Histamine intolerance occurs when the body can’t break down histamine efficiently, often due to low levels of diamine oxidase (DAO), the enzyme responsible for degrading dietary histamine in the gut. Symptoms range from headaches, flushing, and nasal congestion to digestive distress and skin reactions after consuming histamine-rich foods like aged cheese, wine, and fermented products. The right supplements can support histamine metabolism through DAO enzyme replacement, mast cell stabilization, and cofactor replenishment.

Quick Comparison
1. Seeking Health DAO Enzyme – Best Overall
Seeking Health DAO Enzyme – Formerly Histamine Digest, DAO Enzyme Supplement for Histamine Food Intolerance, Supports Digestive Health, Upset Stomach (90 Capsules)*
- Digestive Enzyme Support: This digestion supplement formulated with patented DAO2 enzyme supports the healthy breakdown of histamine in many areas of your body
- Fast-Acting Stomach Relief: For digestion support, take one supplement capsule just prior to consuming high histamine foods or drinks
- Digest Histamine Support: This digestive enzyme supplement supports histamine already within a healthy range in the small intestines, colon, uterus, bladder, prostate and breast milk
- Allergen-Friendly Gut Health Support: This histamine intolerance supplement is free of gmos, gluten, eggs, fish, shellfish, tree nuts, peanuts, wheat, sesame, and soy
- Optimizing Healthy Living: From research to packaging, Seeking Health prioritizes quality and safety at every step of the production process to provide health support you can trust
Developed by Dr. Ben Lynch, a leading expert in histamine metabolism, Seeking Health DAO Enzyme is widely considered the gold standard for histamine intolerance support.
Each capsule delivers 30,000 HDU of the patented DAOgest® porcine kidney extract, designed to be taken 15 minutes before consuming histamine-rich foods. The formula is intentionally minimal with no unnecessary fillers, and is free from GMOs, gluten, eggs, fish, shellfish, tree nuts, peanuts, wheat, sesame, and soy. Available in 30-count and 90-count bottles, making it flexible for occasional or daily use.
- Pros:
- Patented DAOgest® enzyme with clinically tested potency
- Fast-acting — works within 15–20 minutes of ingestion
- Free from all major allergens; suitable for sensitive individuals
- Cons:
- Porcine-derived — not suitable for vegans or those avoiding pork
- Higher price point per capsule compared to some alternatives
Best for: Anyone seeking a trusted, physician-formulated DAO supplement for daily or as-needed histamine support
2. Intoleran DAO Plus – Best Multi-Action Formula
Intoleran DAO Plus Digestive Enzymes – 50 Capsules | Supplement for Histamine Intolerance & DAO Deficiency | Healthy Histamine Levels | 30,000 HDU Diamine Oxidase (DAO) Enzyme | Vitamin C & Quercetin
- PREVENT ABDOMINAL DISCOMFORT – 50 fast-acting capsules preventing gas, bloating, abdominal pain and diarrhea associated with histamine intolerance. Direct effect when consuming.
- DIGESTIVE ENZYMES – Intoleran DAO Plus contains a combination of the enzyme diamine oxidase (DAO), Vitamin C, and quercetin. Formulated to support the body’s ability to break down histamine in the diet, this can help reduce the risk of elevated histamine levels.
- EXPERT SINCE 2008 – Since 2008, Intoleran has provided a wide range of effective enzyme products, backed by sience, yielding instant results. Helping people all around the world.
- EASY TO USE: The capsules are offered in small tins, developed to fit easily into your jeans or purse.
Intoleran DAO Plus combines 30,000 HDU of DAO enzyme with vitamin C and quercetin for a three-pronged approach to histamine management.
Developed by in-house dieticians at Intoleran (established in 2008), each capsule contains four small gastro-resistant tablets that release in the intestine for optimal enzyme activity. The DAO enzyme breaks down dietary histamine directly, while vitamin C (20 mg) acts as a natural antihistamine and quercetin (38 mg) provides mast cell stabilization. Gluten-free, soy-free, and non-GMO with no artificial preservatives. Comes in a compact portable tin — ideal for dining out.
