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494
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listlengths 384
384
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•\t\nSulfites\n•\t\nBHA\tand\tBHT\nSource:\tJoneja,\tJA:\tHistamine\tIntolerance:\ta\tComprehensive\n\tGuide\tfor\tHealthcare\tProfessionals,\t2017,\te-\npublished.\nTyramine\nTyramine\n\tis\ta\tbiogenic\tamine\tformed\tfrom\tthe\tamino\tacid\ttyrosine\tthat\tis\tfound\tnaturally\tin\tsome\tfoods,
|
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plants,\tand\tanimals.\tLike\thistamine,\tit\tcan\talso\tbe\tproduced\tin\tfoods\tas\ta\tresult\tof\tfermentation,\tcuring,\naging,\tor\tspoilage\tof\tproduce,\tdairy\tproducts,\tand\tmeats.\tBecause\tof\tthe\trate\tand\textent\tof\tthese\nprocesses,\tthe\ttyramine\tcontent\tof\tfoods\tvaries\twidely.\tExamples\tof\tfoods\thigh\tin\ttyramine\tare\taged
|
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] |
cheeses,\tsoy\tsauce,\taged\tmeats,\tpickled\tfish,\ttofu,\tsauerkraut,\tand\ttap\tbeer.\nTyramine\tcan\thave\tpharmacologic\tactivity\tand\tcan\tcause\ta\trise\tin\tblood\tpressure.\tBecause\tof\tthis\tthe\nbody\tproduces\tmonoamine\toxidase\t(MAO),\tan\tenzyme\tthat\tguards\tagainst\tthe\tbuild\tup\tof\ttoo\tmuch\ntyramine\tand\tother\tamines
|
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] |
tyramine\tand\tother\tamines\n\tin\tthe\tbody,\tincluding\tmonoamine\tneurotransmitters\t(e.g.,\tnorepinephrine,\ndopamine,\tand\tserotonin),\tand\tchanges\tthem\tinto\tharmless\tcompounds\tthat\tcan\tbe\texcreted\tfrom\tthe\nbody\tsafely.\tMAO\tis\tpresent\tin\tthe\tGI\ttract,\tthe\tliver,\tnerve\tendings,\tand\tthe\tbrain.\tAn\tindividual\tcan
|
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develop\tan\tintolerance\tto\ttyramine\twhen\tthere\tis\ttoo\tmuch\ttyramine\tpresent\tin\tthe\tdiet,\tor\twhen\tthere\tis\nnot\tenough\tMAO\tactivity\n\tto\tkeep\tits\tlevel\tin\tcheck.\tIntolerance\tis\tevidenced\tby\tblood\tpressure\tchanges.\nLarge\tamounts\tof\ttyramine\tcan\tcause\tthe\trelease\tof\texcess\tnorepinephrine,\twhich\tconstricts\tthe\tblood
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] |
vessels,\tcausing\tblood\tpressure\tto\trise,\tsometimes\tto\ta\tdangerously\thigh\tlevel,\tknown\tas\ta\thypertensive\ncrisis.\nIngestion\tof\ttyramine-containing\tfoods\talso\tmay\tcause\tmigraine\theadaches\tor\tchronic\thives\tin\ntyramine-sensitive\n\tindividuals,\twith\tthe\tresponse\tbeing\tdose\tdependent\t(\nSkypala\tet\tal,\t2015b\n).
|
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] |
Skypala\tet\tal,\t2015b\n).\nTyramine\tintolerance\tcan\tdevelop\tin\tsome\tindividuals\twho\tare\ttaking\tthe\tmedication\tmonoamine\noxidase\tinhibitors\t(MAOIs),\twhich\tinterfere\twith\tthe\tbreakdown\tof\ttyramine.\tFortunately,\tthese\nmedications\tare\tnot\tprescribed\tas\tfrequently\ttoday\tas\tin\tthe\tpast.\nOther\tamines\tand\tfood\tadditives\nWhen\thistamine\tor\ttyrosine\tare
|
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Other\tamines\tand\tfood\tadditives\nWhen\thistamine\tor\ttyrosine\tare\n\tpresent\tin\tfoods,\tother\tbiogenic\tamines\tsuch\tas\tlesser\tknown\tputrescine,\ncadaverine,\ttryptamine,\t2-phenylethylamine,\tspermine,\tand\tspermidine\tmay\talso\tbe\tpresent.\tLike\nhistamine\tand\ttyramine,\tthey\tare\tmainly\tproduced\tby\tmicrobial\tdecarboxylation\tof\tamino\tacids\tin\tthe
|
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0.04018949717283249,
0.08088189363479614,
-0.039425093680620193,
0.011017120443284512,
-0.0700974315404892,
0.0261334627866745,
0.050431862473487854,
0.1356389820575714,
0.0008780926582403481
] |
foods\tand\tcan\tcause\treactions.\nSome\tfood\tcomponents\tare\tactually\tadded\tto\tfoods,\tand\tthey\talso\tappear\tto\tbe\table\tto\tcause\treactions,\nalthough\tthey\tare\tpoorly\tunderstood.\tFood\tadditives\tsuch\tas\tsalicylates,\tcarmine\t(cochineal\textracts),\nartificial\tfood\tdyes\tand\tcolorings\tsuch\tas\tFD&C\tyellow\t#5,\tand\tpreservatives\tsuch\tas\tbenzoic\tacid,
|
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] |
sodium\tbenzoate,\tbutylated\thydroxyanisole\t(BHA),\tbutylated\thydroxytoluene\t(BHT),\tnitrates,\tsulfites,\tand\nmonosodium\tglutamate\t(MSG)\tcan\tcause\tadverse\treactions\tin\tcertain\tindividuals\t(\nVojdani\tand\tVojdani,\n2015\n).
