Posted by Bobbiedobbs on July 23, 2002, at 23:01:32
In reply to Re: MAOI diet short list, posted by jsarirose on July 22, 2002, at 2:52:50
Re one poster's question about soy products, I spoke today with GlaxoSmithKline's expert (via a customer service rep) who said soy protein and soy flour are safe to eat to the extent that they are not "aged or fermented in any way." As to whether they are or not, they said I'd have to contact the soy products manufacturers. That leaves open the question. I suggested that the drug maker update their food list to reflect soy-based products. They (apparently) don't intend to, as there are too few people taking this product to justify the effort. I agree with Jessica's earlier post regarding soy and soy flour, Marsala wine in cooking and chicken broth made without yeast (all safe). But that's just my opinion.
The list published by Strong Memorial Hospital Pharmacists in 1998, which appeared on the Univ. of Rochester web site, said to "avoid" "soy sauce and other soybean condiments" but that "soy milk" was specifically "allowed." It also said that no more than 4 ounces of wine per day was OK. Another site says you can consume a "moderate" (defined as 1/4 to 1/2 cup total per day) of the TOTAL of a wide array of items, including, among others: buillon, commercial breads without or low in yeast, MSG, and terriyaki sauce (which it specifically limits to 2-4 tbsp a day).
One poster requested the address to get a copy of the University of Toronto study - which I believe is the most definitive to date on MAOs. I don't know if this is still a good address, but in 1996, I wrote to Kenneth I. Shulman MD, Dpt. of Psychiatry, Sunnybrook Health Science Center, 2075 Bayview Ave, Toronto, Ontario, Canada M4N 3M5 and received a detailed response to my questions. The phone (again back in 96) was 416-480-4079. The name of the study is, "The Making of a User Friendly MAOI Diet," by David Gardner, Kenneth Shulman, Scott Walker and Sandra Tailor. Reprint requests to: Kenneth Shulman, M>D. S.M. F.R.C.P. (C), Dept. of Psychiatry, and the rest as above. This diet says that MSG, soy milk and yeast extracts except Marmite are fine but to avoid soy sauce and soy condiments. It goes into enormous detail. They studied )a) how much tyramine was actually in a variety of food products and (b) whether there has actually been any documented instances of reactions to any of the no-nos. Conclusion: ""Many MAO diets are excessively restrictive and without solid science." For those who drink or want to drink beer and alcohol, there's a second study that lists the amount of tyramine in hundreds of beers. It is called, "Hypertensive Episode Associated with Phenelzine and Tap Beer...". available at the same address from Sandra Tailor. Everything was fine except a bottle of Kronenbourg on tap (horror show) and tap versions of Upper Canada Lager and Rotterdam Lager. None of the bottled or canned beers presented any problem. The conclusion was that it is not the alcohol, but the process in which certain tap is made - a secondary fermentation process which apparently allows bacterial growth and tyramine production. This process does not occur in the popular, bottled beers.
Sunnybrook Health Science Center's MAOI Diet, which I generally follow, says to avoid all cheese except fresh cottage cheese, cream, ricotta, processed cheese slices, and allows no more than 2 domestic bottled or canned beers (including nonalcoholic) or 4 fluid ounces glasses of red or white wine per day.