salmon cakes

Low Histamine Fresh Salmon Cake Recipe (also Low Oxalate, Low Lectin, Low FODMAP)

This fresh salmon cake recipe is a flavorful way to support the low histamine diet. 

In fact, this recipe is:  

These salmon cakes can be made in different sizes. Larger salmon patties are great for a protein packed dinner. And smaller salmon patties can be served as an appetizer. 

Both are great with the creamy herb sauce. Perfect for a dipping sauce or a spread. You’ll get that recipe here, too! 

Keep reading to learn more about: 

  • How omega 3s support your health with MCAS and Histamine Intolerance 
  • Our favorite sources for low histamine salmon
  • Ways to serve fresh salmon cakes
  • Making a creamy herb dipping sauce

Let’s start by looking at one of the top health benefits of salmon – omega 3s.


Omega 3s in the Low Histamine Fresh Salmon Cakes Recipe 

Before you change your diet on your own, please make sure you’re working with a healthcare practitioner who can help you with this. Never limit foods unnecessarily, and always have a licensed medical provider who is supervising your case.  

This recipe offers you a great source of omega 3s.  

Omega 3s are healthy fatty acids that play a role in many different body functions. 

Types of omega 3s include: 

  • EPA (eicosapentaenoic acid)
  • DHA (docosahexaenoic acid)
  • ALA (alpha-linolenic acid) 

EPA and DHA are the types of omega 3s found in seafood.  

Did you know that your body doesn’t make omega 3s? That means you need to get all your omega 3s from food. 

Here are just a few reasons omega 3s can be helpful if you have Mast Cell Activation Syndrome (MCAS) or Histamine Intolerance. 

Omega 3s are responsible for functions such as

  • Cell signaling
  • Nervous system regulation
  • Regulation of inflammatory processes 

Cell Health 

With MCAS, the mast cells are dysregulated. In other words, cell signaling isn’t working as it should. 

Supporting cell signaling and healthy cells is important while you work on MCAS. 

Related Article: What Are Mast Cells? Mast Cell Activation Syndrome 101 

Nervous System Support 

Nervous system regulation is also a key component to getting your mast cells calmed down.  

Working on nervous system regulation through both limbic brain retraining and vagal nerve regulation has been a missing piece for many Mast Cell 360 clients. 

Related Article: How to Balance Your Nervous System with Mast Cell Activation Syndrome 

But it’s also helpful to support your nervous system by supporting the overall health of your body.  

That’s why getting important vitamins and nutrients like omega 3s is a good foundation for nervous system regulation.  

Inflammation 

Both Mast Cell Activation Syndrome and Histamine Intolerance can lead to inflammation. 

Omega 3s help with the regulation of inflammation processes. 

Why is that important? 

Chronic inflammation has been shown to be associated with diseases related to the heart, lungs, and joints.  

And here are a few symptoms of MCAS and Histamine Intolerance that can also be associated with inflammation: 

  • Itching
  • Redness
  • Swelling 
  • Gut issues 
  • Urinary issues 
  • Ear ringing 
  • Fatigue 

Further, inflammation can lead to more mast cell activation! 

So, you can see where supporting your body when it comes to inflammation processes can be beneficial.  

Related Article: Do You Have More Than Just Histamine Intolerance? Take the Mast Cell Activation Syndrome Symptoms Survey 

So, now that you see what omega 3s are helpful for, about how much should you be getting in your diet daily? 

Generally speaking, about 250 to 500 mg combined EPA and DHA each day is suggested for healthy adults.  

A typical salmon fillet serving is about 3 to 4 ounces. If you eat just 2 servings of 4 ounces each per week, you’ll be covered.  

Let’s talk about sourcing low histamine salmon next.  

Where To Get Low Histamine Seafood 

What does fresh seafood mean to you? 

You probably didn’t think of canned salmon!  

However, you might think of salmon fillets in the grocery store’s display case. They’re marketed as “fresh”. That usually just means never frozen. 

“Fresh seafood” may not be your best choice if you have Histamine Intolerance.  

