Food Allergies Don't Take a Thanksgiving Holiday

The days are getting crisper, the leaves are falling in Chicago and every magazine I flip through seems to feature recipes like these: pecan pie, pine nut turkey stuffing and pumpkin nut bread. That can only mean one thing: Thanksgiving is just around the corner. And so is a nut allergy minefield if you're not prepared.

Don't get me wrong, I love Thanksgiving--it revolves around feeling thankful, celebrating family and eating a ton of good food. What's not to love? However, we've all got to keep our guard up if we're caring for an allergic child. Something about the fall/winter holidays makes people crave tree nuts, so this is a particularly difficult time for this allergy. Peanut butter and its many related food items seem to be favorites year round, but tree nuts don't usually turn up in such massive quantities until now.

My family has been celebrating Thanksgiving with a nut allergy for nearly 7 years (!) now and I've seen a lot of nutty things happen in the kitchen (that's not even counting the behavior of me and my relatives) so I have a few tips to share that should make it easier for you to cope.

I've said some of these before but they bear repeating. And if you're new to nut allergies at the holidays, take heart. Once you've been through it once, you learn A LOT so you're much better prepared next time. You must not apologize for the allergy or worry about seeming "over the top." Believe me, that's better than winding up in the ER with your child.

The other thing to remember is that family recipes and traditions are different, but one thing is the same at Thanksgiving: the emotional ties to favorite foods. So don't be shocked if you meet resistance to a "nut-free" or altered Thanksgiving menu at first. Your family and friends will get the hang of it as time goes on. And if they don't, you may want to consider hosting the celebration.

Safe Thanksgiving Tips for Nut-Allergies:

1. Communicate about the allergy early and often. Whether you plan to attend a dinner outside of your home or you are the host family, you want to put the word out now about your nut allergy concerns. Things to discuss would be safe brands of bread for stuffing, gravy sauces or sauce enhancers or mixes, stuffing recipes in general (many contain pecans, pine nuts or other nuts), desserts and cross-contamination when cooking or baking. You want to give people plenty of notice about the food to help ensure safe choices. Many times people set their menus and decide what they plan to bring to a dinner early, so go on, make that call today!

2. Offer to provide safe alternatives to family favorites. Does someone always want to make pecan pie or peanut butter blossom cookies? See if you can make an alternative pie or offer to make the cookies using SunButter (sunflower seed butter) or soybutter. Or, introduce a new recipe that may become a nut-free family favorite.

3. Be careful at the buffet table. Buffet tables present cross-contact problems, since serving spoons may be used for more than one food. You may ask to serve your child first to prevent cross contact, or prepare a separate plate for your child in the kitchen.

4. Suggest an alternative to "mixed nuts in a bowl" and peanut-laden Chex mix-style snacks from the party. Yes, these are a big hit with many family members, but see if you can bring an alternative snack. These are particularly dangerous because younger allergic children may grab these items and eat them before you can stop them. Also, people spread the nut dust and residue around with these snacks.

5. You bring (or make) dessert. Desserts are one of the top foods to cause allergic reactions, so don't chance it. You do the dessert. It may seem like a lot of work but honing your dessert-making skills is a must if you're a nut allergy caregiver. Also, everyone loves desserts, so if you make a good one you'll be one of the "heroes" of the dinner! :) Another thing I plan to do this year is give each child a chocolate turkey from Vermont Nut-Free Chocolate. A way to promote awareness, yes, but also a way to include your child and impress their cousins with a delicious treat. If chocolate is out of reach for you due to other allergies, any little "extra," whether a safe candy or even Thanksgiving-themed pencils, helps your child feel like they brought something special to the party and helps them cope with having to avoid certain foods.

6. If you're really concerned, bring a safe meal for your child. Sometimes, despite your best efforts, you may not feel the meal is safe enough for your child to eat. That's OK--it happens. Just bring something extra for them and serve it to them without a lot of fanfare. If anyone asks, use the situation to increase awareness: "Alex can't eat the dinner because of her nut allergy." You never know--this simple statement could result in more cooperation from others for the next celebration.

This is just a start. I'll have more tips as we get closer to the holiday, including some nut-free recipes. If you have any tips that have worked for you or if you have any questions about managing this nutty holiday, let me know!

Food Allergies and Food Labels: The Good, The Bad and The Ugly

Check out this photo of a label from Breton Multigrain Crackers. From my perspective as a consumer looking to avoid even traces of peanuts or tree nuts, the label I share in the photo should be one of the "good ones." It is clearly marked with regard to any nut ingredients and clearly states that the product is made in a nut-free facility. Does a label that states clear nut allergy info boost my interest in buying the product? Absolutely.