|
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Sulfites\tare\twidely\tused\tas\tpreservatives\tand\tantioxidants\tin\tmany\tfood\tproducts.\tReactions\tto\tsulfites,\nincluding\tsodium\tmetabisulfite\tand\tsodium\tsulfite,\tresult\tin\ta\tdiverse\trange\tof\tsymptoms\tin\tsulfite-\nsensitive\tindividuals.\tThese\tcan\tinclude\tdermatitis,\turticaria,\thypotension,\tabdominal\tpain,\tdiarrhea,\tand
|
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] |
life-threatening\tasthmatic\tand\tanaphylactic\treactions\t(\nVally\tand\tMisso,\t2012\n).\tThe\n\tmechanisms\tremain\nunclear.\nAdverse\treactions\tto\tMSG\twere\toriginally\treported\tas\tthe\t“Chinese\trestaurant\tsyndrome”\tbecause\tof\nits\tuse\tin\tChinese\tcooking.\tComplaints\tof\theadache,\tnausea,\tflushing,\tabdominal\tpain,\tand\tasthma
|
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] |
occurred\tafter\tingestion.\tMSG\tis\twidely\tdistributed\tin\tthe\tfood\tsupply\t(e.g.,\tbouillon,\tmeat\ttenderizers,\ncanned\tfood,\tfrozen\tfood,\tcondiments)\tand\toccurs\tnaturally\tin\ttomatoes,\n\tParmesan\tcheese,\tmushrooms,\nand\tother\tfoods.\tResults\tfrom\tdouble-blind,\tplacebo-controlled\tfood\tchallenges\t(DBPCFCs)\tfound
|
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] |
symptoms\tfrom\tMSG\tto\tnot\tbe\tpersistent,\tclear,\tconsistent,\tor\tserious\t(\nGeha\tet\tal,\t2000\n;\t\nWilliams\tand\nWoessner,\t2009\n).\nHowever,\tmore\trecent\tdata\tin\tanimals\tand\thumans\thave\tindicated\tthat\tMSG\tconsumption\tmay\tbe\ta\ncontributing\tfactor\tto\tincreased\trisk\tof\toverweight,\tindependent\n\tof\tphysical\tactivity\tand\ttotal\tenergy\nintake\t(\nHe\tet\tal,\t2011
|
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] |
of\tphysical\tactivity\tand\ttotal\tenergy\nintake\t(\nHe\tet\tal,\t2011\n).\tConsidering\tthe\tongoing\tdebate\tabout\tthis\tcommon\tflavoring\tagent\tas\tan\nobesogenic\tagent,\tnutrition\tpractitioners\tshould\tbe\taware\tof\tMSG\tsensitivity\t(\nSavcheniuk\tet\tal,\t2014\n).\nA\tdiet\tthat\tis\tbeing\tused\tfor\tthose\tindividuals\twith\tsuspected\tintolerances\tto\tdietary\tamines,\tsalicylate,
|
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and\tfood\tadditives\tis\tthe\t\nFAILSAFE\tdiet\n,\ta\tdiet\t“\nf\nree\tof\t\na\ndditives,\t\nl\now\tin\t\ns\nalicylates,\t\na\nmines,\tand\t\nf\nlavor\ne\nnhancers”\tdesigned\tby\tthe\tRoyal\tPrince\tAlfred\tHospital\tin\tAustralia.\tThis\tdiet\tis\tintended\tto\tbe\tused\tfor\nthe\tinvestigation\tand\tmanagement\tof\tpeople\twith\tsuspected\tfood\tintolerance.\tThe\tFAILSAFE\tdiet
|
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0.004481377080082893,
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0.02172982320189476,
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0.05031491070985794,
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0.05915474519133568,
0.06105685234069824,
0.08027923852205276,
0.09759704768657684,
-0.000721002637874335
] |
excludes\tstrong-tasting\tand\tsmelling\tfoods\tand\tenvironmental\tchemicals,\tin\tparticular:\n1.\t\nAbout\tfifty\tartificial\tfood\tadditives,\n\tincluding\n\tcolors\t(like\ttartrazine,\tsunset\tyellow),\tflavors,\npreservatives,\tand\tantioxidants\t(sulfites,\tnitrates,\tbenzoates,\tsorbates,\tparabens).\n2.\t\nSalicylates\t(aspirin)
|
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0.007645051460713148
] |
2.\t\nSalicylates\t(aspirin)\n\tand\tpolyphenols\t(natural\tflavors,\tcolors,\tand\tpreservatives)\tfound\tin\ta\nwide\trange\tof\tfruits\tand\tvegetables.\n3.\t\nNeurotransmitters\tin\tfood:\n\tfree\tglutamates\t(MSG)\tand\tamines\t(histamine,\tserotonin,\ndopamine,\tphenylethylamine,\ttyramine,\tand\n\tothers)\tfound\tin\taged\tproteins\tand\tfermented\tfoods
|
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] |
others)\tfound\tin\taged\tproteins\tand\tfermented\tfoods\nlike\tcheese,\tchocolate,\tgame,\tand\taged\tmeat.\n4.\t\nAromatic\t(strong-smelling\tand\ttasting)\tchemicals\n\tfound\tin\tperfumes,\tcleaning\tproducts,\ncommercial\tcosmetics,\tand\tscented\tand\tcolored\ttoiletries,\tespecially\tmint\tand\tmenthol\tproducts.\n5.\t\nSome\tpharmaceutical\tdrugs
|
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] |
5.\t\nSome\tpharmaceutical\tdrugs\n,\tincluding\taspirin,\tNSAIDS\tand\tother\tCOX\tII\tinhibitors\tincluding\nibuprofen,\tand\tthe\n\tmethyl-salicylates\tfound\tin\tdecongestants\tand\tantiinflammatory\tcreams.\nPracticalities\tof\tthe\tdiet\tcan\tbe\tfound\tat\t\nwww.FAILSAFEdiet.com\n.\nMicrobial\tcontamination\tand\ttoxins
|
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] |
be\tconfused\twith\tan\n\tallergic\treaction.\tIt\tis\testimated\tthat\tin\tthe\tUnited\tStates\t9.4\tmillion\tpeople\tper\tyear\nare\taffected\tby\tfoodborne\tillness,\twith\t31\tknown\tpathogens\tidentified\t(\nScallan\tet\tal,\t2011\n).\tFortunately,\nmost\tepisodes\tare\tself-limiting\tand\tshould\tbe\tdistinguished\tfrom\tfood\tallergy\tor\tintolerance\tfrom\ta
|
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] |
thorough\thistory.\tIf\tthe\tcause\tof\tthe\tsymptoms\tcannot\tbe\tdetermined\tto\tbe\ta\tfood\ttoxin\tor\tmicrobial\ncontamination,\n\tthen\ta\tsingle\tfood\telimination\tdiet\tfollowed\tby\ta\tchallenge\tof\tthat\tfood\tmay\tbe\tnecessary\n(see\t\nTable\t25.4\n).\nPsychogenic\tand\tbehavioral\tfactors
|
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] |
(see\t\nTable\t25.4\n).\nPsychogenic\tand\tbehavioral\tfactors\nEvidence\tfor\tthe\trole\tof\tfood\tallergy\tor\tintolerance\tin\tvarious\tdisorders\tsuch\tas\tanxiety,\tdepression,\nmigraine\theadache,\tattention/deficit-hyperactivity\tdisorder,\tand\tmood\tdisorders\tis\temerging.\tIncreased\nintestinal\tpermeability,\tdysbiosis,\tneurotransmitter
|
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intestinal\tpermeability,\tdysbiosis,\tneurotransmitter\n\tproduction\tby\tthe\tgut,\tand\tgut\timmune\tsystem\nresponse\tare\tcurrently\tbeing\tinvestigated\tas\tcontributing\tfactors\t(see\t\nChapters\t27\n\tand\t\n40\n).\tIf\ta\tfood-\nsymptom\trelationship\tcannot\tbe\tshown\tfor\tthe\tfood\tintolerance,\tbut\tfood\tavoidance\tis\tperceived\tas
|
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] |
