This lower histamine breakfast casserole is a delicious eggy start to your day. This breakfast casserole is from my childhood is inspired by Eastern European blini stuffed with a ricotta filling. The recipe has gone through many revisions throughout my life, first to make it gluten-free (this recipe works well with gluten-free flour mixes), and then to become low-oxalate (it also works great with almond flour, though I can’t tolerate almonds anymore due to their high oxalate content), and now to be low histamine (though of course what is low histamine for one person won’t necessarily be for another person). This recipe is also great if you are on a high-fat or Keto diet.

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Ingredient notes for lower histamine breakfast casserole

This recipe calls for Beyond the Equator Sunflower Seed Flour which is a versatile lower histamine seed-based flour.

It also calls for ChocZero Sugar-Free Maple Syrup, a wonderful Keto diet sweetener that is free of sugar alcohols and erythritol.

I like to serve this dish with jam, and ChocZero makes several flavors of sugar-free jam that are great.

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 lower histamine breakfast casserole 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.

Do you know your typical symptom progression?

One of the keys to understanding the level of your bucket is knowing your symptom progression. It is helpful to keep track of the symptoms you are having and to evaluate whether they are escalating. Symptom escalation means that the level of your bucket is rising.

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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Here is the recipe for lower histamine breakfast casserole!