Crowley]

I came to find out which foods are high in histamine. Don’t waste your time watching this video because they don’t tell you.

[@billborges39]

Go to “what the bleep can I eat”… it lists what you can eat and you can search foods that are high in histamine

[@laniamorluz]

They have named many foods, as well as including a hand out in the show notes🙏🏼

[@patrickrealestate-8193]

Only if you can pay attention 18:14

[@beckyf2991]

@@laniamorluz The handout is not there.

[@funghouls5498]

Search for SIGHI histamine food list. It is very extensive