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Featuring Demian Dressler, DVM and Sue Ettinger, DVM, Dip. ACVIM (Oncology), authors of The Dog Cancer Survival Guide

Food and Nutrition for Dogs with Mast Cell Tumors

Updated: August 24th, 2023

Summary

Dr. Dressler’s Dog Cancer Diet is appropriate for most dogs, but dogs with mast cell tumors need a few modifications. Read this if your dog needs a low-histamine diet.

We know that good nutrition is the foundation of health. The Dog Cancer Survival Guide devotes an entire chapter to a real food diet for our dogs battling cancer, advising both on the foods to give, and those to avoid.

Dogs with Mast Cell Tumors MAY Need a Low-Histamine Diet

While every cancer journey is a tough one, the diagnosis of Mast Cell Tumor (MCT) presents a bigger challenge when it comes to feeding.

In some (not all!) mast cell cancers, large amounts of histamine are released in the body, causing irritation and itching. In addition to itchies on the skin, the irritation can also be found in the gut.

That can cause nausea, vomiting, and diarrhea.

Antihistamines May Help (and Are Often Prescribed)

Most MCT treatment protocols include an antihistamine to help block histamine receptors.

So why look at diet, if you are giving an antihistamine?

Well, some foods have high histamine levels that can irritate the tummy tissues. Others may trigger the release of histamines in the body.

If your dog is itchy and/or having GI issues, making some of the modifications listed below might help.

The Dog Cancer Diet Is Fantastic for Mast Cell Tumors … With a Few Modifications

Even some of the healthiest, highest recommended foods Dr. Dressler recommends in his diet may not be appropriate for a dog with MCT.

If your dog is itchy and scratchy, Dr. Dressler’s post on Diets for Dogs with Mast Cell Tumors addresses this cause and effect in more depth.

Dr. Dressler has also provided insights for and reviewed this article, as well. The guidelines below will help you to modify his diet for your dog.

But first, let’s review when histamine is a problem … and when it is not.

 

Histamine … Is It a Problem for Your Dog?

First, it’s important to know that just because your dog has MCT doesn’t mean your dog is automatically having a problem with histamine levels.

Not all dogs with MCT have histamine problems!

Histamine is an important part of the body’s normal functioning. It’s made in several ways. It doesn’t just come from the diet.

That’s important to keep in mind. Changing the diet won’t necessarily eliminate histamine. It will just keep you from adding MORE histamine.

Put another way, if you have a sunburn, you don’t go out in the sun and try to get a tan, right? You avoid the sun until your burn has healed.

Same thing here. If your dog is in histamine overload, you avoid high histamine foods until those levels go down.

Signs Your Dog Is In Histamine Overload

So how do you know if your dog is in histamine overload, and you should change the diet?

If your dog is currently vomiting, itching, feeling sick, having reduced appetite, or swelling (welts) … histamine is probably in overload.

Signs Your Dog Is NOT In Histamine Overload

If your dog seems calm, isn’t itchy and scratchy, is eating and eliminating normally, has normal skin tone, and is basically acting fine … she is likely not in histamine overload.

Also, if there are no or few Mast Cell Tumors … for example if you’ve surgically removed them all … he’s almost certainly not in histamine overload.

Reducing dietary histamine is not necessary if your dog is not in histamine overload.

Why? Well, MOST of the ingredients in Dr. Dressler’s dog cancer diet are already on the low-histamine list. It’s already a pretty low-histamine diet as it is …

… and there are only a couple of ingredients that are high in histamine. And those are important sources of some vitamins and minerals … so if you don’t have to eliminate them, it’s way easier.

Balancing Act: Mast Cell Tumor Dogs May Go In and Out of Histamine Overload

In a way, histamine manages water flow in the body. When it is released, the area will swell, bringing immune activity.

For example, histamine is one of the things that causes a bug bite to swell up. It’s helping to heal. When it’s no longer needed, the body stops manufacturing it. The tissues stop swelling.

Mast cells that have tumors in them do not always manufacture and release more histamine. Sometimes, they don’t do that at all.

Sometimes they do, but then the antihistamine you give helps them to stop.

So this is not an all or nothing situation. You may not have to deal with histamine overload at all. Or you may have to deal with it for a couple weeks, and then stop.

How to Decide Whether to Use a Low Histamine Diet for Dogs with Mast Cell Tumors

So … it’s pretty simple.

