Food Allergy Elimination Diet

If you or your physician suspect that you might have a food allergy you can follow these basic guidelines to best determine the food that is the culprit.

Symptoms of food allergies can be insidious or immediate and include symptoms such as: skin rashes, dermatitis, eczema, psoriasis, seborrheic dermatitis, irritable bowel syndrome, fatigue, suppressed immune system, autoimmunity, rheumatoid arthritis, depression, brain fog, neurological symptoms and much more.

Because 70% of our immune system surrounds our gut in the form of GALT (Gut Associated Lymphatic Tissue) it only makes sense that food allergies and intolerances easily place a burden on our immune system.

Blood testing for food allergies may be helpful for children or patients that are unable to follow this regimented of a diet such as those with a history of eating disorders. However, blood testing for allergies is truly only 60-70% accurate.

The immune system creates either IgA or IgE responses to food. IgE reactions are immediate and typically result in anaphylactic shock whereas IgA allergies are insidious and most patients only notice improvement once the food has been eliminated for at least four days. Food allergy testing only identifies foods that create these IgA or IgE immunological responses; and not those that an individual is intolerant to. Lactose intolerance for instance is a classic example of a food like milk causing a problem such as diarrhea without the presence of allergy.

The gold standard for determining food allergies/intolerances is therefore the Elimination Diet. Be sure to follow the specific diet prescribed to you by your physician.

As with any health care suggestions given here be sure to check with your physician before attempting a food allergy elimination diet. Those with history of eating disorders whether active or dormant for instance are not candidates for this regimented of a diet. If you are suffering from any chronic health complaints you absolutely should not attempt this on your own and should be under the supervision of a licensed health care provider.

To identify foods that may be causing some or all of your symptoms. During the elimination period, foods that commonly cause symptoms are completely eliminated from the diet for one to two weeks. After your symptoms improve, foods are added back one at a time to determine which foods provoke symptoms. The following is a basic template used by many health care providers and may need to be modified to suit your specific needs.

FOODS YOU MAY EAT:

Cereals:Hot: cream of rice, quinoa cereal (Quinoa Flakes).
Dry: puffed rice, puffed millet

Grains: Rice: no wild rice but all kinds of other rice including rice products such as pasta (Brands: Pastariso, Lundberg), plain rice cakes, rice bread without yeast (Brand:Energy), mochi (found frozen or fresh in Asian stores), buckwheat (kasha), millet, quinoa (a quick cooking grain), amaranth, and teff

Flours: Rice, millet, quinoa, amaranth, teff, bean flours, and tapioca

Fruit: All fruits except citrus fruits (oranges, lemons, limes and grapefruit)

Protein: Meat: lamb and wild game meats such as venison
Beans/legumes: all beans and legumes, except soy and peanuts. Check labels of canned beans, dips and soups for sweeteners, spices and additives (Brand: Taste Adventure dried refried beans and split pea soup). Do not eat canned beans with chemical additives (EDTA)

Vegetables: All vegetables except tomatoes, eggplant, peppers, potatoes, and corn

Nuts/Seeds: All nuts and seeds except peanuts

Oils/fats: All oils except peanut oil, corn oil and soybean oil

Sweeteners: Maple syrup (pure) and brown rice syrup

Beverages: Water (plain, mineral or sparkling), rice milk (plain or vanilla – check labels for ingredients, gums are allowed but barley malt or corn syrup are not allowed), all fruit juices except citrus juices are allowed and all herbal teas are allowed

Condiments: All condiments are allowed except for chocolate, tomato products (catsup), pepper products (Tabasco, hot peppers), and vinegars that contain malt or other ingredients requiring elimination. Black pepper is allowed. Check all condiments to make sure that the ingredients are allowed.

Elimination Diet Guidelines

1. Do not eat any food that you suspect is causing symptoms even if it is on the list of acceptable foods.

2. Use only those foods allowed unless you check with your health practitioner. READ LABELS! “Flour” usually means wheat flour, “vegetable oil” may mean corn oil or soybean oil, casein and whey are dairy products, and potato and soy flour is in some gluten free foods.

