This lower histamine pad thai is pure comfort food recipe in a Keto version of the popular Asian dish.
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This recipe uses zucchini noodles instead of grain-based noodles, coco aminos instead of fish sauce (some people may still not be able to tolerate the coco aminos so it can be easily omitted), and macadamia nuts or sunflower seeds instead of the traditional peanuts.
This dish is usually prepared with Asian rice noodles. Rice noodles are made by a process of fermenting the rice, making it quite high in histamine. Rice and rice noodles are also very high in oxalates. And all rice is high in arsenic because of the way it is grown. So, though I love Asian rice noodles, I can’t tolerate them.
This dish is great garnished with:
This dish is great by itself, but it goes nicely with:
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.
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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