If your dog has high histamine symptoms, reduce histamine in food. Again, you won’t be treating the problem … you just won’t be adding more histamine unnecessarily.

If your dog stops having symptoms (or if your dog never has any symptoms), you can resume a normal dog cancer diet. Again, dietary histamine is not likely going to trigger a problem if one doesn’t already exist.

The histamine problems in mast cell tumor dogs are coming from the cancer, not from the diet … reducing histamine in the diet is about reducing unnecessary excess, not about treating the cancer.

So you may only need to modify your dog’s diet for a little while. Once symptoms stop, and your dog is feeling better for a few days or a week, try adding one item back in and see how she does. If she tolerates it, you can continue feeding those few higher-histamine items.

If you see itching, or tummy upset start up again, you can remove those higher-histamine items again.

Rarely, a dog needs to have a low-histamine diet on a regular basis. In those cases, you’ll see itching and other symptoms start up as soon as you stop a low-histamine diet. In those cases, you want to keep a low-histamine diet for as long as necessary to keep your dog comfortable.

Like most things, this is all about balance and is not a yes/no/black/white topic.

The bottom line: Follow the symptoms, and feed accordingly.

Low Histamine Dietary Guidelines for Dogs with Mast Cell Tumors

It’s surprising just how tough it has been to find more thorough information on what foods to give a dog with MCT.

I honestly don’t know whether this is because no one wants to publish a recommended list, or no one has thought of it yet. But I know the need is there because our readers are asking for it.

Must-Understand Concepts for a Low Histamine Dog Cancer Diet

With Dr. Dressler’s expert input and my own background with animal nutrition, I’m going to give you a list of foods to avoid (and to choose).

As long as you promise to note the following:

  • Follow the recommended proportions/amounts in Dr. Dressler’s diet. Don’t go overboard on any ingredient in the yes list below. Five pounds of Brussels sprouts at a time is not good … even though they are on the “ok” list.
  • This list comes from human-food resources. The lists below were compiled by researching several human-food resources for histamine-restricted diets. Then, we screened those lists against the highest recommended foods for dogs with cancer. Why? Because dogs and humans share many similarities physiologically, and dogs are the preferred test subjects for human cancer research. What helps us in our diet usually helps them in their diet when it comes to cancer. Some of these sources are The Histamine and Tyramine Restricted Diet, and The Histamine Restricted Diet.
  • No list will ever be perfect or apply to every dog. This list contains foods that are generally safe and liked by dogs in general. That said, YOUR dog may not like some of these foods. Your dog may not be able to digest some of them well. Every dog is different, and what works for most may not work for your dog, and vice versa.
  • You will find conflicting information online. It would be great if every article you read agreed with every post, comment, or tweet. And it would be really great if every thing you read online agreed with what your veterinarian recommends. Well, that’s not real life. As you research histamine and mast cell tumors, you may find a list that recommends against one or more of the items below. You may find lists that contain other foods. You can find anything on the internet if you try hard enough. We researched low-histamine foods and high-histamine foods and then screened them against the dog cancer diet. These lists are not like other lists.
  • Don’t drive yourself (and your dog) crazy about histamine. Remember that it’s nearly impossible to eliminate everything that may trigger histamine. What we are trying to do here is reduce histamine load by not adding it via the diet. This is better than ignoring the problem, but it’s not addressing every histamine problem. Give yourself a break if your dog is still uncomfortable even if you change the food. Mast cell tumors are not fun.


The Definite ‘No’ List: High Histamine Foods to Avoid

Here is a list of foods or ingredients that should be completely avoided if possible if your dog is in histamine overload. A few of these are included in Dr. Dressler’s dog cancer diet, so I have listed modifications below. Otherwise, avoid:

All Fermented Foods
All Processed Foods
All Leftovers
All Fish**
All Berries***
All Stone Fruits (ex: Apricots)
All Cheese
Citrus Fruits
Yogurt
Tomatoes
Soy
Apples
Quorn
Quinoa
Yeast products like Bread
Cottage Cheese*
Eggs
Walnuts and Pecans
Processed Oils with BHA/BHT
Anything Pickled
Anything with Vinegar

*Cottage cheese is included in Dr. Dressler’s dog cancer diet for its food-based calcium content. And, because dogs love it. If you are avoiding cottage cheese to reduce histamine, make sure you give chicken or turkey necks as outlined in the diet … or give a calcium supplement, or ground-up and boiled eggshells.

