Tyramine Intolerance and The Gut III: Neurotransmitters

When trying to understand food sensitivities, particularly tyramine and histamine sensitivity, it’s important to understand neurotransmitters. Why? Because they cause your symptoms, and it turns our gut microbiota produce them.
gut-brain axis

After listening to a long podcast about gut function — and the relationship between the gut and the brain — I learned an interesting fact:

The microorganisms in your gut (also known as microbiota) can both produce and consume neurotransmitters such as dopamine, serotonin, norepinephrine, and GABA.

Why is this important? Several reasons:

What happens in our gut has a significant impact on our health, including mental health. And neurotransmitters influence many functions of the body, from heart rate to mood.

So if gut microbiota can produce and/or break down neurotransmitters and other compounds, that provides one link between our gut and our overall health. The gut plays a role in all kinds of disease, and… we’re finding more and more that it plays a role in food sensitivities as well.

The Gut, Food Sensitivities, and Neurotransmitters

As an example: those of you who are tyramine intolerant, norepinephrine is the neurotransmitter causing your migraines, blood pressure spikes, and bouts of intense anxiety.

Too much tyramine = too much norepinephrine = tyramine flare

For those of you with histamine intolerance, histamine, which also acts as a neurotransmitter at times, is what’s causing you problems.

Too much histamine = histamine flare

We tend to associate neurotransmitters with the brain, where they’re very active. And with food sensitivities, we tend to focus on genes and whether the enzymes those genes code for efficiently break down tyramine and histamine.

But if our gut microbiota can make or break down neurotransmitters, including those involved in histamine and tyramine sensitivity (not to mention potentially break down tyramine/histamine themselves), we can’t ignore the possibility that the gut is an important causal factor here. Possibly a crucial one, as I talk about in Part I of this series.

So, once I learned all this, I thought, okay, if our microbiota can make neurotransmitters, which species make which neurotransmitters?

And what about the bacteria in probiotics? Do they contain bacteria species that could produce, say, norepinephrine or histamine?

It turns out the answer is yes.

Gut Bacteria and the Neurotransmitters They Produce

I found a paper entitled “Neurotransmitter Modulation By the Gut Microbiota.”

In the lit review portion of this paper, the authors cite the importance of the gut microbiota for metabolic and immune health, and brain development.

They also mention the gut’s relationship with the nervous system, also known as the “gut-brain axis.” In other words, the gut and nervous system (including the brain) communicate and influence one another.

One way the gut undergoes this communication is through neurotransmitter activity.

Table 1 of this paper lists specific species of microbiota in our guts, categorized by the neurotransmitters they produce: dopamine, serotonin, GABA, norepinephrine, and even histamine.

Here are a few interesting things I noticed:

Bacillus Species

In Part II of this gut series, I mentioned a spore-based probiotic I took that gave me 4 days of headaches. It contained three Bacillus species: clausii, subtilis, and coagulans.

According to this paper, Bacillus subtilis and a few other Bacillus species produce dopamine and norepinephrine. Norepinephrine is the compound that causes tyramine reactions, I couldn’t help but wonder if that Bacillus species producing norepinephrine contributed to the headaches I got while taking that particular probiotic, much like a tyramine-filled food would.

Probiotics and GABA

If you recall my discussion about the 4 neurotransmitters that play a strong role in mental health and mental illness, GABA is your body’s main “inhibitory” or “calm-you-down” neurotransmitter.

If you look at the list of bacteria species that produce GABA in the paper I mentioned above, it’s filled with Bifidobacterium and Lactobacillus species — species that comprise most probiotics that you buy at the store.

Several of those on the GABA list can be found in the GutPro (now Smidge) probiotic I took that worked well for me.

Also, a probiotic sold on Amazon markets itself as helpful for depression/anxiety, and it’s loaded with Bifidobacterium species. It’s possible the GABA produced by these species has the calming effect needed by those with depression and especially anxiety.

Probiotics and Histamine

The article also has a separate category for histamine, despite it not being one of the “Big 4” neurotransmitters.

And, sure enough, the list contains a few bacteria species that other sources have mentioned aren’t ideal if you have histamine intolerance or amine issues, such as Streptococcus thermophiles and Lactococcus lactis. However, the list also includes Lactobacillus plantarum, which I’d heard was beneficial.

The fourth and fifth articles in this series will explore the bacteria species that are beneficial and potentially problematic for the tyramine sensitive and histamine sensitive, respectively.

What About Tyramine?

I’ll spend more time discussing tyramine specifically in the next article, but I did find some papers that discuss it. For example, certain Enterococcus and Lactobacillus species are responsible for producing tyramine in the food fermentation process.

