Tyramine Restricted

Low Monoamine (LMA) Diet

General Description

To provide a diet that limits foods that are major sources of tyramine and other monoamines. This diet also assures that a majority of the end products of neurotransmitter metabolism that are measured in urine, blood, and CSF are derived from endogenous metabolism and not from metabolism of monoamines of dietary origin. Thus, this diet should eliminate confounding results in routine metabolic measurements.

Indications for Use

The LMA diet is to be used specifically for patients who are in research studies requiring restrictions of dietary amines.

Nutritional Adequacy

In comparison to Recommended Dietary Allowances, this diet is nutritionally adequate with the same exceptions as for the regular diet.

Guidelines

• Limit caffeinated beverages to one serving (8 oz.) per day, or as ordered.
• Avoid all foods and beverages containing aspartame. (THIS RESTRICTION APPLIES TO NIAAA PATIENTS ONLY).

Food Groups	Foods Allowed	Foods Not Allowed
Dairy	Milk, cottage cheese, cream cheese, sour cream, yogurt, buttermilk.	Chocolate milk; all aged cheeses (examples: cheddar, swiss, blue, American, mozzarella), imitation cheese.
Meat or Substitute	Any fresh beef, poultry, lamb, veal, fish, pork, ham (except country), bacon, hot dogs, canned tuna or salmon, peanut butter.	Aged, smoked, pickled, tenderized meat, fish, poultry, beef liver, chicken liver, herring, dried fish, lox, caviar, anchovies, brain, pepperoni, dry or breakfast sausage, game, country ham.
Eggs	Any except in combination with foods not allowed.	Any prepared with cheese not allowed.
Potato or Substiute	Potato, rice, noodles, potato chips.	Potato or substitute made in combination with foods not allowed.
Vegetables	Any except those not allowed.	Eggplant, tomato, any vegetable made in combination with foods not allowed, Italian bread, beans, fava beans, sauerkraut.
Fruit & Fruit Juices	Any except those not allowed. Fruit cocktail and any other foods containing pineapple in small amounts are allowed.	Avocado, banana, pineapple, figs, plums, raisins, prunes, prune juice, oranges, orange juice.
Bread & Cereals	All except those not allowed.	Breads containing raisins, prunes, oranges or orange peel, banana, pineapple, cheese, or walnuts. Cereals containing raisins, walnuts, or bananas.
Fats	All	None
Beverages	Gatorade, Koolaid, Tang, decaffeinated coffee or tea, carbonated beverages without caffeine. Only 8 oz. per day of one of the following regular coffee, tea, or cola beverages containing caffeine.	Coffee, tea, cola, carbonated beverages except as noted. Chocolate, cocoa, wine, alcohol, nonalcoholic beer.
Soups	Any except those containing ingredients not allowed.	Any prepared with foods not allowed such as cheese or tomato soup.
Desserts/ Sweets	Any except those not allowed.	Desserts containing walnuts, chocolate, coffee, alcohol, or fruits that are not allowed such as in fruit cake and mince pie.
Miscellaneous	Sugar, salt, pepper, spices, seasoning, herbs, mustard, vinegar, vanilla. Hard candies, coconut, caramel, jelly, chewing gum, all nuts except walnuts, monosodium glutamate. Soy sauce and worcestershire sauce are allowed as a minor ingredient in a prepared food (acceptability determined by the Clinical Nutrition Service).	Walnuts, catsup, chili and cocktail sauce, olives, concentrated meat, and yeast extracts (Brewer's Yeast, Marmite), chocolate or coffee flavored candy, packaged/bottled soy sauce or worcestershire sauce when used as a condiment.