Eosinophilic Esophagitis Diets – Six Food Elimination Diet

The most common variation of this diet involves removing the six most common foods that have been seen in allergic diseases, that is milk, egg, wheat, soy, peanuts/treenuts, and seafood (fish/shellfish).  This is really 8 foods – but whose counting?

This diet was initially proposed by a gastroenterologist due to limited access to allergists to perform a food allergy evaluation for eosinophilic esophagitis. Removal of these foods resulted in an 88% resolution of disease in children with eosinophilic esophagitis (Six Food Elimination Diet Trial). The response rate is good, however, this diet can be quite challenging to follow. Major changes are required in daily eating and living habits and supplementation with a amino-acid based formula is often required.

When embarking on this diet, counseling with a dietitian is strongly recommended to ensure adequate nutrition is maintained. Similar to specific food elimination diets, feeling very comfortable with reading ingredient labels is absolutely necessary.

If you imagine the typical American diet – most foods will contain at least one of these ingredients.  So it can feel overwhelming to find foods that are allergy-friendly, nutritious and taste good.  Not to mention the costs of these specialty foods can leave you with sticker shock and an emptiness in your wallet.

Fortunately there are more options out there but it can be hard to find ones that you or your child would like.  So below is a table of foods that may be incorporated into this diet.  Unfortunately, the costs of some of these products still can be quite high but this may help point you in the direction for this diet.

Please note labels can change – so already read ingredient labels and packaging labels.  Some products may also be made in facilities that process other allergens.  So be sure they are appropriate for your needs.

If you have any comments or suggestions to add to this list which may be helpful to other families like you, we would love to hear from you.

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