What intolerances exist and how do you find out about them?
Do you often feel tired, bloated, or struggle with skin problems without knowing the cause? Often, an undiagnosed food intolerance is the culprit. The most common suspects are lactose, fructose, histamine, and gluten , but the list of possible triggers is much longer.
Symptoms indicate symptoms: A first overview

Perhaps this sounds familiar: You eat something perfectly normal and hours later you feel unwell, have stomach rumbling, or are simply tired. Such complaints are widespread, but finding the exact culprit is often like detective work.
The term "intolerance" is a kind of umbrella term. It's important to understand, however, that this is not a classic allergy.
The crucial difference: In the case of an intolerance, your body cannot properly process a certain substance, often because an enzyme is missing. The symptoms usually develop gradually and depend on the amount ingested. An allergy, on the other hand, is an immediate and severe overreaction of your immune system.
This is precisely what makes tracing the cause so tricky. While the reaction to a glass of milk in the case of lactose intolerance can be quite clear, the symptoms of other intolerances are often much more subtle and only appear hours or even days later.
The most common intolerances at a glance
To give you an initial overview, we have summarized the most common intolerances, their triggers and typical symptoms in a table.
| Type of intolerance | Main trigger | Typical symptoms |
|---|---|---|
| Lactose intolerance | Lactose (in dairy products) | Bloating, abdominal cramps, diarrhea |
| Fructose malabsorption | Fructose (in fruit, honey, etc.) | Feeling of fullness, bloating, nausea |
| Histamine intolerance | Histamine (in cheese, wine, sausage) | Headaches, skin redness, gastrointestinal problems |
| Gluten/wheat sensitivity | Gluten (in grains such as wheat, spelt) | Fatigue, brain fog, joint pain, bloating |
This table serves as a first aid, but the world of intolerances is far more complex and individual.
Diverse causes and symptoms
The list of potential triggers is long and extends far beyond the usual suspects. From certain fruits and grains to additives – your body can react to many things. The symptoms are just as varied:
- Digestive problems: Bloating, abdominal pain, diarrhea or constipation are the classic symptoms.
- Chronic fatigue: A constant feeling of exhaustion that doesn't go away even after getting enough sleep.
- Skin problems: Unexplained rashes, acne, itching or eczema can be a warning sign.
- Headaches and migraines: Sometimes certain foods, such as histamine-rich foods, are the hidden trigger.
And you're not alone. Studies show that around 21% of adults in Germany struggle with a food allergy or intolerance.
The good news is: you don't have to be in the dark. A targeted blood test, like the mybody-x intolerance test , can finally give you clarity. It analyzes your body's reaction to a wide range of foods and provides you with a solid foundation for adjusting your diet and regaining your well-being. Learn more about how to uncover food intolerances in our article.
The most common intolerances explained in detail

Okay, now that you have a general idea of what food intolerances are, let's get into the details. We'll look at the four "usual suspects" that make life difficult for many people. It's incredibly important to understand what's actually happening in your body. Only then can you correctly interpret the signals and finally find a solution.
We'll now take a close look at what goes wrong in your body when you simply can't tolerate certain foods. Often it's just a tiny detail – like a missing enzyme – that causes all the trouble. This knowledge is the foundation for finally being able to eat without worry again.
Lactose intolerance – the classic among intolerances
Almost everyone is familiar with lactose intolerance. You've probably heard someone complain about stomach rumbling after drinking a latte. The reason is actually quite simple: they lack the digestive enzyme lactase .
Imagine lactase as a tiny pair of scissors that breaks down lactose (milk sugar) in the intestines into its individual components so the body can absorb it. If these scissors are missing or blunt, the lactose passes undigested into the large intestine.
There, the intestinal bacteria attack it and start a fermentation process. The result is the typical symptoms:
- Bloating and a nasty bloated stomach
- Unpleasant abdominal cramps
- Diarrhea, often occurring shortly after eating
Lactose intolerance is actually the most common food intolerance in Germany, affecting up to 15% of the population . Because the enzyme lactase is either missing or doesn't function properly, the stomach reacts negatively after consuming dairy products.
