#kidsdietitian

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⭐️ NON DAIRY CALCIUM ⭐️ . . Hi everyone 👋🏻 hope you’ve all had a lovely Easter weekend! ❤️ 😊 I decided to create another non dairy calcium post as my previous one was so well received! (Thank you 🙏🏻). . . The portion size shown in each image provides 60mg calcium PHOTO 1: 🥫Red kidney beans 😊Hummus ⭐️Tahini 🥫 Baked beans PHOTO 2: 😊Dried figs 🍊Orange 🍇Currants 🍑Dried apricots PHOTO 3: 🍤Prawns 🥜Almond butter 😊Calcium-set tofu 🐟 Tinned salmon PHOTO 4: 🥦Broccoli 🥬 Kale . . 📝 A note on tofu: The tofu must be calcium-set (not nigari) to contain this amount of calcium... I will do another post on tofu soon 😊 . . 🥬🥦 Kale and broccoli: - The portion sizes for these veggies are large, I just wanted to illustrate the amount of kale and broccoli a child would need to eat to obtain 60mg calcium. - Kale is very light, so even though it contains 130-150mg calcium per 100g, you need to eat a lot! I hope this post has been helpful. Any questions, let me know below 👇🏻 . . Paula x #foodallergies #allergydietitian #paediatricdietitian #childrensnutritionist #allergymyths #foodallergyseries #dietitianmum #CMPA #childrensnutrition #tinytotsnutrition 🍎 #kidsnutrition #kidsdietitian #infantnutrition #EHF #AAF #breastfeedingcmpa #childrensdietitian #nondairycalcium
⭐️ Dips for kids ⭐️ 🥕One of the ways you can encourage your child to try veggies is to serve them with dips… you could serve them as a nourishing snack or as part of a meal with pitta breads or wraps on the side. 👉🏻Swipe right to see a few examples of dips we love: 🌿Yoghurt and chives 😊Hummus 🍅 Salsa 🥜 Peanut butter 🍯 Yoghurt, cinnamon and honey 🥑 Guacamole 👍🏻Check these out too: @kidfriendly.meals has some awesome ideas for bean dips 😊 @kids.eat.in.color has some fantastic ideas for yoghurt dips 😊 @sr_nutrition has an awesome recipe for butter bean hummus 😊 🍎If your fussy eater refuses to try veggies, try to remain calm and not make a big deal of it (easier said than done I know!). Remember fruits offer many of the same nutrients as vegetables, so try to take the pressure off! 🍐🍊🍉🍌🥝🥭🍑🍍🍓🍏 🥬 ‘Repeated exposure’ and ‘role modelling’ have both been shown in many research studies to be the best ways to help children learn to like veggies. So don’t give up…keep offering veggies and eat them yourself in front of your children. 🥗 Another idea to pique your child’s interest in veggies is ‘salad dressings’ – my youngest daughter has recently shown a huge interest in eating salad as long as it is drenched in @jamieoliver ‘sticky chilli drizzle with balsamic vinegar’ ❓What is your child’s favourite dip? Share your ideas below… #paediatricdietitian #childrensnutritionist #dietitianmum #childrensnutrition #tinytotsnutrition 🍎 #kidsnutrition #kidsdietitian #infantnutrition #dipsforkids #veggies
⭐️ Will my child outgrow their food allergies? ⭐️ ⠀ ❓Parents often ask if their child will outgrow their food allergy and at what age. This post is intended as general information. You should always be guided by your child’s specialist allergy team with regard to your child’s specific case.⠀ ⠀ 🧒🏼 Most children outgrow their food allergy during childhood but for some children their allergies may persist into adulthood. The likelihood of outgrowing a food allergy is dependent on the specific food allergen. For example, egg and milk allergy are outgrown in at least 85% of children by the age of 5 -7 years, whereas peanut, tree nut and sesame allergy are infrequently outgrown (around 20%). Research has reported that if a child is going to outgrow their peanut allergy, this is most likely to occur by 6 years of age.