Histamine Overload: Causes, Symptoms, and Natural Solutions from a Functional Medicine Perspective
- Joanne Pizzino, MD
- Mar 14
- 4 min read

Have you ever felt like your body is in a constant state of overreaction? Maybe you experience sudden headaches, unexplained skin rashes, bloating, or even heart palpitations after certain meals. Have your sinus symptoms stuck around all year so you are taking daily anti-histamines? If so, histamine overload might be at the root of your health concerns.
As a Functional Medicine expert, I often see clients struggling with histamine intolerance without even realizing it. Conventional medicine frequently overlooks this condition, leaving people feeling frustrated and confused. The good news? There are natural ways to restore balance and regain control of your health.
In this blog post, we'll explore the hidden sources of histamine overload, its wide-ranging symptoms, and—most importantly—how to fix it naturally. Let’s dive in!
What is Histamine and Why Does It Matter?
Histamine is a vital chemical in your body that plays key roles in your immune response, digestion, and nervous system. Think of it as your body's “alarm system” that helps fight off invaders and regulate important functions. However, when histamine builds up faster than your body can break it down, trouble begins.
Histamine intolerance occurs when your body struggles to metabolize histamine efficiently, leading to an overload. This can result from enzyme deficiencies, gut imbalances, or even dietary choices that continuously trigger histamine production.
Common Sources of Histamine Overload
1. High-Histamine Foods
Some foods naturally contain histamine, while others trigger histamine release or block the enzymes needed to break it down. Here are some major culprits:
Fermented foods: Sauerkraut, kimchi, kombucha, yogurt, and kefir
Aged cheeses: Parmesan, cheddar, blue cheese
Cured and processed meats: Bacon, salami, ham, smoked fish
Alcohol: Red wine, beer, champagne
Leftovers: Histamine levels increase the longer food sits in the fridge
Certain vegetables and fruits: Spinach, tomatoes, eggplant, avocados, citrus fruits
Legumes: Chickpeas, soybeans, lentils, peanuts
2. Gut Imbalances & Microbial Overgrowth
Your gut health plays a massive role in how well your body can process histamine. Issues like leaky gut, SIBO (Small Intestinal Bacterial Overgrowth), and an imbalance of gut bacteria can impair your ability to break down histamine properly.
3. Enzyme Deficiencies
Your body relies on two key enzymes to break down histamine:
Diamine Oxidase (DAO): Primarily found in your intestines and responsible for degrading dietary histamine
Histamine-N-Methyltransferase (HNMT): Works within your cells to break down histamine internally
Factors like genetic mutations, chronic inflammation, or nutrient deficiencies (like vitamin B6, vitamin C, and copper) can impair these enzymes, leading to histamine intolerance.
4. Environmental & Lifestyle Factors
Histamine overload isn’t just about food—it’s also influenced by your environment and daily habits. Here are some additional contributors:
Chronic stress: Stress increases histamine production and can deplete DAO activity
Mold exposure: Mold toxins trigger mast cell activation, releasing histamine (For more information about mold as a root cause of illness see Blog: COULD MOLD BE THE ROOT CAUSE OF YOUR MYSTERY ILLNESS?
Certain medications: NSAIDs, antidepressants, and antihistamines can interfere with histamine metabolism
Symptoms of Histamine Overload
One of the reasons histamine intolerance is often misdiagnosed is because it mimics so many other conditions. Here are some telltale signs:
Skin reactions: Hives, itching, flushing, eczema
Digestive issues: Bloating, diarrhea, acid reflux, nausea
Respiratory symptoms: Congestion, asthma-like symptoms, difficulty breathing
Neurological symptoms: Migraines, dizziness, brain fog, anxiety
Cardiovascular issues: Heart palpitations, blood pressure fluctuations
Hormonal imbalances: Painful periods, estrogen dominance
If you experience multiple symptoms across different systems, histamine intolerance might be a hidden culprit.
Functional Medicine Approach: Natural Ways to Overcome Histamine Intolerance
The best part? You don’t have to rely on medications to manage histamine intolerance. By addressing the root causes, you can restore balance naturally. Here’s how:
1. Adopt a Low-Histamine Diet
Eliminating high-histamine foods is the first step to reducing symptoms. Focus on:
Fresh, whole foods (avoid leftovers)
Low-histamine protein sources like fresh chicken, turkey, or grass-fed meats
Anti-inflammatory foods like leafy greens, sweet potatoes, and coconut
DAO-boosting foods like vitamin C-rich citrus fruits, onions, and omega-3's
2. Heal Your Gut
Since histamine breakdown starts in the gut, restoring your digestive health is crucial.
Support gut bacteria balance: Introduce low-histamine probiotics (e.g., Lactobacillus rhamnosus)
Repair the gut lining: Use supplements like L-glutamine, zinc carnosine, and collagen
Reduce gut infections: Address SIBO or dysbiosis through functional testing and personalized protocols
3. Support Detoxification & Liver Health
Your liver helps process and eliminate excess histamine. Optimize its function by:
Eating cruciferous vegetables like broccoli, Brussels sprouts, and kale
Drinking dandelion root tea to support bile flow
Ensuring adequate hydration for optimal detoxification
4. Boost DAO & Nutrient Levels
Supplementing with key nutrients can help your body metabolize histamine more efficiently:
DAO enzyme supplements: Can assist in breaking down dietary histamine
Vitamin B6 & Copper: Essential for DAO production
Vitamin C & Quercetin: Natural antihistamines that stabilize mast cells
Magnesium: Helps regulate histamine levels and supports nervous system function
5. Reduce Histamine Triggers & Manage Stress
Practice stress-reducing techniques like breathwork, meditation, or yoga
Reduce exposure to mold, environmental toxins, and allergens
Get plenty of sleep to support immune and nervous system function
Final Thoughts: Taking Control of Your Histamine Health
Histamine intolerance is a complex condition, but with the right approach, you can take back control of your health. If you’re dealing with unexplained symptoms that doctors can’t pinpoint, consider working with a Functional Medicine practitioner to identify and address your unique triggers.
By adopting a low-histamine diet, healing your gut, and supporting detox pathways, you can restore balance and enjoy long-term wellness. Ready to start your healing journey? Let’s take it one step at a time!
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