| | | Amino Acid / Protein | Methionine
 | Methionine supplements lower blood levels of histamine by increasing histamine breakdown. |
Not recommended:
Histidine
|
Diet |
Histamine-Restricted Diet
Vegetarian/Vegan Diet
 | Nutritionists recommend a low-protein, high complex carbohydrate diet. Histidine, which is more common in animal proteins, should be avoided as it can be converted into histamine. |
|
Lab Tests/Rule-Outs |
Test Copper Levels
 | Testing serum or hair copper levels is usually adequate for evaluating copper status when low levels of copper are suspected and hair contamination with copper can be ruled out. When in doubt, it would be better to use more accurate tests such as the 24 hour urine copper or serum ceruloplasmin. |
Test Histamine Levels
Test Folic Acid Levels
 | Under certain conditions, such as anticipated or actual pregnancy, a simple lab test for serum folate levels is advisable. If the test results show low levels, supplementation should be considered to prevent potential birth defects. |
Test Zinc Levels
Test for Manganese Levels
|
Mineral |
Calcium
 | Calcium, methionine, SAMe, magnesium, zinc, TMG, omega-3 fatty acid, B6, inositol, vitamin A, C and E have some antifolate activity. |
Manganese
Copper
 | Copper levels may be low to normal in patients with histadelia. Copper is part of the enzyme histaminase, which is involved in the metabolism of histamine. Some suggest that copper should be avoided when bipolar symptoms are present. Testing will help confirm a person's status. |
|
Nutrient |
TMG (Tri-methyl-glycine) / SAMe
 | One thing that is absolutely certain is that methionine and/or SAMe usually harm low-histamine (overmethylated persons)….. But are wonderful for high-histamine (undermethylated) persons. The reverse in true for histadelic (undermethylated) persons, who thrive on methionine, SAMe, Ca and Mg….. But get much worse if they take folates & B-12 which can increase methyl trapping. [Willam Walsh, Ph.D., past senior scientist, Pfeiffer Treatment Center www.hriptc.org] |
Essential Fatty Acids
 | Omega 3 essential fatty acids can be beneficial. |
Not recommended:
Lecithin / Choline / GPC
 | Choline is anti-dopaminergic and often makes undermethylated patients worse. [Principles of orthomolecularism, R.A.S. Hemat, MB;BCh, FRCSI, Dip. Urol.] |
DMAE
|
Vitamins |
Vitamin Inositol Hexaniacinate
 | Inositol is especially helpful for undermethylated persons (for example most persons with OCD), but can cause negative side effects in those who are overmethylated. Since Inositol is one of the primary second messengers in neurotransmission, it's surprising it isn't more commonly used. It's especially useful in reducing anxiety and enhancing sleep.
To enhance sleep for a 160 lb person, we usually recommend 650mg tablets, 1-3 as needed for sleep. Persons who have difficulty falling asleep should take it 30-60 minutes before sleep. Persons whose main problem is waking up in the middle of the night should take it at bedtime.
We've often given as much as 3-4 grams/day to undermethylated persons who respond beautifully to Inositol, and these persons take it morning, noon, and evening.
I once gave an invited presentation at a symposium at an APS annual meeting... in which data on megadoses (15-30 g) of Inositol were reported by another speaker. The volume of Inositol used seemed extreme to me, and would present daunting compliance problems. I believe such huge doses of Inositol are unnecessary, if methionine, calcium, B-6, and other nutrients to combat undermethylation are used. However, massive doses of Inositol might be needed if one tries to combat OCD with Inositol alone.
Regardless of the form of inositol, its use should be started as a trial, with close monitoring of the patient. We've found that persons who achieve improved sleep after inositol are excellent candidates for taking it throughout the day also. I recommend you be alert for adverse side effects, especially with persons with severe anxiety or panic symptoms. [Willam Walsh, Ph.D., past senior scientist, Pfeiffer Treatment Center www.hriptc.org] |
Vitamin B6 (Pyridoxine)
Vitamin C (Ascorbic Acid)
Vitamin A
Vitamin E
Not recommended:
Vitamin B12 (Cobalamine)
 | Histadelic (undermethylated) persons, get much worse if they take folates & B-12 which can increase methyl trapping. [Willam Walsh, Ph.D., past senior scientist, Pfeiffer Treatment Center www.hriptc.org] |
Vitamin Folic Acid
 | Histadelics should avoid supplemental folic acid as it can produce excess histamine. In fact, anti-folate drugs may be required. Folic acid increases depression in histadelic patients and a trial of folic acid could be used to distinguish between histapenics and histadelics. In extreme cases, folic acid in food or in multivitamins is enough to produce the adverse effects. |
|
| |