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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by ivan79 on July 10, 2007, at 18:32:43
I have a question for those of you taking an MAOI and consider yourself diet compliant. I just started the diet (will begin taking the MAOI parnate in two more weeks after an SSRI washout period.) I know I can eat frozen and fresh meats, but I live a hectic lifestyle. I'm willing to give up fast food and highly processed food with the forbidden ingredients from the most recent research... but I am concerned about not being able to eat something as simple as a lunch meat sandwich. Are there any brands of lunch meat that MAOI takers can eat safely? I'm not really looking for "Well I've never had a reaction to..." even though it contains what we are not supposed to eat. Being compliant is critical to me, because I CANNOT afford the hospital bill that comes with a hypertensive crisis.. and quite frankly, i don't want to drop dead. Also, how do you manage eating dining out? That seems next to impossible. Right now, all I feel like I'm eating is carbs and aMINIMAL amount of protein. That's not healthy at all. I am starting to wonder if perhaps they may not be a good medicine choice for me. However, my pdoc and I have exhausted all other options.
Posted by brooke484 on July 10, 2007, at 19:31:44
In reply to Maoi Diet - Lunch meats and Dining out, posted by ivan79 on July 10, 2007, at 18:32:43
In my booklet it says that lunch meat is ok except for salami. I've eaten ham and turkey with no problem.
brooke
Posted by brooke484 on July 10, 2007, at 19:54:06
In reply to Maoi Diet - Lunch meats and Dining out, posted by ivan79 on July 10, 2007, at 18:32:43
Sorry. I read your post too fast. You didn't want to hear about my personal experience.
brooke
Posted by missjulie on July 10, 2007, at 21:46:24
In reply to Maoi Diet - Lunch meats and Dining out, posted by ivan79 on July 10, 2007, at 18:32:43
I take Parnate and like you was very concerned about the diet/hypotensive crisis. Per your request I won't go into what I do and and don't eat, but I consider myself compliant and hope you have the latest diet info. Like Brooke other poster, there is no mention of lunch meat whatsoever in mine. Am not sure why restaurants pose such a problem - caution yes, problem no. Fast food forbidden - why? I urge you to get the latest information available on the diet -- see a nutritionist before you start if it's that big a concern (I did).
below an interesting article you may not have seen.from journal of clinical psychiatry
BACKGROUND: Many monoamine oxidase inhibitor (MAOI) diets are considered to be excessively restrictive and founded on poor scientific evidence. We present a safe and practical MAOI diet based on the related clinical and analytic data. METHOD: We used a critical review of the literature and our own tyramine assay results to categorize foods to be restricted absolutely, taken in moderation only, or unrestricted. RESULTS: We recommend that users avoid aged cheese; aged or cured meats (e.g., air-dried sausage); any potentially spoiled meat, poultry, or fish; broad (fava) bean pods; Marmite concentrated yeast extract; sauerkraut; soy sauce and soy bean condiments; and tap beer. Wine and domestic bottled or canned beer are considered safe when consumed in moderation. Other foods not mentioned are considered unrestricted. CONCLUSION: The concerns about perpetuating an overly restrictive MAOI diet include the avoidance by prescribers of a potentially useful treatment option, excessive limitations on lifestyle for patients, and increased risk to patients secondary to noncompliance with the diet. We propose an MAOI diet that has a solid scientific and clinical basis and that is, above all, practical.
Posted by Darkness At Noon on July 11, 2007, at 6:34:22
In reply to Maoi Diet - Lunch meats and Dining out, posted by ivan79 on July 10, 2007, at 18:32:43
> I am concerned about not being able to eat something as simple as a lunch meat sandwich. Are there any brands of lunch meat that MAOI takers can eat safely?
Two different pdocs, prescribing two different MAOIs, expressly said sliced turkey breast and tuna fish are safe. That takes care of a lot of lunches. (Heck, it would even keep my cat happy.)
> Also, how do you manage eating dining out? That seems next to impossible. Right now, all I feel like I'm eating is carbs and aMINIMAL amount of protein. That's not healthy at all. I am starting to wonder if perhaps they may not be a good medicine choice for me. However, my pdoc and I have exhausted all other options.
For many years, I have attempted to minimize the carbs in my diet (relative to how our society eats them). One way is not to eat everything you order. Eat the sandwich meat, but only one or neither piece of bread. Push half the fries/pasta off the plate. Salad bars (excepting beans) generally meet MAOI criteria.
When eating out, for MAOI purposes, I am most suspicious of sauces and gravies.
I hope this helps.
Posted by Racer on July 11, 2007, at 11:16:40
In reply to Maoi Diet - Lunch meats and Dining out, posted by ivan79 on July 10, 2007, at 18:32:43
This isn't quite what you're looking for, but for restaurants a good friend of mine who takes Nardil has made up a little business card sized list of what she can't eat. She gives it to the waiter, and asks that the kitchen look it over and make sure nothing on it is in what she's ordering. I thought that was a great idea -- she is an awfully smart cookie, as well as being very loveable -- and if I do try an MAOI, I'll do it, too. (It's unlikely, since they're pretty much contraindicated for those with my dx, but you never know...)
Also, like the others, my pdoc has talked to me about the MAOI diet, and the fact that it's not nearly as restrictive as used to be thought. He's got a great reputation around here, and has patients sent from overseas to see him, so I tend to trust what he has to say about these things.
Good luck.
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