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Thanks for the info Gail. I did "enjoy" several of the
items over Christmas Eve and Day (and paid the price on
the 26th).  So it is probably a good thing that I was just
planning a quiet New Year at home with my 11 year old son.
He can eat the pizza and pop.  I'll skip the pizza and
beer. (Mom is away arranging care for her mother, so it
will be a quiet New Year for both of us.)

Charley
50/diagnosed 1993
> > From:                   Charles Countryman <[log in to unmask]>
> > Subject:                Low protein diet
> > To:                     [log in to unmask]
> >
> > > various cheeses
> >
> > If you are on MAO inhibitors (like Eldepryl), the cheese could be the
> > culprit.  Not the protein itself.
> >
> > Best,  Bob
> =======
>
>
> Well, I was looking around on the web for a list of more info on the "cheese
> effect"
> and tyramine  and found some information I'll share.
>
> "Deprenyl exhibits no significant "cheese effect" at therapeutic dosages, and
> only
> minimal effects at extremely high dosages."
>
> "Deprenyl exhibits no significant cheese effect"  to MOST  but COULD mildly to
> others. We certainly are all different and some may be more sensitive to
> tyramine in
> foods. I figured it's worth taking a closer look.
>
> "Cheese effect" is a reaction caused by neural uptake of tyramine from
> tyramine-containing foods like aged cheeses, certain wines, yeast, beans,
> chicken
> liver and herring."
>
>  [Charley didn't you say that at your family smorgasbord you indulged yourself
> in
> pickled herring , various cheeses and  meats? ...yikes! ...]
>
> There are some "tyramine-rich" foodstuffs, so it seems wise to advocate care
> with
> regard to the dietary intake of foodstuffs likely to contain a high tyramine
> content.
>
> If feeling especially poorly why not  consider putting some foods on the “no
> touch
> list” or at least keep at moderation if you are taking Deprenyl / Selegiline /
> Eldepryl.
>
> I found this list:
>
>       Tyramine List - compiled from Archives of Biochemistry
>              and Biophysics and the Mayo  Clinic Diet Manual
>
> Avoid
>
>             Alcoholic beverage (some, not all alcohol) -  red wine, "aged" wine,
>                         Chianti wine and  tap beer.
>                         [Domestic bottled or canned beer are considered safe
> when
>
>                         consumed in moderation. ]
>
>            Homemade yeast breads
>
>            Crackers containing cheese
>
>            Sour cream
>
>            Bananas , Red plums , Avocados , Figs , Raisins
>
>            Aged game
>
>            Liver ,   Stored beef liver , Chicken livers
>
>           Canned meats ,  aged or cured meats (e.g.,air-dried sausage); any
>                     potentially  spoiled meat, poultry, or fish.
>
>           Yeast extracts , nutmeg ,
>
>           Sauerkraut ;  soy sauce and soy bean condiments
>
>            Commercial meat extracts
>
>             Salami
>
>           Sausage
>
>           * Aged cheese (including Blue, Boursault, Brick, Brie, Camemberter,
>                        Cheddar, Colby, Emmentaler,  Gouda,  Mozzarella,
> Parmesan,
>                        Provolone, Romano, Roquefort, and Stilton)      * [on
> pizza too]
>
>            Salted dried fish (herring, cod),   pickled herring and some smoked
> fish
>
>            Italian broad beans ,  Green bean pods ,  Egg plant
>
>             Yeast concentrates or products made with them
>
>            Marmite
>
>            Soup cubes
>
>          Commercial gravies – anything with soy sauce, and any protein that has
>                         not been stored properly or has some degree of spoilage
> (i.e., all
>                         but those that have been freshly prepared).
>
> The tyramine list was found in the book, Breathe Well, Be Well, Robert Fried.
>
> ...and further snooping around the web I found:
>
> * Concomitant prescription of serotonin-enhancing drugs should only be
> undertaken
> with caution for patients on selegiline.
>
>  * Coprescription of sympathomimetic drug sshould also be avoided with the newer
> MAOIs and patients should be advised against purchasing over-the-counter
> preparations that may contain *sympathomimetic drugs.
>
> * best not to take Selegiline at bedtime for a better sleep
>
> Take care,
> Gail Vass

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