Tyramine Cheese Crisis

  • Posted by a hidden member.
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    Jul 11, 2015 6:23 PM GMT
    No disease that can be treated by diet should be treated with any other means.~~Maimonides

    Getting migraines that I found debilitating but not trusting doctors because they've sexually abused me more than once, I did my own research, stumbling upon something I'd not heard of before. This:

    https://en.wikipedia.org/wiki/Tyramine
    Tyramine (4-hydroxyphenethylamine; para-tyramine, mydrial or uteramin) is a naturally occurring monoamine compound and trace amine derived from the amino acid tyrosine.[1] Tyramine acts as a catecholamine releasing agent. Notably, it is unable to cross the blood-brain barrier, resulting in only nonpsychoactive peripheral sympathomimetic effects. A hypertensive crisis can result, however, from ingestion of tyramine-rich foods in conjunction with monoamine oxidase inhibitors


    Now I don't understand this yet and the only meds I take are eye drops. Am currently researching to see if they contain this "inhibitor". Though the Rambam has already solved my problem. I quit cheese four days ago and haven't had a headache since. Very pleased so far with results.

    I'm finding a lot of contradicting information as to which foods are safe. So if anyone knows more of this, please inform me. So far it seems like everything I love is suspect. And I had already given up meats 20plus years ago, so not a whole lot left. Ice cream seems safe so at least there's that blessing.

    And the info I find is confusing. For instance, one said yogurt is good, one source said bad. One source said bananas are bad, one said only ripe bananas are bad, one said only the peel is bad (who the fuck eats that? ) .

    But generally it seems to come from stuff like smoked meats which I don't eat anyway, but also anything fermented (aged, decayed) which of course is all the real tasty foods like soy sauce and all the good cheeses, etc.

    The cheeses that seem safe are cottage, cream, American (yuck), basically the fresher, non-aged cheeses. I'm stuck with Velveeta and cheese wiz? Oh, yuck, fucking yuck.

    I even read that avocados are bad. This is so depressing. So for now I'm mostly giving up cheeses which I love but I love more not having headaches and then I'll do the other products a little at a time and see which effects me.

    I just made some tofu drizzled with a soy, chili, honey sauce and notice no ill-effect. So maybe in moderation is okay.

    If it doesn't give me a headache, I'm gonna eat that.

    Anyway, if anyone suffers migraines this might be your problem. I'd never heard it mentioned before so thought I should post.
  • LJay

    Posts: 11612

    Jul 11, 2015 10:06 PM GMT
    So don't eat tyramine-rich foods if you are taking monoamine oxidase inhibitors.

    Big deal.

    Talk to a doctor if you don't know what this means. The word crisis is used here in a medical sense. You really have nothing to worry about.

    Sounds to me like your greatest concern should be the avoidance of self induced anxiety.

    Per Michael Pollan: "Eat food. Mostly plants. Not too much."
  • NursePractiti...

    Posts: 232

    Jul 12, 2015 11:22 AM GMT
    I don't know what eye drops your taking but yes, some of them can interact with those foods. In fact those particular foods can interact with a lot of meds. Also some people are just naturally sensitive to them. In general, aged foods possess this trait and I educate my patients on them regularly.
  • Posted by a hidden member.
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    Jul 12, 2015 4:09 PM GMT
    TomSOCAL said
    LJay saidSo don't eat tyramine-rich foods if you are taking monoamine oxidase inhibitors.

    Big deal.

    Talk to a doctor if you don't know what this means. The word crisis is used here in a medical sense. You really have nothing to worry about.

    Sounds to me like your greatest concern should be the avoidance of self induced anxiety.

    Per Michael Pollan: "Eat food. Mostly plants. Not too much."


    Not a nice response.
    What eye drops are u taking and do u have a serious eye condition? That could relate to this.
    Have u taken monoamine oxidase inhibiting anti depressants? These react with the list of foods u mention


    Yeah, that was pretty douchy; thank you for mentioning.

    The drops are just for eye pressure, a problem I've dealt with since my 30s, came down on both mom's and dad's side so my chances of getting it were good.

    And I checked to see that the drops don't have the inhibitor but turns out it can react to it if taken concurrently so if I should ever develop Parkinson's (no one in family has had it), that'd be something to watch for (assuming I don't kill myself first 'cause I ain't dealin' with that shit, ha! ) . I take no other meds but for aspirin and just a few supplements.

    nursemuscle saidI don't know what eye drops your taking but yes, some of them can interact with those foods. In fact those particular foods can interact with a lot of meds. Also some people are just naturally sensitive to them. In general, aged foods possess this trait and I educate my patients on them regularly.


