Common Sources of MAJOR FOOD ALLERGENS

MILK Avoid foods that contain milk or any of these ingredients: • Butter, butter fat, butter oil, • Lactulose butter acid, butter ester(s) • Milk (in all forms including • Buttermilk condensed, derivative, dry, • Casein evaporated, goat’s milk and • Casein hydrolysate milk from other animals, low- • Caseinates (in all forms) fat, malted, milkfat, non-fat, • Cheese powder, protein, skimmed, • Cottage cheese solids, whole) • Cream • Milk protein hydrolysate • Curds • Pudding • Custard • Recaldent (R) • Diacetyl • Rennet casein • Ghee • Sour cream, sour cream solids • Half-and-half • Sour milk solids • Lactalbumin, lactalbumin • Tagatose phosphate • Whey (in all forms) • Lactoferrin • Whey protein hydrolysate • Lactose Yogurt

OTHER POSSIBLE SOURCES OF MILK: • Artificial butter flavor • Baked goods • Caramel candies • Chocolate • Lactic acid starter culture and other bacterial cultures • Luncheon meat, hot dogs and sausages, which may use the milk protein casein as a binder. Also, deli meat slicers are often used for both meat and cheese products, leading to cross-contact. • Margarine • Nisin • Non-dairy products, as many contain casein • Nougat • Shellfish is sometimes dipped in milk to reduce the fishy odor. Ask questions when buying shellfish. • Tuna fish, as some brands contain casein • Some specialty products made with milk substitutes (i.e., soy-, nut- or rice-based dairy products) are manufactured on equipment shared with milk. • Many restaurants put butter on grilled steaks to add extra flavor. You can’t see the butter after it melts. • Some medications contain milk protein. EGGS Avoid foods that contain eggs or any of these ingredients: • Albumin • Lysozyme also spelled albumen • Mayonnaise • Egg (dried, powdered, solids, • Meringue (meringue powder) white, yolk) • Ovalbumin • Eggnog • Surimi

EGGS ARE SOMETIMES FOUND IN THE FOLLOWING: • Baked goods • Ice cream (although some people can • Lecithin tolerate these foods—consult • Marzipan with your allergist) • Marshmallows • Egg substitutes • Nougat

SOME UNEXPECTED SOURCES OF EGG • Pasta: Most commercially • Pretzels are sometimes made cooked pastas (including covered in egg wash before those in prepared foods they are dipped in salt. such as soup) contain egg. • Specialty coffee drinks and bar Boxed, dry pastas are usually drinks (eggs can be used in the egg-free. But these types of foam or topping) pasta may be processed on equipment that is also used for egg-containing products. Fresh pasta is sometimes egg- free, too. Read the label or ask about ingredients before eating any pasta. SOY Avoid foods that contain soy or any of these ingredients: • Cold-pressed, expelled or • Soya extruded soy oil* • Soybean (curd, granules) • Edamame • Soy protein (concentrate, • Miso hydrolyzed, isolate) • Natto • Soy sauce • Shoyu • Tamari • Soy (soy albumin, soy cheese, • Tempeh soy fiber, soy flour, soy grits, • Textured vegetable protein soy ice cream, soy milk, soy (TVP) nuts, soy sprouts, soy yogurt) • Tofu SOY IS SOMETIMES FOUND IN THE FOLLOWING: • Asian cuisine (including Chi- • Vegetable gum nese, Indian, Indonesian, Thai • Vegetable starch and Vietnamese)—even if you • Vegetable broth order a soy-free item, there is high risk of cross-contact

SOME UNEXPECTED SOURCES OF SOYBEANS AND SOY PRODUCTS • Baked goods • Infant formulas • Canned broths and soups • Low-fat peanut butter • Canned tuna and meat • Pet food • Cereals • Processed meats • Cookies • Sauces • Crackers • Soaps and moisturizers • High-protein energy bars and snacks

* Highly refined soy oil is not required to be labeled as an allergen. Studies show that most people with soy allergy can safely eat highly refined soy oil as well as soy lecithin. If you are allergic to soy, ask your doctor whether you need to avoid soy oil or soy lecithin. But avoid cold-pressed, expelled or extruded soy oil—sometimes called gourmet oils. These ingredients are different and are not safe to eat if you have a soy allergy. WHEAT Avoid foods that contain wheat or any of these ingredients: • Bread crumbs • Matzoh, matzoh meal • Bulgur also spelled as matzo, • Cereal extract matzah or matza • Club wheat • Pasta • Couscous • Seitan • Cracker meal • Semolina • Durum • Spelt • Einkorn • Sprouted wheat • Emmer • Triticale • Farina • Vital wheat gluten • Flour (all-purpose, bread, cake, • Wheat (bran, durum, germ, durum, enriched, graham, gluten, grass, malt, sprouts, high-gluten, high-protein, starch) instant, pastry, self-rising, soft • Wheat bran hydrolysate wheat, steel ground, stone • Wheat germ oil ground, whole wheat) • Wheat grass • Hydrolyzed wheat protein • Wheat protein isolate • Kamut® • Whole wheat berries Buckwheat is not related to wheat and is considered safe to eat.

