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Tyramine Rich Foods: Understanding the Impact on Your Health

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Tyramine is a naturally occurring amino acid 
  • Found in some fermented and aged foods 
  • May help regulate blood pressure, but excess can cause migraines and high blood pressure 
  • Interaction with Monoamine oxidase inhibitors (MAOIs) can be harmful 
  • Knowing which foods are high in tyramine can help manage health issues 
  • Following a low-tyramine diet may be beneficial for those with migraines or taking MAOIs 
     

Introduction 

Certain food types can stir up health issues for some people. One’s diet can impact their health tremendously. One such component of the diet is tyramine. This stuff might impact your health, more so if you catch migraines easily or use certain pills. It’s key to learn about the task of tyramine-rich foods in your meals and how to bring about the right diet tweaks. 

In this blog, we’ll look at tyramine uses, what tyramine does, its natural sources, tyramine rich foods and what it does to health. We’ll also delve into the tie between tyramine and monoamine oxidase inhibitors (MAOIs). We’ll examine the reach of tyramine rich foods on headaches and blood pressure balance. Lastly, we’ll talk about food types to keep away from or lessen to hold to a low-tyramine diet. 

tyramine rich foods

What Is Tyramine? 

Tyramine is formed from the amino acid called tyrosine. This acid forms an important link for proteins. Tyramine does many tasks in the body, one being blood pressure control. Most of the time, tyramine is harmless, but it can lead to health issues in specific events. 

1. Chemical structure and properties 

Tyramine falls under the large family of compounds known as monoamines. Among them are brain chemicals like dopamine and serotonin. Its form is close to these brain chemicals and helps with signal passing within the nerves. 

2. Natural occurrence in foods 

Certain food types, especially those that go through aging or brewing steps, house tyramine. It is seen often in aged cheeses, cured meats, soy items, wine, and some aged veggies. 

3. Formation during the fermentation and aging process 

As food ages and brews, proteins break down into smaller parts like tyramine. For some foods, tyramine amounts soar during the aging step. This causes high tyramine levels in the end product. 

Did you know?

  • Tyramine has a high affinity for binding Trace amine-associated receptors (TAARs) in the central nervous system and periphery. source: NCBI
  • Ingestion of high tyramine containing foods in patients taking monoamine oxidase inhibitors (MAOIs) can lead to hypertensive crisis. source: NCBI 
  • Tyramine has long been shown to cause cardiovascular effects when consumed in large amounts. source: NCBI 
  • Tyramine and other biogenic amines formed from decarboxylation of amino acids have been minimized in food production. source: NCBI 
  • Tyramine-containing foods are known triggers for patients with migraines. source: NCBI 

Health Impact of Tyramine 

Tyramine is usually present in our bodies and it’s mostly harmless. But too much of it can spark health issues. This is more common in people who react intensely to its effects or are on certain pills. 

1. Monoamine oxidase inhibitors (MAOIs) and tyramine 

Monoamine oxidase is an enzyme in the body that degrades monoamines like dopamine, noradrenaline, tyramine, serotonin, etc. Monoamine oxidase inhibitors (MAOIs) inhibit the monoamine oxidase thus increasing the levels of monoamines and were made to handle mental issues like depression and worry. These pills work well but can cross paths with tyramine. This can result in bad side effects that could be damaging.MAOIs prevent the enzyme from breaking tyramine down in the body. Thus, those on MAOIs risk high tyramine levels in their blood. This could result in unwanted effects like a sudden blood pressure rise, also known as a hypertensive crisis. Now if someone using an MAOI eats ftyramine rich foods, there can be a risky build-up of tyramine. High levels could then lead to serious health problems, such as a rise in blood pressure. This could result in a stroke, heart attack, or other life-threatening issues. 

2. Migraines and headaches 

Tyramine has been tied to migraines and headaches for some people. We don’t fully understand why just yet. However, it may be that certain substances released in response to tyramine may lead to the expansion and shrinking of vessels in the brain that may set off migraines. Therefore, by following a diet low in tyramine, one can reduce the risk of getting migraines. 

3. Blood pressure regulation 

As noted before, tyramine helps keep blood pressure in check by pushing out chemicals that make blood vessels expand and contract. But, if tyramine levels in the body get too high, it could lead to sudden blood pressure spikes. This could be bad news, more so in people who already have high blood pressure issues. Thus, monitoring the intake of tyramine via diet is of paramount importance. 