    Thanx man, good info. I'm surprised that I've never heard of this before so I'm glad to hear that you inform others about it. Not having these migraines this week since I stopped cheese has been like day and night, just a huge relief. Those things were nasty. Yesterday I tested soy, ate half a block of tofu with a soy based sauce and today I'm okay.

    That was a scary test because Asian foods are my favorite. I'm even thinking about relocating to SEA one day. And I see in your profile that you like Thailand. That and Vietnam are two of the places I'm considering. Tough decision: I've enjoyed the Thai people I've met here and I love Thai food but Vietnam has the flavor of Buddhism I prefer.

    In fact, one of my problems with considering relocating there is that, missing the milk gene, they're not really known for their cheeses which I love so much that I had trouble picturing myself living without a supermarket gourmet cheese selection. Well, that problem seems to have resolved itself.

    I was relying too much on the stuff as a protein source and possibly I overdosed on it. I really don't know the chemistry of it as I'm not on inhibitors, only that since I stopped cheese, so did the headaches.

    But from what I've been reading, you're right. It's all the tasty aged stuff. Damn it! There goes that.

    So many people think life is about accumulating. But for me, it's been all about letting go. Bye life. Thanks for all the fish.
    GIF-Dog-riding-on-dolphin.gif




    First time in supermarket tonight I passed by all the cheeses. Teased by cheese.

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  • Posted by a hidden member.
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    Jul 12, 2015 4:31 PM GMT
    http://www.truthinlabeling.org/hiddensources.html
  • Posted by a hidden member.
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    Jul 13, 2015 12:58 PM GMT
    I suggest you see a doctor.

    What you're talking about is the dummest thing I've ever heard of. You don't get tyramine cheese crisis unless you are taking MAO inhibitors.

    I don't know what happened to you that made you lose faith in the health care system, but seriously if you are worried about your health and have a serious issue that impairs your quality of life, see a doctor. Do not play doctor on the internet.

    Chances are that your headaches are caused by some much more common condition. Also you mentioned having glaucoma, which may very likely be related to the migraine. Possibly causing them or having the same etiology.

    Pardon my rant, but people spreading incorrect information on the internet that may harm other people gets on my nerves.

    Please, speak to a doctor.
  • Posted by a hidden member.
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    Jul 13, 2015 2:42 PM GMT
    [quote][cite]Alpha13 said[/cite]Try Paleo diet for 30 days. Google Robb Wolf. Then add back one non Paleo food every two weeks to figure out if it diet related. Also feverfew tea to deal with symptoms.
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    Jul 13, 2015 4:37 PM GMT
    Italian_MS saidI suggest you see a doctor.

    What you're talking about is the dummest thing I've ever heard of. You don't get tyramine cheese crisis unless you are taking MAO inhibitors.

    I don't know what happened to you that made you lose faith in the health care system, but seriously if you are worried about your health and have a serious issue that impairs your quality of life, see a doctor. Do not play doctor on the internet.

    Chances are that your headaches are caused by some much more common condition. Also you mentioned having glaucoma, which may very likely be related to the migraine. Possibly causing them or having the same etiology.

    Pardon my rant, but people spreading incorrect information on the internet that may harm other people gets on my nerves.

    Please, speak to a doctor.


    Your bedside manner sucks but thank you otherwise for your input. If that was the dumbest thing you've ever heard then you're missing what most of the world is saying.

    Yeah, I know it was not cheese crisis in the sense of interacting with inhibitors. I mostly knew it when I wrote it, though I did then further investigate the eye drops to be more sure. But my humor is such that as soon as I read the phrase I knew I had to use it: cheese crisis. Look, there it is again. Besides, might MAOIs exacerbate but not cause?

    In the medical arts, I don't know that they know how it all works exactly. Otherwise it would be called the medical sciences. Just like with some pharmaceuticals, they might not know the precise mechanics of a thing but rather if one thing works and another doesn't. The more they are able to map the brain, the more we'll learn. Meanwhile, sometimes you go with what you got.

    When I stumbled upon this Tyramine thingy and looked at the foods involved, outside of the meats I don't eats, it was pretty much everything in my fridge. So then I thought, well, what do I eat most of, what can I get rid of, what might be the cause of the headaches. Also in reading, I did read about the cheese crisis thingy, my technical term for it, thingy. And I knew that I eat too much not just because I love it but as a protein source since I don't eat meats and how much tofu can ya eats.