Fructose malabsorption – when fruit suddenly becomes a problem
Fruit is healthy, right? Not for everyone. For some, fructose poses a real challenge. In fructose malabsorption, the small intestine is overwhelmed and can only absorb fructose in small amounts. A specific transport protein, which is supposed to carry the fructose into the bloodstream, simply can't keep up.
Similar to lactose, excess fructose ends up in the large intestine where it is broken down by bacteria. You already know the consequences: bloating, abdominal pain, diarrhea. The insidious thing about it? Fructose isn't just found in fruit, but is also hidden as a sweetener in countless processed foods.
It's important to know that this isn't about avoiding fruit completely. The key is finding your personal tolerance level. Small amounts of fructose are often better tolerated, especially when combined with fats or proteins.
Histamine intolerance – the invisible troublemaker
Headache after a glass of red wine? Red blotches on your face after eating a piece of mature cheese? This could be a sign of histamine intolerance. The problem here isn't the food itself, but rather that your body can't properly break down the messenger substance histamine.
Normally, the enzyme diamine oxidase (DAO) in the gut takes care of getting rid of excess histamine. However, in histamine intolerance, this enzyme is not active enough. The histamine level in the body rises and triggers reactions that are deceptively similar to an allergic reaction.
- Sudden headaches or migraines
- Skin rash, itching and facial redness (flushing)
- A runny or blocked nose
- Heart palpitations and dizziness
- Gastrointestinal problems such as cramps and diarrhea
Because histamine is found in so many foods – especially in products that have been aged or stored for a long time – tracking it down is often a real test of patience. You can also find more information on how to recognize and test for lactose intolerance on our website – this is often a first step in finding the cause of digestive problems.
Non-celiac gluten sensitivity – when wheat simply makes you tired
Many people are sensitive to gluten but do not suffer from the autoimmune disease celiac disease. This phenomenon has a name: non-celiac gluten sensitivity (NCGS). Those affected experience various symptoms after consuming wheat, spelt, or rye.
Unlike celiac disease, the intestinal lining is not damaged in this case. However, the symptoms are often diffuse and extend far beyond the abdomen, which makes diagnosis so tricky.
Many complain about very nonspecific problems:
- Chronic fatigue and a feeling of being completely exhausted.
- "Brain fog" , i.e., problems with concentration and memory.
- Headache and body aches.
These four examples illustrate the wide range of possible causes and symptoms. So, if you ask what food intolerances exist, you'll see that the answer is complex. A mybody-x blood test can provide valuable initial clues. It measures your immune system's reaction (IgG4 antibodies) to many different foods, helping you to track down the triggers.
Why an allergy is not an intolerance
You've probably heard this before: someone says, "I'm allergic to milk," but actually means lactose intolerance. In everyday language, these terms are often used interchangeably, but for your health and finding the right solution, the difference is huge. It's crucial to understand that your body takes completely different pathways in these two reactions.
You can think of an allergy and an intolerance as two completely different alarm systems in the body. Ultimately, both may lead to symptoms, but their triggers, internal processes, and especially the speed of the reaction are fundamentally different. Understanding this difference is the first and most important step in correctly classifying your symptoms and finally finding the right solution.
Allergy: an immediate reaction of the immune system
Imagine your immune system in a true food allergy as an overzealous and extremely sensitive alarm system. Even the smallest amount of a certain substance – for example, a tiny peanut crumb – is mistakenly classified as a dangerous intruder.
The alarm system goes off immediately and with full force. Your body then releases massive amounts of messenger substances like histamine and produces special antibodies called immunoglobulin E (IgE) . These IgE antibodies trigger an immediate and violent chain reaction.
The typical symptoms of an allergy therefore usually appear within minutes to a maximum of two hours and can be really severe:
- Skin reactions: Sudden rash, hives (urticaria) or severe itching.
