Low Histamine Cocktails and Why You Don’t Want to Drink Most Alcohols if you have Mast Cell Activation Syndrome or Histamine Intolerance

Low Histamine Cocktails and Why You Don’t Want to Drink Most Alcohols if you have Mast Cell Activation Syndrome or Histamine Intolerance

Drinking can be a big trigger of Mast Cell Activation Syndrome and Histamine Intolerance. But alcohol is also a big part of many cultures. Many people like to share a bottle of wine at dinner. Maybe have a beer at a game. And have cocktails at parties.

If you don’t drink because of Mast Cell Activation Syndrome or Histamine Intolerance, it may be easy to feel left out. Especially around special occasions.

I used to be a big social drinker, myself. I didn’t know back then that I had Mast Cell Activation Syndrome and Histamine Intolerance. I also didn’t know that drinking was making me worse.

Why is alcohol a problem for Mast Cell Activation Syndrome and Histamine Intolerance?

Alcohol can worsen Mast Cell Activation Syndrome and Histamine Intolerance a few ways. Alcohol decreases the histamine degrading enzyme called Diamine Oxidase (DAO). Aged alcohols are also high histamine. Further, lots of types of liquor have flavors and colors added. Think everything from Lemon flavored Vodka to Blue colored Curacao.

Here are examples of high histamine alcohols:

  • Aged rum
  • Beer
  • Bourbon
  • Brandy
  • Flavored or colored spirits
  • Hard Cider
  • Liqueurs
  • Scotch
  • Whiskey
  • Wine 

Problem with Mixers

Packaged mixers pose yet another issue. They are full of colors, flavors, and preservatives. For example, let’s look at Grenadine. Here are the mast-cell and histamine triggering ingredients for one popular brand:

Citric Acid, Sodium Citrate, Sodium Benzoate (Preservative), Red 40, Natural and Artificial Flavors, Blue 1  

On top of this, Grenadine has High Fructose Corn Syrup. This raises blood sugar fast. And increases in blood sugar, are another mast cell trigger. This is why sugar isn’t good if you have Mast Cell Activation Syndrome or Histamine Intolerance.

Another popular mixer is Margarita Mix. Here are the ingredients for a popular Margarita Mix: water, high fructose corn syrup, citric acid, natural flavors, sodium citrate, sodium benzoate, potassium sorbate (to preserve flavor), cellulose gum, sucrose acetoisobutyrate (SAIB), polysorbate 60, and fd&c yellow 5.

Problem with most Juice in Cocktails

Most juice isn’t 100% juice. It often has preservatives that can trigger mast cell degranulation and histamine release. You also have to watch for higher histamine juices. You want to avoid these:

  • Grapefruit
  • Orange
  • Pineapple
  • Strawberry
  • Tomato

The problem with Club Soda and Tonic Water

Even club soda and tonic water have mast cell and histamine triggering ingredients.

The mast cell and histamine triggering ingredients are bolded below.

Here are the ingredients for club soda: Plain water and mineral-like ingredients like sodium bicarbonate, sodium citrate, potassium sulfate, and disodium phosphate. Citrates are from fermentation.

And here are ingredients for Tonic water: Carbonated Water, Sugar, Citric Acid, Acidity Regulator (Sodium Citrate), Flavourings (Including Quinine), Sweetener (Aspartame, Acesulfame K)

See any problems there for Histamine and Mast Cell issues?

So be sure to skip on the club soda and tonic water if you have Mast Cell Activation Syndrome or Histamine Intolerance!

So what can you do if you want to have the occasional drink when you have Mast Cell Activation Syndrome or Histamine Intolerance?

I rarely drink anymore. And I recommend definitely you avoid drinking much if you have Mast Cell Activation Syndrome or Histamine Intolerance. I do occasionally like to have a cocktail on New Year’s Eve or to celebrate something important, though.

What to do if you want to have the occasional drink when you have Mast Cell Activation Syndrome or Histamine Intolerance?

So what can you do if you want to have the occasional drink when you have Mast Cell Activation Syndrome or Histamine Intolerance?

The first key is limit quantity. If I am going to have a cocktail, I only use a splash or two of alcohol. Or even better is to leave the alcohol out and have a virgin cocktail.

If you are having alcohol, use a low histamine option instead like the ones below.

Low Histamine Alcohol Options:

  • Vodka: Clear, unflavored, top-shelf like Gray Goose or Prairie
  • Tequila: Clear, Silver/Blanco, top-shelf like Patron Silver or 1800 Silver
  • Gin: Clear, Top shelf, unflavored like Hendricks or Tanqueray
  • Rum: Clear/White, unflavored like Bacardi Silver or Appleton White

Low Histamine Mixer Options:

Sparkling mineral water or seltzer

100% pure organic low histamine juice like:

  • Apple
  • Blueberry
  • Cranberry
  • Grape
  • Lemon/Lime (small amounts)
  • Mango
  • Peach
  • Pomegranate

Low Histamine Cocktail and Mocktail options for people with Mast Cell Activation Syndrome and Histamine Intolerance

Here are 7 Low Histamine Cocktail options for you. Remember, moderation is the key to not feeling bad. You will have your own limits.