**Fish is on the list of proteins you could give in Dr. Dressler’s diet, and he also recommends giving sardines as treats. While your dog is avoiding histamine, do not use fish as your protein, and avoid sardines. (Sorry, puppy, I know they are delicious.)

***Berries that are dark and deeply colored, like raspberries, blueberries, and blackberries, are included in the diet as “optional healthy toppings.” While your dog is in histamine overload, don’t add them.

The Recommended ‘Yes’ List: Low Histamine Foods to Include

I hope you’ll be pleasantly surprised with this list. Most of these foods are already included in the dog cancer diet!

When you are reducing histamine, focus on using the following low-histamine foods:

Chicken Breasts
Lean Beef (trim off any fat)
Turkey Breasts
Chicken or Turkey Necks
Liver
Mung Beans
Organic, Rolled Oats (not instant)
Brown Rice (not instant)
Cooked Cabbage
Broccoli
Brussels Sprouts
Butternut Squash
Cauliflower
Red and Yellow Bell Peppers
Pure Peanut Butter
Fresh Garlic Cloves (in small amounts of course)
Fresh Ginger
Coconut Oil
Krill Oil/Extra Virgin Olive Oil
Flaxseed/Linseed Oil

Now, if you look at that list, you will see about 90% of the foods listed in the dog cancer diet there. So, see? Most of the diet is good for cancer AND low in histamine.

As always, the better quality, organic meats are always better to serve, if possible. And please check out the cooking guidelines below as well.

 

Low Histamine Commercial Dog Food … ???

Unfortunately, even among the best-quality commercial dog foods, we have yet to find one that matches these recommendations.

So if your dog is showing symptoms of histamine overload, cooking for him or her is your best bet.

However, there are some really great foods available these days for when your dog is no longer in histamine overload. We have listed many in the Dog Cancer Shop and Dog Cancer Shop UK.

If a commercial food ever does come on the market that is of high quality and would be appropriate for dogs with histamine overload, we’ll update this article.

Special Cooking Considerations for a Low Histamine Diet

There are a couple of things to keep in mind as you cook for your dog. Histamines can be generated by the cooking process, for example.

Use Low Temperatures, and Don’t OverCook!

Histamine levels rise as meat cooks. And they continue to rise after meat is removed from the heat.

So, always cook your meat at low temperatures (below 300 degrees Fahrenheit).

And don’t overcook your meat.

For example, I’ve found the best way to cook chicken and turkey is to simmer the breasts in a large pot of water.

You get more meat for your money and you have a great broth too. Note: bone broth is high in histamines, but meat broth is not.

Freeze Meat, Don’t Refrigerate It

Histamines can continue to develop in the refrigerator, so refrigerating your cooked meat is not as good as freezing it. (Refrigerating cooked vegetables and grains is less troublesome.)

I freeze cooked meat immediately in meal-sized portions.

And don’t throw out that broth — it can be frozen in ice cube trays for treats. Or, you could use small containers that yield frozen brothcicles to melt down later for your dog’s delight. Freeze in containers up to a cup in size.

No Leftovers for a Low Histamine Diet

Leftovers are on the “no” list above, but it’s worth discussing this a little.

Many of us cook the dog cancer diet in a big batch and refrigerate it for a few days.

But if your dog has mast cell tumors, and you need a low-histamine diet, you might consider freezing every day’s portion individually.

That’s because histamines rise in food as they sit in the fridge.

Leftovers have higher histamines than fresh cooked foods. When you freeze the fresh-cooked food, you avoid excess histamine accumulation.

Again, vegetable and grain leftovers also develop histamines as they sit. But they do it more slowly than meat.

It really depends upon your own kitchen habits, but it may be most convenient to cook a big batch of food and then freeze it in portions. That way you know you are avoiding excess histamines that might develop in the fridge.

Are Fish & Krill Oil Supplements Safe for a Low Histamine Dog Cancer Diet?

If fish is high in histamines, is there cause for concern if you give your dog a fish oil supplement?

Possibly … although the processing of the fish to get its oil alters the original material, and likely removes any problematic metabolites that cause histamine reactions.

If you want to be very safe and make a conservative choice, avoid fish oil if your dog is in histamine overload.

