Best probiotics for histamine intolerance

  • Jessica Lloyd Lead Naturopath and founder of My Vagina clinic
    Author: Jessica Lloyd
    Senior Vulvovaginal Specialist Naturopath | BHSc(N) | ISSVD, ISSWSH, BSSM, ATMS

Most probiotic bacteria are histamine-producing, thwarting your attempts to control your histamine degradation.

Some bacteria are histamine-degraders, while others do not affect histamine. When treating histamine overload (‘histamine intolerance‘), we must ensure plenty of histamine-degrading bacteria are in the digestive tract. It’s possible that gut bacteria can be the primary cause of histamine overload, but each of you will be different here.

Foods contain an amino acid called histidine, which is then broken down by certain types of bacteria into histamine.

Thus, foods can be high in histidine and/or high in histamine. The conversion of histidine into histamine isn’t an issue on its own. It’s only when you have a build-up of histamine you end up with symptoms.

If your histamine-degrading gut bacteria get too low or your histidine-converting or histamine-producing bacteria are abundant, you can end up with symptoms of histamine intolerance or overload.

If you are doing the low-histamine diet, augmenting your gut flora to support your mission may be important for resolving your symptoms. Learn how food becomes high histamine.

Best probiotic bacteria for a low-histamine life

  • Bifidobacterium infantis
  • Lactobacillus gasseri
  • Bifidobacterium breve
  • Bifidobacterium bifidum
  • Lactobacillus salivarius
  • Lactobacillus rhamnosus (especially GG)
    – May support stabilisation of mast cells1
    – May reduce sensitivity of histamine receptors (and other allergy-related receptors) while upregulating anti-inflammatory cells2
  • Bifidobacterium longum
    – Degrades histamine3
    – May reduce post-food inflammatory responses
    – May prevent or improve intestinal hyperpermeability (‘leaky gut’)
  • Bifidobacterium lactis
    – May support breakdown of histamine4 and tyramine
  • Lactobacillus plantarum
    – May support breakdown of biogenic amines (histamine, tyramine)5
  • Lactobacillus paracasei CASEI 431
    Has been tested and found not to produce histamine, reduces the duration of infections, may improve immune response

Worst probiotic bacteria for a low-histamine life

  • Lactobacillus casei
  • Lactobacillus bulgaricus
  • Streptococcus thermophilus
  • Lactobacillus delbrueckii
  • Lactobacillus helveticus

These species contain histamine or produce histamine.

Probiotic bacteria under evaluation

  • Lactobacillus reuteri
    – Raises histamine levels, but also increases levels of anti-inflammatory cyclic adenosine monophosphate (cAMP)6
  • Saccharomyces boulardii 
    Low histamine, helps regulate digestive issues, increases secretory IgA in mucosal tissues for tissue immunity
  • Lactobacillus lactis
    Under debate7
  • Lactococcus lactis
    Used in the production of some high-histamine foods, but may be histamine-neutral8
  • Lactobacillus acidophilus
    Well-studied, with lower doses (<1 billion CFU) histamine-neutral and anti-inflammatory

Best choice of probiotic product for low histamine

There are always new products being developed, so this list is not exhaustive, but is a good place to start:

  • Seeking Health Probiotic HistaminX
  • Vitanica – Flora Symmetry – Low Histamine Probiotic

Here is a list of histamine-producing bacteria.

  1. Forsythe P, Wang B, Khambati I, Kunze WA. Systemic Effects of Ingested Lactobacillus Rhamnosus: Inhibition of Mast Cell Membrane Potassium (IKCa) Current and Degranulation. PLoS ONE. 2012;7(7):e41234.
  2. Oksaharju A. ProbioticLactobacillus rhamnosusdownregulatesFCER1andHRH4expression in human mast cells. World Journal of Gastroenterology. 2011;17(6):750.
  3. Takeda Y, Nakase H, Namba K, et al. Upregulation of T-bet and tight junction molecules by Bifidobactrium longum improves colonic inflammation of ulcerative colitis. Inflammatory Bowel Diseases. 2009;15(11):1617–1618.
  4. Mokhtar S, Mostafa G, Taha R, Eldeep GSS. Effect of different starter cultures on the biogenic amines production as a critical control point in fresh fermented sausages. European Food Research and Technology. 2012;235(3):527–535.
  5. Capozzi V, Russo P, Ladero V, et al. Biogenic Amines Degradation by Lactobacillus plantarum: Toward a Potential Application in Wine. Frontiers in Microbiology. 2012;3.
  6. Thomas CM, Hong T, van Pijkeren JP, et al. Histamine Derived from Probiotic Lactobacillus reuteri Suppresses TNF via Modulation of PKA and ERK Signaling. PLoS ONE. 2012;7(2):e31951.
  7. Linares DM, del Río B, Ladero V, et al. Factors Influencing Biogenic Amines Accumulation in Dairy Products. Frontiers in Microbiology. 2012;3.
  8. Delgado S, Mayo B. Phenotypic and genetic diversity of Lactococcus lactis and Enterococcus spp. strains isolated from Northern Spain starter-free farmhouse cheeses. International Journal of Food Microbiology. 2004;90(3):309–319.


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