helpful\tbecause\tof\tthe\tpatient’s\tpersonal\texperience,\tappropriate\tmedical\tnutrition\ttherapy\tmay\tinclude\nfood\telimination\tand\tother\ttherapeutic\tinterventions.\nMedical\tnutrition\ttherapy\nAssessment\nA\tthorough\thistory\tand\ttimeline\tincluding\tperinatal,\tprenatal,\tand\tbirth\thistory\t(e.g.,\tvaginal\tor\tC-
|
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section),\tearly\tfeeding\tpractices\t(breastfed\tvs.\tformula),\tchildhood\tillnesses,\tpast\tand\tcurrent\tmedical\nhistory,\tmedications\t(for\texample,\tantibiotics,\tproton-pump\tinhibitors,\tetc.)\tdietary\tsupplements\n(including\tprobiotics),\texercise\tpatterns,\tand\tlifestyle\n\tfactors\t(stress,\tsleep,\trelationships),\talong\twith\ta
|
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] |
factors\t(stress,\tsleep,\trelationships),\talong\twith\ta\ncomprehensive\tdiet\thistory\tand\tfood\thabits,\thelps\tto\tdetermine\tpossible\troot\tcauses\tcontributing\tto\nadverse\tfood\treactions.\nAnthropometric\tmeasurements\tare\talso\tessential\tas\ta\tcomponent\tof\tnutritional\tassessment.\tThe
|
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infant’s\tand\tchild’s\tanthropometric\tdata\tshould\tbe\tplotted\ton\ta\tgrowth\tchart\tand\tevaluated\tover\ttime\n(see\t\nAppendix\t4\n).\tBecause\n\tdecreased\tweight-for-height\tmeasurements\tmay\tbe\trelated\tto\tmalabsorption\nor\tfood\tavoidance\tdue\tto\tallergy\tor\tintolerance,\tpatterns\tof\tgrowth\tand\ttheir\trelationship\tto\tthe\tonset\tof\nsymptoms\tshould\tbe\texplored\t(
|
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] |
symptoms\tshould\tbe\texplored\t(\nMeyer\tet\tal,\t2014\n).\nA\tnutrition-focused\tphysical\texamination\tis\talso\timportant\tin\tassessing\tthe\tpatient\twith\tadverse\tfood\nreactions.\tClinical\tsigns\tof\tmalnutrition\tshould\tbe\tassessed\tand\n\tmonitored\twith\tongoing\tdietary\ttherapy\n(see\t\nChapter\t5\n\tand\t\nAppendix\t11\n).\nA\t7-\tto\t14-day\t\nfood\tand\tsymptom\trecord
|
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] |
and\t\nAppendix\t11\n).\nA\t7-\tto\t14-day\t\nfood\tand\tsymptom\trecord\n\tis\textremely\tuseful\tfor\tuncovering\tadverse\tfood\treactions\n(\nFig.\t25.4\n).\tThe\tfood\tand\tsymptom\trecord\tshould\tinclude\tthe\ttime\tthe\tfood\tis\teaten,\tthe\tquantity\tand\ttype\nof\tfood,\tall\tfood\tingredients\tif\tpossible,\tthe\ttime\tsymptoms\tappear\trelative\tto\tthe\ttime\tof\tfood\tingestion,
|
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and\tany\tsupplements\n\tor\tmedications\ttaken\tbefore\tor\tafter\tthe\tonset\tof\tsymptoms.\tOther\tinfluences\tsuch
|
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as\tstress,\tphysical\texercise,\turine\tand\tbowel\telimination,\tand\tsleep\tpatterns,\talong\twith\tenvironmental\nfactors,\tprovide\tvaluable\tinformation\tin\tpiecing\ttogether\tthe\tfactors\tthat\taffect\tadverse\tfood\treactions.\nThe\tmore\tthorough\tthe\tinformation\tobtained\tabout\tthe\tadverse\treaction,\tthe\tmore\tuseful\tthe\trecord.\tFor
|
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] |
example,\ta\treaction\tthat\tappears\tto\tbe\tcaused\tby\ta\tfood\tactually\tmay\tbe\tcaused\tby\ta\tpet\tor\ta\tchemical\tor\nanother\tenvironmental\tfactor.\tA\tpatient\tmay\tprefer\tto\tuse\tan\tapp\tdesigned\tto\ttrack\tthis\ttype\tof\tdata\t(see\nChapter\t4\n).\tThe\tcomprehensive\tfood\tand\tsymptom\trecord\tis\tused\tto\tassess\tnutritional\tadequacy\tand\talso
|
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serves\tas\ta\ttool\tfor\tfuture\ttherapeutic\tinterventions.\nFIG.\t25.4\nFood\tand\tsymptom\tdiary.\nDiagnosis\nDiagnosis\tof\tadverse\tfood\treactions\trequires\tidentification\tof\tthe\tsuspected\tfood\tor\tfood\tingredient,\tproof\nthat\tthe\tfood\tingestion\tcauses\tthe\tadverse\tresponse,\tand\tverification\tof\tan\timmune\tor\tnonimmune-
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mediated\tresponse.\tThe\tdetailed\tfood\tand\tsymptom\trecord\tas\tpart\tof\ta\tcomprehensive\tnutrition\nassessment\tis\talso\ta\tdiagnostic\ttool.\tThis\tinformation\n\tmay\tbe\tfollowed\twith\tappropriate\timmunologic\ntesting\tby\ta\tphysician;\thowever,\ttests\tfor\tfood\tallergy\tare\tnot\tcompletely\tdefinitive\tand\tshould\talways\tbe
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] |
used\tin\tconjunction\twith\ta\tcomprehensive\tphysical\texamination,\tclinical\thistory,\tand\tnutrition\tassessment\n(\nBoyce\tet\tal,\t2010\n;\t\nSkypala\tet\tal,\t2015\n).\tSee\t\nTable\t25.3\n\tfor\ta\tcomplete\tdescription\tof\ttests\tused\tin\ndiagnosis\tof\tfood\tallergy.\nImmunologic\n\ttesting\nSkin-prick\ttest\nIn\t\nskin-prick\ttests\t(SPT)
|
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] |
Immunologic\n\ttesting\nSkin-prick\ttest\nIn\t\nskin-prick\ttests\t(SPT)\n\tdrops\tof\tstandard\tfood\textracts\tare\tplaced\ton\tthe\tskin\tof\tthe\tarm\tor\tback.\tThe\nskin\tis\tthen\tscratched\tor\tpricked\twith\ta\tlancet\twith\teach\tdrop\tof\textract.\tThe\tareas\tof\tapplication\tare
|
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] |
then\tobserved\tfor\tthe\tdevelopment\tof\tthe\tclassic\t“wheal\tand\tflare”\treaction.\tIn\ttheory,\tif\tthe\tunderlying\nmast\tcells\thave\tattached\tsIgE,\tinflammatory\tmediators\tare\n\treleased.\tThe\twheal\tand\tflare\treaction\tresults\nfrom\tthe\taction\tof\tthe\tmediators,\tespecially\thistamine,\ton\tthe\tsurrounding\ttissue.\tThese\tskin-prick\ttests
|
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] |
are\tthe\tmost\teconomic\timmunologic\ttests\tof\tan\tIg-E\tmediated\treaction,\tproviding\tresults\twithin\t15\tto\t30\nminutes.\tComparison\twith\tthe\tpositive\tcontrol\t(histamine)\tand\tthe\tnegative\tcontrol\t(saline)\tprovide\nparameters\tnecessary\tfor\taccurate\treadings\n\t(\nFig.\t25.5\n).\tAll\tskin-prick\ttests\tare\tcompared\twith\tthe\tcontrol
|
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0.0816715657711029,
-0.018138956278562546
] |
(\nFig.\t25.5\n).\tAll\tskin-prick\ttests\tare\tcompared\twith\tthe\tcontrol\nwheal.\tTest\twheals\tthat\tare\t3\tmm\tgreater\tthan\tthe\tnegative\tcontrol\tusually\tindicate\ta\tpositive\tresult.
