Certain foods make mast cell activation syndrome (MCAS) worse. Even small amounts of these foods in your diet will cause problems.
There’s an enzyme called DAO that helps break down histamine. Certain foods inhibit DOA. Alcohol, tea, coffee, energy drinks, and pop have all been implicated in blocking the action of DOA.
Alcohol: Alcoholic beverages are not a good idea if you have any kind of immune dysfunction.
Cultured and fermented foods: Many people think fermented foods are good for your health under all circumstances. However, cultured and fermented foods can cause significant histamine problems. Foods like kombucha, yogurt, kefir, vinegar, and sauerkraut are best avoided for a while. The same holds for foods like pickles, mayonnaise, and olives.
Cured meats and fish: Bacon, salami, pepperoni, luncheon meat, smoked meat, and any other processed meat or fish should be avoided.
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Sour foods: Foods like buttermilk and sour cream can make MCAS worse.
Dried fruits: Dried fruits like figs, prunes, raisins, and dates are potent histamine stimulators.
Citrus foods: Other than maybe a little bit of lemon or lime in your diet, citrus fruits should be avoided.
Aged cheeses: Aged cheeses, including aged goat cheese, are off-limits with MCAS.
Nuts: Strictly avoid eating nuts like walnuts, cashews, pecans, and Brazil nuts. They are also powerful histamine stimulators.
Vegetables: Certain vegetables like eggplant, tomato, and spinach should not be included in your diet if you have MCAS.