⠀ ⠀ 🥛 🍳 Baked forms of egg/milk⠀ Around 75 - 80% of children with an egg/milk allergy are able to tolerate ‘baked’ forms of the egg/milk proteins, for example egg/milk as an ingredient in cakes, muffins or pancakes; and the child will only develop symptoms when eating loosely cooked egg, such as scrambled egg or raw egg found in fresh mayonnaise or chocolate mousse; or uncooked milk. 🔥 This is due to the fact that heat changes the structure of the egg/milk proteins from baking, as well as the proteins binding to other ingredients such as wheat, which makes it less likely to cause allergic symptoms.⠀ ⠀ 🏥 Therefore, not all people with an egg/milk allergy need to avoid all forms of egg/milk BUT this needs to be decided on an individual basis with the guidance of your allergy team.⠀ ⠀ 📈 There is now growing evidence that if the milk/egg allergic child can be shown at an earlier age to tolerate baked milk/egg and then allowed to eat it on a regular basis, their tolerance to all forms of milk/egg protein can be speeded up. Some children may undergo a ‘baked egg/milk challenge’ supervised in hospital to determine if they can tolerate baked forms of egg/milk. Please do NOT try this at home unless advised by your allergy specialist team.⠀ ⠀ 😊 I hope this post has been helpful...please let me know if you have any questions below 👇🏻 Paula x
CHANGE IT UP! ⠀ ⠀ 👍🏻 For this weeks #fussyfriday my tip is that sometimes it can help fussy eaters if you ‘change it up!’⠀ ⠀ ⏰ A routine for meals and snacks is so important for children to know what to expect. I always recommend 3 meals and 2 snacks per day spread out with 2-3 hours between each meal/snack, depending on the age of the child, to help develop hunger and fullness cues. ⠀ ⠀ 😬However, if your child is very anxious to try new foods and if mealtimes are very stressful, then try a different setting for your meal such as a PICNIC ⠀ ⠀ 😢 If your child associates sitting at the table with stress, then trying a different environment can help decrease the stress / anxiety and make mealtimes more relaxed and enjoyable. ⠀ ⠀ 👩‍🍳 You as the parent are still deciding WHEN and WHERE the meal/snack takes place and WHAT food is offered at the picnic. Your child decides HOW MUCH they are going to eat from what is offered. ⠀ ⠀ 🧺 Your picnic can be inside on the carpet or outside in your garden or your local park, depending on the weather! ⠀ ⠀ Does your child like picnics? Let me know in the comments below 👇🏻 ⠀ ⠀ #paediatricdietitian #childrensnutritionist #fussyfriday #fussyeatertips #dietitianmum #childrensdietitian #childrensnutrition #tinytotsnutrition 🍎 #kidsnutrition #kidsdietitian #infantnutrition #Picnics ⠀ ⠀
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⭐️NON-DAIRY SOURCES OF CALCIUM ⭐️ . . Each food portion shown in every image provides 120mg calcium . . . 🥛 If your child has a cow’s milk protein allergy (CMPA), you may be looking for some non-diary sources of calcium. Each food portion in the images provides 120mg calcium – a 2 year old child would need 3 items from the images to make up their calcium requirements, a 5 year old child would need 3 ½ to 4 items, an 8 year old child would need 4 ½ to 5 items etc. . . . Calcium requirements for children and breastfeeding mums: 0-12 months 525mg calcium 1-3 years 350mg 4-6 years 450mg 7-10 years 550mg 11-18 years 1000mg (boys) 800mg (girls) Breastfeeding mums 1250mg. . . ❌All of the food items are also soya free EXCEPT for the ‘Best of Both’ bread that contains soya flour and the soya milk. The Ready Brek is a very small portion and this could easily be doubled for an older child and the almond butter portion is quite large, so you may need to halve that portion for a young child/baby. . . 🤱 Human breast milk contains 30-40mg calcium per 100ml but of course it is always difficult to know how much breast milk a baby is drinking. For babies under 1 year of age and children up to 2 years of age, BM can still provide a significant source of calcium. . 😊There are other non-dairy sources of calcium that provide smaller amounts of calcium, but the portion size would have been too large to include in this series of ‘120mg calcium’. Examples include: ✅ Dried apricots and currants ✅ Other nut butters (almonds contain the most calcium out of all the nuts) ✅ Hummus ✅ Oranges ✅ Broccoli, kale ✅ Red kidney beans, green beans, baked beans ✅ Prawns . . Let me know if you have any questions 👇🏻 Paula x 🍎
