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Histamine (Blood)

Allergy Testing
148.00

The Histamine blood test measures circulating histamine levels. It helps investigate allergic reactions, histamine intolerance and mast cell activation.

Turnaround time

5 days

Biomarkers count

1

Same-Day Appointments
UKAS Accredited Labs

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Under 18? Patients under 18 can only be seen at GB Medlabs and Clinilabs, Monday to Friday only.
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Details about Histamine (Blood)

What is the Histamine (Blood) test?

 

The Histamine (Blood) test measures the concentration of histamine present in the bloodstream. Histamine is a biologically active compound released mainly by mast cells and basophils as part of immune and inflammatory responses.

 

Histamine plays a central role in allergic reactions, gastric acid secretion, immune signalling and blood vessel regulation. When released in excess, it can cause a wide range of symptoms affecting the skin, gut, respiratory system and cardiovascular system.

This test is commonly used in the assessment of histamine intolerance, allergic conditions, and mast cell–related disorders.

 

Why do I need a Histamine blood test?

 

Abnormally high histamine levels can lead to persistent or unexplained symptoms that are often misattributed to other conditions. Measuring blood histamine helps determine whether histamine excess may be contributing to symptoms.

 

You may need a Histamine test if you experience:

  • Flushing or redness of the skin
  • Headaches or migraines
  • Hives or itching
  • Nasal congestion or sneezing
  • Gastrointestinal symptoms (bloating, diarrhoea)
  • Palpitations
  • Dizziness or low blood pressure
  • Symptoms triggered by certain foods
  • Suspected mast cell activation

 

Conditions where histamine testing may be helpful include:

  • Histamine intolerance
  • Allergic reactions
  • Mast cell activation disorders
  • Unexplained chronic inflammatory symptoms

 

Benefits of the Histamine (Blood) test

 

  • Assesses circulating histamine levels
    Identifies histamine excess.
  • Supports allergy investigations
    Useful alongside IgE testing.
  • Helps evaluate histamine intolerance
    Supports dietary and lifestyle assessment.
  • Relevant for mast cell disorders
    Aids investigation of mast cell activity.
  • Explains unexplained multisystem symptoms
    Useful when symptoms are non-specific.
  • Clinically recognised biomarker
    Used in specialist immunology settings.
  • Guides treatment strategies
    Supports antihistamine or dietary approaches.
  • Simple blood test
    Requires only a single blood sample.

 

Step by step – how the test works

 

You can access Histamine (Blood) testing UK-wide through two options:

  1. Clinic appointment
    Attend your nearest UK clinic where a healthcare professional will take your blood sample.
  2. At-home or hotel visit (£60 extra)
    A qualified phlebotomist visits your home or hotel for sample collection.

Your sample is analysed in an accredited UK laboratory, and results are delivered securely.

 

Your results explained

 

Low histamine levels

 

Typically not clinically significant and usually do not cause symptoms.

Typical UK reference range:

  • < 0.5 ng/mL (laboratory dependent)

 

Normal histamine levels

 

Suggest balanced histamine release and metabolism.

Typical UK interpretation:

  • Within laboratory reference range

 

High histamine levels

 

May indicate excessive histamine release or reduced breakdown, commonly seen in allergy, histamine intolerance or mast cell activation.

Typical UK interpretation:

  • Above laboratory reference range

Results should always be interpreted in clinical context.

How It Works

Simple steps to get your results

1

Book Online

Choose your test online and book in seconds. Select your preferred clinic location or home visit option.

2

Visit or Test at Home

Attend one of our UK or London clinics, arrange a home nurse visit, or use a finger-prick kit where available.

3

Get Your Results

Your sample is analysed by accredited UK laboratories, with secure results delivered directly to you.

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How to Prepare for Your Test

Follow these guidelines for accurate results

Sample Timing

Where possible, attend your blood test between 7am and 12pm. Please wait until any short-term illness or infection has fully resolved before testing. Avoid intense exercise for 24–48 hours beforehand, as this can affect certain markers.

Fasting & Hydration

Fasting is not always required, but some tests may recommend it. If fasting is advised, avoid food for 8–12 hours before your appointment and drink water only. Stay well hydrated, as this helps with sample collection and accuracy.

Medications & Supplements

Continue prescribed medications unless advised otherwise by your clinician. Avoid vitamin, mineral, or biotin supplements for at least 24–48 hours before your test, as these can interfere with results. If you are unsure about any medication or supplement, please let us know before your appointment.

Hormones & Menstrual Cycle

For hormone-related tests, timing within your menstrual cycle may be important. If relevant, follow any specific guidance provided on your test page.

If you have any questions or special circumstances, our team is happy to advise before your appointment.

Frequently Asked Questions

It measures histamine circulating in the bloodstream.

It supports investigation of histamine intolerance but is not a standalone diagnosis.

Yes. Antihistamines may reduce detectable histamine levels.

Fasting is often recommended; follow booking instructions.

Yes. Levels can vary depending on triggers and timing.

Yes. It is often used alongside other mast cell markers.

Yes. Stress may influence histamine release.

Yes, when clinically indicated.

Yes. Home or hotel phlebotomy is available UK-wide for £60 extra.

Yes. Interpretation should consider symptoms and medications.

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