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Dairy-Free Diet Milk sensitivities can cause breathing problems, hives and rashes, abdominal pain, diarrhea, and possibly weight loss. These lists avoid both sugar (lactose) and protein (cow-milk allergy). Ingredients and foods that DO contain cow’s milk protein and lactose: • • • • • • • • • • • • • • • • • • • Artificial butter flavor, butter flavored oil Butter, butterfat, butter solids Buttermilk Milk solids, goat or sheep’s milk Lactose, lactate solids, lactalbumin, lactalbumin phosphate, lactoglobulin, lactulose Casein, caseinates (ammonium, calcium, magnesium, potassium and sodium) Cheese (all types), cheese flavor, cheese sauce, cottage cheese, cream cheese Cream, half-and-half, sour cream, sour cream solids, whipped cream Yogurt Curds, whey Custard Ghee Hydrolyzed vegetable protein Canned tuna fish Some chocolate candy Baked goods Processed or luncheon meats Ice cream Items that may include dairy: Bavarian cream, caramel, coconut cream, chocolate, nondairy creamer, mayonnaise, margarine, nougat, pudding, sherbet and sorbet Foods that DO NOT contain milk ingredients • • • Infant formulas: Alimentum, Elecare, Nutramigen, Pregestimil, Neocate, Neocate 1+ (for ages 1-10), Neocate Jr., Pediatric EO28, Pediatric Vivonex and Vivonex Beverages: fortified rice beverages, fortified soy beverages and beverages not containing milk ingredients, e.g. almond and oat milk. Others: pepper, salt and single herbs and spices; mustard, ketchup and relish; soups and casseroles made without milk ingredients; and flavoring extracts Milk protein- and lactose-free diet Avoid: Milk, milk solids, buttermilk solids, lactose, curds, whey, casein, lactoalbumin 1120 15th Street, Augusta, Georgia 30912 706-721-CARE mcghealth.org Revised on 7/16/2008 Food Allowed Avoid Beverages Fruit juices, carbonated Beverages, Kool-Aid; cocoa without added milk solids, nondairy creamer, milk substitutes (nondairy products may have added milk solids--read labels) and for adults, coffee and tea Fresh, evaporated, condensed, and dried milk; buttermilk; malted; frappes, ice cream, ice cream sodas, milk shakes, Instant Breakfast, hot chocolate (e.g., Swiss Miss or cocoa prepared with milk), artificial sweetners and yogurt Bread and Crackers French, Italian or Vienna bread, bagels, Syrian bread, French toast made with allowed breads with eggs but without milk, saltines, graham crackers, oyster crackers, potato chips, corn chips and Triscuits Breads, biscuits, muffins, and tolls made with or enriched with milk solids (e.g., hamburger and frankfurter buns), pancakes, waffles, doughnuts, Pop Tarts, stuffing mixes and pizza Cereals All types (served without milk and eaten dry) Cheese None All types Desserts Fruit, Jell-O, water ice, Popsicles, and Italian ices, fruit pies (pie crust made without butter or regular margarine), tapioca, homemade cornstarch puddings, junket made with fruit juice or milk substitute, angel cake and milk-free cookies (e.g., fig bars, gingersnaps) Cakes, cream pie, cookies made with milk, ice cream, milk ice, sherbert, custard, commercial pudding mixes, and instant pudding mixes Eggs All None Fruit All None Vegetables All types Those in butter or cream sauces Soups Clear soups and broth Cream soups and chowder Fats Sweet unsalted Mazola stick Margarine, Weight Watcher’s diet margarine, Diet Fleishman margarine, kosher margarine, vegetable 1120 15th Street, Augusta, Georgia 30912 Butter, margarine, sour cream, whipped cream and salad dressing made with milk 706-721-CARE mcghealth.org Revised on 7/16/2008 oil, cream substitutes (e.g., Coffee Rich, Coffeemate), and mayonnaise Meat, fish, and poultry All types: kosher hot dogs and cold cuts only (e.g., Morrison and Schiff, Hebrew National), kosher products labeled “Parve” or “Pareve” and peanut butter Creamed meats, gravies, processed or canned meats (e.g., luncheon meat, sausage, and hot dogs unless 100% pure meat and commercial hamburgers) Potato or substitute All Potatoes mashed with milk or butter, canned spaghetti and macaroni and cheese Sweets Limit amount for good dental hygiene: sugar, jams, jellies, syrups, honey, candies such as gum drops, Canada Mints, Good and Fruity, Dots, Necco Wafers, Manson’s Black Crows, and Life Savers (except Butterscotch flavor) Candies made with milk, chocolate, butter or cream, butterscotch, caramels and Pop Rocks Note: Calcium supplementation is needed if restriction is longer that 4-6 weeks. Non dairy Milk substitute is not a milk substitute. Milk-free diet is not appropriate for patients with galactosemia. For more information: American Academy of Asthma, Allergy & Immunology 611 E. Wells Street Milwaukee, WI 53202-3889 414-272-6071 American Allergy Association P.O. Box 7273 Menlo Park, CA 94026 415-322-1663 American Dietetic Association 216 W. Jackson Boulevard Chicago, IL 60606-6995 800-745-0775 ext. 5000 www.eatright.org American College of Allergy, Asthma, and Immunology 85 West Algonquin Road Arlington Heights, IL 60005 Food Allergy Network 10400 Eaton Place, Suite 107 Fairfax, VA 22030 800-929-4040 703-691-3179 www.foodallergy.org www.fankids.org (for kids) National Digestive Diseased Information Clearinghouse 2 Information Way Bethesda, MD 20892-3570 301-654-3810 Developed by Thalia Metalides while at The Children’s Hospital, Boston, Ma. 1120 15th Street, Augusta, Georgia 30912 706-721-CARE mcghealth.org Revised on 7/16/2008