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Diamine oxidase supplementation improves symptoms in patients with histamine intolerance.


ABSTRACT: Histamine intolerance (HIT) is thought to be caused by a disproportionate amount of histamine in the body. The enzyme diamine oxidase (DAO) is considered for the gastrointestinal degradation of histamine. For this open-label interventional pilot study, we identified 28 patients with HIT. For 4 weeks, they were instructed to take DAO capsules before meals. Then, throughout a follow-up period, they were instructed not to take the DAO. We used a questionnaire that included 22 symptoms, which were divided into 4 categories, as well as a symptom severity score. All symptoms improved significantly during the oral supplementation of DAO. During the follow-up period, without DAO supplementation, the symptoms sum scores increased again. The symptom intensity score was reduced for all symptoms. We have demonstrated, a significant reduction of every HIT-related symptom and its intensity due to DAO oral supplements. The ClinicalTrials.gov identifier (NCT number) is NCT03298568.

SUBMITTER: Schnedl WJ 

PROVIDER: S-EPMC6859183 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Diamine oxidase supplementation improves symptoms in patients with histamine intolerance.

Schnedl Wolfgang J WJ   Schenk Michael M   Lackner Sonja S   Enko Dietmar D   Mangge Harald H   Forster Florian F  

Food science and biotechnology 20190524 6


Histamine intolerance (HIT) is thought to be caused by a disproportionate amount of histamine in the body. The enzyme diamine oxidase (DAO) is considered for the gastrointestinal degradation of histamine. For this open-label interventional pilot study, we identified 28 patients with HIT. For 4 weeks, they were instructed to take DAO capsules before meals. Then, throughout a follow-up period, they were instructed not to take the DAO. We used a questionnaire that included 22 symptoms, which were d  ...[more]

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