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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by platinumbride on September 13, 2006, at 11:42:07
I know that this issue has been discussed ad nauseum, but with all of the different answers, I am confused!
My main concern now is eating out. How do maoi users do it? It seems that anything can be prepared with meat extracts or tenderizers. Any suggestions?
Also, is the fresh bread that is put on your table safe to eat? Say it is sourdough or something else with lots of "holes" in it?
Finally, what about soybean oil? I see that as an ingredient in a lot of frozen dinners. I don't like to cook much, and I usually eat them.
Many thanks,
Diane
Posted by jaclinhyde on September 13, 2006, at 12:37:51
In reply to maoi diet questions, posted by platinumbride on September 13, 2006, at 11:42:07
The only things you really have to worry about are aged cheeses (cheddar etc.), soy sauce, over ripe avocados (nix the guacamole) and over-ripe bananna's and don't go overboard on the sour cream (a little is ok.) Also, stay away from liver and broad bean pods. Miso soup and sauerkraut should be avoided. Avoid tap beers but bottled ones are ok as are most wines. Hydrogenated soybean oil 'should' be fine as it is in sooo many products these days that most of us using MAOI's are consuming it without even knowing it and doing just fine. Any other questions just ask and good luck to you!
Terri
Posted by Phillipa on September 13, 2006, at 16:00:34
In reply to Re: maoi diet questions, posted by jaclinhyde on September 13, 2006, at 12:37:51
Is it parnate or EMSAM you're on I forget it's been a while. So you're doing well? Love Phillipa
Posted by elanor roosevelt on September 14, 2006, at 9:22:01
In reply to maoi diet questions, posted by platinumbride on September 13, 2006, at 11:42:07
I struggle with this as well.
Anyone up to explaining MAOI diet basics one more time?
thanks
I know that this issue has been discussed ad nauseum, but with all of the different answers, I am confused!
>
> My main concern now is eating out. How do maoi users do it? It seems that anything can be prepared with meat extracts or tenderizers. Any suggestions?
>
> Also, is the fresh bread that is put on your table safe to eat? Say it is sourdough or something else with lots of "holes" in it?
>
> Finally, what about soybean oil? I see that as an ingredient in a lot of frozen dinners. I don't like to cook much, and I usually eat them.
>
> Many thanks,
>
> Diane
Posted by jaclinhyde on September 14, 2006, at 9:45:55
In reply to Re: maoi diet questions » jaclinhyde, posted by Phillipa on September 13, 2006, at 16:00:34
Parnate.....never again! After 2 bouts of ITP and one psychotic break I will never take it again, no matter how good it made me feel. I am on Emsam and just upped my dose to 2 9mg patches daily so we'll see. Sill not hitting enough MAO-B imho. Or is it A? Ah hell ;-)
How are you doing?
Terri
Posted by jaclinhyde on September 14, 2006, at 9:48:52
In reply to Re: maoi diet questions, posted by elanor roosevelt on September 14, 2006, at 9:22:01
> I struggle with this as well.
> Anyone up to explaining MAOI diet basics one more time?
> thanksThanks to an old post by Elizabeth for this list.
WINE is fine. Some people may get histamine-related headaches from it and think they are having a hypertensive episode when they are not.
BOTTLED BEERS are usually fine (American and Canadian ones are the best studied).
TAP BEER should be avoided.
Most AGED CHEESES are out. Of note, the mozzarella generally used on most pizzas has been found to be okay. So unless it's some weird exotic pizza with sharp cheeses (feta, cheddar, fontina) it should be okay to eat pizza. (In general, cheeses described as "sharp" are the most dangerous ones.) Ricotta cheese, cottage cheese, cream cheese, and "pasteurized process cheese food" (American cheese -- the cheesiest kind) are okay as well. In regard to the intermediately-aged cheeses, I personally had no problem with jack or brie in moderation. I would be careful if you're going to try this, though, and it's not something I'm willing to say is definitely safe.
OTHER DAIRY PRODUCTS, such as milk, yogurt, and sour cream, are generally safe as long as they are fresh.
SOY FOODS are controversial: one sample of soy sauce was reported to have quite a lot of tyramine in it, but there aren't any documented interactions. My experience has been that a little bit of soy sauce is okay. I would avoid other soy products, such as soy milk and tofu. The Taiwanese dish called "stinky tofu" is probably right out. < g >
Similarly, SAUERKRAUT has been found to contain a large amount of tyramine in some analyses, but there aren't any reactions documented that were associated with sauerkraut.
PROTEIN-CONTAINING FOODS that have passed the expiration date or that may have been stored improperly should be avoided. Fresh milk, meat, etc. are okay. One exception that I make, just because there have been so many problems reported with it, is LIVER; it seems possible that the proteins in liver are especially readily broken down to tyramine (perhaps they include more tyrosine than other proteins do, or perhaps the bacteria that turn tyrosine into tyramine are fond of liver).