You may already know this if you’ve been following our blog.  

But you’ll want to know this low histamine seafood secret if you are new here! 

“Fresh seafood” can be days or even a week old by the time you buy it. There’s travel time, and the time it sits in the store. 

Of course, these products are refrigerated to help keep them from spoiling. 

But here’s the rest of the story. 

Bacteria on fresh seafood can double every 20 minutes under the right conditions!  And many strains are histamine-producing.   

However, bacteria don’t reproduce as rapidly in freezing temperatures.   

So, the best seafood for the low histamine diet in this case is frozen! 

Here’s another advantage to choosing frozen seafood. 

Flash freezing locks in flavor and helps preserve texture. No rubbery seafood! 

These 2 companies use flash freezing for their salmon. 

Vital Choice

>>> Click here to shop Vital Choice

NorthStar Bison

>>> Click here and use code MASTCELL360 for 10% off at Northstar Bison

And both companies freeze soon after catch making it more ideal in regard to low histamine levels. 

This recipe calls for salmon without skin. If you’re fine with removing skin from the salmon, both companies have options for skin-on salmon. 

The skin removes very easily once cooked. 

TIP: Vital Choice offers skinless salmon fillets, too, making prep even easier. 

Related Article: The Best Low Histamine Meat and Seafood Options 

Now you know where to get low histamine salmon. Next, get some ideas for serving these low histamine salmon cakes. 

How To Serve Low Histamine Fresh Salmon Cakes 

This recipe makes a great dinner or appetizer. 

Two salmon patties served with a couple vegetable sides would be a nutritious dinner right there. 

You can also get creative and use the salmon patties in wraps or as party appetizers. 

Please note that these options may or may not be suitable for all the food intolerances listed with the base recipe (such as oxalate levels, FODMAPs, and salicylates.) 

Salmon Cake Wraps 

Have you tried our low histamine cassava tortillas? 

Tortillas are great to have on hand. You can make a bunch at once and freeze them.  

They can be used for tacos and so much more. Like wraps! 

You can crumble the cooked salmon cakes into a tortilla. Just add your favorite veggies and dressing and you’ve got a wrap. 

Feeling creative? 

Try stuffing the wrap with low histamine mango salsa or low histamine coleslaw instead of veggies and dressing. 

No tortillas on hand? Not a problem.  

Make a lettuce wrap instead. Use your favorite lettuce as the shell. Fill it with crumbled salmon cakes and herb sauce. 

Salmon Cake Appetizers 

This recipe can be used as a party appetizer, too. Simply make smaller salmon patties. 

For a potluck, you could use a large platter for a nice presentation. Arrange the bite sized salmon patties around the edge of your platter. Place a bowl with the herb sauce in the middle for dipping. 

Or if you want to serve these salmon cakes as an appetizer for a sit-down meal, simply add 1 or 2 to a small plate and drizzle with herb sauce. 

Whether for dinner or an appetizer, these salmon cakes are made even more flavorful with the herb sauce you’ve been reading about.  

Learn more about that next! 

Making a Creamy Herb Dipping Sauce 

A lot of salmon cake recipes are made even tastier with the addition of a dipping sauce. 

But some seasonings and sauces are high histamine. 

For example, tartar sauce. This popular sauce is high histamine due to ingredients like pickles and mayonnaise.  

Commercially prepared mayo can be a problem because it may have:

  • Vinegar
  • Lemon juice (not always tolerated)
  • Eggs (not always tolerated)
  • Soybean oil
  • Preservatives
  • And “natural flavors” (not always natural!)

Remoulade is another cold sauce often served with salmon cakes. 

Like tartar sauce it uses higher histamine ingredients like mayonnaise. It may also use high histamine ingredients like curry powder, pickles, or paprika. 

And Old Bay Seasoning is another popular spice blend for seafood. But unfortunately, some of the spices in it are high histamine. 

So, in this recipe, you’ll use coconut cream as the base for your dipping sauce. 

And you’ll balance out that creaminess with just a touch of bright mango puree instead of citrus. 

