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Source: http://www.doksinet Neocate Recipe Book Your Guide To Weaning And Beyond Source: http://www.doksinet Foreword Your baby grows and develops dramatically during their first year of life: His/Her birth weight doubles by six months and triples by one year. Rapid growth continues beyond age 1 and nutrition plays a very important role. From about 6 months, neither human breast milk nor infant formula milk intake alone are enough to meet their needs. Introducing solid foods, known as weaning, is essential for continued growth and development. Over time, their feeding skills improve and teeth arrive increasing the variety and texture of foods your baby is capable of managing. By age 1, most babies are able to enjoy feeding themselves a wide variety of family foods. A suspicion of food allergy during this time can be worrying and confusing; this booklet aims to address these fears. A diagnosis of Cows’ Milk Protein Allergy can present you with many challenges: what’s best to
feed my baby, when to start weaning and what weaning foods are suitable? This booklet aims to provide you with practical help and guidance. Human breast milk is the preferred fuel for growth. For the first 6 months of life babies including those with food allergy ideally should only receive breast milk. If however you have made an informed decision to bottle feed your baby then a hypoallergenic formula, such as Neocate LCP, should be given. Most healthy babies do not need any solid food before 17 weeks of age. When your baby is ready and from about 6 months they will start to show a greater interest in food and will be ready to start weaning. Neither breast milk nor Neocate LCP alone can meet these needs and “solid” food becomes essential. This is a time where your baby learns new skills that encourage development. It is a gradual process that introduces your baby to new tastes and textures and eventually onto “family” foods. It will be important to avoid all contact with
cows’ milk protein during this time. Avoiding cows’ milk in childhood is a major nutritional concern. Excluding an entire food group (milk and dairy products) can have serious repercussions on vulnerable developing bones and needs careful consideration and planning. You will also need to discuss with your healthcare professional (HCP) whether you need to avoid goat milk and soy milk. There is a high risk of reacting to these foods with Cows’ Milk Protein Allergy. This booklet aims to provide you with all the information you will need to do this while guaranteeing that your baby gets the right nutrition for growth and development. Consultant Dietitian: Paediatrics Contents Weaning. 7 Stage 1. 11 Stage 2. 17 Stage 3. 23 Recipes. 27 Allergen symbols . 28 Stage 1. 30 Stage 2 & 3. 36 Toddlers. 59 Recipes for toddlers . 69 Contents Source: http://www.doksinet You have been given this recipe book to support your use of Neocate LCP which has been prescribed
by your healthcare professional 3 Source: http://www.doksinet Weaning Source: http://www.doksinet Source: http://www.doksinet Weaning When To Start Weaning All babies are different but most healthy infants should start weaning from 6 months of age. Signs your baby is ready for weaning Your baby is ready to start exploring food from a spoon when they: If your baby seems interested but refuses food, don’t force them, try again the next day. Why weaning is important zinc have been pretty much used up. Their growth and development continue all the while but neither breast milk nor formula can meet their requirements. Introducing solid food from a spoon becomes essential to support growth,
development and important skills of eating, drinking and swallowing. This is a gradual process and it introduces your baby to new tastes and new textures. 7 Neocate LCP and weaning As your baby eats more solid foods, you will find that the amount of Neocate LCP they are taking may start to decrease. Weaning Weaning Source: http://www.doksinet A minimum of 600ml (20oz) of Neocate LCP is needed during weaning (6-12months). Neocate LCP will provide your baby with most of their requirements for key nutrients as they progress through weaning and should continue to be your baby’s main drink for the first 12 months of life. Offer cool boiled water if extra fluid is needed. See Toddler Section for information on Neocate follow-on products for 12months+ All babies, breast fed and bottle fed, need a vitamin D3 supplement in the form of vitamin drops from birth to age 1 year. Please discuss with your pharmacist, doctor, nurse or dietitian for more details 8 4 Stage 1 Source:
http://www.doksinet Source: http://www.doksinet Stage 1 What to expect all part of weaning and learning morning time so that any reaction can be observed It’s a good idea to keep a record because it’s easier to observe any link between food, symptoms and timing for example: DATE TIME FOOD EATEN / MEDICATION TAKEN QUANTITY SYMPTOMS EXPERIENCED & DESCRIPTION TIME/ DURATION DATE May 12th 10.30 Carrot purée 1 teaspoon Crying-longer than usual 10.45-1145 May 13th 10.30 Carrot purée 1 teaspoon - - May 14th 10.30 Carrot purée 2 teaspoons - - May 15th 10.30 Baby rice + Neocate 1 teaspoon Diarrhoea-yellow 11.15 once May 16th 10.30 Baby rice + Neocate 2 teaspoons