This is why probiotics that contain these specific Lactobacillus species are on the “No” list for those dealing with amine intolerance. (And also why amine sensitive people need to avoid fermented foods.)

Also, this 2021 paper did mention that Staphylococcus and Providencia species produce tyramine, and, interestingly, that Lactobacillus plantarum (common in many probiotics) produces glutamate, the compound found in MSG and many other flavor enhancers.

More to come in the next articles in the series.

What about you? Have you had any bad (or good) reactions to probiotics? Let us know.

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Related Articles and Resources

The Tyramine Intolerance Handbook by Dr. Christie Hartman

Tyramine Intolerance and The Gut, Part I: The Microbiome

Tyramine Intolerance and The Gut, Part II: Probiotics

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The Rogue Scientist

Christie Hartman is a writer and scientist specializing in science-based health. A biology major as an undergrad, she completed her PhD in behavioral genetics at the University of Colorado Boulder. Before starting her writing career, she worked as a scientist and professor at CU’s School of Medicine, where she studied the genetic contributions to substance abuse and antisocial behavior.

13 thoughts on “Tyramine Intolerance and The Gut III: Neurotransmitters”

  1. Where is this, “no,” list for probiotics? I can’t find it. Also, I very much want a copy of the handbook in print, is this possible? All of the links are electronic. I’m losing my life to sitting in front of devices.

    Thank you!

  2. Hi Christie

    I feel I have beaten my tyramine intolerance from when I last posted a comment, no blood pressure spikes or visits to ER and slowly introducing foods that contain tyramine. After finding out tyramine was causing my severe symptoms thanks to you, I noticed for a couple months after when I was super busy and stressed at work or just in a stressful situation my nervous system couldn’t differentiate between a tyramine release of norepinephrine and a stressful environment. It was almost like a post traumatic feeling from the last 10 months of tyramine chaos. Have you encountered this in other people or yourself?

    I also did a liver cleanse to get my liver functioning really well and understand that tyramine/tyrosine is partly broken down in the liver. I feel this has helped me enormously and wondered if you have looked into this in any way.

    Thanks again Christie for championing the tyramine cause and helping me regain my life back.

    Cheers Al

    1. Christie Hartman PhD

      That’s so great to hear, Alastair! Thank you for returning to report your success for others. To answer your question, I don’t think I’ve encountered that, but it makes sense to me. What did you do for a liver cleanse?

  3. I am generally helped with the headaches I get after eating high tyramine foods by Ativan. Nsaids and Tylenol don’t help. Is there any scientific logic to Ativan being helpful?

    1. Christie Hartman PhD

      Interesting. Tyramine releases norepinephrine, which like epinephrine is for stress and constricts blood vessels, contributing to headaches in some. Ativan does the opposite, releases GABA and causes vasodilation. Could be why it works.

      1. Thank you very much for your prompt informative reply. I downloaded your book so I can learn more. Also I pass this on to you. I take PPI’s as do millions of people which I think is linked to my tyramine intolerance. I attach this research which studied the Inhibition of Tryptophan Hydroxylases and Monoamine Oxidase-A by Proton Pump Inhibitors https://www.frontiersin.org/articles/10.3389/fphar.2020.593416/full#:~:text=The%20S%2Denantiomer%20of%20omeprazole,effect%20on%20TPH1%20and%20TPH2.

    2. menopausal herbalist

      Interesting! When I have been to the ER for abdominal migraines (intractable vomiting) triggered by tyramines, ativan is the only thing that has stopped the vomiting!

  4. Thanks so much for all this info. I am wondering if you have any research references on the role of tyramine in autoimmune disease. I have been dealing with autoimmune knee swelling for 4 years. It is accompanied by blinding migraine, tightness in my chest, hot flashes, and a few other symptoms. My rheumatologist is baffled. I have been to so many doctors and had so many tests it’s ridiculous but a low tyramine/low histamine diet has improved my symptoms, although they haven’t gone away completely. I have scoured the internet for info on tyramine and the immune system and found only one paper that suggested there might be a relationship and it would make an interesting follow up study but nothing else. Would love to know if you have any references that might help.


  5. Thank you for your research, it is the first I have come across to explain possible causes behind sudden food intolerances at 59! I am in the migraine camp for tyramine intolerance and basically have just been avoiding the offending foods like the plague, the headaches are atrocious! Also eagerly awaiting the next articles in the series, I would really like to narrow down which probiotics to try in my case. I wonder if my having had to take an acid blocker (pantoprazole) for 6 weeks after a dormant ulcer flared up might have triggered this tyramine sensitivity? Thoughts?

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