![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 32. This is the beginning of the thread.
Posted by MARTY on April 5, 2006, at 11:39:21
From time to time I read or talk to someone who say he eats pizza while being on an MAOI. Since I may well be taking a MAOI for the rest of my life I may as well confirm about this pizza thing: Is it OK to eat pizza while being on a MAOI or not ? What is the truth about the Mozarella ? and the peperonni ?Thank you to all - I wish I would have dicover this forum and their people years ago. You're all great.
Marty
Posted by Caedmon on April 5, 2006, at 12:16:55
In reply to MAOI and Pizza ?, posted by MARTY on April 5, 2006, at 11:39:21
I believe everything with pizza is okay, it's the toppings that are tricky. Mozarella = okay. Cheddar (like in those 4-cheese pizzas) = bad. Sausage, I would assume is contraindicated.
I haven't gotten a consistent answer on pepperoni (my topping of choice). I recall that some Canadian researchers looked at double-pepperoni pizzas from 3 or 4 major pizza chains and found insignificant amounts of tyramine. But I have no idea if there is still a wide range of individual reactions (I imagine there is) nor if all pepperoni is okay, or only some, and how to tell the difference, and how "much" pepperoni is okay. I'm confused too!
I have to tell you, I am not going to be content with veggies. I want my frickin' pepperoni!
- C
Parnate cadet (just 2 weeks away!)
Posted by MARTY on April 5, 2006, at 12:30:07
In reply to Re: MAOI and Pizza ?, posted by Caedmon on April 5, 2006, at 12:16:55
LOL Let me tell you, I will not be able to rest until I got a definitive answer about our right to pizza and pepperoni my friend ;)
Marty> I believe everything with pizza is okay, it's the toppings that are tricky. Mozarella = okay. Cheddar (like in those 4-cheese pizzas) = bad. Sausage, I would assume is contraindicated.
>
> I haven't gotten a consistent answer on pepperoni (my topping of choice). I recall that some Canadian researchers looked at double-pepperoni pizzas from 3 or 4 major pizza chains and found insignificant amounts of tyramine. But I have no idea if there is still a wide range of individual reactions (I imagine there is) nor if all pepperoni is okay, or only some, and how to tell the difference, and how "much" pepperoni is okay. I'm confused too!
>
> I have to tell you, I am not going to be content with veggies. I want my frickin' pepperoni!
>
> - C
> Parnate cadet (just 2 weeks away!)
Posted by gardenergirl on April 5, 2006, at 14:53:17
In reply to Re: MAOI and Pizza ? » Caedmon, posted by MARTY on April 5, 2006, at 12:30:07
I wish I could answer about pepperoni, but I've never liked it, so I haven't looked into it. I eat a lot of pizza, but I always check to make sure that the cheese is either mozzarella or provolone. My local place is very good about substituting these for the cheese blend they usually use, which has cheddar in it.
I've also had some parmesan cheese in small quantities. Well, the Kraft stuff in the can. I'm not sure that's really cheese. But it's been sprinkled on pizza in very small quantities and hasn't been a problem for me.
Oh, and I'm not a fan of sausage, either, but I suspect it might be okay. Haven't checked. I eat ham or canadian bacon on pizza now in order to get some meat on it.
Good luck.
gg
Posted by Phillipa on April 5, 2006, at 22:13:56
In reply to Re: MAOI and Pizza ?, posted by gardenergirl on April 5, 2006, at 14:53:17
Well if I start an MAOI I am lucky I hate detest pizza!!!!!Most the fights with my husband are over this unhealthy food. I would rather have a salad that's just me. Love Phillipa
Posted by gibber on April 5, 2006, at 22:17:50
In reply to Re: MAOI and Pizza ?, posted by gardenergirl on April 5, 2006, at 14:53:17
On 75mg of Nardil I had no reaction to mozzarella. I think mozzarrella is very safe. This is not a "gateway" cheese however where you say "this is safe, I think I'll try some other cheese". Someone on this board had no reaction to mozzarrella so they thought it would be OK to try swiss and had a bad reaction. I have stayed away from pepperroni. Is provolone officially OK??
Posted by gardenergirl on April 6, 2006, at 0:42:09
In reply to Re: MAOI and Pizza ?, posted by gibber on April 5, 2006, at 22:17:50
> On 75mg of Nardil I had no reaction to mozzarella. I think mozzarrella is very safe.
Mozzarella and provolone are fresh cheeses, not aged. That is what makes them safe. Goat cheese is also fresh, but feta is more aged, so if you like either of those, make sure it's goat cheese.
> This is not a "gateway" cheese however where you say "this is safe, I think I'll try some other cheese".
Absolutely! Before I had any cheese, I went online to learn enough about how cheese is made to understand "fresh" versus "aged", because I had no clue before. It's the aging process that contributes the tyramine.
gg
Posted by MARTY on April 6, 2006, at 4:17:25
In reply to Re: MAOI and Pizza ?, posted by gardenergirl on April 6, 2006, at 0:42:09
Thanks to everyone on this thread I'll be soon eat a pizza :P thanks a lot!
