Week End Roundup

This is Food Allergy Awareness Week and here at Regarding Nannies we thought this was an important topic for all professional nannies as well as parents.

Monday Moxie: Featured parents and nannies who shared with us how they discovered their child/charge had a food allergy

Tuesday Tips: Even if your child is not allergic to Peanut Butter, you need this list of Peanut free foods because food allergies effect us all.

Wednesdays Creative Nanny: Tonya Grell Sakowicz shared some great recipes for kids with specific food allergies.

Table Talk Thursday: Tonya Grell Sakowicz shared what it's like to have a child with food allergies and how to deal with it.

Financial Friday: Alice shared some tips on how to save $$ on foods for your allergic child with tips and websites.

Next week on Regarding Nannies the Regarding Nannies Development Team will be attending the Twenty Fifth Annual International Nanny Association Conference in San Francisco.

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Glenda, Alice and Kellie will be recipients of the first INA Service Award Pins and Alice will be a new board member on the INA Board of Directors.

We will have some new articles at the beginning of the week and hopefully some updates from conference.

Financial Frday: Tips For Living With Food Allergies

Financial Friday: Tips For Living with Food Allergies

This is National Food Allergy Awareness week. Over at Regarding Nannies we have featured numerous views of living with food allergies, today I am going to share some financial tips from some of our readers on how to save money while being healthy and dealing with food allergies. I am providing numerous links to websites and tips on dealing with Food Allergies. They are indirectly helping you save money by giving you resources at your fingertips. There is no need to reinvent the wheel just because you have food allergies now, many people have established the wheel for you. Take their advice and their recipes and enjoy.

To read the rest of the article please visit: The Financial Nanny
Financial Friday: Tips With Living With Food Allergies

Thursday Table Talk: Living and Working with Children with Food Allergies

Living and Working with Children with Food Allergies

By Tonya Sakowicz

Living and working with children with food allergies can be a challenging task, but also one that you can turn into something fun!

There is still a fair amount of misinformation circulating around the internet and even within the medical community about food allergies, so I am going to share the basics first, some tips, tricks and ‘rules’ about working with food allergic children and finally some easy substitutions for common allergy items.

Many doctors, midwives and lactation specialists will tell moms that allergens cannot pass through the breast milk (or, if a baby is having an allergic reaction, that they are allergic to breast milk itself which is actually quite rare), but that is not true. Allergens can and do pass through breast milk so moms do need to be aware of what they are eating to try and narrow down what is causing an allergic reaction if they notice one. One of the most common ones seen that passes through breast milk is dairy proteins and it is one of the first items I recommend moms eliminate from their diet if it appears their baby is having an allergic reaction. In my personal experience, my children also reacted to wheat, peanuts and fish/seafood in my diet.

Another common mistake often passed on, even by doctors, is that children do not/cannot have food allergies. This is also not true. This misconception comes from the fact that children often outgrow allergies as they get older so it is assumed that their reaction to the food (or even on an allergy test) must not have been a true allergy. It is also possible for children to test negative on an allergy test and yet still have an allergic reaction to certain foods. And in fact, it is most likely a true allergy but they simply outgrew it. My son was allergic to wheat, dairy and peanuts and by age 5, had outgrown all 3. His dairy allergy was considered a level 4 allergy (the most severe reaction on a test) and we were told it was likely he might never outgrow it, but we were vigilant and fortunately he did. The fact that he outgrew his peanut allergy is nearly miraculous as it is incredibly rare to outgrow a peanut allergy.

Although children can be allergic to anything, the most common allergens are often referred to as “the Big Eight” and are as follows: Dairy, Wheat, Peanuts, Soy, Eggs, Corn, Tree Nuts, Fish and Shellfish. The FDA now requires that all 8 of these are listed on packaging by food manufacturers (http://www.mayoclinic.com/health/food-allergies/AA00057). This helps you identify which manufactured foods have the allergen you are trying to avoid and not avoid. Fresh foods such as meats, fruits and vegetables, etc… are not usually labeled in this manner, even if they are prepared or marinated in the store.

A common mistake many people make is assuming because a food was safe when purchased before, it still is safe. In fact, manufacturers often change their inert ingredients or the sourcing of their ingredients based on cost and so something that was allergen-free last time you purchased it may not be this time. You have to read labels every time to ensure the safety of the children in your care.

