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Do you suspect your nursling is reacting to something you are eating by breastmilk? Dr. Sears has an elimination diet that is great when IgE allergies are suspected. But what do you do if that doesn’t work, or you suspect FPIES? Many of the foods on the Dr. Sears list are high risk for FPIES. So then you need to build a custom Total Elimination Diet (TED). Most babies tolerate their mother’s milk fine. But some babies have high levels of sensitivity, and some women pass more intact proteins via breastmilk. Enzymes can be used in addition to eliminations in some cases.
Please consult with a doctor and registered dietitian to ensure adequate nutrient intake.
Start by looking over the FPIES Food Surveys.
Avoid any foods known to be a problem for your child.
Then pick foods:
1 meat, including the organs
2-4 vegetables (different colors)
Starch can be any grain, pseudograin, legume, potato, or squash. In particular sweet potatoes, rice, oats, green peas, and winter squashes are higher risk for FPIES. So that leaves things like quinoa, millet, lentils, white potatoes, buckwheat, and any pseudograin.
If at anytime while making diet changes your nursling symptoms get worse, then you need to swap out ingredients in one or more categories. Within 3-4 days you should see sight improvement, and by 2 weeks there should be noticeable improvement.
It’s really hard to pick one ideal TED, since every baby/child has a different list of triggers.
But this would be an example of a starting point for a Total Elimination Diet:
Grassfed lamb- including organs for important nutrients
Rutabaga or Beets