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Tim Hortons Double Stacked Sausage & Bacon Breakfast Sandwich

High histamine

This is high in histamine from the cured bacon, sausage, and added flavor ingredients.

Fast food is cooked in batches and held warm rather than made when you order it, so it is rarely as fresh as something cooked at home. That matters here because histamine builds up as protein foods sit, which means the same item can affect you differently depending on how long it waited.

This sandwich stacks pork sausage and cured bacon with egg and cheese on an enriched-flour bun.

  • Cured pork and flavorings — the bacon is cured with sodium nitrite and smoke flavoring, and cured, smoked pork runs high, backed up by autolyzed yeast and lemon powder, a citrus liberator, in the seasoning.

  • The bun — the enriched flour and yeast in the bread sit at moderate, adding to the picture on top of the meats.

A simpler egg-based breakfast without cured pork would be much lower.

This rating comes from Tim Hortons' own published ingredient statement, read on August 23, 2026. Restaurant recipes vary by location and change over time, so always check the current listing: source 1, source 2. How we rate foods →

Tim Hortons Double Stacked Sausage & Bacon Breakfast Sandwich and Tim Hortons are trademarks of their respective owners. This page is an independent histamine reference and is not affiliated with, endorsed by, or sponsored by the brand.

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References

  1. SIGHI Food Compatibility List — SIGHI (2026)
  2. Histamine and histamine intolerance — Maintz & Novak (2007)
  3. Histamine Intolerance: The Current State of the Art — Comas-Basté et al. (2020)
  4. Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? — Sánchez-Pérez et al. (2021)
  5. Histamine Intolerance: Symptoms, Diagnosis, and Beyond — Jochum (2024)
  6. Guideline on management of suspected adverse reactions to ingested histamine — Reese et al. (2021)