It is also important to know all the ‘hidden’ forms of the allergen you are trying to avoid. For example, if a child has a dairy allergy, there are many, many food items that need to be avoided that do not seem obvious: Coke and other dark colored sodas is a good example. Aside from the obvious negative health implications of these drinks, dark colored sodas contain ‘caramel coloring’. Caramel is dairy-based and while not all caramel colorings contain dairy, you have no way of knowing which does and does not, so all dark colored sodas need to be avoided. Another one is Vitamin Water and many other (not all) waters with electrolytes. Electrolytes are often made from dairy-based products (although Pedialyte is dairy-free) and so their labels need to be read carefully. Do your research, talk to the child’s doctor and make sure you keep a list of hidden allergens with you when you are shopping or choosing a food item for an allergic child.

Going out to eat can be a nightmare with children who have food allergies. Think those Mc Donald’s French fries are just potatoes cooked in vegetable oil with salt? Think again. Not only does Mc Donald’s ‘doctor’ up their oil to make it taste more like the lard they used to use to fry their foods, but they also use a special coating on their fries to make them taste so good. Mc Donald’s fries actually have both dairy and gluten (wheat protein) in them. And that chicken breast you bought because nuggets obviously have breading on them? Yep, that too! It is marinated in a solution that has dairy, gluten and soy. And don’t assume that because a restaurant makes their French fries from a fresh potato they are safe either. You have to know what else they cook in their oil (fish anyone?), what kind of oil they are frying with (Peanut oil?) what is in the seasoning they put on their fries (Red Robin uses their proprietary seasoning blend—dairy, soy and gluten at last check), if they coat them prior to frying (corn flour to crisp them up) and you have to request they use all new utensils, bowls, strainers, cutting boards, etc… when they are handling the food to prevent cross-contamination with allergens. Depending on the level of severity of the child’s allergies, going out to eat may just have to be crossed off your list unless you live in a large city where you can find a Vegan (different than Vegetarian!) restaurant, but even then you have to deal with corn, wheat, nut and soy possibilities. However, this at least minimizes the number of possibly allergens you will be exposed to and gives you a few more options. I have simply found it is easier to get the kids involved in finding and making their own foods and going out for picnics and as long as the kids are part of the process, they don’t seem to mind.

One thing I always do is carry Benadryl with me at all times for the milder but instant reactions such as itching and swelling and in cases where it has been deemed medically necessary (including for my daughter); I carry an Epi-pen. It is important to know the correct dosing based on weight for Benadryl, especially for smaller children since it will not have that information on the box. Ask the child’s pediatrician or allergist to be sure—what they will tell you is often different than a pharmacist because the medication is being used differently than the typically prescribed use. And if a child in your care requires an Epi-pen, it is important that you get a hold of an Epi-pen trainer and learn how to use it properly. Educate yourself on the signs of an anaphylactic reaction and how to care for it. I also always carry the phone number of the pediatrician and the child’s allergist.

As my son got older, we began to make a game out of finding foods that were safe for him to eat and exploring new recipes. It became our own personal scavenger hunt and he did not feel so ‘different’ from the other children. We made gluten-free pizza crusts together and put them in the freezer so when he was invited to a pizza party, we could make his pizza and take it with us. We experimented with gluten, nut and dairy-free cake and muffin recipes and once we found some he liked, we made those and put them in the freezer so he had treats to eat/share also when school had parties or when he was invited to a birthday party. We learned together that sunflower nut butter (not a nut at all) tastes JUST LIKE peanut butter and makes great cookies. We learned that not only does olive oil and garlic salt taste great on quinoa (gluten-free) pasta, but that it makes a super-healthy alternative to the traditional kids favorite of noodles and butter. We learned early-on that if you expose a child to healthy alternatives to ‘traditional’ foods, not only does that child develop a taste for them, but he/she actually becomes a healthier child and finding yummy foods to eat can actually be a lot of fun!

Some great allergen-free food items and ingredients are being made these days and more and more hit the market every year as the prevalence of food allergies becomes more obvious. It used to be that you could only find these items by mail order or through specialty stores. Now most mainstream grocery stores carry many, many items that are allergen-free.