About the pepperoni, I've read that is was okay on the most recent MAOI Diet paper I saw from Canadian researchers. But since it the only paper telling this I kind of sceptic. If nobody on this thread can tell us is pepperoni is okay I think it would be worth creating a new thread just for that :P I mean.. what is a pizza without pepperoni ?
BTW, do you think Bacon is ok on MAOI ? I love pizza with bacons (in very small meat ball) on top ...
Marty
Posted by gardenergirl on April 6, 2006, at 14:39:17
In reply to Re: MAOI and Pizza ? » gardenergirl, posted by MARTY on April 6, 2006, at 4:17:25
I've had no trouble with bacon.
gg
Posted by Caedmon on April 6, 2006, at 19:50:14
In reply to Re: MAOI and Pizza ? » MARTY, posted by gardenergirl on April 6, 2006, at 14:39:17
Bacon is not contraindicated as far as I know. "Smoked" bacon is. When in doubt, ask or look at ingredients on boxes. (Or abstain. I'm gaining a new appreciation for olives by the way.)
How can I go without pepperoni! What is a pizza without it? I'm sorry but ham and veggies is just NOT the same. :p
I'm gonna see if I can't photocopy that 1999 Sunnybrook study at the local university library. Maybe they elaborate somewhat.
- C
Posted by JaclinHyde on April 6, 2006, at 20:52:19
In reply to Re: MAOI and Pizza ?, posted by gardenergirl on April 5, 2006, at 14:53:17
Processed Mozz is ok. So all the chain brands are fine (Pizza Hut, Little Caesars etc.) If you are lucky enough to be living in my old home town of NY or Chicago...anywhere they make their own you would have to make sure that they used the processed kind. As for pepporoni it has always been on the list of no-no foods so I wouldn't have 'em.
JH
Posted by MARTY on April 6, 2006, at 23:54:22
In reply to Re: MAOI and Pizza ?, posted by Caedmon on April 6, 2006, at 19:50:14
Hi Caedmon --Is there any interaction between olive and MAOI ? you confused me a little in your last post.
So I see you feel like me about pepperoni.. LOL
Are you saying that when you eat pizza you also eat pepperoni ?Marty
> Bacon is not contraindicated as far as I know. "Smoked" bacon is. When in doubt, ask or look at ingredients on boxes. (Or abstain. I'm gaining a new appreciation for olives by the way.)
>
> How can I go without pepperoni! What is a pizza without it? I'm sorry but ham and veggies is just NOT the same. :p
>
> I'm gonna see if I can't photocopy that 1999 Sunnybrook study at the local university library. Maybe they elaborate somewhat.
>
> - C
Posted by MARTY on April 6, 2006, at 23:57:00
In reply to Re: MAOI and Pizza ?, posted by JaclinHyde on April 6, 2006, at 20:52:19
Processed Mozz = Pizza Hut :|
Talk about news I can use! LOL
Guess where I'll be tomorow for supper ? :PThank you --
Marty> Processed Mozz is ok. So all the chain brands are fine (Pizza Hut, Little Caesars etc.) If you are lucky enough to be living in my old home town of NY or Chicago...anywhere they make their own you would have to make sure that they used the processed kind. As for pepporoni it has always been on the list of no-no foods so I wouldn't have 'em.
>
> JH
Posted by Caedmon on April 7, 2006, at 10:57:43
In reply to Re: MAOI and Pizza ? » Caedmon, posted by MARTY on April 6, 2006, at 23:54:22
> Is there any interaction between olive and MAOI ? you confused me a little in your last post.
Sorry. My understanding is that olives are okay. Ham, veggies, etc. are okay. Pineapple is okay, if you like those Hawaiian pizzas. I've been eating a lot of olive and ham pizzas these days. (Getting ready for the low-tyramine diet.)
Sausage is obviously out. Anchovies, I hear contradictory stuff, but I never get them anyway so I don't care.
Pepperoni, for the time being, is out for me until I have more info. I want to read that study. However, I'm guessing that pepperoni can vary widely (considering that it's made from various meats and can have different shelf-lives) and so is probably not a good idea. I'll likely end up abstaining altogether.
I will miss you, pepperoni!
- C
Posted by gibber on April 7, 2006, at 11:48:01
In reply to Re: MAOI and Pizza ? » JaclinHyde, posted by MARTY on April 6, 2006, at 23:57:00
Are all american cheeses OK? They're all processed and don't strike me as being 'sharp' at all. So far I've been eating essentially kraft singles without any trouble.
Posted by gardenergirl on April 7, 2006, at 14:18:03
In reply to Re: MAOI and Pizza ?, posted by gibber on April 7, 2006, at 11:48:01
I've recently tried Kraft singles without a problem. It was nice to have a grilled cheese sandwich again. It's not so much that the allowed cheeses aren't "sharp". Havarti and muenster aren't sharp, at least to me, and they are aged and are no-no's, unfortunately.
