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Table 1 Suggestions for working with a food allergic, vegan patient and their family

From: Veganism and paediatric food allergy: two increasingly prevalent dietary issues that are challenging when co-occurring

Suggestion

Reference

Caution parents of the need for professional dietary monitoring and potential need for supplementation to meet the needs of a growing child

[9]

Careful attention must be given to the amount and quality of dietary protein, particularly as many plant-based protein rich foods are common allergens

[3, 5, 38, 114, 116]

Counsel families that portion sizes needed to achieve recommended/appropriate levels of energy and nutrients through a plant-based diet are greater than a traditional diet

[3, 5, 38, 114, 116].

Caution is warranted with pre-packed snacks with precautionary allergen labelling

[122]

Food labels must be read every time a food is purchased, to reduce the risk of accidental ingestions and reactions

[139]

‘May contain’ labels to alert consumers to possible traces of allergens in a food product, although the amount of allergens in a given food varies widely, resulting in a need for consumer vigilance

[140]

Encourage cautious re-introduction of a food if a child outgrows an allergy

[141,142,143]

Encourage a diverse diet, as restrictive diets and selective eating may contribute to nutritional deficiencies

[127, 144,145,146]

Discuss any new food and environmental allergies, as cross-reactivity can occur

[147,148,149]

Educate families that some allergies can be influenced by season and climate

[150]