Eat Two Cupcakes and Call Me in the Morning

Image courtesy of  Sara Nualpradid /

Image courtesy of Sara Nualpradid /

Did you know most children with cow’s milk allergies can tolerate milk in baked goods? Studies have shown that greater than 80% of children with a milk allergy tolerate oral challenges to muffins and cupcakes. Furthermore, children with baked milk in their diet are 16 times more likely to develop tolerance to unheated milk compared to those children following strict avoidance of milk in their diet. Similar results have also been shown with egg.

Food allergies are complex and recommendations should be made by your treating physician incorporating variables such as prior reaction frequency and severity, current dietary tolerance and the impact of other coexisting diseases like atopic dermatitis or eczema. They can also help weigh the risk of a food challenge by providing guidance on the location and timing of reintroduction.

The point to remember is that most children with an allergy to cow’s milk should not follow strict avoidance of cow’s milk in all food. If you find that he/she can tolerate baked milk, his/her quality of life will be better not having to follow a strict avoidance diet, and the early introduction of baked milk could very well accelerate their tolerance to other dairy products.

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Disclaimer: This blog is not intended to create a doctor-patient relationship with any reader. If you need personalized medical advice, contact your primary care physician or other physician in your community.


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