The diagnosis of histamine intolerance (HIT) in combination with small intestinal bacterial overgrowth (SIBO) is not uncommon. Both conditions can aggravate each other, and symptoms may persist even after treatment. Possible reasons include: – an insufficient restoration of microbial balance in the gut, – unresolved underlying causes of SIBO (e.g. impaired motility, dysbiosis, unsuitable diet), – chronically low DAO enzyme activity and repeated histamine exposure. Pea sprouts and potential risks with SIBO Pea sprouts (like other legume-based sprouts) may be problematic for people with SIBO, especially due to: – their content of fermentable carbohydrates (FODMAPs), particularly galacto-oligosaccharides (GOS), – these sugars can ferment in the small intestine and promote further bacterial overgrowth, – which may lead to bloating, abdominal pain, diarrhea, or other digestive symptoms. For people with HIT, the naturally higher content of biogenic amines in sprouts can also be a concern – especially if the sprouts are not extremely fresh. Recommendation If you are dealing with both SIBO and HIT, we recommend consuming pea sprouts only with caution. If you choose to include them: – Use only very fresh sprouts, and only in small amounts, – Take milDAO before the meal to help break down any dietary histamine, – Monitor your body's response carefully and stop consumption if symptoms worsen. Important: Although milDAO is derived from pea sprouts, it contains highly purified, highly concentrated DAO enzyme that is specifically processed – and can be well tolerated even by sensitive individuals. We recommend starting with 1 tablet and a small portion of potentially problematic food.