Ask a Rebel Med NW Doctor Series: How does having a COMT genetic snp affect histamine intolerance?

11 Jul 2024 · 2 min
1:49

In this video, Dr. Andrew Simon explains how a genetic variation in the catechol-O‑methyltransferase (COMT) gene influences histamine intolerance. He describes that COMT is responsible for breaking down catecholamines (dopamine, epinephrine, norepinephrine) and that reduced COMT activity limits the body’s ability to degrade both catecholamines and histamine. When stress, excess estrogen, or other hormonal imbalances raise catecholamine levels, the methylation demand increases, worsening histamine intolerance. Dr. Simon recommends supporting methylation with methyl‑B12 and methyl‑folate, reducing stress, and balancing hormones. He also suggests a holistic plan involving naturopathic physicians and acupuncture to address related conditions such as migraines, fibromyalgia, mast‑cell activation disorders, and small‑intestinal bacterial overgrowth (SIBO).

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