If you are just starting on the Low Histamine Diet [Link Low Histamine Diet], you’ll want to avoid all alcohol for the first 6 months or longer. Wait until your histamine levels are lower. If you’ve been lowering histamine levels for a while, you might be able to enjoy a drink on occasion.

You can make all of these as Mocktails. Just leave the alcohol out. You can also use less alcohol. Try making it with just a splash.

I’ve included both bottled juice and fresh juice options. For lower histamine levels, always make juice freshly squeezed.

Pomegranate Martini – Lower Histamine, Low to Medium Oxalate, Low Lectin, Low Salicylates

This is a really beautiful martini. The deep red of the pomegranate and bright green of the rosemary make for a festive presentation. Even better, both pomegranate and rosemary have histamine lowering and mast cell stabilizing properties!

(2 servings)

Ingredients

  • ½ ounce to 2 ounces (as desired) top shelf, clear, unflavored vodka
  • ½ cup organic pomegranate juice or use fresh squeezed
  • ¼ cup sparkling mineral water (like San Pellegrino)
  • 2 tsp fresh squeezed, organic lime juice (optional, only use if tolerated)
  • 1 cup ice cubes
  • Stevia, monk fruit, or simple syrup to taste
  • Pomegranate seeds for garnish (optional)
  • Fresh rosemary sprigs or lime slices for garnish (optional)

Directions

  1. Add vodka, pomegranate juice, sparkling water, lime juice (optional), and ice to a cocktail shaker.
  2. Shake thoroughly and strain into a glass.
  3. Add a tsp of fresh pomegranate seeds to glass (optional)
  4. Garnish with fresh rosemary sprigs or lime slices (optional)

Optional Presentation Ideas:

  • Freeze pomegranate juice ahead of time into ice cubes and float in glass

Blueberry Martini – Lower Histamine, Lower Oxalate, Low Lectin

This is a different take on the pomegranate martini and not too sweet. The basil brings an interesting complexity to the flavor. Both blueberries and basil have histamine lowering and mast cell stabilizing properties!

(2 servings)

Ingredients

  • ½ ounce to 2 ounces (as desired) top shelf, clear, unflavored vodka
  • ½ cup organic blueberry juice or use fresh squeezed
  • ¼ cup sparkling mineral water (like San Pellegrino)
  • 2 tsp fresh squeezed, organic lemon juice (optional, only use if tolerated)
  • 2 fresh basil leaves
  • 1 cup ice cubes
  • Stevia, monk fruit, or simple syrup to taste
  • Fresh blueberries, basil, and lemon slices for garnish (optional)

Directions

  1. Add vodka, blueberry juice, sparkling water, lemon juice (optional), basil leaves and ice to a cocktail shaker.
  2. Muddle and then strain into a glass.
  3. Float blueberries and a small basil leaf in the cocktail.
  4. Garnish edge of glass with a couple lemon slices.

Optional Presentation Ideas:

  • Freeze blueberry juice ahead of time into ice cubes and float in glass.
  • Skewer blueberries, lemon slices, and basil leaves onto a cocktail stick.

Vodka Cranberry – Lower Histamine, Low Oxalate, Low Lectin, Low FODMAP

This is another great, festive drink. It is bright and pretty. Cranberries are loaded with antioxidants. This drink is also low-FODMAP! If you have problems with SIBO, bloating, gas, etc – go with this one and make it a mocktail.

(2 servings)

Ingredients

  • ½ ounce to 2 ounces (as desired) top shelf, clear, unflavored vodka
  • ½ cup organic cranberry juice, or use fresh squeezed
  • ¼ cup sparkling mineral water (like San Pellegrino)
  • 2 tsp fresh squeezed, organic lime juice (optional, only use if tolerated)
  • 4-6 ice cubes
  • Stevia, monk fruit, or simple syrup to taste
  • Fresh lime slices for garnish (optional)

Directions

  1. Add vodka, cranberry juice, sparkling water, lime juice (optional), and ice to highball glass.
  2. Garnish with a couple lime slices (optional)

Optional Presentation Idea:

  • Freeze cranberry juice ahead of time into ice cubes and float in glass

Blended Coconut “Dirty” Russian – Lower Histamine, Lower Oxalate, Low Lectin

Traditional white Russians use coffee-flavored liqueur. That flavor is hard to replicate without using coffee. But you can get a roasty flavor with using toasted pecan butter in this blended, frozen recipe. This won’t be a white as a White Russian typically is. Hence the name “Dirty” Russian. 😉

I almost never use sugar. But I made an exception for this recipe. Use Grade B maple syrup for a deeper, richer flavor.

If you want to really step this up, make the Coconut Cream Topping to float on top!

