Individualized elimination and balanced nutrition planning for true IgE-mediated food allergies as well as pseudoallergies, lactose, fructose, and histamine intolerances.
Indication
- IgE-mediated food allergies diagnosed by a physician (milk, egg, nuts, shellfish, etc.)
- Lactose intolerance (digestive system complaints)
- Fructose malabsorption
- Histamine intolerance / pseudoallergic reactions
- FODMAP intolerance (accompanied by irritable bowel syndrome)
- Multiple food allergies diagnosed in childhood and transition processes
- Food-related gastrointestinal diseases such as eosinophilic esophagitis
Preparation
- Allergy tests performed by a physician (specific IgE, prick test) or breath test (lactose/fructose) results
- Detailed symptom diary (food-time-symptom)
- Records if there is a history of elimination trials
- Information on accompanying anaphylaxis history and epinephrine auto-injector use
How it's performed
- The dietitian clarifies the distinction between true allergy and pseudoallergy according to the diagnosis; acts in line with the physician's report
- Elimination of suspected foods is planned for 2-6 weeks
- After the elimination period, individual tolerance is determined with controlled rechallenge
- Food label reading education (hidden allergens — casein, lactose, gluten, soy) is provided
- Cross-reactivity (e.g., birch pollen-apple) and cross-contamination risks are taught
- Nutritional adequacy with alternative sources (calcium, iron, B12) is ensured during elimination
Post-procedure
- Follow-up every 2 weeks during elimination
- Weekly follow-up during the reintroduction phase
- Annual evaluation with growth-development parameters in children
- Coordinated follow-up with allergy specialist / immunology physician
Risks
- Food challenge in IgE allergies with anaphylaxis risk should be performed only in a controlled environment with a physician
- Risk of nutritional deficiency and eating disorder in extensive elimination protocols
- Possibility of growth retardation in children
- Over-stimulated interpretation — unnecessary restriction with assumption of non-existent allergy
FAQ
Are allergy and intolerance the same thing?
No. Allergy is a reaction mediated by the immune system (IgE); intolerance is a digestive/metabolic condition that does not involve the immune system.
Are the IgG tests I see online reliable?
Physician and dietitian professional organizations do not clinically recommend IgG-based food intolerance tests; diagnosis is made through detailed history, elimination-reintroduction, and IgE/breath tests when needed.
How long does elimination last?
Generally planned for 2-6 weeks; the decision for permanent elimination is made according to individual tolerance after reintroduction.
Will my child's milk allergy resolve?
A significant portion of childhood milk and egg allergies develop tolerance by school age; controlled oral provocation is planned with a physician.
Related Information
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