Scott Iwashyna, MD

Creating relationships with families by offering personalized care that is honest, open and respectful.

Food Allergies in Infants

The following is a video response to the question of introducing nuts, eggs, fish, and other allergens in infants as the evidence to support or refute recommendations has recently changed.  Note: Introducation of solid foods should definately be avoided until at least 4 months of age due to growing evidence linking it to increased allergies and possibly obesity.

Please know that I appreciate how terrifying an allergic reaction in your child must be.  My recommendations are strickly based on my reading of current recommendations and guidelines, which indicate that there is little we can do to change the likelihood of having an allergic reaction.  Please consult your pediatrician to discuss their recommendations about introducing potential food allergies.


Dr. Frank Greer of the American Academy of Pediatrics Committee on Nutrition on forthcoming guidelines on complimentary foods  – Very interesting ideas about the introduction of solids

F-A-S-T Formula for managing food allergies (Stollen from SeattleMamaDoc – a GREAT website for parents)

For the those who like to read guidelines – AAAAI Food Allergy Guidelines


  1. Thanks for your response to my query all those months ago! It was my own, personal journal club. Keep up the good work!

  2. Hi Dr. Iwashyna,

    At my appt today (for 4-month old Riley) you mentioned you don’t recommend rice cereal as the first solid. I watched your video on food allergies but it didn’t mention what foods should be introduced instead. Are there specific foods that would be good to start with, or is anything (that’s part of a well-rounded diet) fair game at this point?

    Thank you,

  3. Whiney,

    So you don’t need to do the rice cereal at all if you are able to do some iron containing foods as part of the “well rounded diet.” All foods are fair game. Start with whatever appeals you as long as it is a single ingredient food. The only thing to watch is to only introduce 1 new food every 2-5 days. watch for rashes, excessive vomiting, etc as signs of allergy.

    hope that helps,

  4. Perfect, thanks so much. And wish us luck using a spoon! 🙂


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