3. Withdrawal symptoms may occur during the first few days or week on the diet. Some or all of your symptoms may increase temporarily. You also may experience symptoms that you do not usually experience. The symptoms usually subside within 10 days. The following may help you feel better: drinking at least 8 glasses of water a day, buffered vitamin C, baths with Epsom salts or baking soda, naps and mild exercise such as walking.

4. The elimination diet may be followed for up to 4 weeks. When you have had 5 days in a row, without symptoms or your symptoms have decreased you are ready to challenge.

5. If no improvement occurs in 4 weeks, then the food substances were probably not the cause of your problem and you can gradually return to a normal diet.

HOW TO CHALLENGE

Start: Begin challenging when you have been on the elimination diet for at least 2 weeks and when you have had at least 5 days in a row without symptoms or at least your symptoms have decreased.

Challenge: Challenge one food or food group at a time, eating the recommended amount of food for 3 days in a row. For instance if you are challenging dairy you should have a glass of milk three times a day for three days. Try to use the purest form of the food possible. Cream of wheat is a better choice than bread when testing wheat for instance in order to ensure that the problem is the wheat in the bread and not the yeast or any other additives.

Stop: If symptoms occur, stop the challenge. Do not start the next challenge until you have had 1 full day free of symptoms.

When you challenge, keep a record of both your physical and behavioral symptoms.

Be patient, reactions can take up to 48 hours to begin. If you hurry your challenges, you are likely to end up getting confused and having to start again. If a reaction is doubtful, wait until the end of the challenge period and repeat the challenge to confirm a reaction.

Food Challenges: When challenging individual foods, eat one serving three times a day along with the elimination diet foods. Challenge for at least three days.

Occasionally some patients will have severe “anaphylactic” reactions to a food they are challenging. If you experience extreme symtpoms such as shortness of breath, sensation of your airway closing, swollen tongue or lips, redness or swelling of your entire body, or any other symptoms of an urgent nature do not hesitate to call 911. These symptoms can come on quite suddenly and it is better to be safe than sorry.

Meal Planning
Breakfast Ideas
• Mochi with cashew butter, peeled pear or apple
• Rice toast with cashew butter, pear
• Rice cereal and rice milk
• Rice pudding with soy milk

Lunch and Dinner Ideas
• Lamb, rice and green beans
• Lentil soup and rice crackers
• Cabbage soup and rice bread toast
• Beans and rice, lettuce salad
• Rice cakes with cashew butter, celery sticks
• Lamb, cabbage and rice soup
• Lettuce salad with cashews, celery, shallots and mung bean sprouts
• Rice pasta with parsley and green beans
• Bean soup and rice cakes
• Split pea soup and rice bread toast

Helpful Hints:
Eat as much as you want.
Add cold pressed oil to vegetables and rice for flavor and calories.
Read a good book (not a cookbook!)

RECIPES

Combination Cereals

Hearty Morning Cereal
1/2 cup amaranth
1/2 cup millet
1/2 cup teff
1/4 cup cashews

Sweet Rice Cereal
1 cup brown rice
1 cup sweet brown rice

Cashew Millet Cereal
1 cup millet
1 cup brown rice
1 cup cashews

Millet and Quinoa Cereal
1 1/2 cup millet
1 cup amaranth or quinoa

Place all grains and nuts in a fine strainer; rinse and drain. Toast grains in one of two ways:

Oven toasting:
Preheat oven to 350? F. Spread grains on a cookie sheet and toast in oven until they give off a nutty aroma (12-15 minutes).

Skillet toasting:
Place washed grains in a large skillet on burner and toast on medium heat, stirring constantly, until grains give off a nutty aroma (5 – 8 minutes).

Let toasted grains cool and store in sealed container. You can toast a big batch of several different grains at one time and store them in separate jars.
For the best nutrition, grind grains just prior to using in a small electric grinder or food processor. Once a grain is ground it begins to lose nutritional value within 24 to 48 hours. Store the whole toasted grains in labeled, sealed containers and grind the amount you need before cooking.