- - Over the next 2 weeks aim to: their mouth for the spoon, turn their head away from the spoon offer something else they like and wait about 5 days before offering the refused food again It is normal for your baby’s stools to smell differently and change colour when solids are introduced Feeding fact! 11 Stage 1 Suggested foods at 6 months (Duration 2 weeks) CATEGORY DESCRIPTION Root Vegetable Purée Carrot, Parsnip, Turnip Other Vegetable Purée Butternut Squash, Aubergine, Courgette, Broccoli Grain & Starch Purées Corn, Millet, Rice, Sweet Potato, White Potato Meat & Poultry
Purées Lamb, Beef, Pork, Chicken, Turkey Fruit Purée Banana, Melon, Avocado, Plum, Apricot, Pear, Peach Starting to Wean Stage 1 Source: http://www.doksinet Neocate LCP, cooled boiled water or vegetable water can be used to mix with these foods to get the texture right. See recipe section for ideas 12 6 Source: http://www.doksinet Stage 1 Best avoided for all infants up to 12 months FOOD REASON Honey Risk of food poisoning Unpasteurised Cheese Risk of food poisoning Undercooked Egg Risk of food poisoning Bran Difficult to digest and can reduce absorption of iron, calcium and zinc Tea Caffeine and tannin content can reduce absorption of iron and calcium Added Salt e.g In Sauces And Gravy Mixes Long term effect on blood pressure and increased taste for salty foods Processed Meat: Ham, Rasher, Sausage High in salt and can have levels of additives and preservatives that are unsuitable for babies and small children High Fat High Sugar Foods Increased taste
for sweet food, long term risk of overweight and tooth decay Whole/Chopped Nut Risk of choking Gluten containing foods (wheat, rye, oat, barley) Introducing gluten before 4 months or after 7 months can increase the risk of introduce very small amounts gradually after 2 weeks of Stage 1 foods. Other food allergens For those infants with a strong family history of food allergy or in infants at high risk of food allergy you should discuss introducing the following foods with your healthcare professional. Soy, Wheat, Egg, Peanut, Other Nuts, Lupin, Legumes, Fish, Celery, Kiwi 13 Stage 1 Source: http://www.doksinet If you decide to use commercial baby food you will need to check every label every time for cows’ milk and other allergens. While some sources of milk may be obvious, others can be less obvious (see table below). When you’re shopping, read food labels and watch out for the following products and
ingredients which should be avoided on a milk-free diet: / *)) # "! / # / *)) )) ))) % " /)%"*# $ / ( $.) ( () &%) $ $# "!(% look out for: caseinates, hydrolysed casein, sodium caseinate, calcium caseinate, ammonium caseinate, magnesium caseinate potassium caseinate / $ / "! ( +&%) condensed, dried) / "!(%" ( / ( /% # "!( / %%") / #%) " # /%$ )# "!(%" (# "!(%" ( # "!&%, # "!&%) $ / * / $$ $) / *() /! ## # "!&%, / " *)) / -, -(%" (, -(-*& (, ) $ , -&%, , ) $ r / -%"-( , -&%) $ /% *) %# ( / -%"-( , -(* /)% "%*" $ 14 Stage 2 Source: http://www.doksinet Source: http://www.doksinet Stage 2 Stage 2 between 6-9 months (duration 3-4
months) Other Allergens It’s important for you to discuss your baby’s risk of allergy to other foods at this stage with your healthcare professional. Wheat, soy, egg, fish, kiwi, celery, lupin, legumes, peanut and other nuts may cause allergic reactions. Once these allergies have been excluded, these foods can and should be included smooth butter form due to the risk of choking on whole or chopped nuts. Gluten containing foods Week 1: one portion every 3 days Week 2: one portion every 2 days Week 3: one portion every day Week 4: more than one portion every day One portion of gluten containing milk-free food: Half a slice of white bread/ half a Weetabix™/ half an Oatabix™ 2-3 cooked (dried) pasta pieces 5-6 level teaspoons Ready Brek™/Wheat or oat based baby cereal/Porridge 1 Farley’s Original Rusk™/Liga Original Rusk™ 17 Stage 2 Source: http://www.doksinet Suggested milk-free Stage 2
foods CATEGORY FOOD Dairy substitutes: Neocate LCP Cartons of soy milk, oat milk, almond milk, hazelnut milk or coconut milk (UHT or chilled) 5 $*.!%#$/1 -%!/%!*-) ! .0# -1 -%!/%! /$ /$ 1! ! %0( ) 1%/ (%)D *3 $!!.!*33#0-/ 0//!-*-.+-! $*0 )/ ! ! /*" //$%./ #!%1!0)"*2!--1!#!/ !%. ) !0.! %)/! - *$3 - /!. !-! #- %)+*/ /!/ /-% ! *-)(%!/,0%) 2$! /.+!t 2$%/!+*/ /.2!!/+*/ / -%! &! + ./ bread -*/!%) ! /+0/-3"%.$)0/ ) +0! *)!!.*%3 ) 2$%/!"%.$(%) ! (! / ) +*0/-3$ - %! !##( .$! +! ! ) ) lentils, smooth nut pastes/ butters and nut flour, hummus -0%/ ) 1!#!/ !. *1!)"-("-0%/+0-7!/ $++! -.*"/ %/! .%4! 1 -%!/%!/$ / -!"-!$ ) %)! *) -*4!)1 -%!/%!. -!0%/ ! %)#!-"* s Dry toast*, cooked pasta pieces, bread stick, - 2.*"/- &! %/!.%4! 1!#!/ !*- "-0%/+%! !. 1*
