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Question:
now DS is a year old, we have decided to try the few possible allergens we have been avoiding with him (tree nuts & peanuts mainly & a few other little things when they come up). we thought we'd start with almonds. so i made a yummy mandarin cake made with almond meal.
anyway, back to the point - last nite i ate some & i assume he would have gotten some in my breastmilk & been sensitised? this morning i gave him a little of the cake, watched carefully & all was fine. i had planned to give him another bite tomorrow morning, but totally forgot
& ate a slice tonite for a snack after DS went to bed. so i assume it will be in my breastmilk again. and he feeds during the nite so he will get more in my breastmilk.
can someone explain to me how it works? would the challenge have been when he ate the cake in the morning? was that the 2nd time he was exposed to the almonds? or is it when it's in breastmilk is it not very concentrated & it's really when he eats it?
and how long does it take from when you eat it to when it disappears from your breastmilk?
i'm confused about it (as usual) & want to be sure when i do peanuts as well.


Answer:
First of all, the problem with challenging via breastmilk is that you don't actually know for certain if your child has been challenged! Many children are NEVER sensitized to allergens via breastmilk, but show sensitivity rapidly once exposed to the food itself.
Second, if you have any family history of allergy, I'd hold off on the nuts another year or two. Many allergy symptoms aren't easily visible at first. They can manifest, for example, as a tickle in the throat, and your 12-month old probably won't tell you about something like that.
(And the same allergy can escalate with repeated exposure.)


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