Allergy diet - milk free
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
To provide a diet that excludes milk protein and all foods that may contain milk protein.
No milk or milk-derived ingredients, or traces of milk. This diet eliminates mammalian milk, ie milk from cows, goats, sheep or buffalo. Cheeses are not allowed.
Milk allergy or intolerance.
It is not possible to provide a full list of all permitted commercial products; the following are general guidelines only. Care should be taken to read all product ingredient lists to look for ingredients derived from milk, eg butter, ghee, cheese, cream, buttermilk, milk or dairy solids, non-fat dairy solids, yoghurt, casein, caseinate, whey, curds, lactoglobulin and lactalbumin. All packaged food with milk ingredients must carry a mandatory warning statement under Standard 1.2.3 of the Food Standards Code and should therefore be able to be identified on food labels.
Many savoury flavour ingredients include a milk base, and may be present in commercial products such as processed meats, soups and sauces.
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
|Hot main dishes|
All plain cooked meat, poultry, fish, eggs, and legumes
Other dishes made without milk, cheese, cream, butter, yoghurt or regular margarine
|Any dishes containing milk, cheese, cream, sour cream, yoghurt, butter or regular margarine, eg quiches, omelettes, frittatas, mornays, macaroni cheese, lasagne|
|Sauces, gravies||Sauces made with milk-free margarine, e.g. tomato sauce – check labels|
White sauces made with milk, cream, butter or regular margarine
Commercial gravy mixes
|Starchy vegetables / pasta / rice|
Steamed and jacket potato
Mashed, pureed potato made with milk-free margarine and water
Plain rice and pasta
|Any dishes made with milk, cheese, butter or regular margarine, e.g. scalloped potato, regular mashed potato|
|Vegetables||All others||Any vegetables made with milk, cheese, butter or regular margarine (e.g. cauliflower au gratin)|
|Soups||Other soups made with milk-free margarine – check labels|
Any soups made with milk, cream, butter or regular margarine, eg most cream soups
Many commercial soups will have added milk solids or casein – check label
|Sandwiches||Sandwiches made with milk-free bread and margarine|
Cheese, mayonnaise, regular margarine or butter
Any meats with milk-derived additives
|Salads, dressings||Others – check labels|
Any meats with milk-derived additives
Breakfast cereals without milk ingredients (e.g. rolled oats prepared with water, Weet-Bix™, Corn Flakes®, All-Bran®, some mueslis – check label)
Regular bread, including rolls
Hot breakfast cereals prepared with milk
Breakfast cereals with milk ingredients, eg Coco Pops® – check labels
Jam, honey, Vegemite™, peanut butter
|Butter, regular margarine Cheese spreads|
|Hot breakfast choices||All others||Scrambled eggs, omelettes|
|Fruit||All fresh, canned and dried fruits||-|
|Yoghurt||Soy yoghurt||All milk-based yoghurts and Frûche®|
Soy-milk custard or creamy rice
Some sorbets – check label
Tapioca and sago made without milk
Milk-based desserts, e.g. custards, ice-cream, mousses, cheesecakes
Cakes, pastry-based and crumble desserts, unless carefully checked
|Milk and cheese||Soy milk Milk-free soy cheese – check label|
All cow’s milk (full and low fat)
All cheeses (including cottage cheese)
|Beverages||Tea, coffee, cordial, soft drinks, fruit juice|
Milk, flavoured milk
Milo®, Aktavite®, Ovaltine®
|Biscuits||Milk-free biscuits only||Many commercial biscuits – check label|
Many nutritional supplements, unless carefully checked (eg Resource® Fruit Beverage, Resource® Plus, Sustagen®, Ensure®)
- Food Standards Australia New Zealand. Ingredients to avoid if you are allergic to milk.
- Royal Prince Alfred Hospital Allergy Unit. Allergy information sheets. [accessed 26 April 2010];.
- Dietitians Association of Australia. Nutrition manual. 8th ed. Canberra: DAA; 2009.
- Australasian Society of Clinical Immunology and Allergy. Cow’s milk (dairy) allergy.
- American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009. [accessed 17 March 2010];
- Anaphylaxis Australia. Allergen cards. 2007.
- Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007