Meal Plan for Allergen Free Eating while Breastfeeding
Breastfeeding a baby with allergies
Food allergies among children have been on the rise over the last few decades and it is estimated that now between 5 and 8% of children under 5 years have a food allergy.9, 10 While some studies indicate that exclusive breastfeeding may moderate an infant’s risk of developing allergies, some breastfed babies may still be diagnosed with a food allergy.11, 12
The good news is that as long as the allergen(s) can be taken out of the diet, most people do not have to stop breastfeeding if their baby develops a food allergy.2, 3, 4
Keep reading to learn how to cut the top allergens out of your eating pattern if your little one has been diagnosed with a food allergy.
Do I have to cut out all food allergens if I’m breastfeeding?
Unless your infant is diagnosed with a food allergy, research indicates there’s no reason to avoid certain foods.5 In fact, a wide variety of foods should be consumed to help continue building your child’s food preferences for the future.
Read about: Picky Eating: Taste Imprinting during Pregnancy and Breastfeeding
Understand where food allergens may be found
The primary goal is to be your own detective, read labels, and make inquiries at restaurants or other events involving food. Allergens can be hidden in coatings, thickeners, spices, natural flavors, and other ingredients found in fresh, frozen, refrigerated, and shelf-stable foods.6
If you are ever in doubt, ask! Calling food manufacturers can give you great insight into a product’s allergen information.
Preparing meals and snacks at home can help you maintain control over food sources and help prevent cross-contamination and cross-contact.
Read more:
Top 9 allergens on food labels
The Food and Drug Administration (FDA) requires all manufactures to label foods with the top 8 allergens: milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, soybeans, and sesame.7, 8
This FDA regulation applies to all packaged foods sold in the United States after 2006, regardless of where the food was originally manufactured.7
The regulation does NOT apply to labels on meat, poultry, and certain egg products.7
Pro Tip:
This meal plan takes out the top 9 allergens and is created for women who are truly allergic, or who are breastfeeding and need to undergo an elimination diet to determine what foods their infant may have an intolerance or allergy to.
Taking these foods out during pregnancy or breastfeeding, if not warranted, may actually be detrimental to your overall nutrient intake.5 Be sure to always get the support of a registered dietitian nutritionist if you will be eliminating all allergens to ensure your diet still has all the necessary nutrients.
If you are breastfeeding and your infant is showing symptoms of allergy or intolerance, and you have discussed the issue with your and/or your infant’s healthcare provider, this meal plan may be used to help eliminate the major allergens.
Allergen Free Meal Plan during Breastfeeding
This diet can be tricky. Make sure to work closely with your health care provider as they know what is best for you and your baby. To determine which foods were not tolerated by your baby, your health care provider may have you add these foods back into your diet one at a time after they have been eliminated for 2-4 weeks, or until your infant stops having symptoms.
Choosing meals and snacks from the below listed options will help eliminate the top 8 major allergens (dairy, soy, eggs, fish, shellfish, wheat, tree nuts, peanuts, and sesame) while helping you maintain an adequate nutrient intake.
Breakfast
- Option 1 : Gluten free oatmeal made with water, banana, and sunflower seed butter
- Option 2 : Plant-based yogurt alternative, berries, and chia seeds
- Option 3 : Smoothie: Banana, berries, baby spinach, unsweetened plant-based milk alternative, ground flax seeds, and hemp seeds
- Option 4 : Millet made with water and apple juice, mixed with unsweetened coconut flakes, dried fruit, pumpkin seeds
- Option 5 : Gluten-free vegan pancakes with sliced banana, sunflower seeds, and a drizzle of maple syrup.
Lunch
- Option 1 : Massaged kale salad with shredded carrots, garbanzo beans, and brown rice
- Option 2 : Shredded chicken mixed with olive oil, chopped veggies of choice, salt and pepper; Wrapped up in corn tortillas with a hummus spread and a spinach salad on the side
- Option 3 : Salad with colorful vegetables, sunflower seeds, grilled chicken, olive oil and balsamic vinegar
- Option 4 : Spiced black beans and quinoa in bell pepper cups
- Option 5 : Gluten free pasta tossed with olive-oil roasted veggies (such as tomatoes, yellow squash, and bell pepper) and chicken
Dinner
- Option 1 : Grilled chicken, broccoli, seasoned potato salad made with olive oil
- Option 2 : Roasted sweet potato topped with seasoned black beans, cilantro, and avocado
- Option 3 : Corn tortillas, seasoned ground beef or ground turkey, corn and tomato salad, and asparagus
- Option 4 : Stir fry chicken and vegetables with quinoa.