EASY FAMILY MEALS . This is what I served last night. . It includes some great finger foods to give your baby: -Oven baked omelette (using the whole eggs) - which is a source of the ever important mineral iron for weaning babies -Sweet potato wedges (remove the skin for babies) -Potato wedges - I fancied both (remove the skin for babies) -Broccoli floret (Cook well for babies) Green beans (cook well and remove stringy bits for babies) . The oven baked omelette was 5 eggs and 2 handfuls of Cheddar all whisked up and some left over cherry tomatoes chopped up small and red pepper chopped into tiny pieces and spinach leaves thrown in. All put into a shallow round dish (20cm circumference) and baked at 180oc for 30 minutes. . Enjoy this easy family meal, which could easily be a Mummy and Me Meal too but I had no chance to snap my plate and little ones plate together.
الحلوة ملك 💕 ملك للمرة الأولى إرادتها من حديد😊و بتلتزم بنظام غذائي أنا و ملك إتفقنا مش المهم نخسر وزن بسرعة ..بدنا نتعلم و نتعود كيف نعيش حياة صحية و كيف أنظم أكلنا و ملك ذكية و فهمت و تجاوبت✅ 👈🏼لاحظوا تغير ملامح الوجه، الدهن حول الرقبة ،نزول مقاسات الكتف و اليدين ..أكيد الفرق مش كتييير كبير بس بالنسبة إلي كبداية رائعة و نتيجة مذهلة 💕برافو ملك أخصائية التغذية و تنظيم الوجبات إسلام المقدح عين الحلوة-الشارع التحتاني-سنتر الأسدي-طابق ٢ الهلالية-سنتر أبو مرعي-wellcareclinics-طابق ٢ لحجز موعد التواصل على الخاص أو هاتف و واتس اب 71741543 #weightlossjourney #motivation #kidsdietitian #dietitian_islam #idiet_clinic
⭐️ Iodine and CMPA ⭐️ ⠀ 📊 A recent study in Norway looking at iodine status of children under 2 years of age with CMPA found that 30% had iodine deficiency. They also found that in the breastfed group, there was a higher prevalence of iodine deficiency than in the group who were fed hypoallergenic formula. Breastfed infants are highly dependent on the content of iodine in breast milk, which in turn is dependent on the breastfeeding mother’s iodine status.⠀ ⠀ ❓Why is Iodine important? Iodine is an essential micronutrient but not one you often hear about. It is only needed in tiny quantities (50 – 130 micrograms per day, depending on the age of the child and 200 micrograms per day for pregnant and breastfeeding mums), but it has an essential role to play in helping our bodies to make thyroid hormones.⠀ 🤰 Iodine is also essential in pregnant women to support baby’s brain and neurological development. Recent research has shown that there has been a re-emergence of iodine deficiency in the UK and this is particularly important in pregnant women, where a deficiency of iodine could influence the neurodevelopment of their children.⠀ . . 🐟 🥛 🍳 Food sources of iodine⠀ ⠀ The best sources of iodine are found in dairy products, eggs and in sea fish (particularly white fish) and shellfish. For this reason, dairy-free diets can be low in iodine and vegan diets can be very low in iodine. Check with your healthcare professional, as some children and breastfeeding mums may need to take an iodine supplement, but be careful, as very high intakes of iodine can be harmful.⠀ . . . 🐟 Cod and haddock are the best sources (230-390 mcg per portion) 🍳 1 egg = 25 mcg 🍤 170g scampi = 160 mcg ⠀ . . Dairy free milk alternatives that contain iodine: (If you know of any others, let me know!)⠀ ⠀ ✅ Koko ‘super’ coconut milk⠀ ✅ M&S oat drink⠀ ✅ ASDA free from oat drink⠀ ✅ Alpro soya growing up drink 1-3 years ⠀ ⠀ Paula x ⠀ ⠀ ⠀ #foodallergies #allergydietitian #paediatricdietitian #childrensnutritionist #allergymyths #foodallergyseries #dietitianmum #CMPA #childrensnutrition #tinytotsnutrition 🍎 #kidsnutrition #kidsdietitian #infantnutrition #EHF#AAF #breastfeedingcmpa
