With a smart order at your favorite restaurant you can easily avoid a painful migraine attack.
You all know, migraine can strike you anywhere. This unfortunately includes your favorite restaurant where you are planning a nice dinner at a weekend, as many foods can serve as dietary triggers for some. Here I am providing some helpful tips to help navigate the menu and avoid the foods that could trigger an attack.
At the Burger Joint: Skip all types of pickles, try some raw cucumber.
Many burger toppings can be a migraine triggers for you, all due to tyramine, so next time you hit that fave joint, avoid few items like cheddar, raw onion sauerkraut (for your non-traditionalist) or blue cheese. Pickled foods are rich in tyramine, so you should consider laying off that risky pile of pickles. It may sound weird but you can get the same satisfying crunch with some raw cucumber, so it‘s best to ask your server for this swap-out.
At the Small Plates Spot: Skip the brie, try the mozzarella.
If you’re planning to start or end with a cheese plate, know that aged cheeses such as blue, cheddar, Swiss, brie, Roquefort and parmesan contain a compound called tyramine. This compound can trigger a migraine attack in some. According to National Headache Foundation, limiting intake of aged cheese to just four ounces is a good option but if you don’t want to take chances, choose fresh cheese like ricotta and mozzarella.
At the Pizza Cart: Skip the pepperoni, try a classic.
Dried, aged, smoked or fermented meats are high in tyramine, so that beautiful pepperoni-pizza could lead to a severe headache for some. Stick to a classic margarita version (mozzarella cheese is tolerable), or load up your slice with some veggies.
At any Sushi Spot: Skip the teriyaki, instead try steamed.
Fermented soy products, such as soy sauce, miso, and teriyaki sauce can trigger migraine attacks thanks to their super high tyramine levels. So if tyramine triggers your migiranes, the teriyaki or sushi place around the corner might not be the best idea for a nice lunch out. Never fear-ask for grilled or steamed entrée instead, and learn to love your sushi without dousing it with tons of sauce. National Headache Foundation suggests limiting all types of sauces to just two ounces per day.
At the Salad Bar: Skip those snow peas, try …anything else.
You get all the nourishment when sticking to fresh, raw veggies at a salad bar, except for snow peas, as they are rich in tyramine. Broad beans like favas also have tyramine, so avoid them as well. And about dressing: Citrus such as lemon, orange, and lime may have some tyramine. National Headache Foundation suggests a low-tyramine diet limiting citrus to just ¼ cup serving a day, so spritz of some lemon on your favorite salad hopefully won’t be an issue.
Not sure if tyramine is a migraine trigger for you? Keeping a close watch on all that you eat in your migraine diary can definitely help you determine which of the foods can be migraine triggers. And once you have some idea on triggers, restaurants and eating joints can become less of a migraine landmine-and more of a enjoyable destination they are meant to be.