In this episode

• What an egg ladder is and how it may help some babies with egg allergy work toward tolerating egg again
• Why egg allergy is different from “egg intolerance” and why egg white is the part that matters most
• How to talk to your pediatrician or allergist about egg ladders if your baby has reacted to egg and you are wondering what comes next

Episode Description

What if your baby reacted to egg…does that mean eggs are off the table forever?

Not necessarily. In this episode, food allergy researcher and dietitian Carina Venter, PhD, RD, explains what an egg ladder is, how it may help some babies with egg allergy work toward tolerating egg again, and why this approach is used more often outside of the United States.

Carina also shares why egg white matters, why “egg intolerance” is usually not the right term, and what to ask your pediatrician or allergist before trying an egg ladder.

About the Guest

• Carina Venter, PhD, RD is an Associate Professor of Pediatrics and Allergy and Immunology at the University of Colorado Denver.
• She is an internationally recognized pediatric food allergy researcher and registered dietitian specializing in food allergy prevention and management.
• Carina teaches the Advanced Pediatric Food Allergy Training course through FARE, Food Allergy Research & Education and she has published extensively on milk and egg ladders.

Links from this Episode

• International Milk Allergy in Primary Care (iMAP) Guideline
• Irish Egg ladder
• British Egg Ladder
• Link to course from FARE she teaches with Marion - dietitian “celebrity” allergists
• Eat Paper (this was the one Carina was discussing that had reported “poor compliance” because of boiled egg)
• Follow Carina Venter, PhD, RD on twitter: https://twitter.com/ventercarina
• Instagram (stalk her and find this) - one she doesn’t know how to access Carina Venter PhD RD (@VenterCarina) / X
• View Dr. Venter’s allergy-related research publications here: Carina Venter | Colorado PROFILES 
• Dietitians earn your FARE Certificate of Training in Pediatric Food Allergy in this 9-month (32 CPE) course Carina co-teaches for FARE 
• Baby-Led Weaning with Katie Ferraro program with the 100 First Foods™ Daily Meal Plan, join here: https://babyledweaning.co/program and get $50 off when you sign up using the code BLWPOD50

JOIN NOW AT $50 OFF CODE: BLWPOD50 

• Baby-Led Weaning for Beginners free online workshop with 100 First Foods™ list to all attendees, register here: https://babyledweaning.co/baby-led-weaning-for-beginners

Other Episodes Related to This Topic:

• Episode 84 - Why You Don’t Need to Wait 3-5 Days Between Trying New Foods
• Episode 274 - Baby Has Skin Reactions to Milk, Egg and Peanut: What Should I Do Next? with Carina Venter, PhD, RDN
• Episode 368 - Using a Milk Ladder for Babies with Dairy Allergy with Carina Venter, PhD, RD
• Episode 468 - Oral Food Challenges: Try Allergenic Foods at Home vs. the Doctor's Office? with @allergykidsdoc David Stukus, MD

Resources & Research

• Samady, W., Campbell, E., Aktas, O. N., Jiang, J., Bozen, A., Fierstein, J. L., ... & Gupta, R. S. (2020). Recommendations on complementary food introduction among pediatric practitioners. JAMA network open, 3(8), e2013070-e2013070. https://pubmed.ncbi.nlm.nih.gov/32804213/https://pubmed.ncbi.nlm.nih.gov/32804213/ 
• Johnson, J. L., Gupta, R. S., Bilaver, L. A., Hu, J. W., Martin, J., Jiang, J., ... & Togias, A. (2020). Implementation of the Addendum Guidelines for Peanut Allergy Prevention by US allergists, a survey conducted by the NIAID, in collaboration with the AAAAI. Journal of Allergy and Clinical Immunology, 146(4), 875-883.  https://pubmed.ncbi.nlm.nih.gov/32745556/ 
• Fleischer, D. M., Chan, E. S., Venter, C., Spergel, J. M., Abrams, E. M., Stukus, D., ... & Greenhawt, M. (2020). A Consensus Approach to the Primary Prevention of Food Allergy Through Nutrition: Guidance from the American Academy of Allergy, Asthma, and Immunology; American College of Allergy, Asthma, and Immunology; and the Canadian Society for Allergy and Clinical Immunology. The Journal of Allergy and Clinical Immunology: In Practice. https://pubmed.ncbi.nlm.nih.gov/33250376/ 
• Togias, A., Cooper, S. F., Acebal, M. L., Assa’ad, A., Baker, J. R., Beck, L. A., ... & Fleischer, D. M. (2017). Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel. Allergy, Asthma & Clinical Immunology, 13(1), 1-20. https://www.niaid.nih.gov/sites/default/files/addendum_guidelines_peanut_appx_d.pdf 
• Schroer, B., Groetch, M., Mack, D. P., & Venter, C. (2020). Practical Challenges and Considerations for Early Introduction of Potential Food Allergens for Prevention of Food Allergy. The Journal of Allergy and Clinical Immunology: In Practice. https://pubmed.ncbi.nlm.nih.gov/33127520/  
• Venter, C., Hasan Arshad, S., Grundy, J., Pereira, B., Bernie Clayton, C., Voigt, K., ... & Dean, T. (2010). Time trends in the prevalence of peanut allergy: three cohorts of children from the same geographical location in the UK. Allergy, 65(1), 103-108.

https://pubmed.ncbi.nlm.nih.gov/20078504/

• Koplin, J. J., Peters, R. L., Dharmage, S. C., Gurrin, L., Tang, M. L., Ponsonby, A. L., ... & Allen, K. (2016). Understanding the feasibility and implications of implementing early peanut introduction for prevention of peanut allergy. Journal of Allergy and Clinical Immunology, 138(4), 1131-1141. https://pubmed.ncbi.nlm.nih.gov/27260320/ 
• Halken, S., Muraro, A., de Silva, D., Khaleva, E., Angier, E., Arasi, S., ... & European Academy of Allergy and Clinical Immunology Food Allergy and Anaphylaxis Guidelines Group. (2021). EAACI guideline: Preventing the development of food allergy in infants and young children (2020 update). Pediatric Allergy and Immunology. https://pubmed.ncbi.nlm.nih.gov/33710678/