Important medical guidance

This page provides general information about allergen introduction based on widely accepted paediatric guidance (NHS, BSACI). It is not a substitute for professional medical advice. If your baby has eczema, a known allergy, or a family history of severe allergic reactions, always consult your GP or paediatrician before introducing allergens. In a medical emergency, call 999 immediately.

Baby Food Allergy Guide — Introducing Allergens Safely

Early, gradual introduction of allergenic foods is now recommended by most paediatric organisations. This guide explains when to start, which foods are most important, how to introduce each one safely, and what signs of a reaction look like — so you can do this with confidence.

Key takeaways

  • Early introduction (around 6 months) is now recommended to reduce — not increase — allergy risk
  • The 9 most important allergens to introduce deliberately: peanut, tree nuts, egg, cow's milk, wheat, fish, shellfish, sesame, soya
  • Always introduce allergens at home, in the morning, one at a time, when your baby is well
  • A mild reaction (redness around the mouth) is different from a severe reaction (anaphylaxis) — learn to recognise both

Why early allergen introduction is now recommended

The LEAP trial (2015) showed that introducing peanuts early reduced peanut allergy risk by up to 80% in high-risk infants. This fundamentally changed global allergy guidance. UK guidelines (BSACI/NHS) now recommend introducing allergenic foods from around 6 months. Waiting to introduce allergens does not reduce risk and may increase it. The only exception: babies with severe eczema or an existing egg allergy may need GP guidance before introducing certain allergens.

The BSACI and NHS guidelines

Current UK guidance from the British Society for Allergy and Clinical Immunology and the NHS recommends introducing all foods, including allergenic ones, from around 6 months of age, once your baby has started solid foods. There is no benefit — and potential risk — in delaying introduction beyond 12 months.

The 9 most important allergens to introduce

UK food labelling law requires declaration of 14 allergens. These 9 are the most important to introduce deliberately in infancy.

Peanuts

Highest priority. Around 6 months. Smooth peanut butter mixed into porridge or purée — never whole peanuts (choking risk). Introduce early and continue regularly once accepted.

Tree Nuts

Cashew, almond, walnut, pistachio. Finely ground or as smooth nut butter. Introduce each nut type separately. Never offer whole nuts — choking risk until age 5.

Eggs

Both yolk and white are allergenic. Cook well initially — well-cooked egg is less allergenic than lightly cooked. Scrambled egg, hard-boiled, or as an ingredient in cooking.

Cow's Milk

Small amounts cooked into food from 6 months (e.g. cheese sauce, yoghurt, porridge with milk). As a main drink: not before 12 months to replace formula or breast milk.

Wheat & Gluten

Baby cereals, breadsticks, soft bread, pasta. Introduce by 6 months where possible. Delaying wheat introduction is associated with increased risk, not reduced.

Fish & Shellfish

White fish first (cod, haddock), then oily fish (salmon). Shellfish separately later. Remove all bones. Fish is an excellent source of omega-3 and protein from 6–7 months.

Sesame

Tahini (sesame paste) is the most practical form for babies. Mix a small amount into porridge or purée. Sesame is increasingly common in processed foods — learn to read labels.

Soya

Soya yoghurt, soya milk in cooking, silken tofu. Introduce by 6–9 months. Note: some babies with cow's milk allergy are also sensitive to soya — introduce with care.

Shellfish

Prawns, crab, lobster. Introduce each type separately when your baby is managing other proteins well. Start with a tiny amount mixed into accepted food. Remove shell entirely.

How to introduce allergens safely

Follow these principles for every new allergen — regardless of family history.

Introduce at home, in the morning

Never introduce a new allergen at a restaurant, nursery, or while travelling. At home, in the morning, gives you the rest of the day to monitor for any delayed response.

When baby is well

Do not introduce a new allergen when your baby is unwell, teething severely, or has a skin flare-up. A reactive day produces unclear results. Wait for a calm, healthy window.

One at a time

Introduce one new allergen every 3–5 days. This allows you to identify which food caused any reaction. Do not introduce multiple new allergens on the same day.

Start with a tiny amount

A pea-sized amount mixed into accepted food. If no reaction in 20 minutes, give a slightly larger amount. If still no reaction after 2 hours, the food is likely well-tolerated.

Continue regularly once accepted

An accepted food should continue to be offered regularly (at least weekly). Tolerance is maintained by continued exposure. Stopping a well-tolerated food and reintroducing later increases risk.

Once accepted, keep offering

Research shows tolerance requires continued regular exposure. A food your baby accepted at 6 months should continue to appear in their diet at least weekly. Stopping a well-tolerated food and reintroducing months later is associated with increased reaction risk.

Recognising an allergic reaction

Mild to moderate reactions — monitor, call GP

  • Redness, hives, or rash around the mouth or face
  • Itchy or watery eyes
  • Runny nose or sneezing shortly after eating
  • Mild swelling of the lips
  • Vomiting or diarrhoea following the meal

These symptoms should be reported to your GP for assessment.

Severe reaction — call 999 immediately

  • Swelling of the tongue, lips, or throat
  • Difficulty breathing or noisy breathing (stridor)
  • Pale, blue, or blotchy skin
  • Sudden collapse or severe drowsiness
  • Loss of consciousness

If in doubt, call 999

Anaphylaxis is a medical emergency. Symptoms can progress rapidly. If you are unsure whether your baby is having a severe allergic reaction, call 999 immediately. Do not wait.

If your baby has a severe reaction

Step 1: Call 999 immediately

Do not drive to hospital. Call 999 and say "I think my baby is having a severe allergic reaction". Ambulance crews carry epinephrine (adrenaline).

Step 2: Use epinephrine auto-injector (if prescribed)

If your baby has been prescribed an EpiPen or similar device, use it now as instructed. Hold in place for 10 seconds. Note the time of use for emergency responders.

Step 3: Stay with your baby

Stay with your baby until emergency services arrive. Try to remain calm. Note what food was eaten, when, and what symptoms appeared first — this helps responders.

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Medical disclaimer

This page is for general information only and does not constitute medical advice. BabyBite is not a medical service. Always consult your GP, paediatrician, or a registered dietitian for advice specific to your child. In an emergency, call 999.

Last reviewed: July 2025. Based on NHS and BSACI allergen introduction guidelines.

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