To cook ground grains into cereal use 1/3-cup ground cereal and 1 cup water per person. Combine cereal and water in a pot; bring to a boil. Reduce heat to low and simmer, covered, for 10-12 minutes. Using a flame-tamer or heat deflector on the burner while simmering the cereal helps prevent scorching or sticking.

Top plain cooked cereal with a little fruit sauce topping.

Amaranth Breakfast Cereal
1 cup amaranth
2 cups water
1 pear, peeled and chopped

In a small saucepan, bring the amaranth, water and pear to a boil. Lower heat to simmer, and cook for 20-30 minutes, or until all water has been absorbed. Garnish cereal with maple syrup, vanilla or rice milk.

Rice Waffles
2 cups rice flour
4 tsp. baking powder
2 cups rice milk
3 tbsp. safflower oil

Sift the dry ingredients together. Add the milk and oil gradually, stirring the mixture constantly until smooth. Bake in a hot oiled waffle iron. Serves 4

Rice Pancakes
1/2 cup ground cashews
1 1/2-Cup amaranth, quinoa or rice flours 1 1/4-cup water
1 tsp. baking powder 2 tbsp. oil

Combine dry ingredients, mix well. Combine liquid ingredients in small bowl, mix well. Stir into dry ingredients. Cook pancakes on preheated, un-greased, non-stick griddle or fry pan. When bubbly and brown, turn. As batter thickens, add water, a tablespoon at a time to keep cakes thin.

Minestra
1 head cabbage, chopped
3-4 cloves garlic
2 tbsp. sunflower oil
16 oz can white beans, drained

In a large pot, steam cabbage with a small amount of water. Cook until soft. Remove cooked cabbage from pot and add oil and garlic. Sauté garlic for 2-3 minutes. Add the cabbage back to the pot with enough water to cover the cabbage by 1 inch. Add bean to cabbage and let cook for 30 minutes on low heat. Add salt to taste.

Nutty Drizzle (serve over grain, vegetables or pasta)
1/4 cup cashew butter
1/3 cup water

Place all ingredients in a small saucepan on low heat. Stir with a whisk until mixture is smooth and warm. Serve over your favorite grain, vegetables or pasta.

Quinoa Pilaf
1 cup quinoa
1/2 cup red lentils
1/4 cup chopped parsley
3 cups water

Combine all ingredients in a medium saucepan on high heat. When quinoa comes to a boil, lower heat to simmer and cook for 20 minutes. Fluff with a fork. Option: This mixture can be eaten warm as is or cold as a salad with added chopped vegetables.

Lentil Stew (6 servings)
1 lamb leg bone or 4 oz lamb blade steak, trimmed of fat and chopped (optional)
2 tsp. canola oil
1/2 green cabbage, chopped
6 cloves garlic, coarsely chopped
2 cups green lentils, washed and checked for stones
chopped parsley

Heat canola oil in large saucepan over medium-high heat. Add lamb bone or steak (optional). Sauté until brown on all sides. Add cabbage and garlic. Sauté until soft and just beginning to brown. Add lentils and water. Bring to a boil. Turn heat to low and simmer with a lid on until lentils and lamb are very tender, 1-2 hours. After cooking, add parsley to taste.

Falafel
3-4 cups cooked garbanzo beans
5 cloves minced garlic
1 cup parsley
2-3 tbsp. safflower oil
3-4 tbsp. water
1 tsp. cashew butter
garbanzo bean flour

Mix all ingredients in food processor except the flour. When smooth, add flour until a thick batter/thin dough consistency is reached. Fry in oil in skillet until browned/crisp on both sides. Top with tofu dressing.

Black Bean Garlic Stir Fry
4 cloves garlic, minced
chopped vegetables (cabbage, scallions, leeks, celery, green beans)
chives and parsley, to taste
2 cups cooked black beans
4 cups cooked rice

Sauté garlic in a wok or large skillet. Add chopped vegetables and sauté until soft. Add chives and parsley and black beans and cook until heated thoroughly. Serve over rice.

