Do not delay allergenic foods

The old advice has changed

For many years, experts advised delaying allergenic foods. Newer research showed no benefit from this waiting. The American Academy of Pediatrics states there is no evidence that delaying egg, peanut or fish prevents allergy. Waiting may even raise the chance of allergy. The LEAP study showed that early and regular peanut prevented peanut allergy in high-risk babies.

When to start

When your baby starts solids, do not delay allergenic foods. Most guidance places this start at around 6 months. Begin with a few low-risk foods first. If your baby handles these well, you can add egg and peanut. Offer only one new food at a time, as a small taste.

Serving them safely

Always serve egg well cooked. Raw or lightly cooked egg is not recommended. Offer peanut only as smooth peanut butter or peanut powder. Thin the butter with fruit puree, yogurt, breast milk or formula. Whole nuts and lumps of peanut butter are choking hazards, so do not give them to your baby.

Keep them on the menu

If your baby ate an allergen without problems, do not drop it from the menu. You can slowly increase the amount. As an example of a baby-sized portion, the American Academy of Pediatrics gives about one third of a well-cooked egg. Bring these foods back to the table at regular intervals. In studies, the protective effect was seen when early introduction was followed by regular eating.

High-risk babies: doctor first

If your baby has severe or persistent eczema, talk to your doctor first. Do the same if your baby has had a quick reaction to egg or another food. Some guidelines advise a medical evaluation before peanut for these babies. Your doctor will plan with you when and how to offer allergens.

If you see a rash, vomiting or diarrhea after a new allergen, stop that food and talk to your child's doctor. For serious signs such as trouble breathing or swelling of the lips and tongue, call for emergency help right away.