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fish sauce

fish sauce

Condiments & Sauces

Is fish sauce high in tyramine?

Tyramine status
High

Is fish sauce high or low in tyramine? See its exact rating, how much counts as a portion, and its FODMAP, salicylate, oxalate and diet compatibility in one place.

Sensitivity notes

Why tyramine food checker matters

Tyramine is an amino acid that forms when proteins break down. It's found in aged, fermented, or spoiled foods. For people taking MAO inhibitors or those with tyramine sensitivity, it can cause headaches, elevated blood pressure, and other reactions.

  • Choose fresh over aged, fermented, or preserved foods
  • Eat protein foods fresh and store properly
  • Be especially careful if taking MAO inhibitor medications
  • Common high-tyramine foods include aged cheese, cured meats, and soy sauce
  • Ripeness affects tyramine - choose less ripe fruits

Sensitivities

What fish sauce contains

FODMAPs

FODMAPsLow
FructansSafe
GOSSafe
FructoseLow
PolyolsSafe
LactoseSafe

Histamine & Amines

HistamineAvoid
Histamine LiberatorsAvoid
TyramineHigh

Plant compounds

SalicylatesSafe
OxalatesSafe
LectinSafe
NightshadesSafe

Irritants

CaffeineSafe
AlcoholSafe
Spicy FoodsSafe
Acidic Foods

Additives

SulfitesLow
NitritesSafe
GlutamatesModerate

Allergens

Dairy ProteinsSafe
GlutenSafe
EggSafe
PeanutSafe
Tree NutsSafe
SoySafe
FishAvoid
CrustaceansSafe
MolluscsSafe
SesameSafe
CelerySafe
MustardSafe
LupinSafe
Alpha-galSafe
NickelSafe

Diet fit

Where fish sauce fits

Therapeutic diets

Low HistamineAvoid
Low SalicylateAvoid
Low FermentationLow
EoE CompatibleAvoid
AIPCheck
InflammationCheck
Reflux DietCheck
Specific CarbohydrateCheck
Low FibreFit
Gastroparesis DietFit

Lifestyle diets

VeganAvoid
VegetarianAvoid
PescatarianFit
MediterraneanFit
DASH DietCheck
PaleoFit
Whole30Check
KetoFit
Low-carbFit

Religious diets

HalalFit
KosherCheck
Hindu (no beef)Fit
JainAvoid
Buddhist VegetarianAvoid
Orthodox FastingAvoid
Ingredient notes

What to know about fish sauce

Fish sauce is one of the highest-histamine ingredients in the kitchen. It is made by fermenting salted anchovies for months, and that slow breakdown of fish protein loads it with histamine and tyramine. On top of that it acts as a histamine liberator, nudging your body to release its own histamine, so even a splash in a stir-fry or dressing can trigger flushing, headache or a racing heart if you have histamine intolerance. It also carries moderate free glutamate, the umami compound behind its savory depth.

Watch for

  • Very high in histamine because it is aged fermented anchovy, a classic trigger for flushing, hives, headache or a stuffy nose
  • Doubles as a histamine liberator, so it can set off symptoms beyond its own histamine load
  • High in tyramine, which matters if you are on an MAOI or get tyramine-linked migraines
  • Moderate free glutamate gives the umami kick but can bother people sensitive to MSG-like additives
Learn More

Tyramine Guide

Everything you need to know about tyramine sensitivity and smart food choices.

Tyramine is an amino acid that forms when proteins break down. It's found in aged, fermented, or spoiled foods. For people taking MAO inhibitors or those with tyramine sensitivity, it can cause headaches, elevated blood pressure, and other reactions.

Sensitivity varies widely. What triggers one person may be fine for another. Track your reactions to find your personal threshold.

These foods are generally well-tolerated for Tyramine sensitivity:

View all safe options

These foods have moderate levels and may be tolerated in small amounts:

If you're sensitive to Tyramine, consider these strategies:

  • 1Choose fresh over aged, fermented, or preserved foods
  • 2Eat protein foods fresh and store properly
  • 3Be especially careful if taking MAO inhibitor medications
  • 4Common high-tyramine foods include aged cheese, cured meats, and soy sauce
  • 5Ripeness affects tyramine - choose less ripe fruits

Pro tip: Keep a food diary to track your reactions. The Triggerbites app makes this easy with automatic pattern detection.

Want personalized tracking?

Download Triggerbites to log meals, track symptoms, and discover your unique triggers.

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FAQ

Is fish sauce high in Tyramine?

Tyramine: higher signal - consider smaller servings or swaps.

Can I still eat fish sauce if I'm sensitive to Tyramine?

Best to avoid or test carefully with a small amount.

What else should I check?

Check Histamine, Histamine Liberators, and Fish next for a fuller picture.