Ferment and age

Set apart deliberately. Nutritionally small, pharmacologically the loudest tier on the plate — see the MAOI state.

aged cheese · cured meat · soy sauce · miso · yeast extract · unpasteurised beer · kimchi · sauerkraut

5% of a day's food, roughly. A proportion, not a prescription.

What takes this tier off the plate

On a monoamine oxidase inhibitor — OFF THE PLATEAged, cured and fermented food carries TYRAMINE, produced by bacterial decarboxylation of tyrosine. Normally gut and liver MAO-A destroy it. With that enzyme blocked it is absorbed intact and displaces noradrenaline — the hypertensive "cheese reaction".

Mechanism: tyramine-load

Fasting — SUSPENDEDBy intention, for a bounded period.

Dieta — preparation before a rite — OFF THE PLATEThe same amine hazard, for the same enzymatic reason, where the preparation involves an MAO inhibitor.

Mechanism: tyramine-load

← the whole plate

Educational only. This is a frame for thinking about food, not medical or dietary advice, and it does not replace a clinician or a pharmacist. Where a state names a drug interaction, the mechanism and its citations live in interactions-data.mjs — read those before relying on any of it.

This is a screener, not a diagnosis, and it cannot establish any medically determinable impairment. It produces a list of questions and specific tests to bring to a clinician. Nothing here is a finding, a clearance, or a result. If any page renders this as a conclusion about a person, that page is wrong.