What about krill oil?

In general, Dr. Dressler recommends krill oil over fish oil supplements for many reasons which he explains in the book. We have found that Mercola Krill Oil and Jarrow Formula Krill Oil report that any histamine is “below detectable levels” which is about as good as it can get.

Generally, the benefits of giving a high-quality krill oil for its anti-cancer properties outweigh the infinitesimal amount of histamine which may be present.

Krill oil (and fish oil) are important supplements in full spectrum cancer care. Giving krill oil, especially, is almost certainly better than avoiding it for the infintesimal level of histamines it may contain.

Both of these oils are available through the Dog Cancer Shop.

 

A Labor of Love for Your Dog with Mast Cell Tumors

All of this sounds like a lot of work, I know. But once you’re in the swing you can actually make your doggie food preparation a lot of fun.

When you have your ingredients, a little organization and an hour of time are all you need to prepare a week of food for your dog.

While your meat is cooking you can prepare a pot of organic, rolled oats or brown rice, and lightly cook the vegetables.

Store the meat portions in one container, oat/rice in another, and the various vegetables in a third.

Freeze the meat, refrigerate the others.

When food time nears you can select from each to make a delicious meal. Either thaw to room temperature if you have the time or warm in a microwave. Remember not to overheat.

I’ll bet your dog will be gazing wide-eyed until you put that bowl down.

I hope this helps those of you out there who were shaking your head in frustration. Take a deep breath, sit down with your dog and make that shopping list. You’re doing great!

Happy Tails!

Susan


Leave a Comment





  1. Susan Kazara Harper on August 7, 2014 at 12:03 pm

    Hi Allyzabethe,
    Nutrition and supplementation is particularly confusing with MCT. We specifically wrote the blog because the Dog Cancer Diet, while ideal for most dogs fighting cancer, includes some ingredients which could potentially raise histamine levels in a dog with MCT who is experiencing itching. So if your dog has itching problems, you can take the Diet, and modify it against the recommendations in this blog post. As to the specifics you mention… First, be very careful about using too many antioxidants. The reasons to use antioxidants in a healthy dog is quite different in a dog with a cancer diagnosis. Dr. Dressler wrote a wonderful blog https://www.dogcancerblog.com/blog/dog-cancer-and-antioxidantstime-to-clear-up-confusion/ which helps explain this. Please take a moment to read it. Regarding calcium, please make sure, if you are giving a calcium supplement, that you get one which is not formulated with fluoride (a carcinogen). In the Dog Cancer Shop we have a very good brand recommended, https://dogcancershop.com/supplements-for-dogs/. The Krill oil is OK to continue.
    We really get to be experts in nutrition on this journey, once we plough through all the confusing information, and our dogs get the benefit. I hope this helps. Hang in there.

  2. Susan Kazara Harper on August 3, 2014 at 1:08 pm

    Hi Kim,
    You’re staying on top of things, and there are warnings everywhere about garlic being toxic to dogs (along with other items like grapes, chocolate etc). And there is evidence that large amounts of garlic (like a 1/2 tsp per pound body weight(can you imagine?)) can cause problems in the red blood cells of dogs. But we don’t use anything like that amount in the Diet. The constituents in garlic have demonstrated anti-cancer benefits, which is why Dr. Dressler recommends it in the Dog Cancer Diet. He does differentiate though, between real, natural garlic, and garlic capsules which can become unstable and may not have any beneficial effects. Garlic also has some antioxidant effects, but it’s the anti-cancer effects that lock-in it’s place on the recommended list. Small amounts of natural garlic pose no threat to your dogs health, and also, your dog will probably love the taste. So the only caution is, if your dog is anemic, check with your vet before using garlic. You would want to get the anemia until control before reintroducing it into the diet. I hope this helps.

  3. Kim on August 3, 2014 at 10:29 am

    Why are fresh garlic cloves on the ‘Recommended Yes’ list? Isn’t garlic toxic to dogs?

