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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Hoosier on December 30, 2002, at 17:24:08
I don't know if this has been posted before, but an article came out in 1999 that measured tyramine levels of of chain pizzas (Pizza Hut, Dominoes, and another I can't remember) and found that even double cheese, double pepperoni pizzas contain insignificant levels of tyramine. I believe the highest level measured for an entire pizza was .37 mg. - most were much less. I've been taking 45 mg. of Nardil for 12 years. Since seeing that article, I've eaten much pepperoni pizza with no problems - provided it is FRESH. Dr. Bob - you may want to modify your MAOI diet guideline a bit. Here is the citation:
Shulman KI, Walker SE.
Refining the MAOI diet: tyramine content of pizzas and soy products.
J Clin Psychiatry 1999 Mar;60(3):191-3My apologies if you've seen this already.
Hoosier
Posted by highanxiety on December 30, 2002, at 17:52:45
In reply to Chain Pizza and MAOI's, posted by Hoosier on December 30, 2002, at 17:24:08
Is that because they use mozzarella, which I think isnt as aged as other kinds of cheese, or have you been OK yourself eating other kinds of cheese?
Posted by utopizen on December 30, 2002, at 18:06:51
In reply to Re: Chain Pizza and MAOI's, posted by highanxiety on December 30, 2002, at 17:52:45
I'm not a MAOI user, and still confused over whether formented soy (tofu, also called bean curd) is okay, but thought you should know this anyway.
Pizza Hut's largest franchiser, which has 40 'huts in the midwest, now is serving up soy cheese at them. It's also like a billion times healthier than the 1000 calorie/slice it usually offers, but that's for a different board...
And since you're screenname is Hoosier, I wanted to make sure you were privy to this information (I was born in IN) ;)
Posted by cybercafe on December 30, 2002, at 20:51:38
In reply to Re: Chain Pizza and MAOI's, posted by highanxiety on December 30, 2002, at 17:52:45
> Is that because they use mozzarella, which I think isnt as aged as other kinds of cheese, or have you been OK yourself eating other kinds of cheese?
cheddar is okay, as long as its not aged cheddar
Posted by Hoosier on December 30, 2002, at 23:37:29
In reply to Re: Chain Pizza and MAOI's, posted by highanxiety on December 30, 2002, at 17:52:45
> Is that because they use mozzarella, which I think isnt as aged as other kinds of cheese, or have you been OK yourself eating other kinds of cheese?
I've just eaten American - I believe it has low tyramine content because it isn't an aged cheese
Posted by djmmm on December 31, 2002, at 14:34:58
In reply to Re: Chain Pizza and MAOI's, posted by Hoosier on December 30, 2002, at 23:37:29
Pizza is fine, it is not on the updated "no-no" list
Posted by ace on January 2, 2003, at 1:57:28
In reply to Chain Pizza and MAOI's, posted by Hoosier on December 30, 2002, at 17:24:08
Us MAOI users have to be careful, but the diet list is a little obsessive!
I've read 10mg of tyramine is sufficient to cause a hypertensive reation. A lot of the no-no's (in limited quantities i.e. 1 serving) have less than 1mg. Still got to be careful but.
With regards to pizza I have a list right in front of me that states that Pizza Hut, McDonalds and Dominos pizza are okay even though they "...have been restricted in previously published MAOI diets..." It states "...based on recent research (they) are probably safe in normal quantities"
Cya guys, I'm going to Pizza Hut!!!!!!
Posted by cosis on January 2, 2003, at 9:12:47
In reply to Chain Pizza and MAOI's, posted by Hoosier on December 30, 2002, at 17:24:08
I one time scarfed down a whole Papa John's pepperoni pizza.. I think I noticed and increase in my blood pressure...
Nardil though as switched my food cravings to sweet things, not salty anymore so I don't usually feel like eating pizza or fast food.
Posted by djmmm on January 2, 2003, at 9:38:58
In reply to Chain Pizza and MAOI's, posted by Hoosier on December 30, 2002, at 17:24:08
A retrospective analysis of the incidence of acute hypertensive crisis in 692 patients treated with MAOIs found that the incidence was 8.4% prior to instituting dietary restrictions but 3.3% after dietary restrictions were imposed (Bethune 1964). In the Rabkin chart review (1985) study, 11 patients (8%) on phenelzine and one patient (2%) taking tranylcypromine experienced hypertensive reactions.For info on pressor amines, specific amount of tyramine content in food, adverse effects, including incidence of hypertensive crisis:
This is the end of the thread.
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