What are Diamine Oxidase (DAO) Enzymes?

Educational information only. This content is for general educational and informational purposes only and does not constitute medical advice or a diagnosis of any health condition. Diamine oxidase (DAO) deficiency is not a disease. Consult a qualified healthcare provider before starting any new supplement, especially if you are pregnant, nursing, taking medications, or managing a health condition.

Diamine Oxidase (DAO) Enzyme

Diamine oxidase, commonly called DAO, is an enzyme the body produces naturally in the lining of the small intestine. Its primary role is to support the breakdown of histamine ingested with food and beverages (exogenous histamine) before it is absorbed into the bloodstream.

DAO is most active in the ileum and jejunum of the small intestine, and it is also found concentrated in the kidney, thymus, and placenta. When dietary histamine in the digestive tract becomes excessive, available DAO helps break down the excess. When DAO activity is reduced or blocked, dietary histamine may accumulate and be absorbed into circulation, where it can interact with histamine receptors throughout the body (Cleveland Clinic).

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What is DAO deficiency?

DAO deficiency is not classified as a disease. It describes a functional reduction in DAO enzyme activity that may be associated with individual genetic variation, age, hormonal changes, certain medications, alcohol, and shifts in gut health. In the scientific literature, reduced DAO activity is discussed in relation to what is commonly called histamine sensitivity or histamine intolerance (HIT). The National Institutes of Health (NIH) maintains published, peer-reviewed research on diamine oxidase and its role in histamine metabolism.

What is histamine and which foods are high in it?

Histamine is a naturally occurring compound found throughout the body and in many foods and beverages. When DAO activity is reduced, the body may have a diminished capacity to break down histamine from dietary sources. Foods commonly high in histamine (WebMD) include aged cheeses, fermented foods, cured and processed meats, alcoholic beverages, smoked fish, and certain fruits and vegetables with elevated histamine or histamine-liberating properties.

Histamine receptors are located in the digestive tract, skin, sinuses, cardiovascular system, and neurological pathways. Published research describes a wide range of individual, dose-dependent experiences — meaning effects can vary depending on how many high-histamine foods are consumed alongside other factors such as hormonal fluctuations and stress. These experiences are not specific to any single diagnosable condition; this information is provided for awareness only.

How does supplemental DAO support histamine breakdown?

Supporting the body's natural DAO enzyme activity through dietary supplementation is one approach some individuals explore in consultation with their healthcare providers. A diamine oxidase dietary supplement supplies the same DAO enzyme the body produces naturally to help break down dietary histamine in the gut. When taken before consuming high-histamine foods or beverages, supplemental DAO may support the body's natural histamine-management process in the small intestine before histamine is absorbed into the bloodstream.*

Educational graphic showing how the diamine oxidase (DAO) enzyme breaks down dietary histamine

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OmneDiem produces a family of DAOgest®-based diamine oxidase dietary supplements formulated to support the body's natural DAO enzyme activity. DAOgest® is a naturally derived, clean, porcine-sourced DAO enzyme with an established safety and activity profile in published scientific literature. All OmneDiem® Histamine Digest® products use a designed-release capsule formulated to activate in the small intestine, where dietary histamine is processed.*

Find your fit

Not sure where to start? Match your situation to a product:

New to DAO and want to try it Histamine Digest 15,000 HDU →
Everyday support before high-histamine meals Histamine Digest 30,000 HDU →
Highest DAO potency, ultra-clean PureMAX 40,000 HDU →
Mast cell & sensitive individuals Histamine Digest 360 →
Before wine, beer & cocktails Drink HD →
Menopause + histamine support Menopause Complete →
Seasonal + dietary histamine & sinus comfort Histamine Complete →
OmneDiem Histamine Digest 15,000 HDU DAO enzyme, 30 capsules
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Histamine Digest 15,000 HDU (30 ct)

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OmneDiem Histamine Digest 30,000 HDU DAO histamine-neutralizing enzyme
Everyday support

Histamine Digest 30,000 HDU (60/120 ct)

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OmneDiem Histamine Digest PureMAX 40,000 HDU DAO enzyme, ultra-clean
Maximum strength

Histamine Digest PureMAX 40,000 HDU

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OmneDiem Histamine Digest 360 mast cell support with DAO enzyme and P5P vitamin B6
Mast cell support

Histamine Digest 360 (DAO + P5P)

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OmneDiem Drink HD diamine oxidase DAO enzyme for before alcoholic drinks
Before you drink

Drink HD (30,000 HDU)

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OmneDiem Menopause Complete with DAO enzyme and botanicals
Hormonal + histamine

Menopause Complete with DAO

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OmneDiem Histamine Complete seasonal and dietary histamine support with DAO enzyme and quercetin
Seasonal + dietary

Histamine Complete (DAO + Quercetin)

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Frequently Asked Questions

What does the DAO enzyme do?
Diamine oxidase (DAO) is an enzyme produced in the lining of the small intestine that supports the breakdown of histamine ingested from food and beverages before it is absorbed into the bloodstream. Learn more from the NIH's published research on DAO.*
What causes low DAO activity?
Reduced DAO activity may be associated with genetic variation, age, hormonal changes, certain medications, alcohol consumption, and changes in gut health. It is a functional reduction in enzyme activity, not a disease.
Which foods are high in histamine?
Common high-histamine foods include aged cheeses, fermented foods, cured and processed meats, alcoholic beverages, smoked fish, and certain fruits and vegetables. See WebMD's list of foods high in histamine.
When should I take a DAO supplement?
A DAO dietary supplement is generally taken shortly before consuming high-histamine foods or beverages, so the enzyme is available in the small intestine as dietary histamine is processed. Follow the directions on your product label or your healthcare provider's guidance.*
Is DAO deficiency a disease?
No. DAO deficiency is not classified as a disease. It describes a functional reduction in enzyme activity and is discussed in scientific literature in relation to histamine sensitivity or histamine intolerance (Cleveland Clinic).
Which OmneDiem DAO product is right for me?
If you're new to DAO, start with Histamine Digest 15,000 HDU. For everyday support before meals, choose 30,000 HDU. For the highest potency, PureMAX 40,000 HDU. Sensitive or mast-cell individuals may prefer Histamine Digest 360, and there are targeted options for menopause, drinks, and seasonal support. Use the "Find your fit" table above.
Are there any allergens or dietary restrictions?
OmneDiem Histamine Digest products contain a porcine-derived ingredient and are not suitable for individuals with pork allergies or those following vegetarian, vegan, kosher, or halal diets. Consult your healthcare provider before beginning any new supplement.*

Related Resources

*These statements have not been evaluated by the Food and Drug Administration. OmneDiem dietary supplements are not intended to diagnose, treat, cure, or prevent any disease or health condition. This content is for general educational and informational purposes only and does not constitute medical advice. References to third-party sources (including WebMD, NIH, Cleveland Clinic, and others) are provided for informational context only and do not imply endorsement of those sources or their content. Individual results may vary. Consult your healthcare provider before beginning any new supplement regimen, particularly if you are pregnant, nursing, taking prescription medications, or managing a health condition. OmneDiem Histamine Digest products contain a porcine-derived ingredient and are not suitable for individuals with pork allergies or those following vegetarian, vegan, kosher, or halal diets.

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