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Tim Hortons Salted Caramel Cookie made with HEATH

Moderate histamine

This cookie is moderate, driven by the enriched wheat flour, margarine, and molasses in the dough.

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 is a soft caramel cookie made with enriched wheat flour, brown sugar, caramel and toffee bits, butter, margarine, and eggs.

  • Enriched wheat flour, margarine, and molasses — these three are the moderate drivers, so the base dough is what sets the level rather than the toffee.

  • The sweet mix-ins are milder — the caramel and toffee bits and butter are not flagged, so it is the flour and fat blend doing the work.

This one sits in the middle, so a fresher, simpler baked option would land 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 Salted Caramel Cookie made with HEATH 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)