|
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] |
FIG.\t25.5\nA\tskin-prick\ttest\tshowing\tthe\twheal\tand\tflare\tof\tthe\treaction\tto\tthe\tallergen.\n\t\nSource:\n\tFrom\t\t\nwww.istockphoto.com\nNegative\tskin-prick\ttests\thave\tgood\tnegative\tpredictive\taccuracy\tand\tstrongly\tsuggest\tthe\tabsence\tof\nan\tIgE\tsensitization\tand\ttherefore\tan\tIgE-mediated\treaction.\tPositive\tskin-prick\ttest\tresults,\thowever,
|
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] |
indicate\tonly\tIgE\tsensitization\tand\tthe\tpossibility\tof\ta\tfood\tallergy\n\treaction.\tIn\tthe\tpatient\twith\ta\nsuspected\tfood\tallergy,\tthe\tskin-prick\ttest\tis\tuseful\tin\tsupporting\tthe\tdiagnosis.\tFor\tchildren\tyounger\tthan\n2\tyears\tof\tage,\tthe\tskin\ttest\tis\treserved\tto\tconfirm\timmunologic\tmechanisms\tafter\tsymptoms\thave\tbeen
|
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] |
confirmed\tby\ta\tpositive\ttest\tresult\tfrom\ta\tsupervised\tfood\tchallenge,\tor\twhen\tthe\thistory\tof\tthe\treaction\nis\timpressive.\nAll\tfoods\tthat\ttest\tpositive\tmust\n\tcorrelate\twith\ta\tstrong\texposure\thistory\tor\tbe\tproven\tto\tcause\tallergic\nreactions\tthrough\tfood\tchallenges\tbefore\tthey\tcan\tbe\tconsidered\tallergenic\t(see\t\nTable\t25.4\n).\tThe\tmost
|
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] |
Table\t25.4\n).\tThe\tmost\ncommon\tfood\tallergens\tin\tthe\tUnited\tStates\t(milk,\tegg,\tpeanut,\tsoy,\twheat,\tshellfish,\tfish,\tand\ttree\tnuts)\naccount\tfor\tmost\tof\tthe\tpositive\tfood\tskin-prick\ttests\t(\nNASEM,\t2017\n).\nSerum\tantibody\ttests\nFood\tallergen–specific\tserum\tIgE\ttesting\n\tis\tused\tto\tidentify\tfoods\tthat\tmay\tbe\tcausing\tthe\tallergic
|
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] |
is\tused\tto\tidentify\tfoods\tthat\tmay\tbe\tcausing\tthe\tallergic\nresponse.\tThe\ttwo\tsystems\tin\tuse\tare\tImmunoCAP\tor\tImmunoCAP\tISAC\tsystem,\tand\tthe\tImmulite\tsystem.\nThey\tare\tsimilar\tin\tthat\tthey\tmeasure\tfor\tthe\tpresence\tof\tIgE\tantibodies\tsensitized\tto\tvarious\tallergens.
|
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This\ttype\tof\ttest\tprovides\ta\tquantitative\tassessment\tof\tsIgE\tantibodies;\thigher\tlevels\tof\tantibodies\tare\noften,\tbut\n\tnot\talways,\tpredictors\tof\tclinical\tsymptoms.\tIt\tis\ta\tfairly\teffective\ttest,\tas\tshown\tby\ttesting\nknown\tfood-allergic\tchildren\twhose\tfood\tallergies\thad\tbeen\tpreviously\tproven\twith\tDBPCFCs\t(\nNASEM,\n2017\n).