🌟 Connecting with Kids 🌟 Rowan making sure, just like we do at every session, we take time to connect with the kiddos, to make them smile and to enjoy there time at Western Kids Health 😆💕 Looks like a super gross motor skills session too! 🤸‍♂️👣🎉 Takes a special therapist to calm a crazy 2 year old. Any guesses on the game they are playing?
⭐️Milk substitutes for under 2’s with CMPA⭐️ ⠀ ⠀ 🤱Breast milk is the ideal milk for babies. It provides all the nutrition that a young baby needs until 6 months of age. ⠀ ⠀ 🤱When a baby is diagnosed with CMPA, mothers who are breast-feeding should be supported to continue breastfeeding for as long as they are happy to, preferably until 2 years of age.⠀ ⠀ ⠀ 🍼If you need to give formula milk in addition to breast milk or as an alternative, a range of hypoallergenic formulas especially designed for infants with CMPA are available on prescription. These are called extensively hydrolysed formulas and amino acid formulas. ⠀ ⠀ ⠀ 1️⃣ Extensively Hydrolysed Formulas (EHF)⠀ ⠀ These formulas contain proteins that have been broken down (hydrolysed) into smaller segments so that the body does not recognise them as allergens. Therefore this type of formula is very unlikely to cause an allergic reaction. The majority of children with CMPA (90-95%) will tolerate an extensively hydrolysed formula. ⠀ ⠀ 2️⃣ Amino Acid Formulas⠀ ⠀ These formulas are based on the individual building blocks (amino acids) that make up a protein and are used for children with severe CMPA who still have have symptoms on extensively hydrolysed formulas.⠀ ⠀ 🐐 Mammalian milks⠀ ⠀ Other mammalian milks such as goat’s milk formula, sheep’s milk, buffalo milk etc are NOT suitable for babies with CMPA because the proteins in all mammalian milks are very similar and therefore likely to also result in an allergic reaction.⠀ ⠀ ⠀ 🍼 Taste/smell of EHF and AAF⠀ ⠀ These specialist formulas have a very different taste and smell compared to breast milk or standard infant formula. Some children may take time to get used to this when these are first introduced. Mixing the new formula with expressed BM and using a covered cup can help with the introduction of these specialist formulas. Speak with your dietitian for further support.⠀ ⠀ 🏥 If your baby is unable to take any of the above milk substitutes it is important to seek advice from a dietitian as it may be necessary to start a vitamin and mineral supplement.⠀ ⠀ ⠀ 😊 Tomorrow’s post will be about iodine and CMPA...my last post (for now!) in this series. Paula x
CHICKEN and VEGGIE TRAYBAKE . What you need: 500g chicken mini fillets Sundried tomato paste (1 large tbsp) 250g mushrooms sliced 150g green beans, halved 50g green pitted olives (halved lengthways) Olive oil What to do: 1. Preheat oven to 180oC 2. Lay the chicken fillets in a large baking tray 3. Spread a thin layer of sundried tomato purée on top of the chicken fillets (omit for weaning babies due to salt content) 4. Scatter all the other ingredients around the fillets and drizzle a little oil over 5. Roast in the oven for 25 minutes until brown and chicken is cooked through . All the components can be given to weaning babies as finger foods once they are ready. . Make sure the veggies are soft, take care with stringy green beans and chop up the olives small before offering to your baby (small olives are perfect for helping develop the pincer grip at around 9-10 months, however limit how often you give due to salt content). . This dish is perfect for the rest of the family served with potatoes of your choice. I serve with extra steamed veggies too- can never have too many! Enjoy!