However, take another look at the label. This particular flavor also includes sesame seeds and an allergy to sesame is on the rise, so this ingredient may be a concern to some of you reading this right now. Before we get too angry at the company, though, a quick note: sesame is not one of the "Top 8" allergens and the allergy warning in bold type on this package is totally voluntary. They didn't have to put it there, but they did.

I'm talking labels because soon those of us in the U.S. will be talking turkey--as in Thanksgiving and many of us are going to be eating at the homes of family and friends. Label reading is crazier than ever these days and food labels with regard to allergy warnings are changing like the leaves in autumn.

Consider the new labels for Ragu spaghetti sauce. Now, any time of year people are serving spaghetti and tomato sauce. I make my own--taste preference as well allergy concerns factor into this decision--so I'm not a regular Ragu customer. Howevever, I came across a troubling label discussion on the page of one of my food allergy Facebook friends. Turns out Ragu has changed some of their sauce labels to reflect nut allergy warnings due to new manufacturing lines/locations.

Oh, dear. But the thing is: This happens ALL THE TIME. Here's what Ragu had to say when I questioned them on their Facebook fan page:

Hi Jenny! We totally understand your concern about nuts in our sauce. As of 2/10, some labels of our Traditional sauce stated that the product may contain tree nuts. This is because a little amount of this sauce was produced at a different plant, thus there will be an "L" in the date code instead of a "Y" so if you want to be extra cautious, check the date code. An example of a date code would look like this: JAN2211YU010302A1. We do NOT put nuts to our Old World Style Traditional - we had to put that different label # on there just for precautionary reasons. We regularly test for allergens at that facility to ensure our products meet the highest standards quality regardless of production – and to date, no allergens have been found. As we’re sure you know, you can never be too safe – so you can stick with any date code that contains a “Y”. Thank you for your concern and we hope this information is helpful!

I know. I'm a little confused after reading that as well. However, that's all I know--if you want more info from Ragu, please ask them directly.

Additionally, the law that requires the "Top 8" allergens (egg, milk, soy, tree nut, peanut, shellfish, fish and wheat) to be listed on a food label doesn't cover other allergens and does not require any additional allergy warnings in bold type. Allergy alerts in bold type are totally voluntary under current U.S. law. Only the ingredients need to be listed in "plain English." If you have any questions, I encourage you to do your homework (as I do) and contact the companies directly. The more noise they hear, the better chance they may actually create a label that's easy to decipher as well as (fingers crossed, always!!) accurate.

The bottom line is to always, ALWAYS read food labels and inspect them before serving to an allergic person. You also want to start alerting your family now if you notice any changes in food labels you've used safely in the past.

Any other food label issues you'd like to sound off on? Readers, let's hear it. If possible, share the outcomes of any e-mails you've sent or phone calls you've made.

Food Allergies and Friends

I've been dealing with food allergies and play dates for a long time now and I have to say the awareness has grown with regards to parents and other kids. Food seems to be a big part of play dates (is it me or are we feeding kids ALL the time--school, especially seems more food-centric than when I was a kid) so often this topic comes up for us. "What is "safe" to eat?" is one of the most frequent questions I get and I'm guessing it's the same for all of you. Usually I either OK foods beforehand by physically inspecting the labels or my daughter just brings her own snack or treat.

Today, I encountered another aspect of food allergies and play dates and that is how to walk a fine line between awareness and fear on the part of your child's hosts. For example, my daughter got an invite from one of her good friends this morning but her buddy was worried about the food being served. I don't think it's the case with this friend, but I wondered if worries about food had prevented others from inviting my child to play dates or parties. It's probably happened. After all, parents are busy and preoccupied to begin with. If they don't understand that food allergies are manageable provided (relatively simple) precautions are taken, they may want to avoid a child with this condition for fear of making them ill. I get this, but it doesn't have to be this way.

I want others to be concerned about food allergies, but not paralyzed by fear. It's hard to get a happy medium when you send your food-allergic child to someone else's home: either they seem way too relaxed or so freaked out that you feel uncomfortable for everyone concerned.

The way to combat either extreme is education. I realized that I need to do a better job of communicating with other parents about my daughter. A frank and honest discussion about risks and things to avoid is needed, but so is a reassurance that it will be OK if precautions are taken. I've always done this initially, but I realized that others may need some follow up reassurance. After all, food allergies are serious, and the more others hear about them in the news, the more the come up on people's radar. We need to keep the discussion ongoing.