Fresh herbs like dill, parsley, chives, and thyme give the sauce herbaceous flavor. 

What to Expect and Top Tips 

These salmon cakes can hold together loosely or more firmly. This depends on how much flour you use. 

The cakes are more moist with a softer texture when they hold together loosely.  

This means they have some shape. You can flip them carefully in the pan. But the edges may crumble off easily. And you can’t pick bigger patties up with your hands. 

This is how we made them in this recipe.  

Follow our recipe exactly if this is your preference. 

TIP: When baking the salmon, pull it out before it’s just short of cooked through. It will finish cooking on the stovetop. This helps salmon from getting tough. 

Do you prefer a salmon cake that holds together a little more firmly? 

Here’s how to adjust the recipe. 

You’ll see that this recipe doesn’t use breadcrumbs like panko breadcrumbs or other readymade types.  

Instead, we’ve used cassava flour and ground pecans. 

Add more cassava flour to your batter if you want your salmon cakes to hold together tighter. Add a tablespoon at a time until you get the consistency you prefer. 

The salmon cakes are a little drier if you want them to hold together for something like a salmon burger consistency. They will also be a little drier if you use a flax egg rather than chicken egg. 

They will hold their shape more easily when transferred to a plate. 

But don’t worry too much if the salmon cakes are a little drier due to the extra flour. You’ll be adding the creamy herb sauce. That adds moisture. Not to mention lots of flavor! 

Serve Fresh Salmon Cakes with Low Histamine

Salmon Cakes

Low Histamine Fresh Salmon Cake Recipe

This low histamine fresh salmon cakes recipe with a creamy herb dressing can be dinner or an appetizer.  
No ratings yet
Prep Time 15 minutes
Cook Time 20 minutes
Total Time 25 minutes
Course Appetizer, Main Course
Cuisine American
Servings 8 cakes (1 serving is 1 cake)
Calories 244 kcal

Ingredients
  

For Creamy Herb Sauce

For Salmon Cakes

  • 1 large egg whisked OR
  • 1 Flaxseed Egg (see notes for recipe)
  • 3 Tablespoons Pecans ground
  • 4 Tablespoons Otto's Cassava Flour
  • 2 Tablespoons Mango pureed
  • 2 Tablespoons Let's Do Organic Coconut Cream
  • 2 teaspoons Fresh Dill chopped
  • 2 Tablespoons Kasandrino’s Olive Oil

Instructions
 

  • Preheat oven to 400 degrees F.
  • If you are using a flax egg, make the flax egg. See instructions in notes below.
  • While the blender is out, grind the pecans. Move to a small bowl and set aside.
  • Place thawed salmon filets skin side down on a baking sheet lined with a silicone mat or parchment paper. Lightly oil the salmon filets with 1 Tablespoon of olive oil and sprinkle with 1/8 teaspoon salt.
  • Bake salmon for 12 minutes at 400 degrees F. You want the salmon slightly under cooked since it will cook more once the patties are formed.
  • While salmon is cooking, blend the mango in the blender or food processor. You can use fresh mango or frozen mango.
    Fresh will give you a puree consistency. Frozen will produce a slushie consistency. Either way is fine.
    Remove 2 Tablespoons of the blended mango and add to the bowl with the ground pecans. Leave the rest in the blender.
  • Now, make the herb sauce in the blender with the mango puree. Add to the puree, ¾ cup coconut cream, 2 teaspoons dill, 1/8 teaspoon salt, chives, parsley, and thyme. Blend until combined. Set aside until ready to serve.
  • Prepare the batter for the salmon patties. In a large bowl, add cassava flour, ground pecans and mango puree, whisked egg or flax egg, 2 teaspoons dill, 1/8 teaspoon salt, and 2 Tablespoons of coconut cream in a bowl. Mix until ingredients are combined.
  • When salmon is ready, remove from oven and flake the salmon away from the skin (discard skin and any bones). Transfer salmon flakes to cutting board and chop into very small pieces.
  • Add the salmon to the batter and mix until combined.
  • Form the salmon mixture into balls. Use about ¼ cup of the salmon mixture per patty to yield 8 cakes.
  • Add olive oil to a large skillet over medium high heat. Place the salmon balls into the skillet and press each down with a turner. Cook the salmon cakes for about 2 minutes on each side. They should be golden brown on the outside and cooked through inside. You may need to cook in 2 batches.
  • Serve with herb sauce and enjoy!
  • TIP: The salmon cakes are easy to freeze and reheat. Make extra and freeze them in an airtight container for easy weeknight dinners.

