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Does histamine intolerance originate in the gut?

Histamine intolerance is a condition characterised by the body's inability to properly break down and metabolise histamine. While histamine intolerance primarily manifests in symptoms outside the gut, such as headaches, skin rashes, and respiratory issues, its origin is often associated with imbalances in the gut. Here's how histamine intolerance can originate in the gut:

  1. Reduced DAO enzyme activity

  2. Increased intestinal permeability

  3. Gut dysbiosis

  4. Impaired histamine degradation pathways

Read on for more...

Reduced DAO activity:

Diamine oxidase (DAO) is an enzyme produced by the body that helps break down and metabolize histamine. The majority of histamine in the body is derived from food, and DAO is responsible for breaking down histamine ingested through the diet. In some cases, gut issues like leaky gut syndrome, gut inflammation, or imbalances in gut bacteria can lead to reduced DAO activity. As a result, histamine cannot be efficiently broken down, leading to an accumulation of histamine in the body.


Leaky gut syndrome:

Leaky gut, also known as increased intestinal permeability, occurs when the lining of the intestines becomes compromised, allowing undigested food particles, toxins, and histamine to leak into the bloodstream. This leakage can trigger an immune response and contribute to histamine intolerance. Factors that can contribute to leaky gut include chronic inflammation, certain medications, imbalanced gut bacteria, and poor diet.


Gut dysbiosis:

Imbalances in the gut microbiota, commonly known as gut dysbiosis, can play a role in histamine intolerance. Certain strains of bacteria in the gut can produce histamine or influence the activity of histamine-metabolising enzymes. When there is an overgrowth of histamine-producing bacteria or an imbalance in the gut microbial composition, it can lead to increased histamine levels and contribute to histamine intolerance.


Impaired histamine degradation pathways:

Histamine is metabolized by various enzymes in the body, including DAO and histamine N-methyltransferase (HNMT). Impaired function of these enzymes, which can occur due to genetic factors or other underlying conditions, can lead to reduced histamine breakdown and contribute to histamine intolerance.


It's important to note that while gut issues can contribute to histamine intolerance, other factors such as genetic predisposition, medications, and underlying health conditions can also play a role. If you suspect histamine intolerance, it is advisable to consult with a Registered Nutritional Therapy practitioner or qualified healthcare professional for guidance on managing the condition.

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