Tyramine Sensitivity 

Some people might be more sensitive to tyramine than others. This sensitivity might be due to genes, existing health issues, or other causes we don’t fully understand as of now. 

Symptoms and causes 

People who are sensitive to tyramine might feel a range of things, like headaches, migraines, fast heartbeat, and flushing. High tyramine levels in the body trigger these feelings. This could come from eating foods loaded with tyramine. 

How to manage tyramine sensitivity 

If you think you might be sensitive to tyramine, it’s crucial to talk to a healthcare expert. They can help figure out why you have those symptoms. They might suggest sticking to a low-tyramine diet to cut down the risk of a reaction. They can guide you on food choices and other options that are right for your specific needs and likes. 

 Here’s a quick summary of the above-mentioned points: 

Risk Factor Symptoms Management 
MAOI treatment Sudden blood pressure rise Watch and limit tyramine intake 
Excess dietary intake Migraines raise blood pressure Low-tyramine diet 
Tyramine sensitivity Rapid heartbeat, flushing Guidance from healthcare experts 

Based on my observations, aged, matured, and fermented foods such as pickles are a great source of tyramine. Though your body can produce tyramine, there are no side effects if you indulge in external sources of tyramine.

Dr. Siddharth Gupta, B.A.M.S, M.D

Categorizing Tyramine Content in Foods 

Knowing foods high intyramine  will help people pick which ones to stay away from or limit in their diet. Below, we’ll show you a list of high, moderate, and low or no tyramine foods. 

Food can be divided into three big groups based on their tyramine levels: high, moderate, and low or no. 

1. High tyramine foods 

These include: 

  • Aged cheeses (like cheddar, blue, Swiss, and Parmesan) 
  • Fermented or cured meats (like salami, pepperoni, summer sausage) 
  • Fermented soy products (like miso, tempeh, soy sauce) 
  • Some fruits and veggies (like overripe bananas, and avocados) 

2. Moderate tyramine foods 

These include: 

  • Some dairy items (like American cheese, cottage cheese, ricotta) 
  • Certain fruits and veggies (like citrus, raspberries, eggplant) 
  • Chocolate 

3. Low or no tyramine foods 

These include: 

  • Fresh, frozen, canned meats and fish 
  • Fresh, canned, frozen fruits and veggies 
  • Dairy products that are not fermented (like milk, and yogurt) 

Based on my observations, people who are on Monoamine Oxidase Inhibitors (MAOI) medications must avoid foods that are rich in tyramine. These medications might be useful in symptomatic relief of diseases like depression, infections, etc. Your body may not be able to process tyramine in a good way while on these medications. Therefore, you must avoid tyramine-rich foods while on MAOI medications.

Dr. Rajeev Singh, BAMS

Examples of Foods to Avoid or Limit 

To better track your tyramine intake, take note of the following foods to steer clear of or limit: 

1. Protein-rich foods and aged/fermented products 

Tyramine rich foods contain protein that include aged cheeses like cheddar or blue cheese, cured meats, salami, and smoked fish. It’s key to eat these sparingly or not at all if you’re trying to limit your tyramine intake. 

2. Certain vegetables and fruits 

Overripe bananas and avocados, along with some veggies like eggplant and raspberries can also carry lots of tyramine. Aim for fresh produce to keep tyramine levels low. 

3. Alcoholic beverages and caffeinated drinks 

Alcoholic drinks, like beer and red wine, can have different tyramine levels. Some coffee or tea drinks may also carry tyramine. It’s best to drink alcohol sparingly and opt for decaf versions of your favorite drinks if you’re concerned about tyramine intake. 

Here’s a quick heads-up on the next box: 

Tyramine Content Food Examples 
High tyramine Aged cheeses, cured meats 
Moderate tyramine Dairy, chocolate, fruits/veggies 
Low or no tyramine Fresh meats, fruits, veggies 

Also Read: Is Brie Cheese Healthy? A Comprehensive Nutritional Analysis

Following a Low-Tyramine Diet 

If a healthcare provider has suggested you stick to a low-tyramine diet, follow these steps to make the change smoother: 

1. Tips for limiting tyramine intake 

  • Go with fresh instead of aged or brewed foods 
  • Store food right and eat it as soon as you can 
  • Cook food in ways that cut down tyramine levels (like steaming or boiling) 

2. Low-tyramine meal plan example 

Here’s a meal plan sample including low-tyramine foods: 

Breakfast, lunch, and dinner ideas 

  • Fresh fruit smoothie with yogurt 
  • Grilled chicken salad with fresh veggies and a light vinaigrette 
  • Steamed fish with quinoa and mixed veggies on the side 

3. Snack options 

  • Apple slices with almond butter 
  • Carrots with hummus 
  • Low-fat Greek yogurt with a few berries 

When to Seek Professional Advice 

If you think a low-tyramine diet might be good for you, talk about it with a dietitian or a healthcare provider. They can help you build a food plan that fits you. 

