How to Read a Label for a Milk-Free Diet All FDA-Regulated Manufactured Food Products That Contain Milk As an Ingredient Are Required by U.S

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How to Read a Label for a Milk-Free Diet All FDA-regulated manufactured food products that contain milk as an ingredient are required by U.S. law to list the word “milk” on the product label. Avoid foods that contain milk or any of these ingredients: butter, butter fat, butter oil, butter milk (in all forms, including con- acid, butter ester(s) densed, derivative, dry, evaporated, buttermilk goat’s milk and milk from other casein animals, low-fat, malted, milkfat, casein hydrolysate nonfat, powder, protein, skimmed, caseinates (in all forms) solids, whole) cheese milk protein hydrolysate pudding cottage cheese ® cream Recaldent curds rennet casein custard sour cream, sour cream solids diacetyl sour milk solids tagatose 11781 Lee Jackson Hwy. ghee Suite 160 half-and-half whey (in all forms) lactalbumin, lactalbumin phosphate whey protein hydrolysate Fairfax, VA 22033-3309 lactoferrin yogurt Phone: 703-691-3179 lactose Fax: 703-691-2713 lactulose www.foodallergy.org Milk is sometimes found in the following: [email protected] artificial butter flavor luncheon meat, hot dogs, sausages baked goods margarine caramel candies nisin chocolate nondairy products lactic acid starter culture and other nougat bacterial cultures

How to Read a Label for a How to Read a Label for a Peanut-Free Diet Soy-Free Diet All FDA-regulated manufactured food products that contain peanut as an All FDA-regulated manufactured food products that con- ingredient are required by U.S. law to list the word “peanut” on the product tain soy as an ingredient are required by U.S. law to label. list the word “soy” on the product label. Avoid foods that contain peanuts or any of these ingredients: Avoid foods that contain soy or any of artificial nuts monkey nuts these ingredients: beer nuts nut pieces edamame soya cold pressed, expeller pressed, or nutmeat miso soybean (curd, granules) extruded peanut oil peanut butter natto soy protein (concentrate, goobers peanut flour shoyu hydrolyzed, isolate) ground nuts peanut protein hydrolysate soy (soy albumin, soy soy sauce mixed nuts cheese, soy fiber, soy tamari flour, soy grits, soy tempeh Peanut is sometimes found in the following: ice cream, soy milk, textured vegetable protein African, Asian (especially Chinese, egg rolls soy nuts, soy sprouts, (TVP) Indian, Indonesian, Thai, and enchilada sauce soy yogurt) tofu Vietnamese), and Mexican dishes marzipan baked goods (e.g., pastries, cookies) mole sauce Soy is sometimes found in the following: candy (including chocolate candy) nougat Asian cuisine vegetable gum chili vegetable broth vegetable starch Keep the following in mind: • Mandelonas are peanuts soaked • A study showed that unlike other Keep the following in mind: in almond flavoring. legumes, there is a strong possibility • The FDA exempts highly refined soybean oil from The FDA exempts highly of cross-reaction between peanuts being labeled as an allergen. Studies show most • refined peanut oil from being and lupine. allergic individuals can safely eat soy oil that has been labeled as an allergen. Studies • Arachis oil is peanut oil. highly refined not( cold pressed, expeller pressed, or show that most allergic individu- extruded soybean oil). • Many experts advise patients al- als can safely eat peanut oil that lergic to peanuts to avoid tree nuts • Most individuals allergic to soy can safely eat soy has been highly refined (not cold as well. lecithin. pressed, expeller pressed, or ex- • Sunflower seeds are often produced • Follow your doctor’s advice regarding these truded peanut oil). Follow your on equipment shared with peanuts. ingredients. doctor’s advice.

