Clinical Village – Station 8
Nutritional Support alternatives in allergic
patients
COOKING ALTERNATIVES
*
Cow Milk Protein
Milk Substitutes
- Vegetable drinks, ( from oats, rice,
coconut, almond, soy, sesame,
horchata)
- Soy or rice desserts
- Sausage withouth milk protein
- Natural juices
- Home elaborations, ( soups,
porridge, pastries, hash, bread,
…), without cow milk protein
- Some recipes can use fruit puree,
broth, or water
Butter substitutes
-
Olive oil, sunflower oil, vegetables
margarines
Cream/yogurt substitutes
- Soya cream
- Tofu, or tofu cheese
- Yogurt from soya, rice, oats.
*Fish substitutes
- Any other animal protein
source
- Home cooking of soup, paella,
pizza, avoiding fish
Vegetables Substitutes *
-Olive oil
-Other protein sources
Cereals Substitutes *
*
Egg Substitutes
- Orgran no egg,( trademark)
- Orange juice, for batter or breaded.
- Two tablespoon of ckickpea flour diluted
in water, (texture a bit thicker than beaten
egg), for every egg to substitute, for
omelette, breaded.
- Tofu cut into cubes, as substitute of
boiled eggs.
- Buns exclusively brewed whit wheat
semolina.
- Corn flour, or rice, for custard, and other
linked elaboracines.
- Gelatin added whit in curd desserts, as
custard, and puddings sweet or salty.
- For elaborate cakes, each egg can be
replaced by:
-1 dry yeast tablespoon + 1 vinegar
tablespoon + 1 water tablespoon.
-1 yeast teaspoon dissolved in ¼
water cup.
-½ water teaspoon, ½ oil teaspoon,
1 teaspoon of yeast powder.
.
Anisakis Substitutes *
- Properly cooked frozen fish
- Any other animal protein source
*
shellfish Substitutes
-Any other animal protein source
-Home cooking of soup, paella, pizza,
avoiding shellfish
-Chipkea flour
-Cooking whit no alergy flour for the
patient
* Alergia e intolerancias alimentarias. AEPNAA
Clinical Village – Station 8
Nutritional Support alternatives in allergic
patients
Support alternatives
Diagnostic Evaluation
- Patient History
-Allergy “testing”:
Skin test
Laboratory analysis
Provocation test
*
*
Avoidance dietary foods that produce
symptoms
Allergen evitation
Other advances
*
*
-Probiotics
-App:
- Allergy translator
- Carta On
- IntolerApp
.
- Cook it allergy
*
*
* From FARE guide
Clinical Village – Station 8
Nutritional Support alternatives in allergic patients
LIPID TRANSPORT PROTEINS.LTP
IDENTIFICATION AND TREATMENT
Definition:
-Defense proteins of the plant
kingdom.
- They found in skin, shell, but
leaves inside.
- Cause of many cross-reactions
between plants.
- Resistant to heat and digestion,
and can give symptoms even
cookes.
- No dose-dependent reaction.
Sintoms:
-Local:
Orofarins (SAO) oral allergy
syndrome
-General:
Gastrointestinal:vómiting,diarrhea.
Dermatologic:urticaria,pruritus.
Respiratory:dysnea,wheezing.
-Graves :(Anaphilaxis) whit
involvement of two or more organs.
¿What can I eat?
-All foods that are no related to any
allergic reaction.
And freely:
-Eggs, dairy.
-Meat, fish, seafood.
-Potatoes
Avoid:
Salads, sauces, where some food can
be masked..
They can be found in:
-Fruits: rosaceae fruit specially
-Vegetables: (cabbage, lettuce,
tomato, celery, cauliflower,
asparagus, broccoli)
-Cereals: (corn, wheat)
-Nuts (almonds, walnuts, hazelnuts,
peanuts, sunflower seeds, chestnut)
-Legumes: (lentils, beans)
-Polens: weed (artemisia,
parietaria, ambrosia) and trees
(banana, olive)
-Seeds: (mustard)
-Látex
75% people allergic to fruits are also
pollens. Pollen-Fruit syndrome
Treatment:
.
-Avoidance dietary foods that produce
symptoms. Sometimes can tolerate peeled
fruits.
-Inmunotherapy: peach sublingual vaccine
is avaliable (LTP). Currently undergoing
several studies.
-Biologic drugs. Anti IgE.Reduce the allergic
response. Only for hospital use.
If you suspect nutrient deficit by LTP high
sensitivity, consult a nutritionist.