Easy Low Histamine Diet Food Swaps

It's true that eating out on a low histamine diet is tricky, but making delicious low histamine recipes at home can be really fun!

How so, with so many restrictions? Well, the biggest thing for me has been to focus on all the delicious low histamine foods and work out easy low histamine diet food swaps so I can still make most of the meals that I enjoy. Do they taste identical? No, but some taste better!

While we all have our own personal food sensitivities, this post draws upon the work of the Swiss Interest Group Histamine Intolerance to identify lower-histamine foods (0-1 on their scale), and suggests some easy food swaps that will help you enjoy breakfast, lunch and dinner. And snacks, of course!

Always follow the advice of your doctor for the treatment of any medical condition, including their advice on dietary choices. This post is for informational purposes only and does not constitute medical or dietetic advice.

Restricted food: tomatoes

Swap for: roasted red peppers

Let's face it, tomatoes are a real staple food aren't they. The basis of many pasta sauces, pizzas, salads, soups and so on. Tomatoes seem to be everywhere . . . An easy low histamine diet food swaps idea is roasted red peppers. Simply chop them up, drizzle with oil and a little 'allowed' vinegar if you like, and they are great on salads and in sandwiches.

Or blend up with some other vegetables, herbs and a little coconut milk and you have a roasted red pepper nomato sauce that is amazing on pasta or as a dip for crudites, or perhaps try my red pepper pesto pasta!

Check out my best tomato alternatives posts for more ideas on making tomato-free recipes!

Restricted food: white and red wine and balsamic vinegar (and citrus)

Swap for: apple cider vinegar or distilled white vinegar

Really strong tastes can be a bit absent on a low histamine diet, and the acidic taste in particular. With citrus and most vinegars restricted, it can be tricky to make salad dressings and other meals.

Enter apple cider vinegar and white distilled vinegar!

I always use Aspall's organic apple cider vinegar as it is organic and sulphate free. It's the staple of many of the dressings in my salad recipes, and added to soups and other dishes to perk them up.

The SIGHI list scores foods from 0-3, with 0 being low and 3 high histamine. Apple cider vinegar scores a '1', so if you prefer very low histamine, the Heinz distilled white vinegar may be a better option. This form of vinegar scores as a '0' on SIGHI.

Please note that some people may not be able to tolerate any form of vinegar, including the lower histamine ones.

Restricted food: 'problem' oils such as avocado or sunflower oil

Swap for: coconut oil or olive oil

Avoiding 'problem' oils, those that use high histamine ingredients such as avocado, is one of the easiest swaps to make.

• For salad dressings I like to use the Bertolli extra virgin olive oil, and add in some herbs, salt and garlic.
• For sweeter dishes such as granola I use the Vita coco extra virgin organic coconut oil. It has a really nice taste and you can use it for all your beauty needs too!

Restricted food: peanut butter

Swap for pumpkin seed butter or almond butter

Oh peanut butter how I miss you . . . My student food of choice, slathered on toast. Or before work. Or mid-afternoon as a snack. I ate so much of it for such a long time. It was hard to let go of, but I have two options that will hopefully work for you if you are as much of a 'spread' person as I am:

• The first is Meridian pumpkin seed butter. Bright green(!), and 100% pumpkin seeds with no palm oil, it has a different taste to peanut butter (and colour of course!), but I really like it. Not as sweet as peanut butter but with a hearty and smooth taste.

• The other option is almond butter, and my go-to is the Meridian almond butter. I LOVE this stuff. On toast, rice cakes or oat biscuits, it's a great mid-afternoon snack. I also like to add it to smoothies and use as a topping for porridge. Almonds score a '1' on SIGHI, but it is stated that small amounts should be tolerated. So they aren't the lowest histamine and will likely be down to personal sensitivities (or how much you can restrain yourself from slathering on everything!).

This post on low histamine nuts and seeds should be helpful!

Restricted food: peanuts and other nuts

Swap for pistachios, brazil nuts, macadamia nuts

Also on the 'nut' theme, there are certain nuts that rate as higher histamine on the SIGHI list such as peanuts, walnuts and mixed nuts. They also don't rate pecans, so I tend to avoid.

There are nuts that rate as low histamine, and score 0 though! It's best to stick to ones that aren't roasted or flavoured with any spices. Perfect for snacking with some fruit. These nuts include:

• pistachios

• brazil nuts

• macadamia nuts

Or swap for tiger nuts

And a very easy low histamine diet food swap is to give try tiger nuts a try as well - maybe in my tiger nut smoothie! They are actually a tuber and not a nut at all, so perfect for those who prefer to be nut free.

Nuts are controversial on histamine diets, and rate higher on other lists, so please be careful and mindful of your own personal intolerances.

Restricted food: fresh fish

Swap for: frozen fish

Super simple this one. Fresh fish, especially fish sitting on a deli counter at the store for a long time, is going to have a quick histamine build-up and so isn't ideal. Much better to opt for frozen fish, and I tend to go for white fish such as cod or pollock. Please note that SIGHI describe that even with frozen fish, too much histamine can form within a few weeks.

Instead of thawing, I use straight from the freezer and get it into the oven as soon as possible. How about trying my pistachio herb crusted cod? Or my pesto crusted cod?

Restricted food: curry, chilli, hot paprika and other spices

Swap for: herbs, sweet paprika, cardamom and turmeric

Two meals that I think I may have to let go of are curry and chilli. I can’t work out a way to replicate the flavours – yet! Comment below if you have any ideas! Both these spices score highly for histamine and many doctors have advised me to avoid them – especially as a take-away or in a restaurant where MSG is likely lurking too . . .

