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 acid, butter ester(s) condensed, derivative, dry, buttermilk evaporated, goat’s milk and milk casein from other animals, low fat, malted, casein hydrolysate milkfat, nonfat, powder, protein, caseinates (in all forms) skimmed, solids, whole) cheese milk protein hydrolysate pudding cottage cheese ® cream Recaldent curds rennet casein custard sour cream, sour cream solids diacetyl sour milk solids ghee tagatose whey (in all forms) half-and-half 11781 Lee Jackson Hwy. lactalbumin, lactalbumin phosphate whey protein hydrolysate lactoferrin yogurt Suite 160 lactose Fairfax, VA 22033-3309 lactulose Phone: 703-691-3179 Milk is sometimes found in the following: Fax: 703-691-2713 artificial butter flavor luncheon meat, hot dogs, sausages www.foodallergy.org baked goods margarine caramel candies nisin [email protected] 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 ingredient are required by U.S. law to list the word “peanut” on the product contain 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 meat cold pressed, expeller pressed, or edamame soya nut pieces extruded peanut oil miso soybean (curd, granules) peanut butter goobers natto soy protein (concentrate, peanut flour shoyu hydrolyzed, isolate) ground nuts peanut protein hydrolysate soy (soy albumin, soy soy sauce mixed nuts cheese, soy fiber, soy tamari Peanut is sometimes found in the following: flour, soy grits, soy tempeh 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: Keep the following in mind: • Mandelonas are peanuts soaked • A study showed that unlike other 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 and lupine. allergic individuals can safely eat soy oil that has been being labeled as an allergen. Arachis oil is peanut oil. highly refined (not cold pressed, expeller pressed, or • Studies show that most allergic extruded soybean oil). • Many experts advise patients individuals can safely eat peanut allergic to peanuts to avoid tree nuts • Most individuals allergic to soy can safely eat soy oil that has been highly refined as well. lecithin. (not cold pressed, expeller • Sunflower seeds are often produced • Follow your doctor’s advice regarding these pressed, or extruded peanut oil). on equipment shared with peanuts. ingredients. Follow your doctor’s advice. © 2012, the Food Allergy & Anaphylaxis 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 Avoid foods that contain wheat or any of these ingredients: required by U.S. law to list the specific crustacean bread crumbs protein, instant, spelt shellfish on the product label. bulgur pastry, self-rising, soft sprouted wheat Avoid foods that contain shellfish or any cereal extract wheat, steel ground, triticale of these ingredients: club wheat stone ground, whole vital wheat gluten couscous wheat) wheat (bran, durum, barnacle lobster (langouste, cracker meal hydrolyzed wheat germ, gluten, grass, crab langoustine, Moreton protein malt, sprouts, starch) crawfish (crawdad, bay bugs, scampi, durum ® einkorn Kamut wheat bran hydrolysate crayfish, ecrevisse) tomalley) emmer matzoh, matzoh meal wheat germ oil krill prawns farina (also spelled as matzo, wheat grass shrimp (crevette, scampi) matzah, or matza) flour (all purpose, wheat protein isolate Mollusks are not considered major allergens under pasta bread, cake, durum, whole wheat berries food labeling laws and may not be fully disclosed on a seitan enriched, graham, product label. high gluten, high semolina Wheat is sometimes found in the following: Your doctor may advise you to avoid mollusks or these ingredients: glucose syrup starch (gelatinized starch, vegetable soy sauce starch, modified starch) abalone oysters starch, modified food surimi clams (cherrystone, periwinkle geoduck, littleneck, scallops pismo, quahog) sea cucumber cockle sea urchin How to Read a Label for an Egg-Free Diet cuttlefish snails (escargot) All FDA-regulated manufactured food products that contain egg as an ingredient limpet (lapas, opihi) squid (calamari) are required by U.S. law to list the word “egg” on the product label. mussels whelk (Turban shell) Avoid foods that contain eggs or any of these ingredients: octopus albumin (also spelled albumen) mayonnaise Shellfish are sometimes found in the following: egg (dried, powdered, solids, meringue (meringue powder) bouillabaisse seafood flavoring (e.g., white, yolk) ovalbumin cuttlefish ink crab or clam extract) eggnog surimi fish stock surimi lysozyme glucosamine Egg is sometimes found in Keep the following in mind: Keep the following in mind: the following: • Individuals with egg allergy should also • Any food served in a seafood restaurant may baked goods marzipan avoid eggs from duck, turkey, goose, contain shellfish protein due to cross-contact. egg substitutes marshmallows quail, etc., as these are known to be • For some individuals, a reaction may occur from lecithin nougat cross-reactive with chicken egg. inhaling cooking vapors or from handling fish or macaroni pasta 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 following: almond natural nut extract (e.g., almond, black walnut hull extract nut oils (e.g., walnut oil, artificial nuts walnut) (flavoring) almond oil) beechnut nut butters (e.g., cashew butter) natural nut extract walnut hull extract (flavoring) Brazil nut nut meal nut distillates/alcoholic extracts butternut nut meat Keep the following in mind: cashew nut paste (e.g., almond paste) chestnut nut pieces • Mortadella may contain pistachios. chinquapin pecan • There is no evidence that coconut oil and shea nut oil/butter are coconut pesto allergenic. filbert/hazelnut pili nut • Many experts advise patients allergic to tree nuts to avoid peanuts gianduja (a chocolate-nut pine nut (also referred to as as well. Indian, pignoli, pigñolia, mixture) Coconut, the seed of a drupaceous fruit, has typically not been pignon, piñon, and pinyon nut) • ginkgo nut restricted in the diets of people with tree nut allergy. However, in pistachio hickory nut October of 2006, the FDA began identifying coconut as a tree nut. praline litchi/lichee/lychee nut Medical literature documents a small number of allergic reactions shea nut macadamia nut to coconut; most occurred in people who were not allergic to walnut marzipan/almond paste other tree nuts. Ask your doctor if you need to avoid coconut. Nangai nut • Talk to your doctor if you find other nuts not listed here. © 2012, the Food Allergy & Anaphylaxis Network.