$0)&.*3 $!!.!+%! ! fresh cooked meat or poultry pieces )" )/.$*0 )/ !!"/0).0+!-1%! 0!/* -%.&*" $&%)# $! & -! ) -! ./% & !"*- 2.(%& Over the next 3-4 months aim to: potato portions This will encourage self feeding and improve hand eye co-ordination 18 Feeding fact! every meal doesn’t need to be finished wait about 5 days before offering the refused food again Stage 2 Source: http://www.doksinet Progressing through weaning- Infants who start weaning at 6 months will usually move through Stage 1 quicker
than infants who start solids before 6 months Lumpy foods - After 2-3 weeks of Stage 1 foods your baby should be moved on to a wider variety of lumpier Stage 2 foods Gagging Gagging is a normal part of weaning and happens when your infant is learning how to move lumps of food around their mouth. It is a normal feature of learning to eat and swallow Gagging is a sign that your infant can protect their airway and can clear food from the back of their mouth. This reflex will gradually lessen over time provided your baby is challenged with new textures Gagging is not choking, but it can be scary for parents when it happens and you might be tempted to avoid offering lumpier textures Gagging is something that will only start to lessen when your baby is repeatedly challenged with lumpier textures Drinking from a cup - Your baby should be encouraged to start drinking from a free flowing lidded cup at this stage, expect a mess as they learn another important skill of how
to sip Developing taste buds - Providing a wide variety of foods without added sugar and salt can help prevent your baby developing a strong preference for these foods as they grow 19 Stage 2 Source: http://www.doksinet Iron rich foods are an important part of the weaning diet at this stage to help prevent anaemia. Haem iron from beef, lamb, pork and poultry is more easily absorbed than non haem iron from green leafy vegetables, pulses (pea, bean, and lentil), supplements and formula. Cured meats (ham, bacon, rasher, sausage, salami) are not suitable haem iron sources. They contain too much salt and can contain many additives and preservatives and often contain cows’ milk protein. Bran and tea reduce iron absorption and should be avoided. Other foods best avoided at this stage are listed on page 13 Omega 3 fats have an important role in brain and eye development. Breast milk and Neocate LCP
baby’s weaning diet contains good food sources of Omega 3 fats. Once fish allergy has been ruled out, you should aim to include two 1 oz portions of boneless salmon, trout or mackerel a week from 7 months. This will also 20 Stage 3 Source: http://www.doksinet Source: http://www.doksinet Stage 3 Stage 3: between 9-12 months (duration 3-4 months) Other Allergens In discussion with your healthcare professional it should be clear at this stage if cows’ milk allergy persists and if there are any other foods that need to be avoided because of allergy. Suggested milk-free Stage 3 foods CATEGORY FOOD Dairy substitutes: Neocate LCP Cartons of soy milk, oat milk, almond milk, hazelnut milk or coconut milk (UHT or chilled) 2 "((+ %#!",.*# ,# +(( +-!.*# ,# + ,",". % #-& #,&#D (0 " + (00(!-*,/#," "()) -#t -* (%#. +-
%(/ *. ! , % (#%+(* (/+&#%$ +) +( ," & -+ /" * ," #,#(( butter may be of benefit. #! * (( s (+,/#,"+(0 " + *# $ /#,"-, -,, *"-&&-+) $ )%#( -#,+ ( +( , *# )# (, #!-+%, $ + )#,, * "-$0)# +( -#, . ! , % + ,++"(-% (, % ,-+-) *.#+ - ,(*#+$( "($#! " $% %+ (* (/+&#%$ Over the next 3-4 months aim to: portions based on a wide variety of family foods Feeding fact! from cows’ milk protein) along with all family members avoided
and in doing so will help lower your baby’s preferences for high fat, salt and sugar foods in later life 23 Source: http://www.doksinet Recipes Source: http://www.doksinet Basic equipment needed to prepare smooth weaning foods spoon OR small food processor Recipes Source: http://www.doksinet OR sieve and wooden 27 Recipes Source: http://www.doksinet 28 Allergen legend for recipe section Free from FREE FREE FREE (egg free) (wheat free) (free from all allergens) FREE FREE (peanut & tree nut free) (soy free) FREE FREE (cows’ milk-free) (fish free) Recipes Source: http://www.doksinet Contains CONTAINS CONTAINS (contains egg) (contains wheat) CONTAINS CONTAINS (contains peanut & tree nut) (contains soy) CONTAINS CONTAINS (contains cows’ milk) (contains fish) 29 Source: http://www.doksinet STAGE 1: Starting to
Wean - Recipes 4-6 months (duration 2 months) Apple and Pear Purée 3 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD 1. Place the apple and pear in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the fruit until smooth using a food processor or hand blender 4. 5. Stir in Neocate LCP thoroughly and serve VARIATIONS Recipes · Stage 1 · Apple and Pear Purée · Baby Rice Source: http://www.doksinet Neocate LCP once it has been defrosted Baby Rice 1 portion INGREDIENTS cows’ milk protein) Neocate LCP (2 scoops to 60ml cooled boiled water) FREE METHOD 1. Place 2 teaspoons of baby rice into a clean
