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Natural Ways to Manage and Reduce Histamine Intolerance: Follow a Low-Histamine Diet Start by reducing foods that are naturally high in histamine or that trigger histamine release: Foods to limit or avoid: Aged cheeses (parmesan, gouda) Fermented foods (sauerkraut, kimchi, yogurt, kombucha) Processed/cured meats (salami, bacon, ham) Alcohol (especially wine, beer, champagne) Vinegar, soy sauce, miso, pickled foods Leftovers & slow-cooked meals (histamine increases with time) Certain vegetables: tomatoes, spinach, eggplant, avocado Certain fish (tuna, mackerel, sardines, shellfish) Dairy- (Cows milk, all buttermilk) Low-histamine, fresh options: Freshly cooked chicken, turkey, lamb Fresh fruits like apples, pears, and blueberries Leafy greens like lettuce, kale, and arugula Gluten-free grains like rice, quinoa, buckwheat Tip: The fresher the food, the better histamine levels rise in leftovers or aged foods