Fact sheetDiet specifications

Published on 1 Oct 2016 ; Partial revision Jul 2019


Allergy diet - elimination simple

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To provide a diet that excludes food chemicals that lead to mild food sensitivity reactions.

Characteristics

Avoids or reduces salicylates, amines and the following additives:

  • Antioxidants: Gallates (310-312), TBHQ (319), BHA (320), BHT (321)
  • Colours: Yellows (102, 104, 110), reds (122-129), blues (132, 133), greens (142, 143), black (151), brown (155), Annatto (160b)
  • Flavour enhancers: Monosodium glutamate (MSG, 621) and related flavour compounds (620, 622, 623, 624, 625, 627, 631, 635, 640, 641), Hydrolysed Vegetable Protein (HVP), Textured vegetable Protein (TVP)
  • Preservatives: Sorbates (200-203), Benzoates (210-218 and PABA: Para-aminobenzoic acid), Sulphites (220-228), Nitrates and Nitrites (249-252), Propionates (280-283).

Indications

  • patients admitted with allergic / food sensitivity reactions
  • as a diagnostic test of food sensitivity.

Nutritional adequacy

This diet is not nutritionally adequate – supplemental vitamins and minerals are normally required.

Precautions

Requires supervision by a dietitian. Any allergens specific to individuals should be avoided.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes

Plain cooked chicken, lamb, beef, veal, pork and turkey

Eggs and some egg dishes including quiche

Fresh or frozen fish (including fish fingers)

Canned salmon or sardines

Canned or dried legumes without sauce

Tofu

Bacon, ham, salami, sausages

Canned tuna

Bean mixes with sauce, canned baked beans with sauce

Crumbed meat, fish or poultry

Sauces, gravies None -
Starchy vegetables / pasta / rice

Potato, sweet potato, pumpkin

Plain rice

Plain pasta and noodles

Polenta, quinoa

All others
Vegetables Most fresh, frozen or canned vegetables including broccoli, cauliflower, corn, cucumber, zucchini, beetroot, carrot, lettuce, peas, tomato (fresh) Others including avocado, capsicum, eggplant, onion, mushrooms, spinach, chilli, olives, fava beans, dried tomato and tomato paste, sauerkraut
Soups None -
Sandwiches Sandwiches using allowed ingredients All others
Salads, dressings Salad using allowed ingredients

All others

Breads, cereals

All other cereals and muesli

Breads without vinegar, corn, honey, seeds and preservatives

Cereals and muesli containing cocoa, coconut, dried fruit, honey, artificial colours and flavours

Spreads

Butter

Margarine without antioxidants and sorbates (e.g. Nuttelex™)

Jam, honey, marmalade, peanut butter, yeast spreads, hummus, tahini

Hot breakfast choices

Whole eggs and egg dishes using allowed ingredients

Pancakes, croissants, semolina

Canned spaghetti, sausages, bacon, mushrooms, baked beans, egg dishes with preservatives
Fruit Fresh or canned: pears (peeled), apricots, apples (peeled), banana, mango, nectarine (peeled), peach (peeled), rockmelon, watermelon All other fruits including berries, cherries, citrus fruits, dates, dried fruit, grapes, kiwi fruit, passionfruit, pineapple, plum
Yoghurt Plain vanilla and natural yoghurt Fruit yoghurt
Desserts

Plain desserts containing allowed ingredients

Vanilla ice cream and plain dairy or soy custard without preservatives

Desserts containing chocolate, coconut, dried fruit, jam, preservatives and antioxidants
Milk and cheese

Plain milk (cow, goat)

Dairy alternatives (rice drink, soy beverage)

Fresh cheese without preservatives (e.g. ricotta, cottage, cream cheese)

Cheddar cheese, fetta

Soy cheese (hard)

Flavoured milk

Aged and flavoured cheese, parmesan

Beverages

Water, plain milk, dairy alternatives (rice drink, soy beverage),

Decaffeinated coffee and tea Instant coffee

Lemonade (without preservatives).

Pear juice

Other forms of tea and coffee

Cordial, soft drinks

Other fruit and vegetable juices

Flavoured milk

Biscuits Plain rice cakes, biscuits and crackers with allowed ingredients Biscuits and crackers containing chocolate, coconut, dried fruit, jam, preservatives and antioxidants
Miscellaneous

Cream, salt, sugar

Nuts (one 30g serve per day, raw or lightly roasted) including almonds, cashews, peanuts, pecans, walnuts

Coconut milk/cream

Oil - if antioxidants are not listed

Gelatine - if heated / cooked

Cornflour, garlic

Sesame seeds

Pepper

Herbs and spices (including cinnamon)

Almond meal and hazelnut meal

Coconut (dessicated and shredded)

Oil  - if antioxidants are listed

Gelatine - uncooked

Chocolate

Artificial sweeteners

Mustard (all types)

References

  1. Royal Prince Alfred Hospital Allergy Unit. RPAH Food Intolerance Handbook, Volume I: Diagnostic elimination diet. Sydney: RPAH 2016.
  2. Royal Prince Alfred Hospital Allergy Unit. RPAH Food Intolerance Handbook, Volume II: Challenges, liberalizing and maintenance. Sydney: RPAH 2016
  3. Swain AR, Soutter VL, Loblay RH. Friendly food: the complete guide to avoiding allergies, additives and problem chemicals. Sydney: Murdoch Books; 2004.

Change log

July 2019

Section updatedChange
Specific menu planning guidelines - Miscellaneous In Allowed, deleted Oils without antioxidants or sorbates (e.g. canola, olive, peanut, rice bran, safflower, sunflower)
In Allowed, added Oil - if antioxidants are not listed
In Allowed, added Gelatine - if heated/cooked
In Not Allowed, added Oil - if antioxidants are listed, Gelatine - uncooked
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