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Tyramine
Tyramine is a naturally occurring compound that is formed in a food as it ages. Therefore, if you are tyramine sensitive, food and beverages should be as fresh as possible. Avoid foods and beverages that are aged, fermented, or unpasteurized. Avoid any spoiled or improperly refrigerated, handled, or stored foods and beverages. Use caution in purchasing foods from restaurants and grocery stores where freshness of meats and other foods is in question. For example, avoid meat or cheese that is aged to improve flavor. Because food and beverages vary greatly in their tyramine content, eating large quantities of items high in tyramine content without adverse reactions does not ensure future safe consumption of that item. For example, a banana eaten one week may vary in tyramine content from a banana eaten a few days later.
The following foods contain very little or no tyramine and may be eaten as desired.
Do not consume foods to which you have an allergy/sensitivity/intolerance.
Milk:2% milk
Buttermilk
Condensed milk
Dried milk
Eggnog
Evaporated milk
Skim milk
Sweetened
Vanilla milkshakes
Whole milk
Cheese:
Cottage cheese
Cream cheese
Processed cheese (American,
Velveeta®)
Ricotta
Other Dairy:
Sour cream
Yogurt / Protein:
All fresh fish
Beef
Capon
Chicken
Cornish hen
Duck
Fresh meats (except game meats)
Goose
Goose
Lamb
Pork
Shellfish, canned
Tuna, canned
Turkey
Veal
Shellfish: clams, lobster, crab, Oysters, scallops, shrimp, squid / Fruits & Vegetables:
All fresh, frozen,
Canned fruits and
Vegetables.
All fruits and
Vegetables should be fresh and not overripe or spoiled.
Miscellaneous:
Plain yeast (used for baking)
Eat these foods sparingly. Select no more than one of these foods each day.
Do not consume foods to which you have an allergy/sensitivity/intolerance.
Cheese:Farmers
Havarti
Brie
Boursin / Fruit:
Raspberries or
Raspberry jam (2 oz)
This food avoidance list is intended to be used as a guide to assist in making wise food choices and is NOT all- inclusive. Therefore, there may be additional ingredients which must be avoided.
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Tyramine (cont.)
Avoid the following:
Protein:Any foods left over >48 hours
All aged, dried, smoked, fermented or pickled meat, fish,
or poultry
Beef & chicken livers
Dried, salted or smoked meats and fish
Dry sausage, such as “summer sausage”
Fermented soybean products
such as, soy sauce, bean curd, & miso
Luncheon meat:
Bacon
Bologna
Corned beef
Ham
Hot dogs
Liverwurst
Pepperoni
Salami
Meats prepared with tenderizer / Cheese:
Aged cheese spreads
*All aged cheeses:
Blue
Camembert
Cheddar
Feta
Gouda
Mozzarella
Muenster
Parmesan
Provolone
Romano
Stilton
Swiss
Any outdated or unpasteurized
dairy products
**Imitation cheeses / Fruits & Vegetables:
Avocado
Bananas
Broad bean pods
(fava, Italian green
beans)
Eggplant
Fermented fruit
Guacamole
Overripe, spoiled, or
moldy fruit
Prunes
Raisins
Sauerkraut
Tomatoes / Beverages:
Beer/ale
Liqueurs
Nonalcoholic beer
Vermouth(martini)
Whiskey
Wine / Miscellaneous:
Meat extracts (used in soups, sauces, gravies)
Wine vinegar
Yeast:
brewer’s yeast
marmite
yeast supplements
*All aged cheeses should be avoided. Tyramine content increases as the cheese ages.
**Avoid imitation cheeses except cottage and ricotta.
This food avoidance list is intended to be used as a guide to assist in making wise food choices and is NOT all -inclusive. Therefore, there may be additional ingredients which must be avoided.
Please note: It is the responsibility of the client to disclose all known & potential health concerns that are pertinent to nutrition counseling. Nutrition therapy is not intended to act as a substitute for the care of a physician, but rather, support sound medical care.
Sources: Ohio State University Medical Center, copyright 10/2004.
Mahan, Kathleen L. & Sylvia Escott-Stump. Krause’s Food, Nutrition, & Diet Therapy, 10th edition, USA: W.B. Saunders Company, 2000.