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Tim Hortons Mocha Cream Cold Brew with Cold Foam

High histamine

This is high in histamine, driven by the cocoa and buttermilk in the mocha and foam.

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 drink is cold brew coffee blended with milk, cream, sugar, and cocoa, topped with a dairy cold foam.

  • Cocoa — cocoa runs high in histamine, and it is the flavor that defines this mocha, so it sets the level.

  • Buttermilk — the buttermilk in the foam is also high, which adds to the concern alongside the cocoa.

A plain iced coffee with fresh milk and no cocoa would be a much lower-histamine cold drink.

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 Mocha Cream Cold Brew with Cold Foam 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)