Which food items should be withheld from a child identified as being at risk for food allergies during their first few years?

In determining which food items should be withheld from a child identified as being at risk for food allergies during their early years, it is important to consider the foods that are most commonly associated with allergic reactions in children.

Peanut butter, in particular, has been identified as a common allergen that can trigger severe allergic reactions. Early exposure to peanuts, especially in children at risk for allergies, has been shown in some studies to potentially increase the chances of developing a peanut allergy if introduced too late. For this reason, recommendations often suggest careful management of peanut products in high-risk infants.

Cow's milk is another allergenic food but is typically introduced at around 12 months of age. Fish and shellfish are less commonly avoided in infancy, but consideration is given to these items for older children as they are established allergens. Wheat and soy also have their risks, but they are not as frequently the focus of withholding during the first few years.

The emphasis on peanut butter and milk—where peanut butter is especially highlighted—reflects the growing understanding of food allergies and the need to navigate high-risk foods with care in early childhood. Thus, responding appropriately to the potential risks and the evolving research is critical for the health and safety of the child.