Bean Dip
2 shallots
1/2 cup chopped leeks
2 cloves garlic, minced
16 oz cooked beans (Garbanzo, black, kidney or white)
1 tbsp. cashew butter
3 tbsp. chopped fresh parsley
1 tbsp. oil

In a small skillet, heat oil on medium heat. Add leeks, shallots and garlic. Sauté for 5-10 minutes or until leeks are soft. While vegetables cook, add remaining ingredients to a food processor. When vegetables are cooked, add to bean mixture in food processor. Process until all ingredients are well mixed and texture is creamy. Allow to cool before eating.

Split Peas and Rice (serves 4)
3 tbsp. oil 2 cups brown rice
1 leek chopped 6 cups water
1 clove garlic minced 1 cup yellow split peas
2 tsp. chopped chives
2 tsp. chopped parsley

In a large heavy pot, heat 3 tbs. oil and sauté leeks, garlic, chives and parsley until leeks are tender. Stir in rice and cook for 5 minutes or until rice begins to turn white. Add water and bring to a boil. Reduce heat and cook covered for 20 minutes. Add split peas to the cooking rice and cook 30 minutes more.

Split Pea Delight
1/4 cup dried green split peas
1/4 carrot, sliced
1 1/4 cups water

Wash peas and scrub carrot. Put peas, carrot, and water in a small pan; bring to a boil. Reduce heat and simmer, covered, for 20-30 minutes. Puree in a blender.

Bean Salad
2 cups cooked beans (lentils, black, kidney, chick peas)
1/2 cup celery, chopped
1/2 cup parsley, chopped
2 shallots chopped
2 cloves garlic, minced
1-2 tbsp. oil

Combine the beans and chopped vegetables in a large bowl and toss until well mixed. Add oil and salt to taste and mix until beans and vegetables are evenly coated.

Rice Pasta and Vegetables
1 package rice pasta cooked according to package directions
2 leeks, chopped
3 shallots, chopped
2-3 cloves of garlic, minced
2 tbsp. fresh parsley, chopped
2 tbsp. fresh chives, chopped or 2 tsp. dried
2 tbsp. safflower oil

Heat oil in a skillet over medium heat. Add leeks, shallots and garlic and sauté for 5-7 minutes until leeks are soft. Add fresh parsley and chives and cook 1 minute longer. Remove vegetables from heat. Add rice pasta to vegetables, mix well. Add salt to taste.

Rice Salad
4 cups cooked brown rice
1 cup celery
2 tbsp. fresh chives
1 cup chopped red cabbage
1 cup chopped parsley
1/3 cup cashews
2 tbsp. oil

Toss brown rice with chopped vegetables and cashew nuts until evenly mixed. Add oil and salt to taste. Optional: add 1/2 cup to 1 cup canned beans or lentils.

Rice Pudding
* this recipe can be made with cooked leftover rice or uncooked rice
1 cup cooked rice
1 cup rice milk
1 tsp. vanilla

Place cooked rice in a pan with the rice milk. Heat on medium heat until most or all of the rice milk has been absorbed. Remove pan from heat. Add vanilla. If consistency is too hard, add more rice milk and return to stove.

To make this recipe with uncooked rice, add I cup uncooked rice with 2 cups rice milk and 1 cup water. Cook like ordinary rice. When rice is cooked, add vanilla.

Millet and Pears
1 cup millet
2 cup water or rice milk
1 pear, peeled and chopped

In a pan, bring millet, water and pear to a boil over high heat. Lower heat to simmer and cook for 30 minutes. remove from stove top. Mix well. If desired, add some rice milk for a creamier texture.

Fruit Sauce
Use 1 cup water per 1/4 cup cut-up pear or apple. Peel and slice the fruit. Place cut-up fruit and water in a pot; bring to a boil. Reduce heat and simmer until the fruit is tender and water has cooked off (about 15 minutes). Puree in a blender.

If you are in need of support while on a food elimination diet feel free to leave your questions or challenges in the comments section. If you have a favorite tip or recipe for those on this diet please attach it as well for all to enjoy!

Just a note: Next month we’ll be focusing on food allergies – so stay tuned!

~Dr. Nicole Sundene

Read more articles on allergies

References: Food Allergies and Food Intolerances

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Brand New! Cranberry Orange Zing Bars

Just thought I would give a shout out for my favorite whole food Zing Bars.