I'm not convinced that the Kraft singles are actually cheese. ;) But perhaps the tyramine in them is quite low. I suspect if it's aged at all in the process of making it, it can't be for very long given how mass-produced it is.
gg
Posted by JaclinHyde on April 7, 2006, at 17:53:54
In reply to Re: MAOI and Pizza ? » gibber, posted by gardenergirl on April 7, 2006, at 14:18:03
American cheese is just fine and always on the list of the OK stuff to eat.
JH
Posted by MARTY on April 8, 2006, at 1:47:24
In reply to Re: MAOI and Pizza ?gibber, posted by JaclinHyde on April 7, 2006, at 17:53:54
Awww.. Pizza :P Base on the answer I got here I ate a Pizza at Pizza Hut this evening ..6 Hours later I am happy to report that I am alive and satisfied. :)
Thanks to everyone who answer my post ..
BTW, what is the time range for having an Hypertensive crisis after you ate something "Tyraminic" ?
What is the minimum reaction time ? 20 minutes ?
What the longer time it could happen ? 8 hours ?Marty
Posted by SLS on April 8, 2006, at 7:13:52
In reply to I ate my first MAOI pizza :) » JaclinHyde, posted by MARTY on April 8, 2006, at 1:47:24
> BTW, what is the time range for having an Hypertensive crisis after you ate something "Tyraminic" ?
> What is the minimum reaction time ? 20 minutes ?
> What the longer time it could happen ? 8 hours ?
Good questions.
I think my reaction to pepperoni occurred within 10 minutes. I have heard of latent reactions, but I don't know what the average or maximum times are. I seem to remember that it can be several hours before a reaction occurs.
- Scott
Posted by MARTY on April 8, 2006, at 22:14:52
In reply to Re: I ate my first MAOI pizza :), posted by SLS on April 8, 2006, at 7:13:52
10 Minutes? shouldn't be too hard to link the causative agent when it happens so fast.I think I would prefer this that way. I wouldn't prefer to wake up in the night, confused, with the baddest headache of my life.. I prefer que quick and clean "action, reaction" ..
SLS, How would you rate the pain suffered in your crisis ? any comparaison possible ?
Marty
> > BTW, what is the time range for having an Hypertensive crisis after you ate something "Tyraminic" ?
>
> > What is the minimum reaction time ? 20 minutes ?
>
> > What the longer time it could happen ? 8 hours ?
>
> Good questions.
>
> I think my reaction to pepperoni occurred within 10 minutes. I have heard of latent reactions, but I don't know what the average or maximum times are. I seem to remember that it can be several hours before a reaction occurs.
>
>
> - Scott
Posted by SLS on April 8, 2006, at 23:21:57
In reply to Re: I ate my first MAOI pizza :) » SLS, posted by MARTY on April 8, 2006, at 22:14:52
> SLS, How would you rate the pain suffered in your crisis ? any comparaison possible ?That's a tough one. I've never had a migraine, so I can't compare it to that. It was more that just a mild to moderate headache, though. What made mine unmistakable was that it produced a throbbing or pounding sensation at the base of my skull behind my neck (occipital). I was able to mitigate the intensity by remaining standing. If I sat down, it would worsen. I guess you have to take any headache seriously if it occurs in proximity to a suspect meal.
- Scott
Posted by gardenergirl on April 8, 2006, at 23:34:22
In reply to Re: I ate my first MAOI pizza :), posted by SLS on April 8, 2006, at 23:21:57
Mine (two in the past two years) have been as intense as my worst migraines, but do not alleviate with the things that normally help. And yes, the pounding and pain is awful and in a different part of my head than when I get a migraine.
I purchased a blood pressure monitor when I first started Nardil. Now when I try something for the first time that has been a "no-no", I take my BP before and after, and I start with small bites and go slow. Of course, the two times I had a reaction I was away from home and did not have it with me to correlate my BP with the reaction, unfortunately.
To paraphrase from Monty Python's "Meaning of Life", "It was the Tia Maria!" (versus the salmon). And it was in the cheesecake. ;)
gg
Posted by JaclinHyde on April 9, 2006, at 14:53:53
In reply to Re: I ate my first MAOI pizza :) » SLS, posted by MARTY on April 8, 2006, at 22:14:52
Isn't it interesting that we seem to all have had a hypertensive 'reaction" (I don't want to use the word crisis) and are still here to talk about it? Any way I have had two. I am not the headache kind of person, I am more of a stomach ache gal so when these hit they were unmistakable. They start in the back of the head and it makes you feel like your skull is going to crack in two. I took an aleve and a seroquel and fell asleep and was fine when I woke up (glad I DID wake up.) The offending things were old sour cream and (stupid me) one of those over the counter energy pills.
JH
Posted by ed_uk on April 9, 2006, at 19:35:15
In reply to Re: I ate my first MAOI pizza :), posted by JaclinHyde on April 9, 2006, at 14:53:53
Hi
It's not uncommon for a person who has been on an MAOI for a long period of time to have had one or more episodes of hypertension. Even so, fatalaties (or other serious outcomes!) are very rare.
Ed
Posted by TylerJ on April 11, 2006, at 15:47:38
In reply to Re: I ate my first MAOI pizza :) » SLS, posted by MARTY on April 8, 2006, at 22:14:52
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.