|
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NASEM,\n2017\n).\nTest\tresults\tshould\tbe\tfollowed\twith\teither\tfood\telimination\tand\tchallenge,\tor\tDBPCFCs\tto\tcomplete\tthe\ndiagnostic\tprocess.\tIt\tshould\tbe\tnoted\tthat\tImmunoCap\tor\tImmulite\tresults\tor\tskin-testing\tresults\n\tfor\tIgE\nsensitization\tmay\tremain\tpositive\teven\tafter\tthe\tchild\thas\tresolved\tthe\tfood\tallergy,\tand\tthe\tfood\tcan\tbe
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eaten\twithout\tsymptoms.\nComponent\tresolved\tdiagnostics\t(CRD)\n\ttesting\tis\temerging\tas\ta\tuseful\ttool\tin\tassessing\tfood\nallergy.\tCRD\tinvolves\ttesting\tfor\tIgE\tsensitized\tto\tspecific\tcomponent\tproteins\tin\tfoods\tand\tnot\tjust\tthe\nwhole\tprotein\textract.\tThe\taim\tof\tthe\ttest\tis\tbased\ton\tthe\n\tunderstanding\tthat\tsome\tproteins\twithin\ta\tfood
|
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understanding\tthat\tsome\tproteins\twithin\ta\tfood\nmay\tbe\tmore\tpotent\tin\tcausing\tan\tallergic\treaction\tthan\tothers\twithin\tthe\tsame\tfood.\tFor\texample,\nclinically\trelevant\tproteins\tmay\tresist\tdigestion,\tand\tIgE\timmune\tresponses\tagainst\tsuch\tproteins\tmay
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] |
have\ta\tgreater\tdiagnostic\tvalue\tfor\tsystemic\tallergy\tthan\timmune\tresponses\tagainst\tmore\tlabile\tproteins\nthat\tdegrade\teasily\tand\tare\tnot\tsystemically\tabsorbed\n\tand\ttherefore\twill\tnot\tcause\ta\treaction.\tMuch\nresearch\tis\tbeing\tdone\tusing\tCRD\tto\tdetermine\twhich\tcomponents\tof\tpeanut\tprotein\tare\tlikely\tto\tcause
|
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] |
anaphylaxis\tor\ta\tsevere\tallergic\tresponse\tto\tpeanuts\tand\twhich\twill\tnot\t(\nNASEM,\t2017\n)\t(see\t\nTable\t25.3\n).\nOther\ttests\nA\tnumber\tof\tlaboratory\ttests\tare\tnow\tavailable\tthat\tattempt\tto\tidentify\tan\tindividual’s\tspecific\tadverse\nreactions\tto\tfoods.\tSome\n\tof\tthese\ttests\tmeasure\tIgA,\tIgG,\tand\tIgG4\tlevels\tand\tare\tnot\tconsidered\treliable.
|
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] |
Others\t(ALCAT\tand\tMRT)\tmeasure\tthe\tamount\tof\tcytokines\treleased\tby\tlymphocytes\tand\tgranulocytes\nupon\tdegranulation\tin\tresponse\tto\tfood\tantigen\texposure\tand\tmay\tbe\tuseful\tidentifying\tfood\tintolerances\nthat\tare\tnot\tIgE\tmediated\t(\nGarcia-Martinez\tet\tal,\t2018\n).\tContinued\tscientific\tinvestigation\tinto\tthe\nvalidity\tof\tvarious
|
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).\tContinued\tscientific\tinvestigation\tinto\tthe\nvalidity\tof\tvarious\n\ttypes\tof\tfood\treactivity\ttesting\tis\twarranted\t(\nVojdani,\t2015b\n;\tsee\t\nTable\t25.3\n).\nNonimmunologic\ttests\tthat\tmay\tbe\tuseful\tin\tdiagnosing\tfood\tintolerance\tversus\tfood\tallergy\tinclude:\n•\t\na\tcomprehensive\tmetabolic\tprofile\twith\tcomplete\tblood\tcount\tand\tdifferential\n•
|
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] |
•\t\nstool\ttests\tfor\tinflammatory\tmarkers,\tova,\tparasites,\tor\toccult\tblood\n•\t\nbreath\thydrogen\ttests\tfor\tintestinal\tbacterial\timbalance\n\tand\tSIBO\n•\t\ngenetic\ttests\tfor\tceliac\tdisease\tand\tgluten\tsensitivity,\tor\tfor\thistamine\tintolerance\nIntervention\nElimination\tdiets\nThe\t\nelimination\tdiet
|
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0.08392035961151123,
0.07421955466270447,
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0.004761757329106331
] |
determined\tby\tthe\tnutrition\tassessment\t(usually\t2\tto\t8\tweeks),\twhich\tis\tthen\tfollowed\tby\ta\treintroduction\nor\tfood\tchallenge\tphase.\tAll\tforms\t(i.e.,\tcooked,\traw,\tfrozen)\tof\ta\tsuspected\tfood\ttrigger\tare\tremoved\nfrom\tthe\tdiet,\tand\ta\tfood\tand\tsymptom\trecord\t(see\t\nFig.\t25.4\n)\tis\tkept\tduring\tthe\telimination\tphase.\tThis
|
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] |
Fig.\t25.4\n)\tis\tkept\tduring\tthe\telimination\tphase.\tThis\nrecord\tis\tused\tto\tensure\tthat\tall\tforms\n\tof\tsuspected\tfoods\thave\tbeen\teliminated\tfrom\tthe\tdiet,\tto\tevaluate\nthe\tnutritional\tintegrity\tof\tthe\tdiet,\tand\tto\tdocument\treactions\twhen\tsuspected\tfoods\tare\treintroduced.
|
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] |
Diets\tmust\tbe\tpersonalized\tand\tmay\tentail\texcluding\tonly\tone\tor\ttwo\tsuspect\tfoods\tat\ta\ttime\tto\tsee\tif\nthere\tis\timprovement\tin\tsymptoms,\tor\tit\tmay\tmean\teliminating\tseveral\tfoods\tif\tmultiple\tfoods\tare\nsuspected.\tThis\twould\tentail\n\ta\tmore\tlimited\tdiet\tsuch\tas\tthe\tSFED,\tas\tshown\tin\t\nBox\t25.4\n,\tbut\tagain\tthe
|
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] |
Box\t25.4\n,\tbut\tagain\tthe\ndiet\tshould\tbe\tindividualized\tas\tmuch\tas\tpossible.\tThe\telimination\tof\tmultiple\tfoods\tcan\tcompromise\nnutritional\tintegrity,\tespecially\tif\tthe\tindividual\tis\talready\tat\tnutritional\trisk\tdue\tto\tsymptoms\tthat\taffect\ndietary\tintake\t(e.g.,\teosinophilic\tesophagitis)\t(\nSkypala\tand\tMcKenzie,\t2018\n).