Notes

Recipe Notes:  
Flax Egg: To make a flax egg, start with whole flax seed. Blend until the seed becomes a course flour. You can also use pre-made flax meal, but we find that it goes rancid much quicker. Add 1 Tablespoon of flax meal to 2 Tablespoons of warm water. Set aside for five minutes until thick. 
Low Salicylate: You can make the salmon cakes low salicylate by swapping fennel for the dill and using butter or ghee instead of olive oil. We haven’t worked out a low salicylate herb sauce, but the cakes are great!  
Thawing Salmon: Thaw your salmon under cold running water to keep histamine low. You want to avoid thawing meat on the counter or in the fridge with Histamine Intolerance and MCAS.

Nutrition

Nutrition Facts
Low Histamine Fresh Salmon Cake Recipe
Serving Size
 
110 g
Amount per Serving
Calories
244
% Daily Value*
Fat
 
19.17
g
29
%
Saturated Fat
 
9.6
g
60
%
Trans Fat
 
0.02
g
Polyunsaturated Fat
 
1.81
g
Monounsaturated Fat
 
6.12
g
Cholesterol
 
47
mg
16
%
Sodium
 
135
mg
6
%
Potassium
 
342
mg
10
%
Carbohydrates
 
5.57
g
2
%
Fiber
 
1.1
g
5
%
Sugar
 
1.09
g
1
%
Protein
 
13.67
g
27
%
Vitamin A
 
217
IU
4
%
Vitamin C
 
5.2
mg
6
%
Calcium
 
15
mg
2
%
Iron
 
1.08
mg
6
%
* Percent Daily Values are based on a 2000 calorie diet.
Keyword dairy free, gluten free, low FODMAP, low histamine, low lectin, low oxalate

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References 

EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). (2012). Scientific ppinion on the tolerable upper intake level of eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA) and docosapentaenoic acid (DPA). EFSA Journal, 10(7). https://doi.org/10.2903/j.efsa.2012.2815  

FoodData Central. (n.d.). Retrieved October 15, 2024, from https://fdc.nal.usda.gov/fdc-app.html#/food-details/175167/nutrients 

Grover, S., et al. (2011). Role of inflammation in bladder function and interstitial cystitis. Therapeutic Advances in Urology, 3(1), 19–33. https://doi.org/10.1177/1756287211398255 

Institute for Quality and Efficiency in Health Care (IQWiG). (2021b, May 18). In brief: What is an inflammation? InformedHealth.org – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK279298/ 

Karshikoff, B., et al. (2017). Role of inflammation in human fatigue: relevance of multidimensional assessments and potential neuronal mechanisms. Frontiers in Immunology, 8. https://doi.org/10.3389/fimmu.2017.00021 

Mennink, L. M., et al. (2022). The role of inflammation in tinnitus: A systematic review and meta-analysis. Journal of Clinical Medicine, 11(4), 1000. https://doi.org/10.3390/jcm11041000 

Office of Dietary Supplements – Omega-3 fatty acids. (n.d.). Retrieved October 15, 2024, from https://ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/ 

Pahwa, R., Goyal, A., & Jialal, I. (2023, August 7). Chronic inflammation. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK493173/ 

Peuhkuri, K., Vapaatalo, H., & Korpela, R. (2010). Even low-grade inflammation impacts on small intestinal function. World Journal of Gastroenterology, 16(9), 1057–1062. https://doi.org/10.3748/wjg.v16.i9.1057 

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