WHEAT IS SOMETIMES FOUND IN THE FOLLOWING: • Glucose syrup modified starch, modified food • Soy sauce starch, vegetable starch) • Starch (gelatinized starch, • Surimi

SOME UNEXPECTED SOURCES OF WHEAT • Ale • Crackers • Asian dishes can feature wheat • Hot dogs flour flavored and shaped • Imitation crab meat to look like beef, pork and • Ice cream shrimp. • Marinara sauce • Baked goods • Play dough • Baking mixes • Potato chips • Batter-fried foods • Processed meats • Beer • Rice cakes • Breaded foods • Salad dressings • Breakfast cereals • Sauces • Candy • Soups • Country-style wreaths are often • Turkey patties decorated with wheat products SESAME Avoid foods that contain sesame or any of these ingredients: • Benne, benne seed, benniseed • Sesame seed • Gingelly, gingelly oil • Sesamol • Gomasio (sesame salt) • Sesamum indicum • Halvah • Sesemolina • Sesame flour • Sim sim • Sesame oil* • Tahini, Tahina, Tehina • Sesame paste • Til • Sesame salt SESAME IN SPICES OR FLAVORINGS Sesame may also appear undeclared in ingredients such as flavors or spice blends. If you are unsure whether a product could contain sesame, call the manufacturer to ask about their ingredients and manufacturing practices. Spice blend and flavoring recipes are considered proprietary information. The manufacturer may not be able to share the entire ingredient list. Instead, ask if sesame is specifically used as an ingredient.

FOODS THAT MAY CONTAIN SESAME • Asian cuisine (sesame oil is • Hummus commonly used in cooking) • Flavored rice, noodles, risotto, • Baked goods (such as bagels, shish kebabs, stews and stir fry bread, breadsticks, hamburger • Goma-dofu (Japanese dessert) buns and rolls) • Herbs and herbal drinks • Bread crumbs • Margarine • Cereals • Pasteli (Greek dessert) (such as granola and muesli) • Processed meats and sausages • Chips (such as bagel chips, • Protein and energy bars pita chips and tortilla chips) • Snack foods • Crackers (such as melba toast (such as pretzels, candy, and sesame snap bars) Halvah, Japanese snack mix • Dipping sauces and rice cakes) (such as baba ghanoush, • Soups hummus and tahini sauce) • Sushi • Dressings, gravies, marinades • Tempeh and sauces • Turkish cake • Falafel • Vegetarian burgers

* Studies show that most people with specific food protein allergies can safely eat highly refined oils made from those foods (examples include highly refined peanut and soybean oil).However, because it is not refined, people who are allergic to sesame should avoid sesame oil. PEANUTS Peanuts can be found in surprising places. While allergens are not always present in these food and products, you can’t be too careful. Remember to read food labels and ask questions about ingredients before eating a food that you have not prepared yourself. • African, Asian • Glazes and marinades (especially Chinese, Indian, • Ice creams Indonesian, Thai and • Marzipan Vietnamese), and Mexican • Nougat restaurant food—even if you • Pancakes order a peanut-free dish, there • Pet food is high risk of cross-contact • Sauces such as chili sauce, • Alternative nut butters, such hot sauce, pesto, gravy, mole as soy nut butter or sunflower sauce and salad dressing seed butter, are sometimes • Specialty pizzas produced on equipment • Sunflower seeds shared with other tree nuts (which are often produced and, in some cases, peanuts. on equipment shared with Contact the manufacturer peanuts) before eating these products. • Sweets such as pudding, • Candy cookies, baked goods, pies (including chocolate candy) and hot chocolate • Chili • Vegetarian food products, • Egg rolls especially those advertised as • Enchilada sauce meat substitutes GLUTEN COMMON NAMES FOR GLUTEN • Avena Sativa • Maltodextrin • Cyclodextrin • Phytosphingosine Extract • Dextrin (barley) • Fermented grain extract • Secale Cereale (Rye) • Hordeum Vulgare (barley) • Triticum Aestivum (wheat) • Hydrolosate (Wheat) • Triticum Vulgare (wheat) • Hydrolyzed Malt Extract • Tocopherol/ Vitamin E • Hydrolyzed Vegetable Protein • Yeast Extract COMMON INGREDIENTS CONTAINING GLUTEN • All- Purpose Flour • Triticale • Durum • Farina • Semolina • Kamut • Rye • Breadcrumbs • Spelt • Emmer • Bulgur • Einkorn • Couscous SOME COMMON FOODS CONTAINING GLUTEN • Bagels • Quick Breads • Panko • Hot Dogs • Doughnuts • Processed Meats • Danish • Ice Cream Products • Granola • Salad Dressings • Matzo • Beer/ Ale • Crepes • Candy • Waffles • Canned Soups • Pasta Noodles • Soy Sauce • Ramen