|
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Skypala\tand\tMcKenzie,\t2018\n).\nElemental\tformulas,\tmedical\tfoods,\n\tor\thypoallergenic\tformulas\talso\tmay\tbe\tused\tfor\tadditional\tnutrition\nsupport\twhen\tusing\tan\telimination\tdiet.\tAn\telemental\tformula\tprovides\thigh-quality\tcalories\tin\tan\teasily\ndigestible,\thypoallergenic\tform\tand\thelps\tto\toptimize\tnutritional\tintake.\tThese\tproducts\tare\tusually
|
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0.04069354757666588,
0.03930323198437691,
0.05962274596095085,
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] |
reserved\tfor\thighly\trestrictive\tdiets.\tA\thydrolyzed\tinfant\tformula\t(HF)\tor\tEHF\tmay\tbe\trequired\tfor\tthe\nallergic\tinfant\twho\n\tis\tnot\tbeing\tcompletely\tbreastfed,\tand\twho\tneeds\tto\tavoid\tseveral\tfoods\tas\tthe\tdiet\tis\nexpanded\t(see\t\nTable\t25.4\n).\nAfter\tthe\tdesignated\telimination\tphase,\tfoods\tare\tsystematically\treintroduced\tinto\tthe\tdiet\tone\tat\ta\ttime
|
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] |
to\tdetermine\tany\tadverse\treactions\twhile\tthe\tperson\tis\tcarefully\tmonitored.\tIf\tsymptoms\tpersist\twith\ncareful\tavoidance\tof\tsuspect\tfoods,\tother\tcauses\tfor\tthe\tsymptoms\tshould\tbe\n\tconsidered.\tIf\ta\tpositive\nresult\thas\tbeen\tobtained\ton\ta\tskin-prick\ttest\tor\tsIgE\tblood\ttest\tand\tsymptoms\timprove\tunequivocally\twith
|
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the\telimination\tof\tthe\tfood,\tthat\tfood\tshould\tbe\texcluded\tfrom\tthe\tdiet\tuntil\tan\tOFC\tis\tappropriate.\tThe\nOFC\twill\tfurther\tprove\tor\tdisprove\ta\tfood-symptom\trelationship.\tIf\tsymptoms\timprove\twith\tthe\nelimination\tof\tmultiple\tfoods,\tthen\tmultiple\tfood\tchallenges\twill\tbe\n\tnecessary.\nAn\t\noral\tfood\tchallenge\t(OFC)
|
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] |
necessary.\nAn\t\noral\tfood\tchallenge\t(OFC)\n\tis\tconducted\tin\ta\tsupervised\tmedical\tsetting\tonce\tsymptoms\thave\nresolved,\tand\twhen\tthe\tperson\tis\tnot\ttaking\tcertain\tmedications,\tsuch\tas\tantihistamines.\tFoods\tare\nchallenged\tone\tat\ta\ttime\ton\tdifferent\tdays\twhile\tthe\tperson\tis\tcarefully\tobserved\tin\ta\tmedical\tsetting\tfor\nthe\trecurrence\tof\tsymptoms\t(see
|
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] |
the\trecurrence\tof\tsymptoms\t(see\t\nTable\t25.5\n).\tThe\tform\tof\tthe\tchallenged\tfood\tmay\tbe\timportant\n\tin\tthe\nnutritional\tassessment\tof\tadverse\tfood\treactions.\tFor\texample,\tif\tsomeone\tis\tallergic\tto\tmilk\tor\teggs,\tthey\nmay\tbe\table\tto\ttolerate\tbaked\t(heat-denatured)\tforms\tof\tthese\tproteins\tbut\tnot\tthe\tunbaked\tform\t(\nVenter\net\tal,\t2018\n).
|
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Venter\net\tal,\t2018\n).\nAllergic\tindividuals\tand\ttheir\tfamilies\tneed\tguidelines\tand\tsuggestions\tfor\tavoiding\tallergenic\tfoods\tand\ningredients,\tsubstituting\tpermissible\tfoods\tfor\trestricted\n\tfoods\tin\tmeal\tplanning\tand\tpreparation,\tand\nselecting\tnutritionally\tadequate\treplacement\tfoods.
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] |
selecting\tnutritionally\tadequate\treplacement\tfoods.\nCare\tproviders\tand\tschool\tpersonnel\tworking\twith\tthe\tfood-allergic\tchild\tmust\tbe\ttrained\tto\tread\tlabels\ncarefully\tbefore\tpurchasing\tor\tserving\tfood.\tThe\tFood\tAllergy\tand\tAnaphylaxis\tNetwork,\ta\tnonprofit
|
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organization\tcreated\tto\tsupport\tchildren\twith\tfood\tallergies,\thas\tworked\twith\tboard-certified\tallergists\nand\tdietitians\tto\tdevelop\tan\texcellent\teducation\tprogram\tfor\tparents\tand\tday-care\tor\tschool\tprograms.\nTo\thelp\tidentify\tand\tavoid\toffending\tfoods,\tallergy-specific\tlists\tthat\tdescribe\tfoods\tto\tavoid,\tstate\tkey
|
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] |
words\tfor\tingredient\tidentification,\tand\tpresent\tacceptable\tsubstitutes\tare\tuseful\tand\tnecessary\tin\ncounseling\t(see\t\nTable\t25.4\n).\nFood\tingredients\tto\tbe\tavoided\tmay\tbe\thidden\tin\tthe\tdiet\n\tin\tunfamiliar\tforms.\tWhen\ta\tperson\tingests\ta\nhidden\tallergen,\tthe\tmost\tcommon\treason\tis\tthat\tthe\t“safe”\tfood\twas\tcontaminated.\tThis\tmay\thappen\tas
|
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] |
a\tresult\tof\tusing\tshared\tserving\tutensils,\tsuch\tas\tat\tan\tice\tcream\tstand\t(e.g.,\twhere\tthe\tsame\tscoop\tand\nrinsing\twater\tis\tused\tfor\tboth\tice\tcream\tand\tdairy-free\tsorbet),\tsalad\tbar,\tor\tdeli\t(e.g.,\twhere\tthe\tmeat\nslicer\tmay\tbe\tused\tto\tslice\tmeat\tand\tcheese).\n\tAnother\tpractice\tmay\tbe\tusing\tthe\tsame\toil\tto\tfry\tpotatoes
|
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] |
Another\tpractice\tmay\tbe\tusing\tthe\tsame\toil\tto\tfry\tpotatoes\nand\tfish\tor\tusing\tthe\tsame\ttoaster\tfor\tgluten\tand\tnongluten\tbreads\t(\nBox\t25.6\n).\tManufacturing\tplants\tor\nrestaurants\tmay\tuse\tthe\tsame\tequipment\tto\tproduce\ttwo\tdifferent\tproducts\t(e.g.,\tpeanut\tbutter\tand
|
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almond\tbutter)\tand\tdespite\tcleaning,\ttraces\tof\tan\tallergen\tmay\tremain\ton\tthe\tequipment\tbetween\tuses.\nBOX\t25.6\nReasons\tfor\tAccidental\n\t\nExposure\tto\tAllergens\n•\t\nCommon\tserving\tutensils\tused\tto\tserve\tdifferent\tfoods\twhen\tsome\tmay\tcontain\tthe\tallergen\n•\t\nGrocery\tstore\tbulk\tbins\tcontaminated\twith\tan\tallergen\tfrom\tanother\tproduct\tbin\n•
|
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] |
•\t\nManufacture\tof\ttwo\tdifferent\tfood\tproducts\tusing\tthe\tsame\tequipment\twithout\tproper\tcleaning\tin\nbetween\n•\t\nMisleading\tor\tinaccurate\tlabels\t(e.g.,\tnondairy\tcreamers\tthat\tcontain\tsodium\tcaseinate)\n•\t\nIngredients\tadded\tfor\ta\tspecific\tpurpose\tare\tlisted\ton\tthe\tlabel\tonly\tin\tgeneral\tterms\tof\ttheir
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] |
purpose\trather\tthan\tas\ta\tspecific\tingredient\t(e.g.,\tegg\twhite\tthat\tis\tsimply\tlisted\tas\tan\n“emulsifier”)\n•\t\nAddition\tof\tan\tallergenic\tproduct\tto\ta\tsecond\tproduct\tthat\tbears\ta\tlabel\tlisting\tonly\tthe\ningredients\tof\tthe\tsecond\tproduct\t(e.g.,\tmayonnaise,\twithout\tnoting\teggs)\n•\t\nSwitching\tof\tingredients
|
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0.09732355922460556,
0.012995860539376736
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•\t\nSwitching\tof\tingredients\n\tby\tfood\tmanufacturers\t(e.g.,\ta\tshortage\tof\tone\tvegetable\toil\tprompting\nsubstitution\twith\tanother)\n•\t\nA\tchild\tbeing\toffered\ta\tfood\tby\tan\tindividual\twho\tis\tuneducated\tabout\tthe\tallergy\nThe\tunknowing\tingestion\tof\tan\tallergenic\tfood\tcan\talso\toccur\twhen\tone\tproduct\tis\tused\tto\tmake\ta
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changed\tin\tthe\tprocessing\tof\tthe\tfood.\tThe\tU.S.\t\nFood\tAllergen\tLabeling\tand\tConsumer\tProtection\nAct\t(FALCPA)\n\tand\tthe\t\nprecautionary\tallergen\tlabeling\t(PAL)\n\tregulations\tare\tdescribed\tin\t\nBox\t25.7\n.