Sweet paprika

One of my more recent discoveries is sweet paprika as a ‘spice’ to flavour my creamy paprika chicken, paprika chicken soup and sweet potato wedges recipe, as well as all kinds of vegetable-based dishes and fish. It’s not a ‘hot’ spice, but has a mild and slightly sweet taste. A really lovely find, and I use the Szeged sweet paprika. Another of my favourites is turmeric. With its vivid yellow colour this spice is great in all kinds of savoury dishes, or as a turmeric latte.

Cardamom

This is a fairly new discovery for me, and I am so pleased I now know about it! Cardamom has quite a 'kick' in terms of flavour and is perfect for baking in particular (such as my cardamom oat cookies). There is a note on the SIGHI list (in French) that some people may not be able to tolerate it. When I asked on my Low Histamine Kitchen Instagram, a total of 86% of respondents said they could. Be sure you are OK with it before use.

Pink Himalayan salt

One condiment that I always use is pink salt, and the Sherpa pink Himalayan salt is a good one. In my opinion it has a much better taste that regular table salt and is less processed.

Herbs

Aside from spices, there are lots of herbs that will add a ton of flavour to your meals. My dietician advised me to only keep dried herbs for six months, and fresh tends to be best. I always have basil, thyme, parsley and mint growing on my windowsill. And how about coriander or thyme? My dairy-free basil pesto is a favourite recipe on this site!

Restricted food: artificial sweeteners

Swap for: maple syrup or agave syrup

With a definite sweet tooth, maple syrup is always in my kitchen cupboards. I was first given a bottle by a friend who had been on vacation to Canada and bought me some back, and promptly fell in love with this sugary deliciousness. What's not to love, after all? Really versatile, it can be drizzled on any sweet treat or porridge, or used to make my macadamia butter cookies, chia granola or any granola you like! Scores a lovely low '0' on SIGHI.

As well as maple syrup, another great low histamine diet food swap for sweet treats is agave syrup. A little drizzle on porridge always makes it taste that bit better in the morning!

Restricted food: sour cream

Swap for: cottage cheese

I can't tell you that cottage cheese tastes the same as sour cream, but it sure tastes good! If you are looking for a dairy-based dip, then whizzing up some cottage cheese in a blender with a little vinegar and herbs will give you a lovely dip or spread for crudites or crackers. Why not try out my cottage cheese bowl, cottage cheese dill dip or cottage cheese tzatziki!

Please note that cottage cheese doesn't appear on the SIGHI list for MCAS so it doesn't have a 'score', but on the list for histamine intolerance. Check the labels for additional ingredients you may not tolerate.

My easy yogurt substitutes post will give you some more ideas for options for making smoothies too!

Restricted food: wheat (if you are unable to tolerate)

Swap for: brown rice pasta, quinoa, courgetti

A big bowl of pasta and Netflix is my idea of heaven after a long day, but a lot of wheat doesn't sit that well with me. I'm fortunate that I can eat some, but swapping out some products for non-wheat versions is definitely better. Of course, wheat is in many foods: bread, pasta, cereals and so on. Thankfully, I find this one of the easier foods to swap out for really nice alternatives.

Brown rice pasta

Instead of regular pasta why not try brown rice pasta? Tinkyada do a brown rice fusilli, and Trader Joe's has an organic brown rice and quinoa fusilli pasta.  My only tip would be to use a little extra sauce as non-wheat can be a touch on the dry side.

Courgetti

Another option is to use a spiraliser and make courgetti 'pasta' instead. It adds in some extra veg and is great for a lighter summer meal when pasta feels a bit too heavy.

Rice and quinoa

Rice and quinoa are always nice options and a very easy low histamine diet food swaps idea in place of options that are wheat (such as couscous) if you are not able to tolerate. Both are low histamine on the SIGHI list, and rice comes in all different varieties so there is lots of choice. My turmeric quinoa is on repeat in my house!

Restricted food: toast / crumpets / scones (if unable to tolerate)

Swap for: rice cakes or oat cakes

I'm not going to lie to you and say that hot buttery toast isn't amazing, but if wheat isn't your thing then there are two other carby-snacky foods that I always have in my kitchen cupboards that make for great easy low histamine diet food swaps.

Rice cakes are a great option for a snack and can be topped with either sweeter spreads such as jam or pumpkin seed butter, or savoury options such as cream cheese. I've always bought the Kallo rice cakes, and remember my mum buying me these as a child. I am a loyal customer!

Another favourite that I eat constantly is oatcakes. My go-to brand has always been the Nairns gluten-free oatcakes and I often have them as a snack with some mozzarella or cream cheese. Check you tolerate all the ingredients!

Restricted food: regular cereals

Swap for: oats or 'few ingredient' cereals

For cereals, oats are a definite go-to for breakfast for me as you will see from the different porridge options on my low histamine recipes page.

If you haven't got time to cook, then why not try some healthier cereals that have few ingredients, and ones that are considered low histamine on SIGHI. Corn flakes score a '0' on SIGHI, but the list states to be careful of added folic acid and malt. The Barbara's bakery organic corn flakes doesn't state these as ingredients and has a nice short list of ingredients with nothing that I can't pronounce on it!

Another option is a 'rice crispies' type cereal in the Arrowhead organic puffed rice cereal, which is just puffed brown rice. I tend to top with fruit, seeds and tolerated nuts to bulk it up a bit.

Please remember that these cereals are processed foods, which may not work for everyone.

Hope these easy low histamine diet food swaps help you out! For more low histamine food ideas have a look at my low histamine shopping list page. And for lots of simple but delicious recipes, my low histamine recipes page has you covered for breakfast, lunch and dinner, plus snacks and sweet treats!

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