⠀ ⠀ ⭐️ Cow’s milk alternatives in CMPA ⭐️ ⠀ ⠀ ⠀ 📝 I have written a detailed blog post about this topic (see link in my bio) but I wanted to summarise the main points…⠀ ⠀ ⠀ ⠀ 🤱 Breast milk is the ideal milk for babies and children with CMPA and is recommended up to 2 years of age. Whether mum needs to exclude dairy from her diet or not has been discussed in a previous post.⠀ ⠀ ⠀ 🥛 What nutrition does cow’s milk provide? ⠀ ⠀ Cow’s milk is a good source of complete protein, which means it contains all the essential amino acids (building blocks of protein) important for growth and repair of our cells. It is also a great source of calcium (typically 120mg/100ml) and an important source of other vitamins and minerals, such as riboflavin (vitamin B2), vitamin B12 and iodine.⠀ ⠀ ⠀ 👶🏻 CMPA babies and children⠀ ⠀ All babies under 1 year of age and up to 2 years of age, who cannot tolerate cow’s milk protein (or soya protein) should receive either breast milk or a suitable infant formula such as an extensively hydrolysed or amino acid based formula. I’ll speak more about these options in tomorrow’s post.⠀ ⠀ 🌱 Fortified plant-based drinks can be used in cooking or over cereals for infants from 6 months of age, but should NOT be used as a main drink until the child is at least 18 months to 2 years of age and eating a diet sufficient in calories, protein, fats, vitamins and minerals. I would suggest an assessment by a registered paediatric dietitian.⠀ ⠀ ⠀ REMEMBER:⠀ ⠀ ✅ Always look for plant-based drinks that are fortified with calcium and vitamins (organic varieties are not fortified)⠀ ⠀ ✅ If your child is under 5 years of age, do not use rice milk, due to its arsenic content, rather choose another plant-based drink⠀ ⠀ ✅ Consider the nutritional content of the rest of your child’s diet…plant-based milk alternatives are generally low in calories and protein. Calories, protein and fats can be compensated for in other foods, such as nut butters, avocado, olives, olive/rapeseed oil, seeds, hummus as well as oily fish and eggs (if not vegetarian or vegan).⠀ ⠀ 🥜 Nut based drinks are actually very low in nuts...almond drinks typically contain only 2% Paula x
⭐️ Food protein induced enterocolitis syndrome (FPIES) ⭐️⠀ ⠀ A few people asked me about this condition so I thought I’d explain a bit about it...⠀ ⠀ ⠀ ❓What is FPIES?⠀ FPIES is the most severe form of a delayed non-IgE food allergy, causing profuse vomiting 1-6 hours after eating the offending food. ⠀ ⠀ ⠀ 💧 Babies and children with FPIES can become very unwell, vomit many times, become lethargic and 20% may go into shock due to the loss of fluids. Urgent medical intervention is essential in this case with IV fluids. ⠀ ⠀ ⠀ 🥛 Common foods that cause FPIES are cow’s milk, soya, rice, oats, legumes, chicken, fish and sweet potato. However, any food could cause a reaction. Most children with FPIES have 2 or fewer trigger foods. But as many of the trigger foods are not common allergens, they can be difficult to avoid. ⠀ ⠀ ⠀ 💉 Unfortunately, there are no tests available to diagnose FPIES. Diagnosis is based on clinical symptoms and a detailed history. ⠀ ⠀ ⠀ 🧒🏼 FPIES was originally thought to be very rare, but recent studies suggest a prevalence of 1 in 300 babies in the UK have FPIES to cows milk. The majority of children outgrow their FPIES by 5 years of age. ⠀ ⠀ ⠀ ❌ Treatment involves strict avoidance of the offending food/s and slow, cautious introduction of new foods. This can be very stressful for parents and emotional support is very important. ⠀ ⠀ ⠀ ℹ️ @fpiesuk has lots of useful information for families if you’d like to read more about FPIES. ⠀ ⠀ ⠀ #foodallergies #allergydietitian #paediatricdietitian #childrensnutritionist #allergymyths #foodallergyseries #dietitianmum #CMPA #childrensnutrition #tinytotsnutrition 🍎 #kidsnutrition #kidsdietitian #infantnutrition #FPIES