Have a look at the next box: 

Tips for a Low-Tyramine Diet   
Limit intake by picking fresh and non-aged foods 
Choose low tyramine meal plans 
Seek professional support before initiating anything on your own. 

Conclusion 

Knowing the role of tyramine in health and where high-tyramine foods come from can help people make smart food choices. For those who react strongly to tyramine or are on MAOIs now, following a low-tyramine diet is key to avoiding the risk of harmful side effects of tyramine. 

It’s important to keep in mind how tyramine can affect health. Also, know which foods to cut down on or skip. Talking with a dietitian or a healthcare provider can go a long way in dealing with tyramine issues and boost overall health. 

Frequently Asked Questions (FAQ) 

What are the common symptoms of tyramine sensitivity? 

Symptoms might be headaches, migraines, fast heartbeat, and flushing. 

How can I find out if I’m sensitive to tyramine? 

Talk with a healthcare pro or dietitian to check your tyramine level. You can do it through personal food tracking or medical checks. 

Are there options for MAOIs that don’t need a low-tyramine diet? 

Yes, other pills like selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may be given for depression or worry if MAOIs don’t work well. 

Can I slowly bring back high-tyramine foods after stopping the MAOI treatment? 

Yes, once you stop using MAOIs, you can slowly bring back high-tyramine foods to your food plan. But remember, always talk to your healthcare pro before making any diet changes. 

Does coffee have tyramine?

Yes, coffee typically contains minimal amounts of tyramine. While it is not entirely devoid of tyramine, the levels are generally considered low, making coffee a relatively safe choice for individuals sensitive to this compound.

Can tyramine cause heart palpitations?

Tyramine has been associated with triggering heart palpitations in some individuals. High levels of tyramine, particularly in certain foods, may contribute to increased blood pressure, potentially leading to heart palpitations in sensitive individuals.

Are potatoes high in tyramine?

Potatoes are generally considered low in tyramine, making them a suitable choice for individuals on a low-tyramine diet. However, individual tolerance may vary, and it’s advisable for those with sensitivities to monitor their reactions to specific foods.

Are chickpeas high in tyramine?

Chickpeas are typically low in tyramine, making them a safe choice for individuals following a low-tyramine diet. However, it’s important for individuals with specific sensitivities to monitor their own responses to foods.

Are eggs high in tyramine?

Eggs are generally low in tyramine, making them a suitable option for individuals on a low-tyramine diet. However, individual sensitivities may vary, so it’s advisable for those with specific concerns to monitor their reactions to different foods.

Are mushrooms high in tyramine?

Mushrooms are considered moderate to high in tyramine, and individuals sensitive to this compound may want to exercise caution. Monitoring one’s response to mushrooms is advisable for those on a low-tyramine diet or with known sensitivities.

Are bananas high in tyramine?

Bananas are generally low in tyramine, making them a safe choice for individuals following a low-tyramine diet. However, individual tolerances may vary, and it’s advisable for those with sensitivities to monitor their own responses to specific foods.

Are tomatoes high in tyramine?

Tomatoes are considered moderate in tyramine content, and individuals sensitive to this compound may need to exercise caution. Monitoring personal reactions is advisable for those on a low-tyramine diet or with specific sensitivities.

Are nuts high in tyramine?

Nuts, including almonds and walnuts, are generally considered to have moderate to high tyramine levels. Individuals with sensitivities may need to monitor their intake, especially if following a low-tyramine diet.

Are apples high in tyramine?

Apples are typically low in tyramine, making them a safe choice for individuals on a low-tyramine diet. However, individual sensitivities can vary, and monitoring personal reactions to different foods is advisable.

Does popcorn have tyramine?

Popcorn is generally considered low in tyramine, making it a suitable option for individuals on a low-tyramine diet. However, personal sensitivities may vary, and those with specific concerns should monitor their reactions to different foods.

Does milk have tyramine?

Milk is typically low in tyramine, making it a safe choice for individuals on a low-tyramine diet. However, individual tolerances may vary, and it’s advisable for those with sensitivities to monitor their responses to specific foods.