Certain AGED MEATS, such as salami, bologna, and some sausages, may be problematic. Err on the side of caution. Some telltale words to look for are "aged," "smoked," "air-dried," and "fermented."
PICKLED HERRING itself isn't a problem, just don't eat the brine (yuck!).
To many people's relief, CHOCOLATE is fine. (If my experience with carb cravings on phenelzine is any indication, it's fine in *huge* amounts!)
Some miscellaneous peculiar foods, such as FAVA BEAN PODS and BANANA PEELS, also cause problems. Shouldn't be a major issue for most people. Watch out for Middle Eastern cuisine, which sometimes contains fava beans. MISO SOUP and other Oriental soup stocks have also been reported to cause problems.
Hope this helps. It really isn't as limiting as it may seem. Personally I'd rather give up cheddar cheese than my sanity any day :-)
Terri
Posted by gardenergirl on September 14, 2006, at 15:23:25
In reply to Re: maoi diet questions, posted by jaclinhyde on September 14, 2006, at 9:48:52
Elizabeth's post matches my experience. I have not found the diet to be too restrictive, but it can be a hassle when eating out, either in restaraunts or as a guest in someone's home. Not too big of an obstacle for me, but a hassle nevertheless.
gg
Posted by platinumbride on September 14, 2006, at 15:32:51
In reply to Re: maoi diet questions, posted by jaclinhyde on September 14, 2006, at 9:48:52
Thanks for your responses....really.
One more question: Is lox or smoked salmon out? Corned Beef? Pickles? Boulion?
Ok, that was four questions ;-)
Posted by gardenergirl on September 14, 2006, at 16:06:39
In reply to Re: maoi diet questions, posted by platinumbride on September 14, 2006, at 15:32:51
> Thanks for your responses....really.
>
> One more question: Is lox or smoked salmon out? Corned Beef?I don't eat any of the above, so I don't remember. Sorry.
Pickles? Boulion?
I've avoided both of these.
gg
Posted by Phillipa on September 14, 2006, at 19:03:01
In reply to Re: maoi diet questions, posted by jaclinhyde on September 14, 2006, at 9:45:55
Thanks for asking. I have some physical problems at the moment so I have slowed down on my luvox taper. Out of necessity. Still following EMSAM and have samples in my med box. Love Phillipa
Posted by naughtypuppy on September 15, 2006, at 9:05:56
In reply to Re: maoi diet questions » jaclinhyde, posted by Phillipa on September 14, 2006, at 19:03:01
I've found Parnate MUCH more sensitive to diet restrictions. With Nardil I pretty well eat what I want, but keep an eye on it just to be safe.
Posted by Jost on September 18, 2006, at 19:58:50
In reply to Re: maoi diet questions, posted by naughtypuppy on September 15, 2006, at 9:05:56
The dietary restrictions on Emsam are probably much less necessary. But until that's been definitively shown, I guess it's best to be careful.
Pickles and most bouillion are not safe on other maois. There are some types of soup broth that you can buy--not pellets, but in containers-- that are okay.
Sauerkraut isn't good, and actually I'm not sure about lox, but I would think you couldn't--again on other maois.
The biggest problems are aged cheeses, as has been said, and some red wines--
or other aged things-- that's where it gets complicated, because many foods, if spoiled, can become a problem even though they're fine when not spoiled. It's the aging process. So sometimes it's best to stay away from salad bars, etc, where food is left out for a long time.
But again, with Emsam, there's evidence that even on higher doses, the diet isn't necessary.
You can check that on google.
Jost
Posted by platinumbride on September 19, 2006, at 12:48:57
In reply to Re: maoi diet questions, posted by jaclinhyde on September 13, 2006, at 12:37:51
I came up with a really confusing situation today:
I was going to get a falafel, but asked, on the off chance, if there was any soy in it. The woman told me that she fried the falafel in soybean oil! She also said that everything in the restaurant, including the deserts, like baklava, were fried in soybean oil.
Was I right to walk away from the falafel and stuffed grape leaves?
I mean anything in any restaurant can be fried in soybean oil! And yet I keep thinking that many people say the diet is not too restrictive....This Nardil had better rock my world at some point because I don't want to gain weight without eating most of the things that I like and remain mostly depressed and despondent!!!!
FWIW, the babaganoush and the hummus were OK :-)
Diane
Posted by kimcrazylady on September 25, 2006, at 15:52:30
In reply to Re: maoi diet questions, posted by platinumbride on September 19, 2006, at 12:48:57
Most things use this oil these days. I'm on Parnate and have never had a problem.
This is the end of the thread.
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