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Food Allergies and Intolerances


What the Difference Between a Food Allergy and Food Intolerance?

Food Intolerance: Gastrointestinal (GI) pain or GI disturbances (nausea, vomiting, gas) occur when a person has trouble digesting a food.

Food Allergy: An allergic reaction occurs when an individual comes in contact with a specific food. The body's immune system reacts to the specific food's protein.

Food allergies require very strict avoidance of the allergenic food while intolerance is more dose-responsive. This means you might be able to eat some of the foods that might cause pain, but it is up to your dietitian and you to do some food trials to manage that amount.

Most Common Signs of a Food Intolerance Reaction:

  • Bloating/gas
  • Diarrhea
  • Abdominal pain
  • Nausea/vomiting

Most Common Signs of a Food Allergy Reaction:

  • Hives/skin rash/itching
  • Nasal congestion and running nose
  • Fast heart rate/low blood pressure
  • Fainting/loss of consciousness
  • Vomiting/stomach cramps/nausea
  • Swelling of the body parts (lips, tongue, hands)
  • Hoarse, tight, itchy, or even a feeling of a lump in the throat
  • Wheezing, chest tightening or difficulty breathing

How Do I Get Tested for a Food Allergy and/or Intolerance? What Can a Dietitian Do to Help Me?

Food allergies can be tested through a skin prick test or blood test ordered by your Allergist. Intolerances are usually diagnosed by symptoms. We have excellent dietitians on board who can guide you through the process. This process can be very individualized, but the majority of the time we will help you identify any trends in food that can contribute to any gastrointestinal distress. Once we have the specific foods identified that is triggering a reaction or discomfort, we will help you identify foods that are great substitutes for foods you could not have. We do not perform an IgG test to find an intolerance due to a lack of research and success with the test. We work closely with your medical care team to identify the culprit of your distress. Our hope is to help you find enjoyment in food substitutes and recommend them for adequate nutrition intake.

Top 9 Food Allergens:

  • Peanuts
  • Eggs
  • Cow’s Milk
  • Soy
  • Wheat
  • Shellfish
  • Fish
  • Tree Nuts
  • Sesame

Why is it Important to Start Early Introduction to the Top 9 Allergens in Infants?

Research shows that an early introduction to the top 9 allergens before the age of 5 years of age have a better chance of avoiding the food allergy. Some babies do have a higher risk of reacting to these foods; those who have eczema, asthma, or have a strong family history of allergy. With the help of our dietitians, we can safely guide you through ways to incorporate this food for your baby.

Egg & Dairy-Free Waffles

Our goal as dietitians is to help you find foods that you love and that you can safely eat. This meal is perfect for a family who is being cautious around specific foods such as eggs and cow’s milk. Creating recipes that can provide a “normal” or inclusive feeling around food can be rewarding. If cow’s milk is an issue try out fortified soy, rice, or pea protein milk! Look for a brand that has a great source of protein, calcium, and vitamin D to replace the average cow’s milk. As an egg substitute in this recipe I used banana; a great way to incorporate fruit into this meal, but also a great way to add a soft texture and a sweet flavor.

Egg and Milk Free Waffles


  • 2 Cups all-purpose flour*
  • 2 ripe bananas
  • 1 3/4 Cups soy milk*
  • 2 tsp cinnamon powder
  • 2 tsp baking powder
  • 1 1/2 tsp baking soda


  1. Blend all of the ingredients together.
  2. Heat your waffle maker.
  3. Once it is heated, pour enough batter to lightly cover the bottom and close the lid.
  4. Wait until your waffle maker changes the light to complete or wait about 2 minutes for the waffle to cook.
  5. Dress your waffle with your favorite toppings and enjoy!

One More Thing...

*To make completely top 9 allergen-free, substitute buckwheat flour for all-purpose flour, and pea protein milk for soy milk.

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Whether it be a food allergy that is properly diagnosed by your allergist, or if you have an intolerance, our dietitians can help. The elimination of a food or food group can put you or your child at risk for vitamin and mineral deficiencies. Our Lemond dietitians can help avoid offer appropriate substitutions to maintain optimal health.

Give us a call at 888-422-8070 and schedule a consultation with one of our trained dietitians in food allergy and intolerance. In most cases, insurance covers.

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