Tiramisu

Tiramisu combines several histamine-relevant ingredients in one dessert, which can make it more of a challenge than any single component alone.

• Cocoa as a liberator — cocoa prompts your body to release its own stored histamine, even though chocolate itself doesn't contain much histamine directly

• Alcohol in the recipe — the marsala wine or coffee liqueur typically used genuinely does reduce your body's ability to process histamine, compounding the effect of the cocoa

Mascarpone itself is a fresh cheese and contributes less than the cocoa and alcohol; sharing a small portion gives your body less to manage at once.