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BOX\t25.7\nAllergen\tLabeling\tof\tFoods\nSince\tJanuary\t1,\t2006,\tthe\tupdated\t\nU.S.\tFood\tAllergen\tLabeling\tand\tConsumer\tProtection\tAct\n(FALCPA)\n\trequires\tthe\ttop\tallergens\tto\tbe\tclearly\tlisted\tby\tmanufacturers\tas\tan\tingredient\tor\nfollowing\tthe\tingredient\tlist\ton\tfood\tlabels.\tThis\tincludes\tingredients\tin\tany\tamount\tand\talso\tmandates
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specific\tingredients\tto\tbe\tlisted,\tsuch\tas\tthe\ttype\tof\tnut\tor\tseafood.\nRequirements\n\tof\tthe\tlaw\n•\t\nTop\teight\tallergens\tmust\tbe\tclearly\tlisted\n\tby\tmanufacturers\tas\tan\tingredient\tor\tfollowing\tthe\ningredient\tlist\ton\tfood\tlabels\tof\tany\tfood\tproduct\tcontaining\tallergens\n•\t\nApplies\tto\tall\tpackaged\tfoods\tsold\tin\tthe\tUnited\tStates\n•
|
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0.012574255466461182
] |
•\t\nApplies\tto\tall\tpackaged\tfoods\tsold\tin\tthe\tUnited\tStates\n•\t\nDoes\tnot\tapply\tto\tU.S.\tDepartment\tof\tAgriculture\t(USDA)-regulated\tproducts,\tincluding\tmeat,\npoultry\tproducts,\tand\tsome\tegg\tproducts\n•\t\nDoes\tnot\tlist\n\tsources\tof\tpossible\tcontamination\n•\t\nDoes\tnot\tapply\tto\tprescription\tmedication\tor\talcoholic\tbeverages\n•
|
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] |
Does\tnot\tapply\tto\tprescription\tmedication\tor\talcoholic\tbeverages\n•\t\nDoes\tnot\tapply\tto\tfoods\tpackaged\tor\twrapped\tafter\tbeing\tordered\tby\tthe\tconsumer\nTop\tallergens\n•\t\nAny\tingredient\tcontaining\tor\tderived\tfrom\tthe\ttop\teight\tallergens—milk,\teggs,\tfish,\tshellfish,\ttree\nnuts,\tpeanuts,\twheat,\tor\tsoybeans\n•
|
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nuts,\tpeanuts,\twheat,\tor\tsoybeans\n•\t\nFor\ttree\tnuts,\tfish,\tand\tshellfish,\tthe\tspecific\ttype\n\tmust\tbe\tlisted\t(e.g.,\twalnut,\tpecan,\tshrimp,\ntuna)\nReading\tthe\tfood\tlabel\n•\t\nIngredients\tmay\tbe\tincluded\twithin\tthe\tfood’s\tingredient\tlist\tdirectly\tor\tin\tparentheses\tfollowing\nthe\tname,\tif\tan\tingredient\tdoes\tnot\tclearly\tidentify\tthe\tallergen\n•
|
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the\tname,\tif\tan\tingredient\tdoes\tnot\tclearly\tidentify\tthe\tallergen\n•\t\nFollowing\tthe\tlist\tof\tingredients\tall\tfood\tallergens\tmay\tbe\tlisted\tin\ta\t“Contains”\tstatement\n•\t\nManufacturers\tmay\tvoluntarily\tlist\tpotential\tunintended\n\tallergens\tthat\tmay\tbe\tpresent\tdue\tto
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allergens\tthat\tmay\tbe\tpresent\tdue\tto\ncross\tcontamination\tin\ta\tclear\tway\tthat\tdoes\tnot\tinterfere\twith\tthe\trequired\tfood\tingredient\tlist.\nThis\tis\tcalled\tprecautionary\tallergen\tlabel\t(PAL).\nNote:\tIn\t2013\tthe\tFDA\tissued\ta\tfinal\trule\tdefining\t“gluten-free”\tfor\tfood\tlabeling.\tThis\tfinal\trule\trequires\tthat
|
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are\talready\ton\trestricted\tdiets\tfor\tother\treasons\t(e.g.,\tvegan,\tketogenic,\tintermittent\tfasting)\tare\tat\tthe\ngreatest\trisk\tof\tnutritional\tcompromise.\tMalnutrition\tand\tpoor\tgrowth\tmay\toccur\tin\tchildren\twho\nconsume\timproperly\tplanned\tand\tnutritionally\tinadequate\telimination\tdiets\tfor\tlong\tperiods\n\tof\ttime\n(\nKeller\tet\tal,\t2012
|
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] |
of\ttime\n(\nKeller\tet\tal,\t2012\n).\tNutritional\tshortcomings\twith\telimination\tdiets\tdepend\ton\twhich\tfoods\tare\tbeing\nexcluded.\nWhen\tfoods\tare\tremoved\tfrom\tthe\tdiet,\talternative\tnutrient\tsources\tmust\tbe\tprovided.\tFor\texample,\ta\nchild\twith\tcow’s\tmilk\tallergy\tmay\thave\tlower\tintakes\tof\tcalcium,\tzinc,\tand\tvitamins\tD\tand\tB\n2\n,\twhereas
|
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0.09075313061475754,
0.005367747973650694
] |
2\n,\twhereas\nwhen\teggs\tare\tomitted,\tother\tfoods\tmust\tprovide\tcholine,\tvitamin\tD,\tprotein,\n\tand\tenergy\t(\nSkypala\tand\nMcKenzie,\t2018\n)\t(\nTable\t25.6\n).\tDietary\tsupplementation,\tincluding\tvitamins\tand\tminerals,\tmay\talso\tneed\nto\tbe\tconsidered\tto\tsupport\tnutritional\tintegrity,\tespecially\twhen\tmultiple\tfoods\tare\texcluded.\nTABLE\t25.6
|
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] |
TABLE\t25.6\nSuggested\tReplacements\tfor\tFoods\tExcluded\tin\tan\tElimination\tDiet\nFood\nExcluded\nNutrients\tProvided\tby\nThat\tFood\nSubstitute\tFoods/Foods\twith\tSimilar\nNutrients\nComments\ton\nProblematic\nSubstitutes\nCow’s\tmilk\nEnergy,\tprotein,\tcalcium,\tB\nvitamins,\tiodine.\tIn\tthe\nUnited\tStates\tmilk\tis\ncommonly\tfortified\twith\nvitamins\tA\tand\tD.
