Allergy diet - red meat (mammalian) 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 raw and cooked lamb, pork, beef, rabbit, kangaroo, goat, buffalo, venison and their derivatives, to avoid reactions in individuals with a mammalian meat allergy. This is an IgE-mediated food allergy to mammalian meat known as alpha-gal food allergy.
This diet avoids raw and cooked meat, mammalian gelatine and derivatives from mammalian meats including, lamb, pork, beef, rabbit, kangaroo, goat, buffalo and venison. Fish and poultry, including their derivatives (e.g. gelatine) is allowed.
All patients who report an allergy to red meat should be ordered this diet unless a medical officer or dietitian has advised otherwise.
This diet can be nutritionally adequate.
Some people are so sensitive to alpha-gal, they react to mammalian products and also their milks. If the patient has had suspected milk reactions previously, then also order the Allergy - milk free diet.
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 determine if the product contains any mammalian meat or derivatives. Clarification is required for foods that contain compound ingredients to determine their components.
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
|Hot main dishes||Hot main dishes made from chicken, turkey, duck, quail, fish, shellfish and molluscs|
Vegetarian and vegan dishes
When choosing cheese-based dishes, rennet of microbial origin is safe to use
Lamb, pork, beef, rabbit, kangaroo, goat, buffalo and venison
Meat extracts, e.g. Bonox, Bovril, veal or beef stock
Beef and meat fats, such as tallow, lard, suet, dripping and foods cooked in these
Dishes which contain meats, such as ham, bacon, devon, sausages, salami, prosciutto, pate and liverwurst
Cheese made from animal or unknown source of rennet
Ingredient lists of savoury foods need to be always examined for meat ingredients
Cheese-based sauces containing microbial rennet
|Sauces and gravies that contain juices from mammalian meats or derivatives, e.g. gravy made from pan juices or that contain meat extracts such as Bonox and Bovril|
Cheese made from animal or unknown source of rennet
|Starchy vegetables / pasta / rice||All others||Any that contain mammalian meats or derivatives, such as potato bake, fried rice, hot chips cooked in tallow or lard|
|Vegetables||All others||Vegetable dishes that contain mammalian meats or derivatives, including fats used in cooking|
|Soups||All others||Soups or soup powder containing mammalian meat or derivatives as an ingredient, stock cubes or liquid stocks|
Take care with items like bacon or ham or flavours
The ‘flavour’ ingredient in savoury packaged products, if not specified on the label, should be checked with the manufacturer
Fillings containing mammalian meats or derivatives, e.g. ham, bacon, devon, sausages, salami, prosciutto, pate, liverwurst
|Salads, dressings||All, using allowed ingredients|
Mayonnaise and dressings
Components containing mammalian meats or derivatives, e.g. ham, bacon
|Breads, cereals||All others||Breads and cereals containing mammalian meats or derivatives, including oils such as lard, suet or tallow|
|Spreads||Jam, nut butters and pastes, yeast spreads, marmalade, chocolate hazelnut spread and mayonnaise||Spreads that contain mammalian meats or derivatives, e.g. devilled ham spread|
|Hot breakfast choices||Egg dishes, baked beans, spaghetti, pancakes, mushrooms, creamed corn|
Hot breakfast choices that contain mammalian meats or derivatives, e.g. ham and cheese omelettes, sausages, bacon
|Fruit||All others||Fruit-based products containing gelatine from animal or unknown sources|
|Yoghurt||All others||Yoghurt containing gelatine from animal or unknown sources|
|Desserts||All others, including jelly made with vegetable gums||Cakes and desserts containing gelatine or animal derived rennet, e.g. panna cotta or junket|
|Milk and cheese||All others, rennet of microbial origin is safe to use||Items which include mammalian meat and their derivatives|
Cheese made from rennet with animal or unknown sources.
Check source if not stated
|Beverages||All water, milk (plain and flavoured), juices, cordials|
Tea and coffee, including decaffeinated
|Beverages containing mammalian meat or derivatives|
|Biscuits||All others||Sweet or savoury baked products containing mammalian meat or derivatives, e.g. ham and cheese muffins, lard or shortening|
All miscellaneous with allowed
All herbs and spices, pepper, salt
Sugar and artificial sweeteners
|Other miscellaneous items that contain mammalian meat or derivatives, e.g. nutrition supplements containing gelatine or collagen|
- Tiara. Mammalian product free diet. Tiara. [cited 17 June 2020].
- Allergy and Anaphylaxis Australia. Mammalian Meat Allergy. Sydney: AA&A; 2020. [cited 17 June 2020].
- Food Standards Australia New Zealand. Ingredient Labelling of Foods User Guide to Standard 1.2.4 – Labelling of Ingredients. FSANZ; 2013.