Histamine Tracker
Pizza
Tomato sauce, aged cheese, and cured toppings each bring their own histamine load — and they stack.
Pizza combines multiple high-histamine ingredients in one dish.
-
Tomato sauce and cheese — tomatoes are histamine liberators, and the type of cheese matters: aged cheeses like parmesan tend to be high in histamine, while fresh mozzarella is generally considered low to moderate and often better tolerated than its aged counterparts
-
Common toppings — pepperoni, salami, and anchovies are cured or fermented, meaning they tend to carry significant histamine on their own
A plain pizza with fresh mozzarella and a non-tomato base, like olive oil and herbs, is often reported as more tolerable by people watching their histamine intake.
Track your reactions to pizza in Histamine Tracker. Log meals and symptoms to spot the patterns that matter for your body.
For educational purposes only. Not medical advice. Consult a healthcare professional for personal guidance.
References
- SIGHI Food Compatibility List — SIGHI (2026)
- Histamine and histamine intolerance — Maintz & Novak (2007)
- Histamine Intolerance: The Current State of the Art — Comas-Basté et al. (2020)
- Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? — Sánchez-Pérez et al. (2021)
- Histamine Intolerance: Symptoms, Diagnosis, and Beyond — Jochum (2024)
- Guideline on management of suspected adverse reactions to ingested histamine — Reese et al. (2021)