- Option 5 : Spaghetti Squash topped with pasta sauce made with ground chicken
Snacks
- Option 1 : Corn chips with black-bean salsa
- Option 2 : Bell pepper or other veggies with hummus
- Option 3 : Pumpkin or sunflower seeds and dried fruit
- Option 4 : Apple or pear with sunflower seed butter
- Option 5 : Gluten-free high-fiber cereal, unsweetened plant-based milk alternative, berries
Let's Chat!
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For more on this topic, check out the following articles:
Our meal plans offer recipe and meal suggestions. They are not designed to replace your doctor’s recommendations, nor do they take into account special nutritional needs, except in this case for the removal of the top 8 allergens. The meal plans suggest serving sizes that may or may not be appropriate for you. Please consult your doctor to determine what is best for you and your child.
- American Academy of Pediatrics. Infant Allergies and Food Sensitivities. HealthyChildren.org. November 2011. Accessed 2 May 2022. https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Infant-Allergies-and-Food-Sensitivities.aspx
- Beauchamp GK, Mennella JA. Early flavor learning and its impact on later feeding behavior. J Pediatr Gastroenterol Nutr. 2009;48 Suppl 1:S25-S30. doi:10.1097/MPG.0b013e31819774a5 https://pubmed.ncbi.nlm.nih.gov/19214055/
- Kilshaw PJ, Cant AJ. The passage of maternal dietary proteins into human breast milk. Int Arch Allergy Appl Immunol. 1984;75(1):8-15. doi:10.1159/000233582 https://pubmed.ncbi.nlm.nih.gov/6746107/
- Nocerino R, Pezzella V, Cosenza L, et al. The controversial role of food allergy in infantile colic: evidence and clinical management. Nutrients. 2015;7(3):2015-2025. Published 2015 Mar 19. doi:10.3390/nu7032015 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377897/
- List BA, Vonderhaar KJ. Should breastfeeding mothers avoid allergenic foods?. MCN Am J Matern Child Nurs. 2010;35(6):324-329. doi:10.1097/NMC.0b013e3181f0f263 https://pubmed.ncbi.nlm.nih.gov/20975390/
- Añíbarro B, Seoane FJ, Múgica MV. Involvement of hidden allergens in food allergic reactions. J Investig Allergol Clin Immunol. 2007;17(3):168-172. https://pubmed.ncbi.nlm.nih.gov/17583104/
- U.S. Food and Drug Administration. Food Allergen Labeling and Consumer Protection Act of 2004. November 2022. Accessed 10 April 2023. https://www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-information/food-allergen-labeling-and-consumer-protection-act-2004-falcpa
- The Food and Drug Administration. Food Allergies. May 5, 2021. Accessed 2 May 2022. https://www.fda.gov/food/food-labeling-nutrition/food-allergies
- Food Allergy Research and Education. Facts and Statistics. FoodAllergy.org. Accessed 1 June 2022. https://www.foodallergy.org/resources/facts-and-statistics
- Savage J, Johns CB. Food allergy: epidemiology and natural history. Immunol Allergy Clin North Am. 2015;35(1):45-59. doi:10.1016/j.iac.2014.09.004 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254585/
- Mathias, J.G., Zhang, H., Soto-Ramirez, N. et al. The association of infant feeding patterns with food allergy symptoms and food allergy in early childhood. Int Breastfeed J 14, 43 (2019). https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-019-0241-x https://doi.org/10.1186/s13006-019-0241-x
- Nuzzi G, Di Cicco ME, Peroni DG. Breastfeeding and Allergic Diseases: What's New?. Children (Basel). 2021;8(5):330. Published 2021 Apr 24. doi:10.3390/children8050330 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8145659/