Some commonly available substitutions:

For Dairy: Soy based products, Coconut (not an actual nut) based products, rice based products, hemp based products, nut based products and for those with mild dairy allergies or intolerances, goat’s milk based products. It is also being discovered that many people with dairy allergies can tolerate raw cow’s milk products, but do not give these to the children in your care without parental/doctor’s permission since they are not pasteurized. Many of these products are so good you cannot tell the difference in taste or texture.

For Peanuts: If the child is not also allergic to Tree nuts, then there are a multitude of options available that are almond and cashew based. There are also soy and sunflower based products for those who cannot have any nuts at all.

For Eggs: There are egg-free baking substitutes and in some cases, applesauce will work.

For Fish/Seafood: There are no great substitutes, but I have found canned chicken works quite well in some recipes.

For Soy: This is probably one of the hardest because in and of itself since soy is not often consumed in its natural state except for edamame, but it is a common ingredient in a huge number of foods, so it is important to find those which are soy-free.

For Corn: Like edamame, there is no real great substitute for the raw product, but most grains will substitute quite nicely for corn-based flours and meals for baking.

For Wheat: Quinoa, Amaranth, Rice, Soy and a multitude of other flours and baked products, pastas, etc… are available to substitute for wheat (important note: wheat-free and gluten-free are two different things. Gluten-free will always be wheat-free, but wheat-free is not always gluten-free.).

Life with a child who has food allergies is not always easy and can sometimes be downright scary, but if you try to take an attitude of it as an adventure and are willing to put in the time and effort, you can make it less difficult and even outright fun and tasty for the special child in your life.

Tonya Sakowicz is a INA credentialed nanny with over 20 years of nanny experience. During that time, she worked with several children with food intolerance or allergies. 5 1/2 years ago she became a mom to a little boy who had severe allergies to wheat and dairy and and a mild peanut allergy. Her little girl, now age 2, has dairy intolerance and severe fish and seafood allergies. Tonya has served on the board of NAN, as a special committee head for INA in their Nanny to Nanny Mentor Program for several years and has taught at many of their National Conferences. Tonya was voted the Professional Childcare Provider of the Year in 2003 and nominated for the International Nanny Association Nanny of the Year in 2004. In addition, that same year, she was deeply honored with a nomination by her peers for the National Association of Nannies Harriette Grant Memorial Award. Tonya currently works as a Newborn Care Specialist, primarly doing consultations on sleep issues, reflux and food allergies.

Tonya Sakowicz, Nanny Answers

http://www.babydreamteam.com/

Creative Nanny Wednesday: Recipes for kids with food allergies

Since this is Food Allergy Awareness Week, today we are going to feature some recipes for kids with specific types of food allergies.

The recipes from Tonya Sakowicz can be found on The Creative Nanny blog.

Monday Moxie: Food Allergy Awareness Week & The Journey of 9 To Their Diagnosis

Monday Moxie: Food Allergy Awareness Week
& The Journey of 9 To Their Diagnosis
by Alice Shaffer

( Please be sure to read the second comment in the comment section as Shannon shares her journey with her son's Celiac's disease)

Food Allergies are becoming more commonly diagnosed everyday. The week of May 9-15, 2010 is Food Allergy Awareness Week (FAAW). This week was created in 1997 to educate the public about the severity of food allergies as well as potentially life threatening.

Many states have officially recognized Food Allergy Awareness Week. If your state has not formally recognized FAAW, then you can speak with your state governor to get this changed.

The Food Allergy & Anaphylaxis Network has developed some wonderful brochures, fliers and posters for FAAW week. There are also many activities, presentations, and PAL Hero awards that you can use with your children and their friends to teach them about food allergies.

PAL Hero Awards are used to help encourage children to be safe with their friends who have food allergies. You can read more about this on the FAAN Kids site.

Regarding Nannies will be bringing you a week of Food Allergy Awareness and today I share with you several people's account of how they have been diagnosed with an allergy from the time they suspected something was wrong. Some suffer from diary, milk & soy allergies, preservative allergies, Celiac's disease to a Red Dye Allergy. All their stories started with them realizing that something was wrong with their body. They all had to do their own research to help further their diagnoses of their food allergies. They have all been able to maintain a balance with their allergies in their daily life.

Preservative Allergy & Angioedema
This story of Christi T's allergy is of her battle to figure out why she went into anaphylaxis shock.