This review from a recent private weaning workshop attendee has made me happy 😊 . Looks like I achieved what I set out to do: 1) bust some weaning myths ✅, 2) raise awareness of babies’ nutritional needs ✅ 3) provide parents with balanced, evidence-based advice so that they can make the decision about what is right for them and their baby in a non-judgemental way ✅, 4) provide a relaxed, informative and fun workshop ✅ . I’ll be in Blackheath on 14th May 10:30-11:30am talking weaning at an event hosted by @nurturingmums.
⭐️ Eczema and food allergies ⭐️ ⠀ ⠀ What is eczema?⠀ ⠀ Eczema, also known as atopic eczema or atopic dermatitis, is a skin condition causing inflammation and intense irritation/itching of the skin.⠀ ⠀ Atopy or being ‘atopic’ means having a genetic tendency for your immune system to make increased levels of IgE antibodies to certain allergens.⠀ ⠀ ⠀ ⠀ 🥛 Do food allergies cause eczema?⠀ No, children are born with the tendency to have eczema and there are certain ‘triggers’ for eczema, which can make it worse. Food can be a trigger for eczema especially in young babies but foods are not the primary cause of the eczema.⠀ ⠀ ⠀ Not every baby with eczema has a food allergy (and vice versa), but the EARLIER the onset and the more SEVERE the eczema is, the more likely it is to be associated with a food allergy. ⠀ ⠀ ⠀ 🧼 Eczema triggers⠀ There are also many other triggers for eczema, besides food, such as heat, irritants such as soaps, chemicals such as chlorine in a swimming pool, fabrics such as wool, contact allergens such as house dust mite, pollen or animal dander, viral or bacterial infections.⠀ ⠀ @allergy_uk has excellent information about eczema if you would like to read more.⠀ ⠀ ⠀ 🥣 🥦 Introducing solids to a baby with eczema⠀ If your baby has early onset eczema (in the first 3-6 months) and/or another food allergy, they may benefit from the introduction of egg and peanuts earlier, between 4 and 6 months of age, alongside other foods.⠀ ⠀ There is new guidance for parents and HCPs (July 2018) from BSACI and BDA FASG that I will reference below. If your baby has SEVERE eczema, you may wish to speak with your HCP before introducing egg and peanut as they may suggest skin prick tests first. See the reference below for more information⠀ ⠀ https://www.bsaci.org/about/early-feeding-guidance⠀ ⠀ Paula x 🍎
Has your table become another battle field for your children? It’s not uncommon for siblings to compete over resources, including food or parent attention. The constant fights are not only draining for you as a parent, but can also undermine your efforts in helping your children to become competent eaters. . Here is what you can do, to prevent toxic meal environment and diffuse the hostility between your kids at the table: . 🍋Have family meals, as often as possible. Your presence as an adult at the table is vital for building positive feeding dynamics and supportive atmosphere. . 🍋Be a positive role model, by demonstrating the desirable behaviour. Avoid arguing or having heated discussions around food or other topics. Children learn mostly from what they see us doing, and not so much from what they hear us saying, so it’s better to avoid lecturing and provide them with a great example to imitate. . 🍋Avoid pressuring your children to eat or controlling what and how much they should eat, from what is being served. Make sure everyone has a fair share, but don’t insist, if someone is refusing what you offer (and offering to try once per meal is enough). You are responsible for the type of food you provide, time and location. Delegate the rest to your children. . 🍋Teach your children not to comment on each other food choices. Instead of saying “Yuck!”, when food they don’t like or want to eat is being served, teach them to respond with “no, thank you!” 🍋 Part 2 is coming soon, stay tuned!