    So the first thing I thought to do was to cut out cheese. Guess what? The headaches I've been suffering for so long stopped. What the fuck am I going to a doc for. Fuck them. I is fixed. Problem solved. If I develop some emergency, then I'll go. Otherwise I think they are mostly some variety of shyster.

    Why do I think that they are not out for my well being as they've supposedly pledged? Because I've been sexual abused three times by those scumbags. I'll take my chances with disease and die a natural death should that be my fate, thank you. A quick death by cheese or a prolonging of the dying by some complicated medical billing procedure. Gee, that's a tough decision, not.

    Meanwhile, I did go shopping last night, didn't buy cheese, couldn't get myself to purchase cellophaned American cheese slices just yet. I imagine I'll eventually acquiesce to my new found deficits and enjoy as best I can a grilled cheese sammich with grade school cheese instead of a fine grade cheese, as such sometimes so it seems is life.

    "No disease that can be treated by diet should be treated with any other means."~~Maimonides

    Alpha13 said[quote][cite]Alpha13 said[/cite]Try Paleo diet for 30 days. Google Robb Wolf. Then add back one non Paleo food every two weeks to figure out if it diet related. Also feverfew tea to deal with symptoms.


    Thanx. I'm sort of doing that only without meat. Googling paleo, I see some stuff listed and I do eat a lot of (copy pasted) Fresh fruits and veggies, (some) Eggs, Nuts and seeds, Healthful oils (Olive, walnut, flaxseed, macadamia, avocado, coconut).

    The ones I'm concerned with in that would be the last two, which I also love, because they were listed by some sources, not all, as being high in tyramine (even though some science agrees with the Italian_MS poster that said would require MOAI to kick in--I'm either not convinced or maybe I've just developed some sort of allergy to some cheeses, blocking the process, however that might be working in my system, no matter, as that problem stopped and I'd not have brought up the topic if it hadn't).

    So similar to your suggestion, I'm just going to watch carefully for any signs of an oncoming migraine as I add back foods high in Tryamine, as I just did with tofu and soy, because the problem stopped so radically quick when I did stop cheese that if that's just coincidence, I'm going with it because the relief is so beautiful.

    Crisis averted.
  • Posted by a hidden member.
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    Jul 14, 2015 4:33 AM GMT
    Looks like you've already followed the suggestion I was going to post: Research Paleo and find the foods that are low in tyramine.

    Keep up the good work. icon_biggrin.gif
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    Jul 14, 2015 5:39 PM GMT
    paulflexes saidLooks like you've already followed the suggestion I was going to post: Research Paleo and find the foods that are low in tyramine.

    Keep up the good work. icon_biggrin.gif


    Thanx. I'm continuing the experiment. Last night I made another tofu dish, this time drenched in a black bean sauce which is aged and sure enough today I have a slight headache. It's not the horrible migraine I was getting before I quit cheese and I was super nervous about that test because I knew the ingredients all fermented so this could be stress. I am convinced about the cheese because the results were so extreme. This one I'll have to get up the nerve to test a couple of times.

    Oh for the days when I used to be able to eat anything with no problems. Yet another issue to file under the heading of getting old sucks.

    Also to the MAOI commentaries above, the more I read the more I see mention that people can be sensitive to tyramine even if not on inhibitors. And I know the body can change because there was a younger time when I was immune even to poison ivy but I can't touch that stuff today.

    http://www.healthline.com/health/tyramine-free-diets
    ...Tyramine is a compound produced by the breakdown of an amino acid called tyrosine. It’s found naturally in some foods, plants, and animals . It can also be created when food is cured or aged, or through fermentation and spoilage.

    Your adrenal glands generally respond to tyramine by sending catecholamine — the ‘fight or flight’ hormone — into the bloodstream, along with dopamine, norepinephrine, and epinephrine. This gives you a boost of energy and, in turn, elevates your blood pressure and heart rate.

    Most people consume tyramine with no negative side effects. However, this hormone-release process can cause dangerous blood pressure spikes, especially when consumed in excessive amounts...

    ...Excessive tyramine intake may lead to a fatal hypertensive crisis, which is when blood pressure is so elevated that you have a higher chance of stroke or death...

    ...If you feel you may be sensitive to tyramine or are taking MAOIs...

    ...Some doctors also recommend a low-tyramine, or tyramine-free, diet to people who suffer from migraines. However, effectiveness isn’t yet proven...


    The big test is going to be pizza, which I presume not Paleo. But mozzarella strikes me as more of a fresh, tasteless cheese, so maybe that will be okay. This sucks.