bowl 2. Add 60ml of Neocate LCP and stir thoroughly 3. As your baby grows use a larger spoon for measuring the rice and more Neocate LCP VARIATIONS 31 Source: http://www.doksinet Potato and Leek Purée 3 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD 1. Place the potato and leek in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the vegetables until smooth using a food processor or hand blender 4. 5. Stir in the Neocate LCP thoroughly and serve Sweet Potato and Carrot Purée 3 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD Recipes · Stage 1 · Potato and Leek Purée · Sweet Potato and Carrot Purée Source:
http://www.doksinet 1. Place the sweet potato and carrot in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the vegetables until smooth using a food processor or hand blender 4. 5. Stir in the Neocate LCP thoroughly and serve Neocate LCP once it has been defrosted 33 Source: http://www.doksinet Trio of Root Vegetable Purée 6 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD 1. Place the sweet potato, carrots and parsnip in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the vegetables until smooth using a food processor or hand blender 4. 5. Stir in the Neocate LCP thoroughly and serve Recipes · Stage 1 · Trio of Root Vegetable Purée
Source: http://www.doksinet VARIATIONS Neocate LCP once it has been defrosted 35 Source: http://www.doksinet STAGE 2+3: Recipes 6-12 months (duration 6 months) Porridge 1-2 portions INGREDIENTS CONTAINS Neocate LCP FREE METHOD 1. Place oats and water in a saucepan and bring to the boil and simmer for 3 – 5 minutes FREE Recipes · Stage 2+3 · Porridge Source: http://www.doksinet 2. Leave to cool and mix in Neocate LCP powder 3. FREE FREE 37 Source: http://www.doksinet Fromage Frais 1-2 portions INGREDIENTS FREE Neocate LCP METHOD 1. Mix cornflour with a little water to form a smooth paste and then gradually add additional water 2. Cook on a low heat until the mixture thickens 3. Take off the heat and add Neocate LCP while continuously stirring 4. Leave to cool by
placing container of mixture in a larger container filled with cold water 5. Store Fromage Frais in a covered container in the fridge for up to 2 days Chef’s tip Fruity Banana Pudding Recipes · Stage 2+3 · Fromage Frais · Fruity Banana Pudding Source: http://www.doksinet 1-2 portions INGREDIENTS Neocate LCP (2 scoops to 60ml cooled boiled water) FREE METHOD 1. Chop/mash/blend the fruit as appropriate 2. Stir in the Neocate LCP thoroughly and serve 39 Source: http://www.doksinet Custard 1-2 portions INGREDIENTS FREE Neocate LCP METHOD Recipes · Stage 2+3 · Custard Source: http://www.doksinet 1. Mix Neocate, custard powder, sugar and vanilla essence with some of the water to form a smooth paste 2. Place the rest of the water into pan and bring to the boil then remove from the heat
3. Slowly add the custard mixture to the hot water Whisk briskly to form a smooth mixture 4. Return pan to heat and gently heat while stirring 5. Serve hot or cold Chef’s tip Older children 12months + Neocate LCP with Neocate Active sachet) and follow the recipe as above 41 Source: http://www.doksinet Roasted Root Vegetables with Chicken 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS FREE Neocate LCP plus 60ml of cooled boiled water mixed to a smooth consistency METHOD 1. Place all ingredients into a large bowl 2. 3. Stir
in the Neocate LCP thoroughly and serve Recipes · Stage 2+3 · Roasted Root Vegetables with Chicken Source: http://www.doksinet 43 Source: http://www.doksinet Fish and Vegetable Pie 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS CONTAINS (check for bones) FREE FREE Neocate LCP plus 60ml of cooled boiled water mixed FREE to a smooth consistency METHOD Recipes · Stage 2+3 · Fish and Vegetable Pie Source: http://www.doksinet FREE 1. Place carrot, sweet potato and peas into a bowl 2. Add water, oil and fish 3. FREE 4. Stir in the Neocate LCP thoroughly and serve 45 Source: http://www.doksinet Salmon with Potato and Spinach 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS
CONTAINS (check for bones) FREE FREE Neocate LCP plus 60ml of cooled boiled water FREE mixed to a smooth consistency FREE METHOD 1. Heat the oil in a small pan 2. Fry the onion gently for a few minutes until soft FREE Recipes · Stage 2+3 · Salmon with Potato and Spinach Source: http://www.doksinet 3. Stir in the salmon and cook for 2-3 minutes until cooked 4. Add the spinach and lemon juice and continue to cook until the spinach has wilted 5. Add the water and and leave the mixture to cool 6. Add the Neocate LCP to the salmon mixture and stir thoroughly 7. Add the cooked potato 8. 9. Adjust consistency with cooled boiled water if required and serve 47 Source: http://www.doksinet Pasta with Beef and Vegetable Sauce 3-4 portions (Purée, mash, chop as appropriate)