- Swelling: Especially in the area of the lips, tongue and throat, which can quickly lead to shortness of breath.
- Respiratory problems: sneezing, a runny nose, coughing or even asthma attacks.
- Gastrointestinal complaints: Acute nausea, vomiting or severe cramps.
- Circulatory reactions: In the worst case, anaphylactic shock can occur – an absolutely life-threatening situation.
In the case of an allergy, even traces of the trigger are often enough to cause a strong reaction. It is a clear and unmistakable defense reaction of your immune system, which is attacking a harmless substance as an enemy.
The intolerance: a delayed reaction in the metabolism
An intolerance is a completely different matter. Here, the main player isn't the immune system, but your metabolism – more precisely, your digestion. Imagine your digestive tract as a factory that processes specific components. In the case of an intolerance, however, this factory is missing a crucial tool, usually a very specific enzyme .
The classic example is lactose intolerance, where the enzyme lactase is missing, preventing the breakdown of lactose (milk sugar). The unprocessed milk then passes into the intestines, causing problems. The reaction is clearly dose-dependent : a small sip of milk might be okay, but a whole glass will lead to discomfort.
Unlike allergies, the symptoms often don't appear until much later, sometimes only after hours or even up to 72 hours . This is precisely what makes finding the culprit so incredibly difficult. The symptoms are usually less dramatic, but often chronic and very debilitating: bloating, abdominal pain, diarrhea, but also fatigue or headaches. You can find more details about the difference between allergies and intolerances in our related article.
While the immune system can play a role in certain intolerances, it does so in a different way. In these cases , IgG4 antibodies are often produced. This reaction is also delayed and much more subtle than the IgE surge seen in an allergy. The mybody-x intolerance test analyzes precisely these IgG4 antibodies to provide you with clues about the possible triggers of your chronic symptoms and finally bring you clarity.
How you can reliably test for intolerances
A vague suspicion, constant guesswork – that has to stop. If you suspect that certain foods simply don't agree with you, then you finally want certainty. But what's the quickest and most reliable way to find out? There are various methods to determine if and which intolerances affect you personally.
The journey to clarity often begins with classic approaches, where you become a detective yourself. However, it quickly becomes apparent that this requires a great deal of patience and discipline. Fortunately, modern testing methods offer a precise and convenient alternative to get directly to the heart of the problem.
The classic approach: symptom diary and elimination diet
A proven first step is to keep a symptom diary . For several weeks, you meticulously record what you eat and drink – and how you feel afterward. The goal is to identify patterns: Do the headaches always occur after eating cheese on bread? Does the stomach rumbling reliably follow a latte?
This method sharpens your awareness of your body's reactions, but it also has its pitfalls. Because symptoms often only appear hours or even days later, correctly identifying the cause becomes a real challenge.
This is usually followed by an elimination diet . In this diet, you consistently avoid all foods you suspect are causing the problem for a while. If your symptoms improve, you reintroduce the foods one at a time, with sufficient intervals between each, to identify the culprit.
The challenge: An elimination diet is time-consuming, severely restricts daily life, and is quite prone to errors. Hidden ingredients in processed foods or the combination of different foods make it difficult to draw truly definitive conclusions.
Modern diagnostics: If you want quick clarity
Fortunately, there are now more precise and, above all, faster methods for identifying food intolerances. They save you weeks of guesswork and provide you with solid data as a basis for changing your diet.
Breath tests at the doctor's office: If you suspect lactose or fructose intolerance, hydrogen breath tests are a common method. You drink a special test solution containing milk or fructose and then blow into a device at specific intervals. This measures the hydrogen (H2) content in your breath, which is produced when intestinal bacteria break down the undigested sugar.
At-home blood tests: A significantly more comprehensive and convenient option is a blood test that analyzes your immune system's response to a variety of foods. This test focuses on the so-called IgG4 antibodies . An elevated concentration of these antibodies can be an important indicator that your body is reacting to certain food components with a silent immune response.