- Pros:
- Triple-action formula with DAO, vitamin C, and quercetin
- Gastro-resistant coating ensures intestinal release
- Portable container designed for on-the-go use
- Cons:
- Only 50 capsules per container
- Higher per-serving cost than single-ingredient DAO supplements
Best for: Those who want comprehensive histamine support from a single supplement rather than stacking multiple products
3. Omne Diem DAO 30,000 HDU – Best High-Potency DAO
Omne Diem DAO 30,000 HDU – 60 Caps – Histamine Neutralizing Enzyme – Relieve Histamine Intolerance with Diamine Oxidase – The Original Tested DAO Enzyme Supplement
- Powerful Histamine Support with Natural DAO Enzyme – OmneDiem Histamine Digest provides 30,000 HDU of Diamine Oxidase (DAO) per serving, a crucial enzyme responsible for breaking down histamine in the gut. This high-potency formula helps individuals with histamine intolerance enjoy a wider variety of foods without unwanted reactions. By targeting histamine directly in the digestive tract, it reduces symptoms like flushing, bloating, nasal congestion, and headaches caused by histamine-rich foods, promoting overall digestive and immune health.
- Combat Histamine Sensitivity & Enhance Digestion – Designed for those sensitive to histamine, OmneDiem Histamine Digest helps mitigate histamine-induced discomfort before it starts. DAO works by degrading excess histamine from food, preventing it from triggering adverse reactions. Whether you’re sensitive to aged cheeses, fermented foods, red wine, or cured meats, this supplement provides essential support to ease gastric distress, inflammation, and other histamine-related symptoms, ensuring greater meal tolerance.
- Fast-Acting Formula for Immediate Relief – Unlike general digestive enzymes, DAO targets histamine degradation at the source, working within 20 minutes of ingestion. Simply take it before consuming histamine-rich foods to help prevent symptoms like stomach pain, itching, dizziness, or skin reactions. The rapid-release vegetarian capsules ensure quick absorption, making it an effective tool for maintaining digestive balance, supporting gut health, and improving food tolerance in those with histamine intolerance.
- Non-Systemic & Clinically Proven for Safety – OmneDiem Histamine Digest is formulated with clinically tested DAO, acting exclusively in the digestive tract without affecting overall histamine levels in the body. Unlike antihistamines, which block histamine receptors, DAO naturally breaks down histamine without entering the bloodstream. This non-systemic, side-effect-free approach makes it a safe and reliable solution for daily histamine intolerance management, improving overall gut function and well-being.
- Supports a Balanced Diet & Quality of Life – Histamine intolerance can limit food choices and impact daily comfort, but OmneDiem Histamine Digest allows for greater dietary freedom. By reducing histamine overload, it helps alleviate common symptoms such as flushing, nasal congestion, digestive disturbances, and skin reactions, allowing you to enjoy meals without worry. Whether you’re dining out or following a histamine-restricted diet, this DAO supplement provides the digestive support needed for optimal health and well-being.
Omne Diem delivers a clinically tested, high-potency DAO enzyme at 30,000 HDU per serving in a non-systemic formula that works exclusively in the digestive tract.
This supplement uses rapid-release vegetarian capsules for quick absorption, typically working within 20 minutes of ingestion. Unlike antihistamines that block receptors, Omne Diem’s DAO naturally degrades histamine without entering the bloodstream. Available in 60-count and 120-count options, each verified through their Transparency program for authenticity. Third-party tested and free from common allergens.
- Pros:
- High 30,000 HDU potency per serving
- Non-systemic action — no side effects associated with antihistamines
- Transparency-verified for product authenticity
- Cons:
- Porcine-derived enzyme
- Premium pricing, especially for the 120-count option
Best for: Individuals with moderate to severe histamine intolerance who need reliable, high-potency enzyme support before meals
4. Seeking Health Histamine Nutrients – Best Cofactor Support
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Seeking Health Histamine Nutrients – Seasonal Histamine Support Supplement with Vitamin B1, Zinc, & Vitamin B3 – Aids Histamine Response – 60 Capsules
- Histamine Block with B Vitamins: Our supplement features thiamine, pantothenic acid, and zinc to support histamine breakdown
- Seasonal Histamine Support: This histamine block supplement supports a healthy seasonal histamine response, outdoors and indoors
- Histamine Breakdown Support: The histamine formula includes DAO2, a porcine-derived enzyme that aids in the digestion of histamine
- Allergen-Friendly Digestive Support: This histamine block supplement is free of GMOs, gluten, eggs, fish, shellfish, tree nuts, peanuts, wheat, sesame, and soy
- Optimizing Healthy Living: From research to packaging, Seeking Health prioritizes quality and safety at every step of the production process to provide health support you can trust
This advanced formula goes beyond basic DAO supplementation by providing the cofactors your body needs to support its own histamine degradation pathways.