Well, for me, it's a preservative. For me, I suspected it after having asthma type reactions every time I ate certain foods. I had to read a lot of food labels and finally was able to put two and two together. I later got allergy tested (years later) and had my allergies for cats, dust, mold and cockroaches confirmed, tho they can't confirm allergies or reactions to what they call 'irritants' like smoke or chemicals. For the preservative I'm allergic to, the only option to get a definitive diagnosis would be to allow the doctors in a hospital setting to administer the offending agent to me in increasing does and wait for a reaction since I have anaphylaxis to it (it's sulfiting agents that I'm allergic to). I don't swell up like people do when they get stung by a bee, but I start having a severe asthma attack and it gets harder and harder to breathe and my chest/lungs just ache. I get nauseated, my face gets red, heart beats faster, I get an instant very bad headache - all signs of anaphylaxis.

I keep it under control by avoiding the offending agent and knowing what it is typically in, tho every now and again I'm surprised by a reaction. When I first discovered this reaction I was in my early 20s and it took a good couple months to pin down the reaction to the cause. I do also carry two epi-pens for emergencies tho thankfully I've been fortunate to avoid having to use them, tho I've come close at least twice.

I also have another allergic reaction that is related to anaphylaxis where I do swell up (angioedema) that has been triggered by stress (physical or extreme emotional stress) and other unknown factors. it is believed tho, that it may also be triggered by a lot of dust/mold exposure (hey, at least I don't have to dust my house myself, that's my husband's job now). 6 years ago I suddenly had my lip swell up. My mouth went numb and stayed that way for weeks. After three weeks of repeated bouts of swelling in my face, my dr sent me to an allergist for the first time ever and he's the one who dx'd me with asthma (that I've had since a kid but didn't even know it!) and confirmed my reaction to sulfites as anaphylaxis. He put me on Zyrtec and Zantac (which is also an antihistamine) and allergy eye drops as well as allergy nose spray. He also gave me an inhaler and the epi-pens to carry at all times.

It took several months to get over that bout of angioedema, and since it's caused by environmental triggers that I can't typically avoid and of course the physical stresses like getting sick. If I have a flare-up I take benedryl on top of my regular allergy medicines and wait til it stops.

This past December I was allergy tested again and from there made the decision to start allergy shots. I have been doing twice a week to get shots since January and will soon be going only once a week. After another 4 1/2 years I hope to be free from a lot of the reactions that I have to some of my allergies.

My biggest piece of advice is to keep a food diary and note whenever you have an unpleasant reaction that is making you suspect allergies. And visit an allergist/immunologist. They are far more equipped to handle allergy issues than just a general practitioner. Allergy testing gave me answers that I didn't have before, and helped complete the puzzle of my troublesome symptoms. And don't be afraid of the commitment to allergy shots if it's recommended. It does take time, but it's far better to go for five years getting allergy shots and stop taking meds eventually (or a lot less of them with less severe reactions) than to go a lifetime taking meds daily just to see if you can possibly avoid suffering from the allergies.

Antibiotic Allergy
Christi's daughter Savannah had suffered from hives after receiving a Rocephin shot.

For Savannah, she's got an allergy to antibiotics-Cephalosporins. After she had an antibiotic shot of Rocephin, she broke out in hives all over her whole body. She was on benedryl for a week after that and the hives finally went away all the way and she now has to avoid any type of antibiotics in that class of meds. There's no cure for it that is known at this time, she simply can't have them.

Soy & Milk Allergy The next story is from Kathy mom to Ryan who was having major breathing problems:

Ryan was having major breathing issues at night around the age of 1. It wasn’t to the point that we were afraid he’d stop breathing or anything. He was just very congested all the time and had to sleep upright. Small children are NOT good at keeping their heads on their pillows.
The side effects to Ryan's allergies was that the allergen accumulated in his body and his body responded respiratorially. He was always congested, wheezy and had troubles getting to and staying asleep. In addition, he has psoriasis and it would periodically flare up more than usual. We searched for a diagnosis and his pediatrician recommended that we take him to an allergist. At that age, he had to endure the back rack of pain. They had a wooden contraption with several needles in it. They pushed it into his back and we waited to see his reactions. They had to do that because little ones will not let you repeatedly poke them with a needle and wait patiently for results. It was torturous, but worth having answers.
Ryan's allergies are under control now. He is now able to eat as much milk and soy as he wants. Although, I do find myself limiting how much he gets. We were very strict with prohibiting either ingredient for a little over 2 years. Each year we had a retest of his sensitivities. Eventually, the doctor gave the go ahead to slowly incorporate both back into his diet.
It was about six months from when we noticed his symptoms to pinpointing an actual cause.
To control Ryan's allergy we use to severely restrict what he could eat. It was difficult, especially when we were not in our own home.

