Surprising news on low tyramine diet and migraine

Hi all,

Well this is not surprising to me as I’ve never noticed any food triggers:

So does this mean we don’t have to worry about low tyramine diets anymore?

For me Pizotifen and vestibular physiotherapy since January this year has got me to almost completely better. I have also been doing the 6 Cs diet as advised by Dr Surenthiran. But I recently saw Professor MacGregor, a migraine and hormone specialist, who told me about this latest study on tyramine. She advised me not to
worry about doing the diet! But not sure…


I was told that too. I eat what I want. Only watch caffeine. I’m less worried about alcohol now and use it to relax occasionally (in moderation!).

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Thanks for posting this. Very interesting read, particular the very last sentence:

Ensuring regular food intake is likely to be much more beneficial to most migraine sufferers than concern about the type of food eaten.

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What is the 6 C’s diet? No chocolate, citrus, what else?

I find that gluten and dairy are my biggest triggers. MSG too labeled often as “natural flavoring” in processed foods too. Yogurt and over-ripe fruit as well seem problematic probably due to the aged quality- I do think that tyramine may influence the head pressure.

Alcohol used to be okay for a while but I think I’ve reached a point where I need to cut that out.

Also cheese (but includes yoghurt, cream, buttermilk etc, a little milk and butter are ok); Chinese (and other foods containing large amounts of msg); chianti (or any red wine- I’m ok with white) and caffeine is the last one, limit the amount of decaf if you must drink it. On top of this no fresh bread, it must be 24 hours old, and eggs can be a problem for some my doctor says.


Whilst reading up abt tyramine diets just happened on this post of yours which mentioned you have met up with Professor MacGregor who is ‘migraine and hormone specialist’, and as you’ve recently posted an updated Success Story just wondered, can I ask if she gave you any insight into MAV and hormones which you might still remember and could pass on to current active female members alot of whom appear to have hormone related MAV. Just a long shot really. Thanks. Helen

I desperately thought seeing Professor MacGregor would have been the answer; lack of oestrogen due to menopause was surely causing MAV. But she told me to leave well alone, as I hadn’t suffered any menopausal symptoms! So no oestrogen patch nor pill recommended. She did say Dr S knows his stuff but she didn’t agree about the 6c diet.

Sorry it’s not helpful, but I stuck to Dr S’ treatment but wasn’t quite so strict with the diet.

Thanks for reply. No need to apologise. What she said and didn’t do indicates her opinion which didn’t come as a surprise to me from what I’ve read. It’s certainly worth everyone knowing what she’d said as she is eminent in her field. Thanks again for sharing. Helen

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An interesting statement

”Reploeg and Goebel found a reduction of at least 75% in the frequency of attacks of dizziness in 72% of patients with migraine related dizziness who were treated with either a tyramine restrictive diet alone or diet in combination with nortriptyline or atenolol.9

Then there’s me and I was on a low histamine, tyramine, oxalate diet then healed my leaky gut and can now eat what I want again without the vestibular migraine triggers. It depends on the cause of your migraines if food avoidance and leaky gut are needed to be looked at. If food triggers you then I would think naturally the next step is to figure out the group of foods that bother you, what they have in common, then understand what changed to make them a trigger.

It’s not fair for a practitioner to say they don’t believe in what helps others too, migraines are a nuerological condition that has various causes.