© 2009 The Food Allergy & Analphylaxis Network How to Read a Label for a Wheat-Free Diet How to Read a Label for a All FDA-regulated manufactured food products that contain wheat as an Shellfish-Free Diet ingredient are required by U.S. law to list the word “wheat” on the product All FDA-regulated manufactured food products that label. The law defines any species in the genus Triticum as wheat. contain a crustacean shellfish as an ingredient are required Avoid foods that contain wheat or any of these ingredients: by U.S. law to list the specific crustacean shellfish on the product label. bread crumbs matzoh, matzoh meal (also spelled bulgur as matzo, matzah, or matza) Avoid foods that contain shellfish or any of cereal extract pasta these ingredients: club wheat seitan couscous semolina crab cracker meal spelt crawfish (crayfish, ecrevisse) durum sprouted wheat lobster (langouste, langoustine, scampo, coral, tomalley) einkorn triticale prawn emmer vital wheat gluten shrimp (crevette) farina wheat (bran, durum, germ, gluten, flour (all purpose, bread, cake, grass, malt, sprouts, starch) Mollusks are not considered major allergens under food durum, enriched, graham, high wheat bran hydrolysate labeling laws and may not be fully disclosed on a product gluten, high protein, instant, pastry, wheat germ oil label. self-rising, soft wheat, steel ground, wheat grass stone ground, whole wheat) wheat protein isolate Your doctor may advise you to avoid hydrolyzed wheat protein whole wheat berries mollusks or these ingredients: Kamut Wheat is sometimes found in the following: abalone clams (cherrystone, littleneck, pismo, quahog) glucose syrup starch (gelatinized starch, modified starch, cockle (periwinkle, sea urchin) soy sauce modified food starch, vegetable starch) surimi mussels octopus oysters snails (escargot) How to Read a Label for an Egg-Free Diet squid (calamari) All FDA-regulated manufactured food products that contain egg as an ingre- Shellfish are sometimes found in the following: dient are required by U.S. law to list the word “egg” on the product label. bouillabaisse Avoid foods that contain eggs or any of these ingredients: cuttlefish ink fish stock albumin (also spelled albumen) mayonnaise seafood flavoring(e.g., crab or clam extract) egg (dried, powdered, solids, meringue (meringue powder) surimi white, yolk) ovalbumin eggnog surimi lysozyme Keep the following in mind: • Any food served in a seafood restaurant may contain Egg is sometimes found in Keep the following in mind: shellfish protein due to cross-contact. the following: • Individuals with egg allergy should baked goods Marzipan also avoid eggs from duck, turkey, • For some individuals, a reaction may occur from egg substitutes marshmallows goose, quail, etc., as these are inhaling cooking vapors or from handling fish lecithin nougat known to be cross-reactive with or shellfish. macaroni pasta chicken egg.

How to Read a Label for a Tree Nut-Free Diet All FDA-regulated manufactured food products that contain a tree nut as an ingredient are required by U.S. law to list the specific tree nut on the product label. Avoid foods that contain nuts or any of these ingredients: Tree nuts are sometimes found in the almonds Nangai nuts following: artificial nuts natural nut extract (e.g., almond, walnut) black walnut hull extract (flavoring) beechnut nut butters (e.g., cashew butter) natural nut extract Brazil nuts nut meal nut distillates/alcoholic extracts butternut nut paste (e.g., almond paste) nut oils (e.g., walnut oil, almond oil) cashews nut pieces walnut hull extract (flavoring) chestnuts nutmeat chinquapin pecans Keep the following in mind: coconut pesto • Mortadella may contain pistachios. filberts/hazelnuts pili nut • There is no evidence that coconut oil and shea nut gianduja (a chocolate-nut mixture) pine nuts (also referred to as Indian, pignoli, oil/butter are allergenic. ginkgo nut pigñolia, pignon, piñon, and pinyon nuts) hickory nuts pistachios • Many experts advise patients allergic to tree nuts to litchi/lichee/lychee nut praline avoid peanuts as well. macadamia nuts shea nut • Talk to your doctor if you find other nuts not listed marzipan/almond paste walnuts here.