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TPMG Williamsburg ENT Audiology and Allergy Clinic 5424 Discovery Park Blvd., Suite 201 Williamsburg, VA 23188 (757) 345-6330 • Fax (757) 345-6896 Elizabeth A. Atkinson, M.D. Cindi Sanders, Au.D., CCC-A Cow’s Milk-Free Diet Food Groups Beverages Breads Cereals Desserts Eggs Fats Fruits Meats, Fish, Poultry, &Cheese Potatoes & Substitutes Foods Allowed Foods to Avoid Carbonated beverages Coffee Tea Soy substitute-milk formulas, water Fruit drinks All milks (whole, low-fat, skim, buttermilk, evaporated, condensed, powdered, hot cocoa) Yogurt, eggnog, milkshakes, malts All beverages made with milk or milk products Milk free breads French bread Wheat, white, rye, corn, graham, gluten, and soy breads made without milk or milk products Graham cracker or rice wafers Any cereal to which no milk or milk products have been added Wheat, white, or rye breads Biscuits, donuts, muffins, pancakes, waffles, zwieback, crackers, saltines, rusk Most commercially prepared breads and rolls contain milk or milk products French toast made with milk High protein cereals Prepared and precooked cereals with milk solids, casein, or other milk products added Meringue, gelatin, popsicles, fruit ice, fruit whip, angel food cake Cakes, cookies, and pie crusts made without milk or milk products Prepared without milk Cake, cookies, custard, pudding, cream, desserts, or sherbert containing milk products Ice cream, cream pie Pastries brushed with milk, junket, popover Scrambled with milk, creamed eggs, egg substitutes Vegetable oil, meat fat, lard, bacon, shortening, milk, free gravy Peanut butter (made without milk solids) Margarine without milk solids Kosher margarine Fresh, frozen, or canned fruits and juices Baked, broiled, boiled, roasted or fried: beef, veal, pork, chicken, turkey, lamb, fish, organ meats, or tofu (prepared without milk or milk products) Sausage, deli/luncheon meats, or ham if made without milk products NOTE: A small number pf persons with cow’s milk allergy may develop a reaction to beef. Thus, those with cow’s milk allergy should be careful when consuming beef or foods containing beef. Macaroni, noodles, spaghetti, rice White or sweet potatoes prepared without milk Butter, cream, margarine Salad dressing or mayonnaise containing milk, milk solids, or milk products Some butter substitutes and non-dairy creamers Any served with milk, butter, or cream All cheese, cottage cheese, cream cheese Some sausage products, bologna, frankfurters Breaded meats, meatloaf, croquettes, casseroles, hamburgers (unless made without milk) Commercial entrees made with milk or milk solids Au gratin, buttered creamed, scalloped potato or substitues Macaroni and cheese TPMG Williamsburg ENT Audiology and Allergy Clinic 5424 Discovery Park Blvd., Suite 201 Williamsburg, VA 23188 (757) 345-6330 • Fax (757) 345-6896 Elizabeth A. Atkinson, M.D. Cindi Sanders, Au.D., CCC-A Cow’s Milk-Free Diet Butter, cream, or allowed margarine Mashed potatoes containing milk or butter Frozen French fries spayed with lactose Soups Bouillon, broth, consommé or soups with broth base plain or with all allowed foods Bisques, chowders, creamed soups All soups made with milk or milk products Sweets Corn syrup, honey, jam, jelly Hard candy, candy made without milk or milk products Granulated, brown or powdered sugar All fresh, frozen, or canned vegetables without milk or milk products added All vegetable juices Catsup, olives, pickles, nuts, herbs, chili powder, salt, spices, condiments Any foods that are milk/cheese/butter free or that do not contain powdered milk or whey Candy made with milk such as chocolate, fudge, caramels, nougat Vegetables Miscellaneous Au gratin, buttered, creamed, or escalloped vegetables Batter and dipped vegetables Vegetable soufflés All items containing milk, cheese, butter, whey casein, caseinates, hydrolysates, lactose, lactalbumin, lactoglobulin or milk solids, artificial butter flavor Non-dairy substitutes containing caseinate What items on a food label might contain Milk? Artificial butter flavor Butter, Butter fat Casein (rennet casein, caseinates-ammonium, calcium, magnesium, potassium and sodium) Cheese, cottage cheese, curds Cream Custard or Pudding Ghee Half and Half Hudrolysates (casein, milk protein, protein, whey, whey protein) Lactose Milk Nougat Sour Cream (source cream solids) Whey Yogurt