This infographic will help you better understand the fundamental difference between an immediate reaction (more likely an allergy) and a delayed reaction (more likely an intolerance).

The decision tree makes it clear: If symptoms occur with a time delay, this strongly suggests an intolerance, while immediate, severe reactions are typical of an allergy.
Your guide to certainty: The mybody-x intolerance test
This is exactly where our mybody-x intolerance test comes in. We developed it to make your path to greater well-being as easy as possible. Instead of puzzling over it for months, you receive a clear, scientifically sound evaluation delivered directly to your home.
It works like this:
- Order your test: You can conveniently order your test kit online and have it delivered to your home.
- Taking a sample: Using a small lancet, you painlessly take a few drops of blood from your fingertip. Don't worry, detailed instructions will guide you through the process step by step.
- Send your sample free of charge: Send your sample in the enclosed return envelope to our ISO 15189 certified specialist laboratory in Germany.
- Laboratory analysis: Our experts analyze your blood sample for IgG4 reactions to a large number of foods.
- Easy-to-understand results report: After a few days, you will receive your personal results report. It clearly and simply shows you which foods your body may have reacted to.
What makes this test so valuable are the concrete recommendations for action. You'll not only learn which foods you should avoid for now, but also get tips for delicious alternatives. This way, a vague feeling finally becomes a clear plan. Learn more about how you can test for your food intolerances in our comprehensive guide.
Many people are unaware that their daily discomfort stems from an intolerance. A Statista survey revealed that while 82% of Germans claim to have no intolerance, the remaining 18% struggle with symptoms that often go undetected. A test can finally shed light on the matter and help you gradually regain your quality of life.
What to do after the diagnosis? Your 3-phase plan
Okay, the diagnosis is in – congratulations on taking the first, important step! But what now? Now comes the really exciting part: putting it into practice in everyday life. You finally know which foods are causing problems for your body. The goal now isn't to give up everything. Quite the opposite. It's about discovering a new way of enjoying food that makes you feel good and gives you energy.
Think of it as a three-step project. Each phase has a clear goal and brings you a step closer to your well-being.
Phase 1: The elimination phase – Give your body a break
The process begins with the so-called elimination phase . For approximately four to six weeks , you eliminate all foods to which your mybody-x intolerance test showed a significant reaction. The purpose of this? To give your digestive system a real break.
Imagine your gut like an overworked muscle. It needs rest to recover and regenerate. By eliminating the culprits from your diet for a while, you give it exactly that opportunity. Many people experience tremendous relief right from this – whether it's in their digestion, their complexion, or simply their overall energy levels.
Phase 2: The testing phase – time for detective work
Once your body has recovered, the testing phase begins. Now you'll find out where your personal tolerance threshold lies. Because an intolerance is rarely a lifelong "all or nothing" situation.
And here's the best way to proceed:
- Only one food at a time: Reintroduce only one of the previously avoided foods at a time. This way you'll know exactly how your body reacts.
- Start small: Begin with a tiny portion and observe yourself and your body very closely for the next three days.
- Increase slowly: Everything good? Great! Then you can gradually increase the amount until you notice where your personal comfort limit lies.
This step is invaluable. You might find that a splash of milk in your coffee is absolutely no problem, but a whole glass is. It's about learning your own personal rules.
Patience and mindfulness are your best friends here. Be sure to continue keeping a symptom diary. This will help you learn to interpret your body's signals more effectively and develop a genuine understanding of your needs.
Phase 3: Long-term nutrition – your personal path
Everything you learned during the trial phase is now incorporated into your long-term diet . You know what's good for you, what you can enjoy in moderation, and what you might be better off avoiding. Instead of rigid prohibitions, you're developing a flexible and enjoyable eating style that truly suits you.
Practical tips that make the difference
It takes some preparation at the beginning, but with a few clever tricks it quickly becomes routine.