INGREDIENTS CONTAINS CONTAINS FREE FREE Neocate LCP plus 60ml of cooled boiled water mixed to a smooth consistency FREE METHOD 1. Heat the oil in a small pan FREE 2. Fry the mince and onion until lightly browned 3. Add the pepper and courgette and stir Recipes · Stage 2+3 · Pasta with Beef and Vegetable Sauce Source: http://www.doksinet 4. Fry for a further 2 minutes 5. Add the tomato and oregano and stir 6. Simmer gently for 10 minutes 7. Stir in Neocate LCP thoroughly 8. 9. Adjust consistency with cooled boiled water if necessary 10. Serve with pasta shapes Chef’s tip 49 Source: http://www.doksinet Lamb and Aubergine Casserole 3-4 portions (Purée, mash, chop as appropriate)
INGREDIENTS FREE Neocate LCP plus 60ml of cooled boiled water mixed to a smooth consistency METHOD 1. Heat the oil in a small pan and gently fry the lamb and onions and garlic Recipes · Stage 2+3 · Lamb and Aubergine Casserole Source: http://www.doksinet until lightly browned 2. Add the aubergine and fry for another 5 minutes 3. Add the tomato, rosemary and parsley 4. Simmer on a low heat for 15 minutes until tender and then leave to cool 5. 6. Stir in the Neocate LCP thoroughly 7. Serve with rice or mashed potato 51 Source: http://www.doksinet Shepherd’s Pie 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS FREE beef, or turkey)
Neocate LCP Recipes · Stage 2+3 · Shepherd’s Pie Source: http://www.doksinet METHOD 1. Peel and grate carrot and courgette 2. Heat oil in saucepan and cook vegetables on a low heat until soft 3. Add meat and cook until brown 4. Reduce heat and simmer for 10 minutes 5. Meanwhile peel and chop the potatoes, place into a separate saucepan and boil until very soft 6. 7. Mix the Neocate LCP into the meat mixture 8. Spread the mashed potato on top of the meat mixture Adjust consistency if needed and serve 53 Source: http://www.doksinet Bean Feast 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS FREE Recipes · Stage 2+3 · Bean Feast Source: http://www.doksinet Neocate LCP plus 60ml of cooled boiled water
mixed to a smooth consistency METHOD 1. Heat the oil in a small pan and fry the onion until lightly brown and soft 2. Add the butternut squash and green beans 3. Fry for 2-3 minutes until the squash begins to soften 4. Add the chopped tomatoes, beans and basil and simmer for 5 minutes 5. 6. Adjust consistency with cooled boiled water if necessary 7. Stir in the Neocate LCP thoroughly and serve 8. Serve with rice or mashed potato All of the recipes on pages 41-53 can be made with 8 scoops of Neocate LCP to make them even more nutritious which may help if your baby is a difficult feeder 55 Source: http://www.doksinet Toddlers Source: http://www.doksinet Toddlers Your toddler is amazing and unrecognizable from the new-born you took home after birth. They’re on the move and full of life Restricted adult diets (high fibre, low fat etc.) are not at all suitable Toddlers grow and develop rapidly and they need fuel to allow this. Food is the fuel and
they have specific nutrient needs for energy (calories) and bone health among others. Because they have high needs but relatively small tummies they will need to eat roughly every 3 hours and will need snacks between their traditional meals of breakfast, dinner, tea and supper before bed. These snacks need to be nutritious; it’s best to avoid those high in empty calories (sweets, chocolate, crisps, biscuits and fizzy drinks). Toddlers Source: http://www.doksinet Food choices at this age can affect eating habits for life so it is really important to encourage a wide variety of tastes and to encourage savoury over sweet flavours. A suspicion of food allergy during this time can be worrying, confusing and can present you with many challenges: what’s best to feed my toddler, what do I avoid, what do I include, what about childcare, parties and play dates? This section of the booklet aims to provide you with practical help and guidance. It will be important to avoid all contact with
cows’ milk protein during this time. Avoiding cows’ milk in childhood is a major nutritional concern. Excluding an entire food group (milk and dairy products) can have serious repercussions on vulnerable developing bones and needs careful consideration and planning. By this age, it will usually be clear if any there are any other foods causing allergy. You should link in with the healthcare professional who diagnosed your toddler’s cows’ milk allergy and ask if, when, how and where to re test/challenge to see if the allergy has resolved. Some children will outgrow allergy to milk or egg by school age. This section of the booklet aims to provide you with all the information you will need to do this while ensuring that your toddler gets the right nutrition for growth and development. Consultant Dietitian: Paediatrics 59 Toddlers Source: http://www.doksinet Neocate Active Neocate Active is a follow-on supplement for toddlers with cows’ milk allergy who have been advised by
