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For those navigating histamine intolerance alongside Hashimoto's, the best approach is to prioritize fresh protein sources: freshly cooked fish or poultry, eggs, and legumes, rather than aged cheeses, fermented foods, smoked meats, or deli proteins that have undergone conversion of histidine to histamine during processing
10.1016/j.jdin.2021.03.003 238
However, oral formulations may have different GI side effect profiles due to local effects on the stomach, which could indirectly influence the dehydration and electrolyte pathways that contribute to palpitations
doi: 10.1016/j.mce.2017.01.038 148
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