(2 servings)

Ingredients:

Directions:

  1. Freeze coconut milk in ice cube trays for at least 6 hours, or overnight.
  2. When ready to make the drink, first make cream topping, if using, with directions below.
  3. Place vodka, frozen coconut ice cubes, pecan butter, and maple syrup in a blender and blend until smooth. Don’t over-blend or it will start to melt.
  4. Pour into 2 tall glasses.
  5. Top with optional coconut whipped cream, if desired (see below).

Optional Cream Topping Ingredients:

Optional Cream Topping Directions:

  1. Scoop out 1 cup of coconut cream.
  2. Whip the coconut cream, monk fruit extract, and raw vanilla powder with a whisk until thick and stiff. Avoid overwhipping.
  3. Top the Frozen White Russian with coconut cream.

Autumn Sparkler – Lower Histamine, Low Oxalate, Low Lectin

This drink is made with apple juice, sparkling water, and gin. It’s a nice fall and winter drink. But you could really have this anytime of the year.

Apples are loaded with quercetin. Especially just under the peel. So, if possible make the apple juice fresh at home with the peel on.

(2 servings)

Ingredients

  • ½ ounce to 2 ounces (as desired) top shelf, clear, unflavored gin
  • ½ cup organic apple juice, or use fresh squeezed
  • ¼ cup sparkling mineral water (like San Pellegrino)
  • 2 tsp fresh squeezed, organic lemon juice (optional, only use if tolerated)
  • 4-6 ice cubes
  • Stevia, monk fruit, or simple syrup to taste
  • Fresh lemon slices for garnish (optional)
  • Fresh thyme sprig for garnish (optional)

Directions

  1. Add gin, apple juice, sparkling water, lemon juice (optional), and ice to highball glass.
  2. Stir gently.
  3. Garnish with a lemon slice, an apple slice, and sprig of thyme (optional).

Classic Mojito – Lower Histamine, Low Oxalate, Low Lectin, Low FODMAP

Mint is high in salicylates. And this makes it have pain relieving properties similar to aspirin. Mint also has mast cell stabilizing properties.

Be sure to use an organic lime for Mojitos. You’ll need to leave the peel on to get the oils out of the peel.

Be sure to muddle this in batches as described to get the best flavor.

Mojitos are hard to do right without sugar. So I made an exception to this one too. You can use cane sugar or coconut sugar. If you are low FODMAP, use the cane sugar.

(2 servings)

Ingredients

  • ½ ounce to 2 ounces (as desired) white rum
  • 20 fresh lime leaves
  • 1 organic lime, cut into 8 sections – leave peel on
  • 1 cup sparkling mineral water (like San Pellegrino)
  • ~2 cups ice cubes
  • 2 tblsp organic cane sugar or coconut sugar
  • Fresh lime slices for garnish (optional)
  • Fresh mint for garnish (optional)

Directions

  1. Put 10 mint leaves and 2 lime wedges into a heavy highball glass.
  2. Crush the mint and lime with a muddler to release the oils.
  3. Add 2 more lime wedges and 2 Tblsp sugar and muddle again.
  4. Repeat steps 1 to 3 in a 2nd
  5. Don’t strain the mixture.
  6. Fill each highball glass nearly to the top with ice.
  7. Add ½ the rum to each glass.
  8. Top the glass with sparkling mineral water.
  9. Garnish with a lime slice and fresh mint (optional).

Frozen Mango Margarita – Lower Histamine, Low Oxalate, Low Lectin

This is probably my favorite drink. I love mangos. This frozen margarita is so creamy and delicious.

Since my histamine bucket is lower, I do add 1 drop of Rocky Mountain Oils Orange Essential Oil*. This is my secret ingredient. But only use once you’re 6 months or more into the Low Histamine Diet.

*Only use therapeutic grade oils in foods. Not all brands of essential oils are safe to use. And not all types of oils are safe to use internally.

(2 servings)

Ingredients

  • ½ ounce to 2 ounces (as desired) top shelf, silver, unflavored tequila
  • 1 cup frozen mango
  • Juice of 1 organic lime (optional, only use if tolerated)
  • 2 cups ice
  • Stevia, monk fruit, or simple syrup to taste
  • Granulated sugar or fine unrefined sea salt (optional)
  • 1 drop Rocky Mountain Oils Orange Essential Oil (optional, if tolerated)
  • Fresh lime slices for garnish (optional)

Directions

  1. Put tequila, frozen mango, lime juice (optional), ice, sweetener, and orange essential oil (optional) in blender.
  2. Blend until smooth.
  3. Run a lime wedge around the edge of glass. Dip into sugar or sea salt, if desired.
  4. Pour frozen mango mixture into glasses.
  5. Garnish with a couple lime slices (optional)

Did you enjoy these Low Histamine Cocktail and Mocktail recipes? I’d love to hear what you thought in the comments below!

Are you struggling with Mast Cell Activation Syndrome? If so, it is critical to find your root causes. Addressing those root cause will allow you to heal. Be sure to download your free report on the 7 Most Common Root Causes in Mast Cell Activation Syndrome. Just click the button below.

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