Important medical guidance

This page provides general information based on NHS and BSACI allergen introduction guidelines. 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.

How to Introduce Allergens to Your Baby — Step by Step

Early allergen introduction from around 6 months is recommended by UK paediatric guidelines. This guide gives you a practical, per-allergen plan so you can do this safely and confidently — one food at a time.

Key takeaways

  • Start around 6 months — the same time as starting solid foods generally
  • Peanut and egg first — the highest-priority allergens with the strongest evidence base
  • One new allergen every 3–5 days, at home, in the morning, when your baby is well
  • Once tolerated, continue regularly — at least 3 times per week to maintain tolerance

The 6-step allergen introduction method

Follow these steps in order for every new allergen you introduce.

Choose the right time to start

Begin allergen introduction at around 6 months, once your baby has successfully started solid foods and is eating a few single-ingredient purées comfortably. Do not start during illness, severe teething, or eczema flare-ups.

Start with the highest-priority allergens first

Introduce peanut and cooked egg first — these are the allergens with the strongest evidence for early introduction reducing risk. Then proceed to dairy (in food), wheat, fish, tree nuts, sesame, soya, and shellfish over the following weeks.

Prepare the food in a safe form

Never give whole nuts (choking risk). Use smooth nut butters, finely ground nuts, or mixed into purée. For eggs: use well-cooked scrambled egg or hard boiled. For fish: remove all bones, flake finely. For shellfish: remove shell entirely, serve in tiny pieces.

Introduce at home, in the morning

Always introduce a new allergen at home (not at nursery or a restaurant), in the morning, so you have the rest of the day to monitor. Your baby should be well — no illness, no active eczema flare.

Start with a small amount, observe for 2 hours

Give a pea-sized amount mixed into accepted food. Wait 20 minutes. If no reaction, give a slightly larger amount. Monitor for 2 hours after eating. Mild reactions (redness around mouth, minor rash) should be reported to your GP. Severe reactions (swelling of throat, difficulty breathing) require 999 immediately.

Continue offering the food regularly once accepted

Once a food is tolerated, continue offering it at least 3 times per week. Tolerance is maintained by regular exposure. Stopping a well-tolerated allergen and reintroducing after months is associated with increased risk of sensitivity.

Per-allergen introduction guide

Each of the 9 priority allergens, in recommended introduction order, with practical preparation guidance.

1. Peanut — Introduce first

Form: Smooth peanut butter only — never whole peanuts. Mix ¼ tsp into porridge, purée, or yoghurt. Timing: around 6 months. Once tolerated: 3× per week minimum. Strongest evidence from LEAP trial for early introduction.

2. Egg — Introduce second

Form: Well-cooked scrambled egg, hard-boiled, or egg in baking. Both yolk and white are allergenic — introduce together in cooked form. Timing: 6–7 months. Well-cooked egg is less allergenic than lightly cooked.

3. Cow's Milk — In food first

Form: In cooking — cheese sauce, milk in porridge, yoghurt, soft cheese. As a main drink: after 12 months only. Timing: In food from 6 months. Formula-fed babies have already had milk protein exposure.

4. Wheat

Form: Soft bread crust, baby breadstick, pasta, wheat-based baby cereal. Timing: around 6–7 months. Evidence suggests delayed wheat introduction increases risk. Most babies tolerate wheat very well.

5. Fish

Form: White fish first (cod, haddock, sole) — baked and flaked very finely, all bones removed (check twice). Then oily fish: salmon, mackerel. Shellfish separately later. Timing: 7–8 months.

6. Tree Nuts

Form: Smooth nut butter (almond, cashew, walnut) — never whole nuts. Introduce each nut type separately with 3–5 days between each. Timing: 7–9 months. Whole nuts remain a choking risk until age 5.

7. Sesame

Form: Tahini (sesame paste) mixed into purée or yoghurt. A tiny amount initially. Timing: 7–8 months. Sesame is increasingly common in processed foods — worth regular inclusion once tolerated.

8. Soya

Form: Soya yoghurt, silken tofu, soya milk in cooking. Note: up to 50% of babies with confirmed cow's milk allergy may also react to soya — introduce with extra care in this case. Timing: 7–8 months.

9. Shellfish

Form: Prawns finely chopped or blended, crab meat — shell removed entirely. Introduce each shellfish type separately. Timing: 9–12 months, after other proteins are established.

Recognising a reaction

Mild to moderate (monitor + call GP)

  • Redness or rash around the mouth or face
  • Itchy watery eyes
  • Mild swelling of the lips
  • Vomiting or diarrhoea

Severe (call 999 immediately)

  • Swelling of tongue, lips, or throat
  • Difficulty breathing or noisy breathing
  • Pale, blue, or blotchy skin
  • Sudden collapse or unconsciousness

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.

✨ BabyBite Compass

Plan a first peanut introduction meal

Once you are ready to introduce peanut, BabyBite Compass suggests the ideal carrier meal to mix a small amount of peanut butter into.

babybite.eu/meal-planner/

BabyBite Compass · 6 months · Peanut introduction · Breakfast

Peanut Butter Porridge

6 months ✓ ~70 kcal
  • Cook smooth oat porridge with formula or breast milk
  • Stir in ¼ tsp smooth peanut butter
  • Thin to a smooth consistency if needed
  • First peanut introduction — ideal carrier food

Sweet Potato & Peanut Purée

6 months ✓ ~65 kcal
  • Steam sweet potato until very soft
  • Blend completely smooth
  • Stir in ¼ tsp smooth peanut butter
  • Natural sweetness masks any unfamiliar taste

Set your allergy filters to track which allergens you have introduced.

🍽️ Plan Allergen Introduction Meals

Allergen introduction FAQs

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 BSACI and NHS allergen introduction guidelines.

Plan your baby's allergen introduction meals

BabyBite Compass suggests ideal carrier meals for introducing each allergen — age-appropriate, nutritious, and safe. Free, no account needed.