Is it a big deal if my daughter brings a treat to share in case it's needed? Not at all, and that's another solution. Send some food with your child each time they visit a friend and then the other family doesn't bear the burden. They will appreciate it, believe me.

Even better--does every social interaction require your child to eat? Not really. Obviously food is a big part of social interaction and that's why I recommend that your child brings a treat if they like. But frankly, with childhood obesity on the rise, everyone is eating too much anyway. Focusing on fun and not always food is a good option and one that I try to emphasize. As I told my daughter's friend on the phone, "She will be happy to spend time with you, that's the important thing."

How do you cope with this problem? What works for you or what are you willing to try? Let us know.

Food Allergies, Cross-Contact and "Top Chef Desserts"

Yep, Top Chef is in my sights again, but this time as a lesson about cross-contact and how little it seems to be understood by not only the general public but by chefs. Did any of you see last week's "Top Chef Desserts" episode? It was "Restaurant Wars" (in this case, Bakery Wars) in which the cheftestants created a makeshift bakery for one day and then competed with their dishes.

Obviously, there were peanuts and tree nuts galore in these dishes. However, at one point, a "customer" came in and said he was allergic to nuts. One of the pastry chefs then said he would make a "safe" treat for this customer and served him one. Now, they didn't show what precautions they took, if any, but with all the peanuts and tree nuts swirling around the kitchen, they should not have served this customer. Not if he had a true nut allergy. The cross-contact risk is too high and the cheftestants were under an extreme time limit.

Cross-contact is simultaneously one of the most important and most difficult aspects of food allergies to explain to others. People will say "You can have this--it doesn't have nuts in it." How many times have you heard this? I know I've heard it more times than I can count and so has my daughter.

Being responsible about a severe food allergy is about more than ingredients. The environment in which food is prepared is just as important. So is the placement of the items once baked. Take a "nut-free" cookie baked in a "nut-free" facility and then put it on a bakery display next to hazelnut cake and peanut butter cups. Now the "nut-free" cookie is unsafe due to possible cross-contact.

Bake a plain vanilla cake in a small kitchen that just featured a peanut butter cupcake. The plain vanilla cake may be harboring peanut matter and is not "safe" for those with a nut allergy.

Take a plain Butterball turkey and stuff it with cornbread pecan stuffing and that plain turkey is now unsafe for someone with a nut allergy. Thanksgiving is a whole other can of worms that I will address in future posts. But since so many of us will be explaining cross-contact in the coming weeks, I couldn't resist throwing it in here now.

Cross-contact is the reason for food labels that say "may contain peanuts." It's the reason for companies choosing to create and label foods "made in a nut-free facility." Cross-contact is real and not to be downplayed.

I've heard Chef Ming Tsai talk about his food allergy-friendly restaurant Blue Ginger and how he tells his chefs to treat any food allergens like they are "raw chicken." When dealing with raw chicken you change cutting boards and utensils and wash your hands frequently or risk salmonella. I think the Raw Chicken Analogy is as good as any I've ever heard. Feel free to use it.

The main thing about cross-contact is that if you live with a severe food allergy or care for someone who does, you can't let others lack of understanding about it get in the way of safety. I know people can get offended if you tell them that you or your child can't partake of their particular foods that "don't have nuts in it."

Think of raw chicken. And then skip the food in question with a thank you and a smile.

Sunbutter Cups from Cybele Pascal! A Delicious Treat for Any Season!

Because we have to give up so much of our Halloween candy bag, I try to make some special treats for both of my kids to enjoy. I realized that my oldest has never had a peanut butter cup, but she has developed a real taste for Sunbutter and her younger sister (without allergies) loves the stuff, too.

I was so happy to come across this recipe for Sunbutter Cups in a magazine article, courtesy of cookbook author and allergy-friendly baking authority, Cybele Pascal.
Click this link to go directly to the recipe. (You will need to scroll down nearly to the end of the article.)

My husband and kids went crazy for these Sunbutter Cups! (And I admit, I nabbed a few myself!) They are so tasty and lots of fun to make with my daughters.

If your child has food allergies, generally their candy bag is a little light after all the unsafe stuff is removed. I know Halloween is over, but these Sunbutter Cups are good any time of the year. How about making them when you have guests visiting over Thanksgiving or Christmas? If the kids are stir crazy, grab a jar of Sunbutter and whip up a batch of these little candies.

I hope Halloween went well for everyone and now we enter the Thanksgiving and Christmas season. Stay tuned to The Nut-Free Mom blog for tips, advice and yes, more recipes. In the meantime, I'm getting myself another Sunbutter Cup before my kids get home from school!