  4. Allyzabethe on August 2, 2014 at 2:54 pm

    I’m a little confused because the above list conflicts with the diet booklet. Specifically, the blueberries, eggs and cottage cheese. My Isabelle is 14+ and a grade 3 mast cell tumor removed two weeks ago. If blueberries aren’t an option, what do I use to supplement antioxidants? I can use a pill for calcium and use meats for proteins, but the antioxidants are what I really want to increase.
    Somewhat unrelated, but if I give her K9 Immunity Plus and Apocaps, do I reduce or stop krill oil?
    Thanks in advance,
    Allyzabethe and Isabelle

  5. Susan Kazara Harper on July 30, 2014 at 1:19 pm

    Oh Deanna, that’s great news. To have a vet you are happy with and who is willing to check things out is a real blessing. Keep taking care of yourself. The frights will come, and the tears, but share them with Buddy. He knows what you’re feeling, and it would be very special for you to share that with him .. talk it through. The chats will help you both. He is blessed to have you too! Hang in there.

  6. Susan Kazara Harper on July 22, 2014 at 7:18 am

    Hi Deanna,
    We certainly do care, and maybe can offer some suggestions here for you.
    It sounds like you’re dealing with a very good vet, but possibly one that has not dealt with many cancer cases. Although vet oncologists are few and far between where you are, you can still get in touch with one’s office and put Buddy’s case to them. KSU could be a good place to start. And you do really need a specialist, even if it is one who is consulting remotely on Buddy’s case. I wonder, did you ask your vet for her opinion about whether to treat or not to treat and what you should do? If not, and you’re getting a lot of opinions and decisions of all sorts made for you, please remember that all our vets are highly qualified experts… who work for us. We pay them for their knowledge. Noone can be an expert in everything, but bottom line is that you are Buddy’s parent and guardian, and the decisions are yours Deanna. To assume that the mast cell has metastasized is taking a big leap without xrays or other tests showing that it has spread. If there is no evidence of spread, taking the toe could be a very good option. Your inquiry about Benadryl shows you’ve done some homework. Benadryl is traditionally used to control itching, but if Buddy isn’t itching from the MCT you may be able to keep it on hand to use if and when he does itch. You’re feeding good food, and if you can give more ‘real’ food, like real chicken meat etc. it will do him even more good. You can go to http://www.dogcancerdiet.com/ and enter your email for a free copy of the Dog Cancer Diet. Good nutrition is the foundation of a strong immune system. You say Buddy is overweight and yes, it would be nice if he were a healthier weight, but if he has cancer we’d rather have him a little heavier, than underweight. If you can, increase your Apocaps dosage – the full recommended amount for Buddy’s weight is 3 capsules 3 times a day, and you don’t seem to be giving him anything else that would indicate keeping him on a lower dose of Apocaps. Ask your vet about Mastinib, or Masivet. This launched in 2008 and was developed for dogs with MCT. It may be appropriate for Buddy. But again, you do need access to an oncologist who has the expertise that your vet may not. You are doing a wonderful job for Buddy, and he’s showing you this in his everyday joy. Take a deep breath and take charge. Your instincts are good Deanna. Keep going.

    • Deanna on July 29, 2014 at 2:10 pm

      Thank you so much for your reply. Yesterday, I took Buddy to another veterinarian who was much more helpful. We are increasing the Apocaps and starting Palladia (100 mg M-W-F), and increasing the cimetidine. I feel better because this vet spent 2 hours with Buddy and myself and really took the time to answer my questions and look information up that she wasn’t sure of. He is also starting an antibiotic for some scabs that have formed on small skin tumors.

      I will attempt to contact a vet oncologist at KSU. I am trying to stay positive around Buddy as it says in the book, but sometimes I get scared and cry. I think he thinks I am hovering a bit much, so I am watching that lol.

      He is a wonderful dog and I am blessed to share my life with him!

