First For Women

Histamine overload triggering epidemic of female fatigue

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“I can’t tell you how often I speak to patients and discover that the source of many of their health challenges turns out to be histamine intoleranc­e,” notes Amy Myers, M.D., author of The

Autoimmune Solution. “Histamine is a compound made by the body and found in many foods, and its role is to cause an immediate inflammato­ry response; it serves as a red flag in your immune system, telling your body about potential attackers. But if you don’t break down histamine properly, it builds up in your bloodstrea­m.” The result: fatigue, body aches, allergy-like symptoms and more.

80% of sufferers are females over 40, but most go undiagnose­d. “Many never know what the root cause of their symptoms is,” Dr. Myers says.

A top cause of overload: a genetic deficiency in DAO, an enzyme that breaks down histamine.

Your doctor can run tests to confirm an overload, but if you’re experienci­ng the symptoms in the quiz at left, you’ll likely benefit from the steps below:

Avoid histamine-rich foods for 30 days. That includes aged cheeses, fermented fare and vinegar, plus nuts and processed meats. Also smart: Skip alcohol, and black and green tea (they block DAO from breaking down histamine). Symptoms should ease in as little as a week, and after a month, you can slowly reintroduc­e foods to see which ones trigger symptoms.

Replenishi­ng DAO can help. Dr. Myers advises taking a DAO supplement (like Histazyme, Amazon.com) 15 minutes before meals. And Jill Carnahan, M.D., advises cooking with olive oil and eating wild-caught salmon several times a week (fatty acids in the foods boost DAO levels).

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