Each serving includes DAO2 porcine kidney extract, plus vitamin C (100 mg), riboflavin (10 mg as R5P), niacin (25 mg), vitamin B6 (7 mg as P5P), zinc (5 mg), copper (0.5 mg), SAMe (100 mg), PQQ (7 mg), and alpha-ketoglutaric acid (150 mg). This combination addresses both the HNMT and DAO enzymatic pathways for histamine breakdown. Free from major allergens and GMO-free. 60 capsules per bottle with a recommended dose of 2 capsules before histamine-rich meals.
- Pros:
- Comprehensive cofactor blend supporting both DAO and HNMT pathways
- Includes SAMe and PQQ for methylation and mitochondrial support
- Methylated B-vitamins for better bioavailability
- Cons:
- Requires 2 capsules per serving
- Contains SAMe, which some sensitive individuals may need to introduce gradually
Best for: Those who want to address underlying nutrient deficiencies contributing to histamine intolerance, not just enzyme replacement
5. OjosLabs Advanced Histamine Defense – Best Natural Antihistamine Blend
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OjosLabs delivers a powerful natural antihistamine complex featuring quercetin, bromelain, stinging nettle leaf, and vitamin C for comprehensive mast cell support.
Rather than replacing DAO directly, this formula works by stabilizing mast cells and reducing histamine release at the source. Quercetin inhibits histamine secretion from mast cells, bromelain enhances quercetin absorption while reducing allergenic protein complexes, and stinging nettle leaf provides additional antihistamine activity. Non-GMO, gluten-free, and vegan-friendly. 120 capsules per bottle at just 1 capsule per day, making it an excellent daily maintenance option alongside a low-histamine diet.
- Pros:
- Vegan-friendly — no porcine-derived ingredients
- Synergistic formula combining multiple natural antihistamines
- 120-count bottle with only 1 capsule per day needed
- Cons:
- Does not contain DAO enzyme — best used alongside a DAO supplement for full coverage
- Results may take 2–4 weeks of consistent use to notice
Best for: Vegans or those who want a daily mast cell-stabilizing supplement to complement DAO enzyme use or a low-histamine diet
6. Ancestral Supplements Grass-Fed Beef Kidney – Best Whole-Food Option
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Ancestral Supplements takes a whole-food approach to histamine support by providing grass-fed, pasture-raised beef kidney — a natural source of DAO enzyme along with B12, selenium, and other cofactors.
Each serving delivers 3,000 mg of freeze-dried beef kidney in 6 capsules, preserving the naturally occurring DAO enzyme alongside supporting nutrients. This approach aligns with the ancestral health philosophy that consuming organ meats provides nutrients in their most bioavailable forms. Third-party tested for purity, non-GMO, hormone-free, and sourced from New Zealand grass-fed cattle. 180 capsules per bottle (30-day supply).
- Pros:
- Whole-food source of DAO with naturally occurring cofactors
- Additional B12 and selenium for energy and immune support
- Sourced from New Zealand grass-fed, pasture-raised cattle
- Cons:
- Requires 6 capsules per day for full serving
- DAO potency not standardized in HDU units like dedicated DAO supplements
Best for: Those who prefer a whole-food, ancestral health approach to histamine support rather than isolated enzyme supplements
7. VitaMonk HistaResist – Best Budget Pick
VitaMonk Histamine Blocker for Histamine Intolerance – HistaResist – DAO Enzyme Supplement Optimal Dose of Diamine Oxidase to Help Shield Histamine for Smooth Digestion – 60 Capsules
- Enjoy Your Favorite Foods With Confidence | HistaResist is the supplement for people struggling with frustrating symptoms of histamine intolerance. Unlike most supplements that attack it from only one angle, our optimized formula contains several specific ingredients to support histamine intolerance. With the support of DAO enzymes, you could very well enjoy certain foods again.
- Naturally Minimize Side Effects | No supplement should cause worse side effects than it is supposed to prevent, yet so many in this industry do. We never use any synthetics or fillers in our supplements, and we never will, and that’s why our community regularly tells us our supplement was the first one they ever took that caused no major side effects.
- The Only Complete Formula | It doesn’t matter what your symptoms are, HistaResist has your back – and gut! Our DAO supplement attacks histamine intolerance symptoms from all angles with both the antihistamine Vitamin C and Bromelain, an enzyme clinically shown to support a healthy inflammatory response. That could make the difference between an immune system on high alert or one that remains calm and lets you eat!
