I am keen to try the cleverguts diet but have been advised to avoid fermented foods as they containe tyramine could contribute to my migraines. Is it possible to be on this program without consuming fermented foods and drink?

When you say “could contribute” do you mean might or definitely does contribute to your migraines? Were you given a clear medical directive to avoid all fermented foods, or was it more of a suggestion to try limiting such foods?

At its heart, the Clever Guts Diet is simply a *properly balanced and very varied* wholefood diet. Dr Mosley actively advocates personalising it, starting with the detailed food and symptom diary (p.187-188 & p.266-267). If the need to avoid all tyramine-rich foods prevents you eating a well balanced and very varied diet you might ask your family doctor for a referral to a registered dietician. If you are willing and able to experiment, you may well find you can tolerate modest ‘doses’ of some fermented foods but not others. An alternative is a freeze-dried probiotic in capsule form, such as Nexabiotic. But please do check with your doctor or pharmacist.

HTH.

Thanks for your helpful response. It was more of a recommendation, which seems to work, along with giving up red wine.