Milk, Eggs & Corn This is from Kathy mom to Sofi who suffered from eczema, skin rashes and horrible diaper rash.

Sofi developed eczema, right around 1 year old. The dermatologist said it was just eczema. I suspected a food allergy because at 1 year Sofi was given eggs and milk. I eliminated egg and milk from her diet. I reintroduced egg once the eczema went away. She was fine. When I reintroduced milk, the eczema came back. I switched her to soy milk, but found that gave her eczema too. She got horrible diaper rashes sometimes. I figured out it was corn after she broke out after eating corn on the cob for the 3rd time.
For the diagnosis of the milk, egg and corn allergy was a time frame from six months to a year to identify all three of Sofi's allergies.

However, when she was 3, we did 2 allergy tests. A blood test at the pediatrician, and a skin prick test at the allergist. They all came up negative! The allergist said to slowly reintroduce the foods again. I gave her a little bit of milk for 3 days, and she broke out again. Real life reactions trump lack of test reactions. Sometimes eczema is just eczema. But sometimes it's not. With Sofi, it is an allergy, I firmly believe that, no matter what the doctors tell me. Sofi's different than most kids though. Because she actually tested negative to 2 tests. But reacts in real life. It is now under control, as long as I'm careful about reading ingredients on EVERYTHING.

Celiac's Disease
This is Amanda's story of her lifelong battle with GI problems

I have always had GI problems (constipation, gas, bloating, etc). Since I was young. The major side effects were bloating, weight gain and I was exhausted all the time. Because when you have allergies it stresses your adrenal glands. I was diagnosed through an elimination diet. I removed all highly allergenic food for 3 weeks and then added one food at a time to see if it caused symptoms. If it did, It ment I was allergic. I have it under control now for the most part. I try to avoid the food (gluten). However, Gluten and dairy (which I also suspect an allergy too) are in EVERYTHING. So it is not as easy to avoid as say peanuts. It took me 24 years to figure out I had a food allergy. I control my allergy by avoiding the food that I am allergic to. My advice if you suspect a food allergy is to do the elimination diet, because food allergy tests are generally not super accurate where the elimination diet is based on physical reaction.

Red Dye and Annetto Extract
Lyssa's battle with hives, burning skin, itching skin, headaches & sinus allergy issues

It started with itching for a few months. We changed shampoo, laundry detergent, and other house hold items. Then the itching became hives and they got worse and worse and worse. I did all of the prick tests and it came back with lots of allergies, but we knew it was more then that. So they put me on a bland diet for two weeks (chicken, pears and rice). Then we added foods back in slowly and wait for the reactions to start. We discovered I was allergic to red dye and an extract called Annetto Extract. Which is an organic alternative to red dye. That was is in all cheese that isn't white. This process took about a year to diagnosis. I was in my late 20's when I discovered that I had this allergy.

To control my allergies I use dye free Benedryl and stay away from RED DYE in food and household products.

If you have similar symptoms I suggest you keep a log of everything you eat, use on your body or come in contact with and when you have a reaction. looking back at the log can give you a good idea of what is causing the problem.

Another story of Celiacs Disease
Dawn's battle with GI problems

I was told I had Irritable Bowel Syndrome. I found myself running to the loo after every meal. Even something so mild as chicken Teriyaki would make me ill. I googled my symptoms and Celiacs came up. This was confirmed with a blood test. I had been suffering for 2-3 years before being diagnosed at age 39.
Side effects are nausea, diarrhea, also infertility and recurrent miscarriages. Long term side effects include intestinal damage and low iron levels.

I carry Benedryl and Immodium to help in case I consume hidden gluten when dining out. Sadly, its common to receive misdiagnosis, because Celiacs isn't a money maker for the drug companies. I stopped eating gluten and within a few days felt better. Then went to a holistic physician, who has been very helpful.

Tree Nuts -Brazil Nuts, Almonds, Walnuts, Pecans etc
Angie's lifelong battle with the Nuts!

My allergy is to certain kinds of tree nuts-Brazil Nuts in particular, but also more mildly almonds, walnuts, pecans, etc. My allergy has actually gotten slightly better over the years.

