"Tinumok", "tinomok", or "tinulmok" is another traditional variant from Bicol which uses whole taro leaves wrapped around a mixture of freshwater shrimp, fish flakes (and sometimes meat), shrimp paste, with minced or grated coconut meat, onions, chilis, lemongrass, garlic, and other spices cooked in coconut milk.It differs primarily in its use of coconut meat.