With a peanut or tree nut allergy, even a tiny amount ingested or inhaled could cause an allergic reaction. Some of the places you find nuts, like nut butters and nut breads, are not surprising. Others -- like sauces and gravies -- may be.
Once you know what to look for, you can check labels carefully before you buy or use a product.
Having a food allergy used to mean dining out was limited to carrying your plate from the kitchen to the porch or, at best, eating at the home of a close friend or relative who could guarantee your food offenders were nowhere in sight.
Today, however, eating out is a lot easier -- and safer -- for the 2 million Americans who suffer with a mild, moderate, or even a severe food allergy. One reason: Restaurants are more aware and more prepared.
"The awareness of food allergies has definitely increased...
If you are allergic to peanuts, you may need to avoid tree nuts like walnuts and almonds. Same goes if you’re allergic to tree nuts -- you may need to avoid peanuts. Ask your doctor to be sure. Tree nuts include:
Common Foods With Nuts
Don't be surprised to find peanuts or tree nuts in foods like these:
Baked goods. Cookies, candy, pastries, pie crusts, and others
Candy.Chocolate candy especially; also nougat and marzipan
Other sweets. Ice cream, frozen desserts, puddings, and hot chocolate
Cereals and granola
Chili and soups. Peanuts or peanut butter are sometimes used as thickeners.
International foods. Nuts are common in African and Asian cooking (especially Thai and Indian); also in Mexican and Mediterranean foods.
Mortadella. This Italian ham may include pistachios.
Sauces. May include hot sauce, pesto, gravy, mole sauce, glazes, or marinades
Salads and salad dressing
Common Ingredients With Nuts
Avoid these when cooking and look for them on prepared food labels:
Nut butters. Almond, cashew, peanut, and others
Nut pastes. Includes products like marzipan, almond paste, and nougat
Nut oils. Includes cold-pressed or expressed peanut oil, and others
Hydrolyzed plant or vegetable protein. These can have peanuts in them.
Nut extracts, like almond extract
4 Tips for Avoiding Nuts
Beware of cross-contact. Foods that don't contain peanuts or tree nuts can get contaminated if they are prepared in the same place or using the same equipment. Cross-contamination also occurs in ice cream parlors because of shared scoopers and other equipment, as well as in many ethnic restaurants where a wide variety of ingredients are used.
Check the label each time you buy a product. Manufacturers sometimes change recipes, and a trigger food may be added to the new one.
Look for peanuts outside the kitchen. In addition to foods, nuts can be in lotions, shampoos, and pet food. Check labels before you buy or use them.
Carry an epinephrine autoinjector. Carry two with you at all times and know how to inject it. For some people, an allergic reaction to nuts can quickly become life-threatening, so always be prepared. Brands includeEpiPen, Emerade, Twinject, Adrenaclick, Anapen, Jext, Allerject, and Auvi-Q.