With a histamine intolerance (intolerance = intolerance) digestive problems such as abdominal pain (abdominal complaints), flatulence & or diarrhea arise. Here, histamine is not sufficiently broken down in the body by the enzyme diamine oxidase,

whereby different complaints arise.

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Histamine is one of the biogenic amines that occur in small amounts in almost all foods.

They arise from the breakdown and conversion of protein. Histamine is also a tissue hormone that is produced in the body. Where it is released, the muscles contract, for example the airways, intestinal tract or the uterus. Histamine has a relaxing effect on the blood vessels, which can lead to a drop in blood pressure. It also leads to increased blood vessel permeability. Histamine is released in large quantities in allergic reactions.

Why is nutritional therapy important?

Nutritional therapy supports you in reducing your symptoms and thereby positively influencing your health. An elimination diet followed by a low-histamine diet under the supervision of a certified nutritionist can lead to your success.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed. Weight reduction is recommended if you are overweight / obese. An anti-inflammatory diet can improve the state of health.

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Effects of histamine:

• Skin: reddened skin, wheals, itching, hives, eczema

• Gastrointestinal tract: nausea and vomiting, diarrhea, stomach cramps, flatulence

• Cardiovascular system: palpitations, dizziness, cardiac arrhythmias, drop in blood pressure

• other reactions: runny nose, asthma, headache and migraine

• rarely in severe cases: allergic shock (life-threatening condition)

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Our body is able to cope with larger amounts of histamine. The enzyme diamine oxidase (DAO) breaks down a large part of histamine in the small intestine, but DAO and another enzyme are also busy breaking down histamine in the liver, blood and kidneys. For the breakdown of histamine, the enzyme DAO needs, among other things, vitamin B6 and copper. Even after consuming large amounts of histamine, only a small amount of histamine gets into the body. Problems only arise in healthy people when the amount of histamine ingested is very large, as is the case with spoiled marine animals. Particularly sensitive people, on the other hand, can react with symptoms to even small amounts of histamine.

The causes of increased histamine exposure are:

Inhibition of the histamine-degrading enzyme diamine oxidase (DAO) by:

Enzyme defects, medication & alcohol can reduce the enzyme's activity

(such as certain sleep and pain relievers, anti-inflammatory drugs and cough-relieving substances)

Consumption of other biogenic amines:

Tyramine, phenylethylamine and serotonin are other biogenic amines that require the enzyme DAO to break down. Since these biogenic amines are broken down preferentially, there is no longer enough free capacity for the enzyme to break down histamine.

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Consumption of histamine liberators:

Histamine liberators are substances that can release or activate the histamine stored in the body.

Acute gastrointestinal infection:

The symptoms after consuming histamine-rich foods usually occur immediately, but sometimes with a time delay (up to 24 hours). This makes the search for the triggers much more difficult. The histamine intolerance is  an acquired disease (not a congenital one), it develops gradually with age.

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Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Nutritional therapy

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• Which foods contain plenty of histamines?

• Does the processing of the food have an impact on the histamine content of the food?

• Which foods do I have to "do without" which ones can I eat without hesitation?

• Build up to an adapted full-fledged permanent nutrition

• Anti-inflammatory nutrition as a basis, individually tailored to you

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Overall fat selection, how should it be designed

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• What do I have to look out for when choosing animal foods?

• How can I counteract inflammatory processes through diet?

• Body weight: Weight reduction is recommended if you are overweight / obese.

• In the case of insulin resistance and lipid metabolism disorders, also treat them with nutritional therapy

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

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Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• Working group dietetics in allergology e. V.

• German Allergy and Asthma Association

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