a healthcare professional to continue a cows’ milk-free diet beyond the age of 12 months. Neocate Active is similar to Neoacte LCP and is made from nonallergenic amino acids that will not contribute to an allergic reaction in your child. Neocate Active is suitable for children from 1-10 years and is used to supplement the diet with key nutrients such as calcium, Neocate Active is available in 2 variants - Unflavoured and Blackcurrant and is suitable as a drink. Neocate Active is made up by adding 1 sachet to 240mls of water and the recommended intake is 2 sachets per day (600ml) for 1-10 years olds. Neocate Active can also be added to foods, see recipe section for details. Please note your toddler may be advised to stay on Neocate LCP beyond 12 months by a healthcare professional as the nutritional needs of toddlers will vary. Important nutrients for toddlers 60 NUTRIENT: DIETARY SOURCES INCLUDE: FUNCTION IN TODDLERS INCLUDE:
Energy (calories) Good quality fats and starchy carbohydrates Growth and weight gain Vitamin A Milk, egg, fish, yellow fruit and veg, liver and fish Growth and development Vitamin D Oily fish, eggs Calcium absorption for bone health Calcium Milk and dairy products* Calcium for bone health Iron Red meat, poultry and liver Healthy blood formation Zinc Meat, nut and whole grains Normal metabolism and enzyme function Vitamin B complex Milk, meat, whole grains, nuts and eggs* Brain and nerve function Energy release from food Omega 3 fats Oily fish Brain and eye development Fibre Wholegrain, fruit and vegetables Good bowel function and heart health * You will need to read every food label every time to ensure that all your toddlers’ food is free from cows’ milk protein. (See Page 14) Bread, cereal and potatoes Fruit and vegetables Milk, yoghurts and cheese Meat, fish and alternatives Sugar, cakes, sweets fats, spreads and oils The Food Pyramid at a
glance Your toddler with cows’ milk protein allergy Toddlers Bread, cereal and potatoes: Toddlers should have a portion of these foods at breakfast, dinner and tea and usually need more of these foods as they get older. A portion is 1 slice or 1 cup cooked or half cup of uncooked. Once there is no allergy to wheat then it should be included. Choose no added sugar wholemeal cereals and grains Fruit and vegetables: Toddlers should be working up to 5 portions each day of whole fruits and cooked veg. rather than purées and juices Encourage a wide variety of different colours, seasonal produce is better value. (One portion is around half a disposable plastic cup full) Milk, yogurts and cheese: These foods will have to be foods replaced with nutritionally equal alternatives. See pages 60-63 Meat, fish and alternatives: Toddlers should have a minimum portion size roughly the size and thickness of their palm. These foods are an important source of protein and iron Oily fish
should be included at least twice a week. Once there is no allergy to egg or nut these foods should be included. Whole nut carries a choking risk Fats, spreads and oils: Toddlers should have small amounts of sunflower oil, safflower oil, corn oil, olive oil, canola oil. rapeseed oil and dairy-free margarine made from these oils (high in polyunsaturates/monounsaturates). Dairy-free margarines can be high in salt and are best used sparingly. Sugar, cakes and sweets: These foods are not needed for healthy growth. They are usually high in fat and sugar and can reduce a toddler’s appetite for nourishing food, lead to tooth decay and poor food choices as they grow older Source: http://www.doksinet 61 Toddlers Source: http://www.doksinet Calcium and Vitamin D
free from cows’ milk protein sources as possible each day Natural sources Hummus, Oranges. Fortified foods Enriched soya milk and yoghurts (choose reduced sugar varieties), breakfast cereals, fortified bread. Neocate Active 600ml per day of Neocate Active provides your toddler with their full 62 Iron There are two types of iron rich food sources: haem and non-haem. Toddlers Source: http://www.doksinet (most easily absorbed by the body) is found in: Beef, lamb, pork, poultry and fish (least easily absorbed) is found in: Peas, beans, lentils and eggs These sources of iron need foods rich in vitamin C (potato, dark green vegetables, oranges, mandarins, clementines) to help the body absorb it Natural
cow’s milk free food source Approx. iron content mg / #$&(" )#! / /$##)#$&% !## * / / !" % )#! / / / / %)# %*!#) # )&&% / /(! ! (!&* # )&&% / / &# $ #( )#! / /(&&#!)!% )) (*)&&% / / &* !, $# / /&(*! ! - &# (!% ( #-! %& )+ ( $##&-# / Neocate Active 600ml Neocate Active per day provides your toddler with their full requirements for iron Your toddler needs up to 8mg of easily absorbed iron daily from age 1-3 years. 63 Toddlers Source: http://www.doksinet Healthy meal and snack pattern for toddlers with cows’ milk allergy A typical day should have a routine something like this: Breakfast, Snack, Dinner, Snack, Tea, Supper, Bed. Drinks Every drink at this age should be offered from an unlidded cup rather than