I was at a conference this weekend and had the opportunity to try the latest cran-orange flavor and it is fabulous!

As an athlete, I appreciate some non-chocolate flavored bars and am happy to see this new one. The new cranberry orange flavor is absolutely delicious. If you are concerned with food allergies, here are the ingredients:

INGREDIENTS: Rice Protein Concentrate, Cranberries (with Apple Juice Concentrate and Sunflower Oil), Organic Agave Syrup, Organic Raw Cashew Butter, Cashews (with canola oil and sea salt), Fruitrim(R) (Fruit Juices, Natural Gluten Free Dextrins), Organic Brown Rice Crisp (Organic Brown Rice, Sea Salt, Organic Brown Rice Syrup), Inulin (from Chicory Root), Brown Rice Flour, Vanilla Extract, Mixed Tocopherols (Natural Vitamin E), Organic Orange Oil.

Allergens: Cashews (tree nuts).

However the bars are designed to be hypoallergenic and are high protein, vegan, as well as gluten, soy, and dairy free, so an excellent choice for athletes with sensitive stomachs!

For more information visit www.ZingBars.com!

©KitchenTableMedicine.com, LLC ™

Dairy Free Latte Recipe

Perfect Dairy Free Latte Recipe

• 2 shots of organic espresso

• 1 cup heated vanilla (or chocolate) Almond Breeze

• Pour in a large mug and enjoy!

Calories: 110

Okay you caught me. I drink coffee. Feel free to report me to the naturopathic police, but I do drink coffee moderately, which means less than every single day, and it is typically organic coffee, as non-organic coffee is likely dirtier than any of the top foods on the notorious “Dirty Dozen”….if I must defend myself. *sigh*

The key to enjoying the occasional vice is enjoying it THOROUGHLY, and in moderation of course. When you actively enjoy it, without all the guilt, you will be less likely to miss it. Also, when we give our favorite vices naturopathic makeovers, we lesson the total load of toxins placed upon the system.

If you have the habit of frequenting your local coffee shop, you will likely save money by purchasing a nice espresso machine and grinding your own organic coffee beans at home.

Everybody raves over my latte recipe, and the secret behind it is actually quite simple. I use vanilla flavored almond milk. From my experiment for the “The Best Non-Dairy Milks”, I have found Almond Breeze brand to be the most delicious. Almond milk has a thicker consistency than rice milk or cow milk. Almond milk is also great for those that are sensitive or allergic to soy as soy is one of the top seven food allergens.

Remember when drinking coffee to also avoid the excessive use of sweeteners and artificial creamers as they are typically full of “Kitchen Table Villains” and not part of our mission here of eating a “Whole Foods Diet”.

If coffee is a daily habit for you, consider cleaning up your daily vice and going organic.

Thanks for stopping by my kitchen table!

~Dr. Nicole

©KitchenTableMedicine.com, LLC ™

Dairy Free Banana Ice Cream Recipe

If I can make this easy whole foods recipe then anyone can!

This recipe for dairy free banana “ice cream” is a piece of dairy free cake to make for those that are allergic or intolerant to dairy. If you long for something cold and creamy, banana ice cream should surely satisfy.

Eating bananas instead of fattening ice cream is also a healthy whole foods way to lose weight and feel better.

Although bananas have been given a bad rap by dieters when you weigh in the average 100 calories in a banana next to a large fattening bowl of ice cream, the banana is going to win hands down! Plus bananas have all the fiber, potassium, vitamins, and minerals that ice cream can’t compete with.

Ingredients: Frozen Bananas

Directions: Peel, chop in large chunks, and freeze overly ripe (not brown) bananas. Place in Cuisinart food processor. Blend until smooth and creamy. Enjoy alone or add some organic chocolate sauce for garnish! If you are dairy intolerant be sure to use dairy free chocolate sauce or other alternative topping.

