Milk protein allergy hypoallergenic food

The first is foods for special medical purposes such as deep hydrolysis/amino acid formulas that comply with the national standard GB 25596; the second is natural basic ingredients without added milk and derivatives (fresh fruits and vegetables, unmarinated lean meat from poultry and livestock, grains and potatoes without added milk, etc.); and the third is compliant prepackaged foods that are clearly labeled without milk ingredients and processed with hypoallergenic processes.

Two years ago, when I was sorting out the food supplement list for my best friend's little rice cake who had just been diagnosed with milk protein allergy, I discovered that many people had a deep misunderstanding of "hypoallergenic foods" - for example, some people thought that lactose-free milk was hypoallergenic, but after giving it to their baby, they got a rash that couldn't go away. Others heard that goat milk was not allergic and bought several boxes home. After drinking it, the baby had bloody stools and spent half a night in the hospital emergency room.

Regarding the choice of hypoallergenic milk substitutes, there are indeed differences in the views of doctors in different departments: most doctors in children's allergy specialists will recommend that children who have just been diagnosed and have severe allergic reactions (such as severe atopic dermatitis, frequent vomiting and blood in the stool) directly drink amino acid formula for 3-6 months, and then switch to deep hydrolysis after the allergy indicators have dropped.； Many gastroenterologists also believe that if you only have mild eczema and no digestive tract involvement, you can try the deeply hydrolyzed formula first. After all, the bitter taste of the amino acid formula is really unacceptable to many babies, and it is too expensive for parents to feed. As long as they can tolerate it, there is no need to use more expensive amino acids. Oh, by the way, here’s an important point: Ordinary goat milk powder, donkey milk powder, and soy milk are not hypoallergenic alternative foods for cow’s milk protein allergy. Don’t listen to the scammers. Unless it is clearly marked as a deeply hydrolyzed product for cow’s milk protein allergy, don’t try it randomly.

In fact, most natural and unprocessed ingredients are not highly allergenic. As long as the ingredients are clean and no milk derivatives such as whey protein, casein, and butter are secretly added, you can basically eat them. Last time I took my little rice cake to an outdoor camping trip, she happily ate the grilled chicken wings, steamed pumpkin, blueberries, and boiled shrimps that I prepared for her in advance. I was the only one who stopped the milk slice that was handed to me by a kid who was traveling with me. Of course, there are exceptions. For example, some children who are allergic to milk protein are also allergic to wheat and eggs, so they have to avoid steamed buns and ordinary cakes. Therefore, the matter of hyposensitivity really varies from person to person, and there is no unified list that is universally applicable.

I have talked about the controversy over goat milk with friends in the nutrition department before, but the academic community has not yet fully reached a unified conclusion on this issue: the mainstream view is that the protein homology between cow's milk and goat's milk exceeds 80%, and 90% of people allergic to cow's milk protein will have cross-allergy, so the guideline clearly does not recommend ordinary goat's milk as a substitute.； However, there are also small-scale clinical studies that show that about 10% of patients are only allergic to casein in cow's milk and are tolerant to the special whey protein in goat's milk. In this case, after confirmation by a food challenge test, they can drink goat's milk that has been treated with casein removal. However, this proportion is too low. Ordinary people should not bet on this probability. They must go to the hospital for professional testing first.

When I help Minwa families make meal plans, I repeatedly remind them to "check three generations" when looking at the ingredient list: Don't just look for the word "milk". Ingredients such as "whey powder", "sodium caseinate", "cream", "milk mineral salt" and "milk replacer powder" hidden in the corners of the ingredient list are all milk derivatives and cannot be touched. If you are really unsure about pre-packaged food, look for a package that is clearly marked “Suitable for people with milk protein allergies” and the compliance standard is GB 25596. This will minimize the chance of being caught in a trap.

I met little Nian Gao a while ago. She is now five years old. Her allergy symptoms have long been relieved, and now she can still eat a small bite of ice cream occasionally. Her mother said that when she was first diagnosed, she cried every day and thought that the baby would never be able to eat delicious food in her life. However, after finding out about hypoallergenic foods, the baby started to eat in different ways every day, and her height and weight were half a head taller than the children in her class. In fact, there are so many "you can't eat this and you can't eat that". It's just a matter of eating more snacks and finding the right list that suits you.