bottle and teat or sippy cup. This promotes better dental health, speech and feeding skills Meal patterns Toddlers should eat their main meals with others and learn to understand that these eating times are a normal part of the day. Nourishing snacks are not intended as a meal substitute, they are a necessary nutrient “top up” for small tummies. Letting a toddler graze through the day on their own terms usually results in unhealthy eating habits and food choices as your toddler grows. It should be discouraged Preparing your own food Preparing food from raw materials will ensure you are in control of the allergen and nutritional content. If you decide to use commercial toddler food you will need to check every label every time for cows’ milk and other allergens. It’s best to choose savoury varieties in preference to sweet/dessert/pudding varieties. Breakfast and supper ideas Dinner/tea
ideas vegetables sauce with pasta 64 Source: http://www.doksinet Toddlers Nourishing snack ideas Best Drinks for toddlers
Neocate LCP - 600ml per day as a milk drink substitute and for use in food, up to age 2 years or Neocate Active 600ml per day up to age 10 years hydrated 65 Toddlers Source: http://www.doksinet Help! My toddler has become a fussy eater and is refusing to eat their usual food. Your toddler has changed from being totally reliant on you for all their needs and is becoming more independent and self-sufficient. They learn a lot about how important food and eating is from how adults react to their eating especially if they refuse food. They will test your limits and push the boundaries to see if they get the reaction from you that they want. This is a normal part of toddler development and is very common in under 5’s. Try To
and reduce if interfering with appetite the sauce beside it rather than on top of it Try not to gives the wrong message 66 Source: http://www.doksinet Toddlers Childcare and playschool environments It is ideal if you can meet everyone involved in your toddlers care, face to face, and to enquire how new/absent staff will be updated. A clear one page plan is very useful, clearly stating the food allergen(s) involved, food(s) to be avoided and how to reduce the risk of accidental exposure. Most childcare menus can easily be adapted for allergy with minimum
disruption. A “no food sharing” policy among all children is probably the single most useful measure that childcare providers can adapt and it is well worth discussing this with them in advance. Training for catering providers interested in learning more about food allergy is available by contacting the Training Section of the Food Safety Authority of Ireland. Anaphylaxis Ireland provides a free educational guide for parents, teachers and schools on their website. See useful contacts section in appendix. Birthday parties at home These are great opportunities to show other parents that life doesn’t have to See suggestions in recipe section of this booklet. Play dates and parties Toddlers cannot always identify the food that they are allergic to and will need adult supervision when making food choices. It is ideal to meet with other parents as far in
advance as possible of a party or play date. Providing details of all the party/treat foods that your toddler can have is as important as advising about the food to be avoided. 67 Source: http://www.doksinet TODDLERS: Recipes AGE 1 year + Butternut Squash and Sweet Potato Soup 3-4 portions INGREDIENTS FREE Neocate Active METHOD 1. Heat oil in saucepan and fry off the onions, carrots, garlic, sweet potato, and butternut squash for 10 mins until they soften 2. Add the vegetable stock 3. Simmer for 10 mins 4. Place soup in a blender, add the Neocate Active and blend until smooth Bacon, Leek and Potato Soup 3-4 portions INGREDIENTS or use
low salt vegetable stock cube) Neocate Active METHOD 1. Heat oil in saucepan and fry off bacon, onions, leeks and potatoes for 5 mins until they soften Recipes · Toddlers · Butternut Squash and Sweet Potato Soup · Bacon, Leek and Potato Soup Source: http://www.doksinet 2. Add the vegetable stock 3. Simmer for 10 mins 4. Place soup in a blender, add Neocate Active and blend until smooth 69 Source: http://www.doksinet Lentil and Red Pepper Soup 3-4 portions INGREDIENTS FREE Neocate Active METHOD 1. Heat oil in saucepan and fry off red peppers, carrot, onions, garlic for 5 mins until they soften 2. Add lentils and vegetable stock Recipes · Toddlers · Lentil and Red Pepper Soup Source: http://www.doksinet 3. Simmer for 20 mins 4. Place soup in the blender then add
Neocate Active and blend until smooth 71 Source: http://www.doksinet Recipes Toddlers Macaroni Cheese with Bacon and Tomato 3-4 portions INGREDIENTS Neocate cheese sauce (see recipe below) CONTAINS CONTAINS METHOD 1. Mix the pasta and Neocate cheese sauce together with the FREE bacon in an oven proof dish 2. Sprinkle the grated dairy-free cheese on top of the macaroni and place slices of tomato on the top FREE 3. Bake in the oven for 20 minutes at 180C Chef’s tip bacon FREE FREE Basic White Sauce/Cheese Sauce 1 portions INGREDIENTS Neocate Active FREE METHOD 1. Mix Neocate and cornflour with 50ml of water and mix to a smooth paste 2. Place the rest of the water into a pan and bring to the boil Recipes - Toddlers · Macaroni Cheese with