Introducing our front of house, extraordinaire receptionist team ... Teresa and Chris! We are so lucky to have them 💫 Teresa is our lovely receptionist and practice manager 🌼 Teresa has always loved kids; mother to Charlotte who she adores. She has a strong appreciation for the Western Kids Health approach to empowering children towards managing their health issues. Fun fact: Teresa used to play state level basketball (WABL)! 🏀 🌸🌸🌸 Chris is our wonderful, friendly receptionist🌻Previously working in reception for travel agency, Chris has a knack for welcoming people at the start of their journey. She is down to earth and loves engaging in genuine conversation with parents and children. Fun fact: Chris lives just down the street! Want a recommendation for coffee or something in particular locally... Chris is your one-stop shop of Mount Hawthorn knowledge ☕️ 🛍
⭐️The milk ladder and CMPA ⭐️ ⠀ The milk ladder is ONLY recommended for children with mild to moderate non-IgE or delayed type CMPA. It is NOT appropriate to reintroduce milk into a child’s diet at home if they have an immediate type allergy (unless advised to do so by your allergy clinic). This would usually be done in a hospital setting. It is also important that your child is well and that any tummy/bowel symptoms or eczema are settled.⠀ ⠀ ⠀ ⠀ The milk ladder is a stepwise, systematic way of reintroducing cow’s milk protein back into a child’s diet after a period of avoidance. The concept of the milk ladder is based on the fact that research shows that the more ‘baked’ cow’s milk protein is, usually the less allergenic it is.⠀ ⠀ ⠀ ⠀ Therefore the first step of the ladder begins with a very well baked milk protein and then the further steps are examples of gradually less well-baked milk protein products.⠀ ⠀ ⠀ ⠀ The ladder consists of 6 steps (previous version had 12 steps) but this may be adjusted by your HCP. The time spent on each step will also vary from one child to another depending on the type of CMPA and individual symptoms.⠀ ⠀ ⠀ A recipe accompanies each of the early steps of the ladder and all options on the milk ladder are also soya free. There are also wheat and egg free options available, if required.⠀ ⠀ ⠀ ⠀ If you child does not tolerate the food in a particular step, simply go back to the previous step. Your HCP will advise you when that step can be tried again. The amounts of each food to be offered vary and your HCP may advise smaller / larger quantities, depending on individual circumstances.⠀ ⠀ ⠀ ⠀ STEP 1: Biscuit*⠀ ⠀ STEP 2: Muffin*⠀ ⠀ STEP 3: Pancake*⠀ ⠀ STEP 4: Cheese⠀ ⠀ STEP 5: Yoghurt⠀ ⠀ STEP 6: Milk / suitable formula (depending on the age of your child)⠀ ⠀ ⠀ ⠀ *has an accompanying recipe⠀ ⠀ ⠀ ⠀ A link to the milk ladder can be found on the Allergy UK website but please discuss the ladder with your Dietitian or Doctor before considering to start your child.⠀ ⠀
AFTER-SCHOOL SNACK ATTACK. . Another mini meal of goodness and deliciousness! . Peanut butter and banana wheels made with wholemeal wraps - fruit, protein and carbs in one ✅ . Cucumber and red pepper side - veggies (or fruit strictly speaking!) ✅. . Have a great weekend 😊
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