How to Read a Label with Food Allergy Ingredients

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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 lactulose acid, butter ester(s) milk (in all forms, including condensed, buttermilk derivative, dry, evaporated, goat’s milk casein and milk from other animals, low fat, casein hydrolysate malted, milkfat, nonfat, powder, protein, caseinates (in all forms) skimmed, solids, whole) cheese milk protein hydrolysate cottage cheese pudding cream Recaldent® curds rennet casein custard sour cream, sour cream solids 11781 Lee Jackson Hwy. diacetyl sour milk solids Suite 160 tagatose ghee Fairfax, VA 22033-3309 half-and-half whey (in all forms) lactalbumin, lactalbumin phosphate whey protein hydrolysate Phone: 703-691-3179 lactoferrin yogurt Fax: 703-691-2713 lactose Website: www.foodallergy.org Milk is sometimes found in the following: E-mail: [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 Appendix 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 All FDA-regulated manufactured food products that as an ingredient are required by U.S. law to list the word “peanut” contain soy as an ingredient are required by U.S. on the product label. law to 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 these ingredients: artificial nuts mixed nuts beer nuts monkey nuts edamame soybean (curd, cold pressed, expeller nut meat miso granules) pressed, or extruded nut pieces natto soy protein peanut oil peanut butter shoyu (concentrate, goobers peanut flour soy (soy albumin, soy hydrolyzed, isolate) ground nuts peanut protein hydrolysate cheese, soy fiber, soy soy sauce tamari flour, soy grits, soy Peanut is sometimes found in the following: ice cream, soy milk, tempeh soy nuts, soy sprouts, textured vegetable African, Asian (especially candy (including chocolate candy) soy yogurt) protein (TVP) Chinese, Indian, chili soya tofu Indonesian, Thai, and egg rolls Vietnamese), and Mexican enchilada sauce dishes marzipan Soy is sometimes found in the following: baked goods (e.g., pastries, mole sauce Asian cuisine vegetable gum cookies) nougat vegetable broth vegetable starch Keep the following in mind: • Mandelonas are peanuts • A study showed that unlike Keep the following in mind: soaked in almond flavoring. other legumes, there is a strong • The FDA exempts highly refined soybean oil • The FDA exempts highly possibility of cross-reaction from being labeled as an allergen. Studies between peanuts and lupine. show most refined peanut oil from • Arachis oil is peanut oil. allergic individuals can safely eat soy oil that has being labeled as an been highly refined (not cold pressed, expeller allergen. Studies show that • Many experts advise patients pressed, or extruded soybean oil). most allergic individuals allergic to peanuts to avoid tree can safely eat peanut oil nuts as well. • Most individuals allergic to soy can safely eat that has been highly refined • Sunflower seeds are often soy lecithin. (not cold pressed, expeller produced on equipment shared pressed, or extruded peanut • Follow your doctor’s advice regarding these with peanuts. oil). Follow your doctor’s ingredients. advice.

© 2010, the Food Allergy & Anaphylaxis Network 52 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 Shellfish-Free Diet an ingredient are required by U.S. law to list the word “wheat” on the All FDA-regulated manufactured food products that product label. The law defines any species in the genusTriticum as wheat. contain a crustacean shellfish as an ingredient are Avoid foods that contain wheat or any of these ingredients: required by U.S. law to list the specific crustacean bread crumbs pastry, self-rising, spelt shellfish on the product label. bulgur soft wheat, steel sprouted wheat cereal extract ground, stone triticale Avoid foods that contain shellfish or any club wheat ground, whole vital wheat gluten of these ingredients: couscous wheat) wheat (bran, durum, barnacle lobster (langouste, cracker meal hydrolyzed wheat germ, gluten, crab langoustine, Moreton durum grass, malt, protein crawfish (crawdad, bay bugs, scampi, einkorn Kamut sprouts, starch) crayfish, ecrevisse) tomalley) emmer matzoh, matzoh wheat bran krill farina meal (also spelled hydrolysate prawns flour (all purpose, as matzo, matzah, wheat germ oil shrimp (crevette, scampi) bread, cake, durum, or matza) wheat grass Mollusks are not considered major allergens under enriched, graham, pasta wheat protein isolate food labeling laws and may not be fully disclosed high gluten, high seitan whole wheat berries on a product label. protein, instant, semolina Wheat is sometimes found Guests with celiac disease must Your doctor may advise you to avoid in the following: avoid all of the ingredients listed mollusks or these ingredients: glucose syrup above, in addition to barley, abalone oysters soy sauce oats, and rye. Ale, beer, brewer’s clams (cherrystone, periwinkle starch (gelatinized starch, yeast, brown rice syrup, and malt geoduck, littleneck, scallops modified starch, modified (extract, flavoring, milk, syrup, pismo, quahog) sea cucumber food starch, vegetable starch) vinegar) must also be avoided. cockle sea urchin surimi cuttlefish snails (escargot) limpet (lapas, opihi) squid (calamari) mussels whelk (Turban shell) How to Read a Label for an Egg-Free Diet Appendix octopus All FDA-regulated manufactured food products that contain egg as an ingredient are required by U.S. law to list the word “egg” on the product Shellfish are sometimes found in label. the following: Avoid foods that contain eggs or any of these ingredients: bouillabaisse seafood flavoring (e.g., albumin (also spelled albumen) mayonnaise cuttlefish ink crab or clam extract) egg (dried, powdered, solids, white, yolk) meringue (meringue powder) fish stock surimi eggnog ovalbumin glucosamine lysozyme surimi Keep the following in mind: Egg is sometimes found in Keep the following in mind: • Any food served in a seafood restaurant may the following: • Individuals with egg allergy should contain shellfish protein due to cross-contact. baked goods marzipan also avoid eggs from duck, turkey, egg substitutes marshmallows goose, quail, etc., as these are • For some individuals, a reaction may occur from lecithin nougat known to be cross-reactive with inhaling cooking vapors or from handling fish or macaroni pasta chicken egg. shellfish.

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 almond Nangai nut 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 nut nut meal nut distillates/alcoholic extracts butternut nut meat nut oils (e.g., walnut oil, almond oil) cashew nut paste (e.g., almond paste) walnut hull extract (flavoring) chestnut nut pieces chinquapin pecan Keep the following in mind: coconut pesto • Mortadella may contain pistachios. filbert/hazelnut pili nut • There is no evidence that coconut oil and shea gianduja (a chocolate-nut mixture) pine nut (also referred to as Indian, pignoli, nut oil/butter are allergenic. ginkgo nut pigñolia, pignon, piñon, and pinyon nut) hickory nut pistachio • Many experts advise patients allergic to tree litchi/lichee/lychee nut praline nuts to avoid peanuts as well. macadamia nut shea nut • Talk to your doctor if you find other nuts not marzipan/almond paste walnut listed here.