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General guidelines for milk allergy:
The key to an allergy-free diet is to avoid giving your child the foods or products containing the food he/she is allergic to. The items that your child is allergic to are called allergens.
A milk allergy is an abnormal response of the body to the proteins found in cow's milk. Milk allergy is most common among infants and young children. Milk and milk products are found in many foods. Obvious forms of milk are cream, cheese, butter, ice cream, and yogurt. Milk and milk products may also be hidden sources in commonly eaten foods. In order to avoid foods that contain milk products, it is necessary to read food labels.
Important information about avoiding milk and milk products:
- The words "non-dairy" on a product label indicate it does not contain butter, cream, or milk. However, this does not necessarily indicate it does not have other milk-containing ingredients.
- The Kosher food labeled "pareve" or "parve" almost always indicates food is free of milk and milk and meat products. Under Jewish law, foods may be considered pareve even if it contains a very small amount of dairy any may not always be safe for milk allergic individuals. A "D" on a product label next to the circled K or U indicates the presence of milk protein. These products should be avoided.
- Processed meats, including hot dogs, sausages, and luncheon meats, frequently contain milk or are processed on milk-containing lines. Carefully read all food labels.
FOODS
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ALLOWED
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NOT ALLOWED
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Beverages
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Carbonated beverages
Coffee
Tea
Soy substitute-milk formulas, water
Fruit drinks
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All milk (including cow and goat milk, buttermilk, half & half, cream, malted, chocolate, evaporated, powdered, lactose-free, condensed). Goat milk protein is very similar to cow’s milk protein and is not a safe alternative.
Yogurt, eggnog, milkshakes, malts
All beverages made with milk or milk products
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Breads
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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
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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
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Cereals
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Any cereal to which no milk or milk products have been added
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High protein cereals
Prepared and precooked cereals with milk solids, casein, or other milk products added
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Desserts
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Meringue, gelatin, popsicles, fruit ice, fruit whip, angel food cake
Cakes, cookies, and pie crusts made without milk or milk products
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Cake, cookies, custard, pudding, cream desserts, or sherbet containing milk products
Ice cream, cream pie
Pastries brushed with milk, junket, popover
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Eggs
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Prepared without milk
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Scrambled with milk, creamed eggs, egg substitutes
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Fats
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Vegetable oil, meat fat, lard, bacon, shortening, milk free gravy
Peanut butter (made without milk solids)
Margarine without milk solids
Kosher margarine
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Butter, cream, margarine
Salad dressing or mayonnaise containing milk, milk solids, or milk products
Some butter substitutes and non-dairy creamers
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Fruits
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Fresh, frozen, or canned fruits and juices
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Any served with milk, butter, or cream
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Meats, Fish, Poultry, & Cheese
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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 of 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.
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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
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Potatoes & Substitutes
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Macaroni, noodles, spaghetti, rice
White or sweet potatoes prepared without milk, butter, cream, or allowed margarine
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Au gratin, buttered, creamed, scalloped potato or substitutes
Macaroni and cheese
Mashed potatoes containing milk or butter
Frozen french fries sprayed with lactose
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Soups
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Bouillon, broth, consommé or soups with broth base plain or with all allowed foods
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Bisques, chowders, creamed soups
All soups made with milk or milk products
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Sweets
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Corn syrup, honey, jam, jelly
Hard candy, candy made without milk or milk products
Granulated, brown or powdered sugar
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Candy made with milk such as chocolate, fudge, caramels, nougat
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Vegetables
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All fresh, frozen, or canned vegetables without milk or milk products added
All vegetable juices
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Au gratin, buttered, creamed, or escalloped vegetables
Batter and dipped vegetables
Vegetable souffles
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Miscellaneous
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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
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All items containing milk, cheese, butter, whey casein, caseinates, hydrolysates, lactose, lactalbumin, lactoglobulin or milk solids, artificial butter flavor
Non-dairy substitutes containing caseinate
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How to read a label for a milk-free diet:
Be sure to avoid foods that contain any of the following ingredients:
- artificial butter flavor
- butter, butter fat
- casein
- caseinates (ammonium, calcium, magnesium, potassium, sodium)
- cheese, cottage cheese, curds
- cream
- custard, pudding
- ghee
- Half and Half™
- hydrolysates (casein, milk protein, protein, whey, whey protein)
- lactalbumin, lactalbumin phosphate
- lactoglobulin
- lactose
- milk (derivative, protein, solids, malted, condensed, evaporated, dry, whole, lowfat, nonfat, skim)
- nougat
- rennet casein
- sour cream
- sour cream solids
- whey (delactosed, deminderalixed, protein concentrate)
- yogurt
Other possible sources of milk or milk products:
- brown sugar flavoring
- caramel flavoring
- chocolate
- high protein flour
- margarine
- natural flavoring
- Simplesse™
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The information on this Web page is provided for educational purposes. You understand and agree that this information is not intended to be, and should not be used as, a substitute for medical treatment by a health care professional. You agree that Lucile Salter Packard Children’s Hospital is not making a diagnosis of your condition or a recommendation about the course of treatment for your particular circumstances through the use of this Web page. You agree to be solely responsible for your use of this Web page and the information contained on this page. Lucile Salter Packard Children’s Hospital, its officers, directors, employees, agents, and information providers shall not be liable for any damages you may suffer or cause through your use of this page even if advised of the possibility of such damages.
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Lucile Packard Children's Hospital is located in Palo Alto, adjacent to Stanford University Hospital, approximately 20 miles north of San Jose, CA and 40 miles south of San Francisco.
Lucile Packard Children's Hospital
725 Welch Road
Palo Alto, California 94304
(650) 497-8000
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