Variations: If you are lazy (er… efficient and REALLY busy) like me, or don’t have a Cuisinart then you can just chop the frozen bananas up and enjoy with some organic chocolate sauce, raspberries, or strawberries. See what other kinds of frozen fruits can easily be made in to “ice cream”. If you have a child that is allergic to dairy, giving them fresh fruit “ice cream” is a fun way to get more whole foods in to your kids. Be sure to call it “ice cream” so they are excited to eat this whole foods treat!

To save money I purchase bunches of bananas when they are on sale and then chop in thirds and freeze for smoothies and other healthy treats.

Thanks for stopping by my kitchen table!

~Dr. Nicole

Naturopathic Physician

www.KitchenTableMedicine.com

©KitchenTableMedicine.com, LLC ™

The Best Alternative Milks

For those of you that have trouble with dairy whether you are lactose intolerant, allergic, don’t like the excess phlegm it creates in your body, or simply are trying to make better choices for the environment…this article is for you!

With so many choices out there for soy milk, almond milk, rice milk, oat milk and more; one can easily become overwhelmed at the grocery store with trying to make a decision.

Soy is a great choice for women because of the phytoestrogen components. Rice milk is best for those with food allergies in need of a hypoallergenic choice (read the labels though because some brands contain gluten as a thickening agent).

Almond milk is best enjoyed straight out of the container (yes mom I still do this).

Recently I have done a taste test on many of the different generic and popular alternative milks available and this is what I came up with.

1. My gold star absolute favorite alternative milk is vanilla or chocolate flavored Almond Breeze. I can not speak more highly for this milk. Almond Breeze also makes for delicious lattes. (Yes I drink coffee, I know…I know… I never said I was perfect. Just one cup a day though.)
2. Second places goes to Eden Soy vanilla. (Also delicious ice cream products to test out.)
3. And third place goes to vanilla Rice Dream. (Also delicious ice cream products.)

So there you have it. Three good alternative dairy products that if I like, then anyone can probably find palatable. If you are trying to cut out dairy, go try one of each brand and figure out which ones works best for you.

Aside from flavor considerations, be sure when purchasing alternative milks be sure to get the calcium enriched ones. Calcium is tough to get in the diet otherwise and you will find yourself using a calcium supplement or eating piles and piles of green leafy vegetables each day. To save money I buy the generic milks for making smoothies or using it recipes and use the more expensive designer brands for cereal, drinking, and what not.

For more information read “Alternatives to Dairy”.

What is your favorite alternative dairy product?

~ Dr. Nicole Sundene

Naturopathic Physician
www.KitchenTableMedicine.com

©KitchenTableMedicine.com, LLC ™

Alternatives to Dairy

Milks
Soy Milk, Rice, Oat, Almond, and Amasake (a cultured rice drink)

Cheese
Almond Rella*, Lite ‘n’ Free*, Lite ‘n’ Less, Soya Kaas*, Soymage, White Wave Soy-A- Melt*, White Wave Fat-Free* , Lite ‘n’ Free Cheddar*, Lite ‘n’ Less American*, Nu Tofu Low- Sodium Cheddar*, Nu Tofu Cheddar*, Soya Kaas Mild American Cheddar*, Soymage Cheddar, White Wave Cheddar Soy-A-Melt*, White Wave Fat-Free Cheddar*, Zero-Fat Rella California Cheddar*

Butter
Spectrum Soy Margarine
Natural Food Store Soy Bean Margarine
Safflower Oil
Olive Oil
Nut Butters such as cashew, tahini, etc.
Coconut Butter (Omega Flow)

Ice Cream
Rice Dream or Soy Delicious Ice Cream
Tofutti
Fruit Sorbets without dairy
Fresh or Frozen Fruit Smoothies
Juice Popsicles

Yogurt
Soy Yogurt

Mayonnaise
Soy Mayonnaise
Spectrum Canola Mayonnaise
Nasoya Soy Mayonnaise

Cream Cheese
Lite ‘n’ Less*
Nu Tofu*

Sour Cream
Tofutti Sour Supreme

*Contains casein, a protein found in cow’s milk. Those with a dairy protein allergy must avoid casein. Individuals with lactose intolerance can consume the dairy-free products with casein, while avoiding lactose found in dairy foods.

©KitchenTableMedicine.com, LLC ™