  7. Deanna on July 13, 2014 at 3:42 pm

    My yellow lab mix, Buddy, who weighs 105 lbs, had a mass cell tumor removed from his back left toe that has returned. The vet did a fine needle aspirate on a lump in his caudal region that came back as a mast cell tumor, probably metasticized since it was on the same back left leg. She said it was too big for her to feel comfortable removing, and that there was no point in removing his toe with the tumor because it had already spread up his leg. I asked if I should start giving him Benadryl, and she asked me why. I told her about the histamines and she said she would call a vet at Kansas State University and ask him, but she would not treat a dog with chemo because of side effects. Later, she called me back and said to give him 100 mg. of Benadryl 3 times a day (seems like a lot!) and I could order Palladia if I wanted to try it but it was really expensive and she didn’t think we needed to do all the blood tests, etc. recommended. Basically, she said he probably had already lived the amount of time he could due to his obesity, and I needed to accept that he wouldn’t be around much longer. I am now giving him the Benadryl, 200 mg. of Cimetidine 3 times a day, 1 Apocaps 3 times a day, and two 8 mg thyroid medicine 2 times a day. He has started to get little bumps that look exactly like mosquito bites on his back left leg (the one with the tumors) some have scabs on them and two larger scabbed areas, one on his shoulder and one on his abdomen. I have been putting Neosporin on them. He eats Acana dry dog food, 1 cup in the morning and 1 cup at night. I have. O idea if what I am doing is correct. He still has a great appetite, no vomiting or diarrehea, and still wants to go on walks and runs around in the backyard. He licks the tumor on his toe a lot, an shows some weakness in that leg, when going up stairs. Will you PLEASE help me? I live in SW Kansas and there are no vet oncologists anywhere near me. Am I on the right track? Am I overmedicating him? Is there anyone out there who cares to help me. I feel so alone and just want to help Buddy who means everything to him. I know I can’t cure him but I want to do the best things for him while I still have him. I feel like there is no one to help us.

    • TamekoTheArtist on June 24, 2017 at 7:34 am

      Google mass cell tumors and see if you can find an image of what you are seeing. I saw pictures describing that appear to be the tumors multiplying. My dog had one that started like a mosquito bite then it grew to about 3 cm. I took him to the vet right away and now I am waiting on the results! Pins and needles I tell you but I don’t find anything similar to this growth other than mass cell tumor. I still have my fingers crossed but it doesn’t look good.

    • Jill Barc on March 15, 2018 at 3:50 pm

      My dog is in an earlier stage of treatment, and I feel like you do. To me, you’re doing everything right and it sounds like your dog is enjoying his life! I hope my girl manages as well. I’m considering amputating her leg if her tumor doesn’t shrink. Best of luck to you.

  8. Susan Kazara Harper on June 16, 2014 at 2:42 pm

    If we come across any recipes to help, I’ll make sure to post them.

  9. Kelly k on June 14, 2014 at 2:34 pm

    You mention that cooking the poultry/meat increases the histamine, is it better to try a raw diet for a dog with MCT?

    • Susan Kazara Harper on June 15, 2014 at 3:18 pm

      Hi Kelly,
      Well, not really, because while a raw diet would negate the problem with cooking temperatures, Dr Dressler doesn’t recommend a raw diet for dogs with cancer. In The Dog Cancer Survival Guide and the Dog Cancer Diet, he explains that dogs with cancer have a different body chemistry than healthy dogs, as well as compromised immune systems. Raw food we get to feed our dogs is a far cry from ‘wild caught’ raw, and the possibility of passing on surface microbes, salmonella, trichinella and other parasites isn’t worth the risk. Cooking meat at low temperatures is much preferable.

      • Sarah Osborne on June 12, 2015 at 9:38 am

        Dogs (even those with cancer) have a digestive system built to eat raw meat. There is an INCREDIBLY low risk for things like salmonella which the acidity in a dog’s stomach will kill or trich (which has been eradicated from US pork, anyway). Cooking removes nutrients. If you are going to cook, the diet must be supplemented with vitamins. That’s not necessary with a properly balanced raw diet. The only dogs I would recommend against a raw diet for would be those that are truly immunocompromised or on immunosuppressant medications.

  10. Marie Breska on June 14, 2014 at 5:25 am

    Hi I’m really don’t know much abuot Low histamine food but my dog Pug had MCT stage 1 and I’m cooking and freezing individual portions for each day but how do i serve the food ? if defrosting do release histamine as well ?

    • Susan Kazara Harper on June 15, 2014 at 3:12 pm

      Hi Marie, Well done for taking this on. Cooking special meals is a lot of work, but I know you pour your love into each portion.
      Basically, if you have the time to defrost the food and let it warm to room temperature, you’ll negate any problem with heating to a higher temperature. But as Dr Dressler recommends, don’t make this food issue a big problem if your dog is not experiencing itching or other histamine symptoms. I hope the blog helps!

      • Marie Breska on June 16, 2014 at 4:10 am

        Thank you so much 🙂 I’m still looking for recipes for low histamine dog treats i really appreciate your help
        Best Marie and Hazelnut the Pug

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