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BABY FORMULA
  • Baby Food
  • Formula by Need

    Allergen introduction planner

    When to start peanut, egg and the other top allergens, how to give each one safely, and a tracker to keep them in your baby's diet.

    Based on the NIAID 2017 peanut guidelines, the 2021 AAAAI, ACAAI and CSACI consensus, EAACI 2020 and ASCIA 2026. Guidance to discuss with your pediatrician, not a diagnosis.

    About your baby

    5 months
    Has your baby started solid foods?
    Does your baby have eczema?

    Severe means it keeps coming back and needs prescription creams often, even with good moisturizing.

    Has a doctor diagnosed a food allergy?
    Do parents or siblings have allergies, eczema or asthma?

    Introduce allergens with other solids

    Around 6 months, with other first foods

    No eczema or food allergy: peanut, egg and the other common allergens can go in freely alongside other first foods, one new allergen per meal.

      Once a food is in, keep it in

      Offer each allergen your baby tolerates at least once a week (ASCIA 2026). For peanut, aim for about 6 to 7 g of peanut protein a week over 3 or more feedings (NIAID 2017): roughly 2 teaspoons of thinned smooth peanut butter, three times a week.

      Track the top 9 allergens

      The nine major food allergens under US law. Mark each one as your baby tries it, and tap Given today after each serving so you can see what is due this week.

      0 of 9 in your baby's diet

      Saved only in this browser.

      • Peanut

        Not tried yet

        First try: 2 teaspoons of smooth peanut butter thinned with 2 to 3 teaspoons of warm water, or peanut powder stirred into a purée your baby already eats.

        2.2% of US children are allergic

        About 1 in 5 children outgrow it.

      • Cow's milk

        Not tried yet

        First try: Plain whole-milk yogurt, or milk used in cooking. Not as a main drink before 12 months.

        1.9% of US children are allergic

        Most children outgrow it, many by age 3 to 6.

      • Shellfish

        Not tried yet

        First try: Well-cooked shrimp, chopped very finely or blended into a purée.

        1.3% of US children are allergic

        Usually lifelong.

      • Tree nuts

        Not tried yet

        First try: Smooth cashew or almond butter thinned with warm water. Introduce each nut separately over time.

        1.2% of US children are allergic

        About 1 in 10 children outgrow it.

      • Egg

        Not tried yet

        First try: Well-cooked egg: hard-boiled and mashed, or scrambled through. Never raw or runny.

        0.9% of US children are allergic

        Most children outgrow it, often by school age.

      • Fish

        Not tried yet

        First try: Well-cooked white fish or salmon, flaked, with every bone removed.

        0.6% of US children are allergic

        Usually lifelong.

      • Wheat

        Not tried yet

        First try: Infant wheat cereal, or soft cooked pasta cut small.

        0.5% of US children are allergic

        Often outgrown in childhood.

      • Soy

        Not tried yet

        First try: Mashed silken tofu, or soy yogurt.

        0.5% of US children are allergic

        Often outgrown in childhood.

      • Sesame

        Not tried yet

        First try: Tahini (sesame paste) stirred into a purée or yogurt.

        0.2% of US children are allergic

        About 1 in 5 to 1 in 3 children outgrow it.

      Prevalence: Gupta et al., Pediatrics 2018, children under 18. Shellfish means crustaceans such as shrimp, crab and lobster.

      The first time with a new allergen

      1. Pick a calm day. Your baby is well, with no cold or fever, and you are at home rather than at daycare or a restaurant.
      2. One new allergen per meal. Then it is clear what caused any reaction.
      3. Start with a taste. Offer a little on the tip of a spoon, then wait 10 minutes before giving the rest.
      4. Watch for 2 hours. One adult keeps an eye on your baby after the feeding.
      5. Keep it going. If all is well, offer it again within the week and keep it in the diet.

      Never give whole nuts to children under 5, or spoonfuls of thick nut butter: both are choking hazards. A few red marks around the mouth with no other symptoms can be skin irritation rather than allergy, but mention them to your pediatrician.

      Formula and milk allergy

      Goat milk formula

      Not suitable for cow's milk protein allergy: goat and cow milk proteins are so alike that most allergic babies react to both (ESPGHAN 2023).

      HA and comfort formulas

      Partly hydrolysed formulas are not a treatment for milk allergy, and current guidelines say they do not prevent allergies either (AAP 2019, ASCIA 2026).

      If your baby has a milk allergy

      Your pediatrician will usually start with an extensively hydrolysed formula, and an amino acid formula for severe cases. Both need medical guidance.

      Sources

      1. Togias A, et al. Addendum guidelines for the prevention of peanut allergy in the United States (NIAID). J Allergy Clin Immunol 2017;139:29-44. PMC5226648
      2. Fleischer DM, et al. A consensus approach to the primary prevention of food allergy through nutrition (AAAAI, ACAAI, CSACI). J Allergy Clin Immunol Pract 2021;9:22-43. PubMed 33250376
      3. Greer FR, Sicherer SH, Burks AW. The effects of early nutritional interventions on the development of atopic disease. Pediatrics 2019;143:e20190281. PubMed 30886111
      4. Halken S, et al. EAACI guideline: preventing the development of food allergy in infants and young children (2020 update). Pediatr Allergy Immunol 2021;32:843-858. PubMed 33710678
      5. ASCIA Guideline: Infant feeding for food allergy prevention, 2026. allergy.org.au
      6. Gupta RS, et al. The public health impact of parent-reported childhood food allergies in the United States. Pediatrics 2018;142:e20181235. PMC6317772
      7. Vandenplas Y, et al. An ESPGHAN position paper on the diagnosis, management, and prevention of cow's milk allergy. J Pediatr Gastroenterol Nutr 2024;78:386-413. PubMed 38374567
      8. Peters RL, et al. Natural history of peanut and egg allergy (HealthNuts). J Allergy Clin Immunol 2022;150:657. PubMed 35597613; Skolnick HS, et al. J Allergy Clin Immunol 2001;107:367 (peanut); Fleischer DM, et al. J Allergy Clin Immunol 2005;116:1087 (tree nut); Cohen A, et al. Pediatr Allergy Immunol 2007;18:217 and Mahlab-Guri K, et al. Ann Allergy Asthma Immunol 2022;128:206 (sesame).
      9. CDC. When, what, and how to introduce solid foods. cdc.gov; AAP. Anaphylaxis. healthychildren.org; FDA. Food allergies (the 9 major allergens). fda.gov