- Feel Better Naturally | HistaResist helps build a better you by providing histamine intolerance support and promoting the rebuilding of your own DAO production. Diamine oxidase is responsible for the breakdown of histamine, so with added digestive enzyme supplements, you can give yourself the best chance of resisting naturally!
HistaResist combines DAO enzyme with vitamin C and bromelain in a clean, no-filler formula that attacks histamine intolerance from multiple angles at a competitive price point.
This complete formula supports DAO production while providing natural antihistamine support through vitamin C and enhanced absorption via bromelain. VitaMonk uses no synthetics or fillers, and the formula is designed to minimize the side effects that can accompany some histamine supplements. 60 capsules per bottle. The brand has built a loyal community of users who report this was the first histamine supplement that caused no major side effects.
- Pros:
- Multi-angle approach combining DAO, vitamin C, and bromelain
- No synthetic ingredients or fillers
- Strong value for a multi-ingredient histamine formula
- Cons:
- Lower DAO potency compared to premium options like Seeking Health
- Smaller brand with less clinical research backing
Best for: Budget-conscious buyers who want a well-rounded histamine support formula without paying premium prices
How to Choose the Best Supplement for Histamine Intolerance
The most effective approach to supplementing for histamine intolerance depends on your specific situation. DAO enzyme supplements are the first-line choice for those who react to histamine-rich foods — look for products with at least 10,000–30,000 HDU per serving and take them 15 minutes before meals. Porcine-derived DAO is the most potent and well-studied source, though whole-food options like beef kidney provide a natural alternative with additional cofactors.
For daily mast cell support, natural antihistamine compounds like quercetin (500–1,000 mg daily), bromelain, stinging nettle, and vitamin C work synergistically to reduce histamine release from mast cells. These are particularly useful as maintenance supplements alongside a low-histamine diet. Liposomal or phytosome forms of quercetin offer better bioavailability than standard formulations.
Don’t overlook cofactors that support your body’s own histamine metabolism. Vitamin B6, vitamin C, copper, iron, and SAMe are all required for DAO and HNMT enzymes to function properly. If your histamine intolerance is linked to nutrient deficiencies — common with gut issues, heavy menstrual cycles, or certain medications — a comprehensive cofactor formula may be more beneficial than DAO alone.
Look for GMP-certified manufacturing, third-party testing, and products free from common allergens and histamine-triggering fillers. Avoid supplements containing citric acid, fermented ingredients, or other hidden histamine sources that could worsen symptoms.
Frequently Asked Questions
What is histamine intolerance and how does it differ from allergies?
Histamine intolerance occurs when the body cannot break down histamine efficiently, typically due to low DAO enzyme levels in the gut. Unlike true allergies that involve an immediate IgE-mediated immune response, histamine intolerance creates delayed reactions — flushing, headaches, digestive upset, or skin issues — after consuming histamine-rich foods. Allergy tests often come back negative in people with histamine intolerance.
How much DAO enzyme should I take daily?
Most effective DAO supplements provide 10,000–30,000 HDU per serving, taken 15 minutes before consuming histamine-rich foods or drinks. Some people take one capsule before every meal, while others only use them before known high-histamine meals. Start with one capsule per meal and adjust based on symptom response.
When should I take histamine intolerance supplements?
DAO enzyme supplements work best when taken 15–20 minutes before eating or drinking anything high in histamine. Natural antihistamine supplements like quercetin and vitamin C are typically taken daily for ongoing support — usually with meals for better absorption. Cofactor supplements can be taken at any time with food.
Can I take quercetin and DAO enzyme together?
Yes. DAO enzyme and quercetin work through different mechanisms and complement each other well. DAO breaks down dietary histamine in the gut, while quercetin stabilizes mast cells to reduce histamine release. Many practitioners recommend combining both for comprehensive histamine management, particularly for those with both food-triggered and environmental histamine issues.
Are there any side effects of histamine intolerance supplements?
DAO supplements are generally well-tolerated since they work non-systemically in the digestive tract. Those allergic to pork should avoid porcine-derived DAO. Quercetin can occasionally cause headaches or tingling in sensitive individuals — start with a low dose and increase gradually. Bromelain may interact with blood-thinning medications. Always consult a healthcare provider if you’re on medications or have underlying conditions.
How long does it take for histamine intolerance supplements to work?
DAO enzyme supplements typically provide relief within 15–30 minutes when taken before meals. Natural antihistamines like quercetin and stinging nettle may take 2–4 weeks of consistent daily use before noticeable improvement. Cofactor supplements that address underlying nutrient deficiencies may require 4–8 weeks to fully restore histamine metabolism pathways.
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