MSPI Food Allergen Graph: Avoiding Milk and Soy Protein (MSPI) Ingredients Common food allergens may be listed many different ways on food labels and can be hidden in common foods. Below you will find different labels for Milk and Soy allergens.

Soy or Soy Protein Ingredients: Milk Protein Ingredients:

Milk in all forms (condensed, derivative, dry, evaporated, goat’s Soy (soy albumin, soy cheese, soy fiber, soy flour, soy grits, soy milk and other milk form animals, malted, milkfat, ice cream, soy milk, soy nuts, soy spouts, soy yogurt) powder, protein, skimmed, solids) Soy protein / albumin, soy flour – often used as a meat Butter, butterfat, butter oil, butter acid, butter esters extender, alternative, or protein boost. Buttermilk (Concentrate, hydrolyzed, isolate) Casein and Caseinates (in all forms) Soy fiber – okara, soy bran, soy isolate fiber Cheese Soybean curd or granules Cottage cheese Edamame Cream Miso – made from soy or rice for flavoring sauces Curds Modified Food Starch Custard Natto – Cooked / fermented soy beans Diacetyl (artificial butter flavoring) Soy sauces – fermented soy bean juices Ghee  Tamari by product of Miso Half-and-half  Shoyu – soy beans and wheat Soy oil and Lactalbumin, lactalbumin phosphate  Teriyaki – sugar, vinegar, spices Soy Lecithin are highly Lactoferrin Tofu – soybean curd processed Lactose Tricky words but Textured vegetable protein (TVP) and refined Lactulose Soya are allowed: fats. These Milk Protein Hydrolysate Tempeh – Indonesian soybean cake may or may Pudding Lactate Natural flavors may be a soy derivative not be Recaldent® Lactylate Flavor enhancer may be from soybeans tolerated. Rennet Casein Cocoa butter Monosodium glutamate (MSG) Sour cream, sour cream solids Mono/diglcyerides Vegetable broth, gum, starch may contain soy Sour milk solids Tagatose Whey, whey protein hydrolysate Yogurt

Milk is sometimes found in the Some unexpected sources of Some unexpected sources of following: milk include: Soy include:

Artificial butter flavor *Deli meat slicers are used for both Baked goods Baked goods meat and cheese Canned tuna and meat Brown sugar flavoring *Some canned tuna contain casein, a Cereals Caramel flavoring milk protein Cookies Caramel candies *Many non-dairy products contain Crackers Chocolate casein High protein energy bars and High protein flour *Items manufactured on equipment snacks shared with milk products Lactic acid starter culture and other Infant formulas *Some meats may contain casein as bacterial cultures Low-fat peanut butter a binder Processed meats Luncheon meat, hot dogs, sausages *Shellfish may be dipped in milk to Sauces Margarine reduce the fishy odor Canned broths and soups. Natural and artificial flavoring *Many restaurants put butter on Nisin (preservative) steaks after grilling to add extra

Nondairy products and creamers flavor Nougat *Some medications contain milk Opta and Simplesse (fat replacers) protein

Read all product labels carefully before purchasing and eating them. Products and ingredients can change without warning, Read every label, every time.

Resources: Foodfacts.com and Shopwell.com list almost all commercial food products. Websites : www.milkfreepantry.com/ www.foodallergy.com; www.mspimama.com; www.thesensitivepantry.com; http://mspiguide.com/

Nebraska DHHS Maternal Infant Health Resource: 04/02/2019 http://www.foodallergy.org