- Become an ingredient detective: Make it a habit to always check the ingredient list when shopping. Lactose, gluten, and other allergens are often hidden where you least expect them – in sausages, ready-made sauces, or even spice mixes.
- Discover the alternatives: The market for substitute products is now huge. Try different plant-based milks, gluten-free pasta, or low-histamine cheeses. You'll be amazed at how many delicious treasures there are to discover.
- Cook for yourself: When you cook for yourself, you have complete control. It's the easiest way to avoid hidden harmful substances and at the same time conjure up fresh, nutrient-rich meals.
Ultimately, it's a matter of mindset. Don't see the change as a limitation, but as an opportunity to finally give your body what it truly needs. It's your path to a better quality of life and a completely new sense of well-being.
Your most frequently asked questions about intolerances
Finally, we'd like to address a few frequently asked questions. Here you'll find concrete answers to typical uncertainties that will truly help you in everyday life.
Can intolerances simply appear and disappear on their own?
Yes, absolutely. Unlike many allergies, which often last a lifetime, intolerances can develop over time or even improve. After all, your body isn't a rigid system, but constantly adapts to new circumstances.
There are a few typical triggers that can initiate something like this:
- Changes in the gut microbiome: A course of antibiotics can disrupt your gut flora so much that a temporary lactose intolerance suddenly develops.
- Chronic stress: People who are constantly under pressure risk a weakened intestinal barrier and impaired digestion. This makes the body more sensitive to certain foods.
- Hormonal fluctuations: Phases such as pregnancy or menopause can also significantly affect your tolerances.
The good news is: just as they come, they can also go away. A targeted change in diet and strengthening your gut health can work wonders and ensure that you tolerate certain foods much better again after a while. Your tolerance threshold isn't set in stone – you can actively influence it.
What role does the gut play in all of this?
The gut is the absolute control center when it comes to food intolerances. It plays a key role in almost all cases. Many intolerances originate directly there, for example, due to a lack of an important digestive enzyme. In lactose intolerance, it's the enzyme lactase; in histamine intolerance, the enzyme DAO often doesn't function properly.
Another crucial point is the condition of your intestinal lining. If this protective barrier has gaps – often referred to as "leaky gut" – incompletely digested food components can enter the bloodstream.
And that's precisely where your immune system sounds the alarm and treats them like foreign bodies. This defense reaction leads to the formation of IgG4 antibodies – the very markers we analyze with the mybody-x intolerance test to give you targeted indications of potential irritants.
A healthy microbiome and an intact intestinal barrier are therefore essential for good digestion. Strengthening your gut in a targeted way is often the most important step in getting long-term control of symptoms.
Why is a blood test often more helpful than an elimination diet?
An elimination diet, where you omit suspected foods for a period of time, is a well-known tool. But let's be honest: it requires iron discipline and is often a guessing game. The biggest problem is the delayed reaction. If symptoms only appear 48 or 72 hours later, it's almost impossible to find the real culprit. Add to that all the hidden ingredients in processed foods, which make your detective work a real challenge.
A blood test for IgG4 antibodies gives you a crucial advantage here: you get a data-driven, comprehensive overview of potential triggers. Instead of groping in the dark for weeks or months and categorically eliminating entire food groups like milk or grains, you receive a clear, personalized plan.
The mybody-x intolerance test analyzes how your body reacts to a wide variety of foods. The results save you the tedious guesswork and give you an efficient starting point for changing your diet. This allows you to immediately focus on the foods that are truly relevant for you and avoid unnecessarily missing out on valuable sources of nutrients.
Do you suspect an intolerance is behind your symptoms and want to finally get to the bottom of it? The mybody-x at-home blood test provides you with clear answers and a personalized plan to specifically adjust your diet. Find out now what really works for you: https://mybody-x.com





Share:
HbA1c level too high: Uncover the causes and lower blood sugar
Omega 3 deficiency symptoms in women: Recognize, understand and take targeted action