What is Histamine, 24-Hour Urine?
Histamine is synthesised from L-histidine by histidine decarboxylase in mast cells, basophils, enterochromaffin-like cells of the gastric mucosa, and intestinal bacteria. Urinary histamine reflects peripheral histamine production and catabolism — the gut microbiome and dietary histamine load are the dominant determinants of urinary output, with central histaminergic neurotransmission contributing minimally.