|
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] |
United\tStates\tmilk\tis\ncommonly\tfortified\twith\nvitamins\tA\tand\tD.\nInfants:\textensively\thydrolyzed\nformula/amino\tacid\tformula\nChildren\t>2\tyrs\tand\tadults:\tplant-based\nmilk\tsubstitutes\twith\tadded\tcalcium\nand\tvitamin\tD\tand\tprotein\t(e.g.,\tsoy\nmilk,\talmond,\tcashew,\tcoconut\tand\nother\tnut\tmilks,\toat\tmilk,\trice\tmilk,\nand\themp\tmilk).
|
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] |
other\tnut\tmilks,\toat\tmilk,\trice\tmilk,\nand\themp\tmilk).\nPlant\tfoods\tsuch\tas\tlegumes,\tbroccoli,\nand\tdark\tleafy\tvegetables\tand\tsome\ngrains,\tprovide\tB\tvitamins\tand\ncalcium.\nFish,\tcontaining\tbones,\tand\ttofu\tset\twith\nRice\tmilk\tnaturally\ncontains\ninorganic\narsenic,\twhich\nmay\tbe\ta\nproblem,\tand\tin\nthe\tUnited\nKingdom\tis\tnot\nrecommended\nfor\tchildren
|
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] |
problem,\tand\tin\nthe\tUnited\nKingdom\tis\tnot\nrecommended\nfor\tchildren\nunder\tthe\tage\nof\t5\tyears.\nGoat\tor\tsheep
|
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] |
calcium\tcompounds\tare\talso\tsources\tof\ncalcium.\nFor\tsome\tindividuals,\tespecially\tthose\nexcluding\tother\tfoods\tin\taddition\n\tto\nmilk,\tsupplements\tmay\tbe\tnecessary\tto\nmeet\trequirements\tfor\tenergy,\tprotein,\nand\tcalcium.\nmilk\nproducts,\tor\nmozzarella\ncheese\nmade\tfrom\nbuffalo\tmilk,\nare\tnot\nsuitable\tfor\nthose\twith\ncow’s\tmilk\nallergy\tor\nlactose\nintolerance.
|
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suitable\tfor\nthose\twith\ncow’s\tmilk\nallergy\tor\nlactose\nintolerance.\nEggs\nEnergy,\tprotein,\tB\tvitamins\n(thiamin,\triboflavin,\nniacin,\tB\n6\n,\tbiotin),\nselenium,\tvitamin\tD\nThese\tnutrients\tare\twidely\tfound\tin\tother\nanimal\tproducts\tsuch\tas\tmeat,\tseafood,\nvitamin\tD–fortified\tmilk,\tand\tother\nfortified\tfoods.\nEgg\treplacement\tproducts\tare\tavailable
|
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fortified\tfoods.\nEgg\treplacement\tproducts\tare\tavailable\nfor\tcooking\tand\tbaking.\tThese\nproducts\tprovide\ta\tsimilar\tconsistency\nif\ta\trecipe\tcalls\tfor\teggs\tbut\tdo\tnot\nprovide\tmuch\tnutrition.\n\tProducts\tmade\nfrom\talgae,\tyeast,\tpea,\tor\tsoy\twill\thave\nmore\tnutrition\tthan\tthose\tderived\tfrom\npotato\tstarch.\nPotato\tstarch\tis\ta\tgood\tsource\tof\tresistant
|
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potato\tstarch.\nPotato\tstarch\tis\ta\tgood\tsource\tof\tresistant\nstarch\tfor\tgut\tmicrobes.\nPeanuts\n(legume)\nand\ttree\nnuts\nEnergy,\tprotein,\thealthy\tfats,\na\trange\tof\tvitamins\tand\nminerals\tdepending\ton\nthe\ttype\tof\tnut,\tincluding\nB\tvitamins\t(folic\tacid,\nthiamin,\tB\n6\n),\tvitamin\tE,\ncalcium,\tselenium,\nmagnesium\nOther\tnuts\tthat\tdo\tnot\tcause\tsymptoms\tmay
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magnesium\nOther\tnuts\tthat\tdo\tnot\tcause\tsymptoms\tmay\nbe\teaten\t(professional\tadvice\tshould\ndetermine\twhich\tnuts\tare\tsafe).\nIndividuals\twith\tpollen-food\tallergy\nsyndrome\t(PFAS)\tcan\toften\ttolerate\nproblematic\tnuts\twhen\troasted.\nSeeds\teaten\tin\tquantity\twill\tprovide\ta\nsimilar\tnutrient\tprofile\tto\tnuts,\tand\nhealthy\tfats\tcan\tbe\tobtained\tfrom
|
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] |
healthy\tfats\tcan\tbe\tobtained\tfrom\navocados\tand\thigh-quality\tvegetable\noils.\nFruits\tand\nvegetables\nFiber,\n\ta\tvariety\tof\nphytonutrients,\twhich\tact\nas\tantioxidants,\ta\tvariety\nof\tvitamins\tand\tminerals\ndepending\ton\tthe\tfruit\tor\nvegetable,\tincluding\tB\nvitamins\t(folic\tacid,\nthiamin,\triboflavin),\nvitamin\tC,\tbeta-carotene,\ncalcium,\tiron,\tand\nmagnesium
|
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] |
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