Does broccoli have tyramine?

Broccoli is generally considered low in tyramine, making it a suitable choice for individuals on a low-tyramine diet. However, individual sensitivities may vary, and monitoring personal reactions to different foods is advisable.

Does tea have tyramine?

Tea, especially black and green tea, is generally low in tyramine, making it a safe choice for individuals on a low-tyramine diet. However, it’s essential to be aware of individual sensitivities and monitor responses to specific foods and beverages.

Does chocolate have tyramine?

Yes, chocolate contains tyramine, and for individuals sensitive to this compound, it can potentially trigger adverse effects such as headaches. Monitoring chocolate intake may be advisable for those on a low-tyramine diet or with specific sensitivities.

Does peanut butter have tyramine?

Peanut butter is generally considered to have moderate to high tyramine levels. Individuals with sensitivities may need to monitor their intake, especially if following a low-tyramine diet.

Does tyramine increase blood pressure?

Yes, tyramine has the potential to increase blood pressure. In individuals sensitive to tyramine or those taking certain medications, consuming high-tyramine foods may lead to a rise in blood pressure, posing a risk of hypertensive crises.

How long does tyramine stay in your system?

Tyramine typically stays in your system for a few hours, with an elimination half-life of around 20 minutes. However, individual differences and metabolism can affect how long it lingers in the body.


Does butter have tyramine?

Butter typically contains low levels of tyramine, making it generally safe for consumption for those sensitive to tyramine or on MAOIs. However, individuals with specific concerns should consult with a healthcare professional for personalized advice.

What is tyramine intolerance?


Tyramine intolerance refers to an individual’s sensitivity or inability to properly metabolize tyramine, a compound found in certain foods. Symptoms may include headaches, elevated blood pressure, and other adverse reactions, particularly in those with conditions such as migraines or taking MAOIs.

What is a low-tyramine diet?

A low tyramine diet restricts foods high in tyramine, a compound linked to adverse reactions in some individuals, particularly those on MAOIs or with tyramine sensitivity. It typically involves avoiding aged, fermented, and processed foods, opting instead for fresh options like fruits, vegetables, and lean proteins.

References: 

  1. National Center for Biotechnology Information (NCBI). Monoamine Oxidase Inhibitors (MAOI) [Internet]. [cited 2023 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539848 
  1. PubMed. Myocardial Injury from Tranylcypromine-Induced Hypertensive Crisis Secondary to Excessive Tyramine Intake [Internet]. [cited 2023 Aug 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/30083815 
  1. PubMed. Mechanisms of the antilipolytic response of human adipocytes to tyramine, a trace amine present in food [Internet]. [cited 2023 Aug 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/30039351 
  1. PubMed. A reassessment of the safety profile of monoamine oxidase inhibitors: elucidating tired old tyramine myths [Internet]. [cited 2023 Aug 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/30255284 
  1. PubMed. The larger than linear effect of high-dose tyramine on systolic blood pressure – the MAOI diet modified [Internet]. [cited 2023 Aug 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/32302247 
  1. PubMed. The trace amine theory of spontaneous hypertension as induced by classic monoamine oxidase inhibitors [Internet]. [cited 2023 Aug 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/34373944 
  1. PubMed. Food sources and biomolecular targets of tyramine [Internet]. [cited 2023 Aug 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/30165672 
  1. National Center for Biotechnology Information (NCBI). Regular Consumption of Sauerkraut and Its Effect on Human Health: A Bibliometric Analysis [Internet]. [cited 2023 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268643 
  1. National Center for Biotechnology Information (NCBI). Level of Biogenic Amines in Red and White Wines, Dietary Exposure, and Histamine-Mediated Symptoms upon Wine Ingestion [Internet]. [cited 2023 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6804232 
  1. National Center for Biotechnology Information (NCBI). Biochemistry, Tyramine [Internet]. [cited 2023 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563197 
  1. American Heart Association. Hypertensive Crisis: When You Should Call 911 for High Blood Pressure [Internet]. [cited 2023 Aug 14]. Available from: https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/hypertensive-crisis-when-you-should-call-911-for-high-blood-pressure 
  1. National Center for Biotechnology Information (NCBI). Hypertensive crisis and cheese [Internet]. [cited 2023 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2738414 
  1. National Center for Biotechnology Information (NCBI). Sensitivity to food additives, vaso-active amines, and salicylates: a review of the evidence [Internet]. [cited 2023 Aug 14]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604636 

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