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Living with a nut allergy

Allergic reaction to nuts can progress rapidly to anaphylaxis. Peanut allergy is responsible for more fatalities than any other type of allergy.

If you have a nut allergy, strictly avoiding nuts, including peanuts and tree nuts such as cashews and walnuts, and food containing nuts is the only way to prevent a reaction. However it is not always easy to avoid these foods since many unsuspecting products contain nuts.

Always check the ingredients on the label before you use a product, even if you have previously used a product. Manufacturers occasionally change recipes, and a trigger food may be added to the new recipe. Also, keep in mind that many ready-prepared foods, including baked goods, sweets, chocolate and ethnic foods, can be contaminated with peanuts if products containing peanuts are prepared in the same place or by the same manufacturer. Always be prepared for this possibility and the risk of a reaction.

Examples of peanut and tree nut products, and foods that may contain them, include:

Peanut products

Peanut-containing ingredients

Tree nuts

Tree nut-containing ingredients

Nut-containing foods

Cold-pressed or processed groundnut (peanut) oil

Peanut butter

Peanut flour

Hydrolysed plant protein

Hydrolysed vegetable protein

Almonds

Brazil nuts

Cashews

Chestnuts

Filberts

Hazelnuts

Macadamia nuts

Pecans

Pine kernels

Pistachios

Walnuts

Marzipan / almond paste

Nougat

Artificial nuts

Nut butters (such as cashew butter and almond butter)

Nut oil

Nut paste (such as almond paste)

Nut extracts (such as almond extract)

Ground nuts

Mixed nuts

Artificial nuts

Nougat

African, Chinese, Thai and other ethnic dishes

Biscuits, sweets, pastries, cakes and other baked goods

Grain breads

Ice cream, frozen desserts

High-energy bars

Cereals and granola

Salad dressing

Marzipan

Tree nuts are sometimes used in lotions and shampoos. Be sure to check the labels of these products as well as food labels.

 

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WebMD Medical Reference

Medically Reviewed by Dr Rob Hicks on August 22, 2011

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