We actually had no idea that I was allergic to the tree nuts. It was the Anaphylaxis at age six after eating a Valentine's Day chocolate that had a Brazil Nut in it.

Angie also shares with us her physical and social side effects of her allergy:

Physically? Anaphylaxis is scary, scary, and deadly. Some tree nuts, though, I only have mild reactions to-I can eat a little tiny bit of walnuts and only get hives in my mouth and on my skin. If I handle them, I break out in hives where they've touched.

Social side effects-it was tough as a kid because back then, not many people had heard of deadly allergies to food, let alone nut allergies. I was constantly having to explain. It's a LOT easier these days!
Yeah. I feel very fortunate that I lucked into the tree nut version of this allergy. It's a LOT easier to manage than most other food allergies-even ones that are less severe in reaction. And these days, no one looks at me funny in restaurants if I ask if a certain dish has nuts in it. I haven't had a close call in a long, long time.

My allergic reaction was pretty instantaneous. Since they'd not seen a lot of cases like mine, I spent three days in the hospital while they made sure That was the problem.

My advice for those with my kind of allergy-be proactive. Anaphylaxis is nothing to mess around with, and it's very, very, VERY scary for a small kid to go through. Others need to understand the severity of the small things with nut allergies that can cause huge issues. One more thing I'd have as far as advice goes. Food allergies are particularly hard on kids from a mental perspective. It's tough being different, and tough when you have traumatic hospital stays as a result. I think, if I were talking to a parent of a newly diagnosed child, I'd advise them to make absolutely certain to talk to their child in clear terms, and allow them to ask any questions they might have. And not to pull any punches and be honest with them about the social challenges they may face as a result (I'm speaking here mostly of severe allergies that are tougher than mine to control, like peanut allergies.)

And also, growing up and even as a college student, it was helpful for me to educate a few very close, trusted friends on the symptoms of my reactions and how to treat it when it happens. It saved my bum on a couple of occasions.

Dairy Allergy-Class 6
A Nanny shares her story of S's allergy to dairy Age 5

Side effects that S can suffer from her food allergy are Anaphylactic shock, severe vomiting, closing up of windpipe and hives over entire body and swelling of the lips.

Her allergy was apparent when her mother tried to switch from breastfeeding to formula bottles. This was around 8 months of age. They went to an allergist at some point and was diagnosed. She is class 6 allergy to dairy, previous to last time she was off the charts her numbers where so high, they where trying to get her in a study in NYC and they would not take for the trial because she was too allergic. Last time she was tested she moved down a class and is now in Class 5 which still doesn't mean much improvement since she needs to be class 1 or 2 in order to reintroduce the food back into her diet.

It is under control because we are very careful in what she eats and are very aware of cross contamination. Which means cooking fresh food, getting organic food, kosher Parve food and constantly reading labels, since manufacturors like to change the ingredients in their products. I bake all her cupcakes and muffins so she can also have treats especially for birthday parties and special treats at school. When the teacher asks for food related contributions to school we always give enough for the entire class so everybody can eat the same safe 'S' food. The health food store is our biggest friend and I think it's easier now as there seems to be alot more products out there now that she can have since people seem to have gotten a little more healthy. She had outgrown her egg allergy which added a lot of foods back to her list. Her younger sibling and I have the same food as S. I didn't want to give the little one diary in her cup since it's so easy to drink out of the wrong cup. I have even switched to soymilk as well. 'S' used to get a rash if I kissed her after drinking my coffee (with milk) and I'm not talking about a wet sloppy kiss just a peck on the cheek. She is a very healthy little girl 90% in height and weight on the doctors charts.

It was alot easier to deal with then I thought in the beginning, and I think she is healthier for it, no Mc donalds ever, she calls it the yellow M store since she started reading! We control it by making sure she eats what we give her, and she will now say to others when somebody offers her something "I have a dairy allergy ask my nanny if I can have that" We trade out candy from parties and Halloween. She knows that there is a S version of everything that comes in diary so she is not missing out.

Advice for others is to get tested and research your particular allergy as there is a wealth of information out there. For diary allergies, anything that is labeled Vegan does not have diary and there are some really good cook books out there. I love Vegan with a vengeance. and there is the FAAN network and newsletter which has a lot of info and keeps up to date on new research that is going on.