lower histamine saged pasta

Hearty Lower Histamine Saged Squash Pasta

This recipe for lower histamine saged squash pasta is hearty and filling. It’s perfect for a meatless meal and low-fodmap too!

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Ingredient notes for saged squash pasta

This recipe can be made with any type of gluten-free pasta. For Keto, you can use Palmini. I used Jovial brown rice fusilli this time.

What is MCAS?

Mast Cell Activation Syndrome (MCAS) is a chronic condition that affects all organ systems. MCAS is serious and disabling and people with MCAS experience often significant and debilitating symptoms daily, including anaphylaxis, which can be fatal.

MCAS is often found in combination with other chronic conditions such as Ehlers-Danlos Syndrome (EDS) and Postural Orthostatic Tachycardia Syndrome (POTS).

Frequently healthcare providers do not know about MCAS, and the tests for MCAS are problematic because they are not uniformly reliable. MCAS can be difficult to manage. Treatments include blocking mast cell mediators with anti-histamines and mast cell stabilizers, as well as avoiding triggers.

Check out this post on how to manage MCAS.

Why this recipe?

This recipe is low in carbs, higher in fat, protein, and fiber, while still being lower in histamine and histamine-releasing foods, lower in oxalates, and free of nightshades, grains, and gluten. Eating a diet lower in carbs and inflammatory foods can help to control histamine intolerance. To learn more about the lower histamine diet click here!

The bucket theory

The bucket theory offers a helpful analogy for understanding symptom reactions with MCAS.

Think of your body as an empty bucket that you want to keep from overflowing. Different foods and activities fill your histamine bucket at different speeds but they combine to form the total level of histamine in your body (how full your bucket is). A fuller bucket means you have more histamine symptoms. When you manage triggers, reduce exposure to known triggers, and take medications and supplements to reduce histamine, you can manage the level of your bucket.

Know your typical symptom progression

Knowing your symptom progression in a symptom flare is the key to developing your own rescue plan. In this post, I discuss how to determine your own symptom progression. Once you know what typically happens in your symptom progression you can design a rescue plan to address those symptoms.

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Want a tool to easily keep track of your symptoms? Sign up for my newsletter and you will receive my free 50-page ebook of lower-histamine, grain-free, sugar-free recipes, my free symptom log, and a free two-week meal plan!

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Here’s the recipe for lower histamine saged squash pasta

Lower Histamine Saged Squash Pasta

Prep Time 5 minutes
Cook Time 1 hour 30 minutes
Course Main Course
Cuisine American
Servings 6

Ingredients
  

  • 8 oz. gluten-free pasta
  • 1 lb. Japanese squash
  • 4 oz. pesto of choice garlic scape pesto is particularly good!
  • 6 fresh sage leaves minced
  • 3 tbsp. mascarpone
  • 1 tsp sea salt

Instructions
 

  • Preheat oven to 450 °F. Poke squash a few times with a sharp knife. Place it on a roasting pan and roast for about one hour. Remove from the oven and allow to cool for 15 minutes. Carefully slice the squash in half, scoop out and discard the seeds. Scoop out the flesh and set it aside.
  • When the squash is nearly done roasting, set a medium pot of water to boil. Add the salt, and once the water is boiling, cook your pasta according to the package directions. If you are using Palmini simply place it in a colander and rinse it under cool water. Drain the pasta and return it to the pot.
  • Add the pesto, squash, minced sage, and mascarpone. Stir together. Serve immediately or portion into containers and freeze for later consumption.

What to serve along with this lower histamine saged squash pasta

  • A crisp green salad is lovely with this dish.
  • Choose sides based on your other dietary needs.

Leftovers and reheating

  • Leftovers keep in the fridge for up to 5 days, but if you have histamine intolerance or MCAS you will want to freeze leftovers right away.
  • Freeze for up to 3 months.
  • To reheat from frozen, microwave for 2-3 minutes, depending on your microwave’s power. Or, place in a saucepan, over medium-low heat, stirring occasionally, until piping hot.

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