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Nut Allergy; Am I allergic to Multi-grain?: Contains Nutmeat - (Read 2,889 Times)
 
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[ Guest ]Talv
Post Icon Posted: Jun 4th, 2009 at 02:03 am

Hello all,

I have a nut allergy that an allergist was able to pinpoint some years ago as one triggered by bother peanuts and tree nuts.

Am I allergic to multi-grain bread, therefore? It has nutmeat.

Many of you may say yes but here's the thing: I eat it all the time unaffected. I post today, though, because I was just snacking on some 12-grain and I turn it over and it says "Nutmeat: (Peanuts, Walnuts, Almonds)."

For the moment I feel fine. But if I wind up alright for the night (and I think I will!) what should I take away from this?

Very confused!
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booandbrimom
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Post Icon Posted: Jun 4th, 2009 at 07:19 am

Well, I can think of a few possibilities:

1) Your allergist was wrong. If the diagnosis was made on the basis of just testing and not personal experience, this is very common. Allergy tests alone don't make you allergic - many people have positive tests to food they tolerate fine.

2) You're allergic to a nut or legume that wasn't actually in the bread. Peanuts, tree nuts and other legumes are not all the same. Perhaps you're really allergic to hazelnuts. Or lentils.

3) There wasn't enough of the allergen to trigger your allergen. All allergies have a "tipping point." Some people are more sensitive than others, and the tipping point can change depending on what other things are going on in your life that day (illness, environmental allergies, etc.).

Have you *ever* had an allergic reaction to a nut? That's far more telling than testing...
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[ Guest ]Talv
Post Icon Posted: Jun 4th, 2009 at 06:40 pm

Booan,

Yes! I had a reaction and went into anaphylaxis (or was approaching anaphylaxis) roughly less than a decade ago. Since then I have had definite exposure to peanuts, but I injected myself with epinephrine immediately following; the EpiPen as you may know virtually gives the same symptoms as an allergic reaction does (it's quite funny, to be sure).

But I haven't actually had an outbreak that I was 100% confident I was having... like I said: In about a decade. I saw my allergist about seven, to six years ago. He did that test where he pressed those Whip-Cream Can topping against my thigh and the Tree Nut and Peanut sites swelled.

However, as you said... that test can be wrong. I have been eating Multi-Grain bread for ages now, which all has nutmeat. Furthermore, I have had recent experiences where I consumed nuts—no questions—and I ended up fine.

Is there an accurate way to check? Can I schedule a test in the hospital where I consume one?
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booandbrimom
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Post Icon Posted: Jun 4th, 2009 at 06:47 pm

Yes, you can definitely schedule a challenge and that's probably what you should do in this case. The best challenges are "blind" so you (and sometimes the doctor) does not know what you are eating.

If you've only had one episode of anaphylaxis, it's possible that the positive tests were just coincidental and you're allergic to something else entirely like insect venom. The proof is in the pudding - if you're eating nuts without a reaction, it's pretty unlikely that you're allergic. However, it would be wise to speak to a doctor and possibly schedule a challenge since the amounts in the bread may not be enough to trigger a reaction.
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CMdeux
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Post Icon Posted: Jun 4th, 2009 at 06:54 pm

It is also definitely possible that the formulation of the particular brand of bread you're buying has recently changed-- or even that the manufacturing conditions have, and that now the manufacturer feels it is prudent to list the ingredients that way due to a high risk of cross-contamination. (In other words, it is possible that the bread doesn't actually contain any nuts in the first place... or that it only occasionally does.)


My first phone call would be to the manufacturer of the bread to find out whether this is a true, intentionally added ingredient... and how long it has been added.

THEN I'd think about what that might mean.

When you experienced your anaphylactic reaction years ago, what was the suspected trigger, out of curiosity? I'm wondering about the possibility that you regularly tolerate cross-contamination just fine... and, as Boo noted, some people do because they have a pretty high tolerance for the allergen.


Peanuts and treenuts are pretty wicked that way, though-- because the threshold dose can vary by an order of magnitude or more without much warning. It'd be really good to know if you are definitely still allergic-- and to what, exactly.
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[ Guest ]Talv
Post Icon Posted: Jun 4th, 2009 at 09:34 pm

Jun 4th, 2009 at 06:54 pm, CMdeux wrote:
It is also definitely possible that the formulation of the particular brand of bread you're buying has recently changed-- or even that the manufacturing conditions have, and that now the manufacturer feels it is prudent to list the ingredients that way due to a high risk of cross-contamination. (In other words, it is possible that the bread doesn't actually contain any nuts in the first place... or that it only occasionally does.)


My first phone call would be to the manufacturer of the bread to find out whether this is a true, intentionally added ingredient... and how long it has been added.

THEN I'd think about what that might mean.

When you experienced your anaphylactic reaction years ago, what was the suspected trigger, out of curiosity? I'm wondering about the possibility that you regularly tolerate cross-contamination just fine... and, as Boo noted, some people do because they have a pretty high tolerance for the allergen.


Peanuts and treenuts are pretty wicked that way, though-- because the threshold dose can vary by an order of magnitude or more without much warning. It'd be really good to know if you are definitely still allergic-- and to what, exactly.


When I was 1 my other fed me a PB&J sandwich. I blew up like a balloon and the determination was made that day. A similar episode happened the day we made Peanut Butter pinecones in the second grade.

At this point we should not ask if it was peanuts, but rather, if it is.

I will do some sleuthing. Thank you both for your help.
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LL70
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Post Icon Posted: Jun 10th, 2009 at 07:36 am

I would go to an allergist for retesting. You may have outgrown it or maybe you are just allergic to one type of nut or not as severe.
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Me - PA/TNA/Shellfish & too many MFA including carrots, some legumes, blueberries, banana, arugula, some cheeses like swiss, romano, all melons (also highly allergic to mold,grass,trees,ragweed)

DS - is PA/TNA and sesame/poppy/sunflower allergy & legume allergy. New allergies: soybeans & coconut as of Jan 2010
 
 


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