Bacon and Tomato · White Sauce / Cheese Sauce Source: http://www.doksinet 3. Slowly add the cornflour and Neocate mixture to the hot water keep whisking while adding the mixture 4. Bring back to the heat and stir until thickened Chef’s tip powder for a great cheese sauce 73 Source: http://www.doksinet Chicken Supreme 2 portions INGREDIENTS Neocate White Sauce (Recipe on Page 71) METHOD 1. Heat oil in a pan and fry onion and carrrot until softened 2. Add diced chicken and brown FREE Recipes · Toddlers · Chicken Supreme Source: http://www.doksinet 3. Add cooked peas / sweetcorn 4. Pour Neocate white sauce over chicken and vegetable mix 5. Serve with mashed potato or rice 75 Source: http://www.doksinet Mushroom and Leek Risotto 2 portions INGREDIENTS
FREE Neocate Active consistency METHOD 1. Heat oil in a small pan 2. Add leeks and garlic and fry gently until soft 3. Add mushrooms and fry for additional 2-3 minutes Recipes · Toddlers · Mushroom and Leek Risotto Source: http://www.doksinet 4. Stir in the rice and cook for 1-2 minutes until the rice is coated in oil 5. Pour in the stock and stir thoroughly 6. Turn down the heat to very low and simmer for 10-15 minutes until rice is cooked and stock is absorbed 7. Add more stock and cook a little longer if rice is still hard 8. Add Neocate Active to the mixture, stir and serve VARIATIONS 77 Source: http://www.doksinet Ratatouille Lasagne - 4-5 portions INGREDIENTS
CONTAINS CONTAINS FREE Neocate Cheese Sauce (Recipe on Page 71) FREE METHOD Recipes · Toddlers · Ratatouille Lasagne Source: http://www.doksinet FREE 1. Gently fry the onion and garlic in the oil for 2-3 min 2. Add the remaining vegetables, basil and tin of chopped tomatoes FREE to the pan 3. Cover the pan with a lid and cook for about 15 to 20 minutes on gentle heat, stirring 2 or 3 times To make the Lasagne 1. Place 1/3 of the vegetable mix on the bottom of oven-proof dish 2. Cover with lasagne sheets and 1/3 of the Neocate Cheese Sauce Repeat layers 3. Add grated dairy-free cheese to the top and bake in the oven for 35 minutes on 180C Chef’s tip 79 Source: http://www.doksinet Dairy-Free Pizza 6 portions INGREDIENTS
CONTAINS FREE FREE Method - To make the base 1. Place the flour into the bowl of a table-top mixer FREE Recipes · Stage 2+3 · Dairy-Free Pizza Source: http://www.doksinet (or food processor with a dough attachment) 2. Add 1 tsp salt to one side of the bowl and the yeast to the other FREE 3. Add 275ml lukewarm water and mix on slow until a sticky dough forms 4. Turn up the mixer for 5-6 mins until an indent pushed into the dough pops out quickly 5. Put the dough in a lightly oiled bowl, then cover and leave in a warm place to prove until doubled in size Method - To make Pizza Sauce /Topping 1. Heat the oil in a frying pan and fry the garlic for a few seconds 2. Add in the tomatoes, season and simmer for 5 mins until the sauce has thickened Method 1. Heat the oven to 220C 2. Knead the dough for a few minutes, then halve and roll each half as thinly as
possible 3. Lay each base on a baking sheet dusted with the semolina 4. 5. Add your toppings and drizzle with a little oil 6. Cook for 15-20 minutes or until bases are cooked through Topping Ideas 81 Source: http://www.doksinet Pancakes 2 portions INGREDIENTS CONTAINS CONTAINS Neocate Active FREE Recipes · Toddlers · Pancakes Source: http://www.doksinet METHOD 1. Place all the ingredients into a large mixing bowl and blend FREE until smooth using food processor or hand blender 2. Heat frying pan with oil 3. Use a large spoon or ladle to add pancake mixture to the FREE frying pan 4. Cook the pancake until golden brown FREE 5. Serve with filling of your choice Neocate LCP version- 4 scoops of Neocate LCP
lemon juice/maple syrup Chef’s tip of mixed herbs, 50g of dairy-free cheese and serve with the following fillings: pan fried bacon/mushrooms and leeks/roasted mediterranean vegetables/stir fry vegetables/savoury minced meat 83 Source: http://www.doksinet Fruit Smoothie Ice Lollies 1-2 portions Pineapple and Mango Sunrise INGREDIENTS FREE Neocate Active (1 sachet to 200ml water) METHOD 1. Place all ingredients in a blender and blend until smooth Chef’s tip to get ‘bits’ out date and label them before placing the mixture into the freezer Neocate Fruit Burst Recipes · Toddlers · Fruit Smoothie Ice Lollies · Neocate Fruit Burst Source: http://www.doksinet 1-2 portions INGREDIENTS
FREE Neocate Active (1 sachet to 200ml water) METHOD 1. Place all ingredients in a blender and blend until smooth 85 Source: http://www.doksinet Ice Cream 2 portions INGREDIENTS FREE Neocate Active METHOD 1. Blend ingredients 2. Place in a container and freeze for about 3 hours Fruit Jelly Recipes · Toddlers · Ice Cream · Fruit Jelly Source: http://www.doksinet 1-2 portions INGREDIENTS FREE Neocate Active METHOD 1. Place jelly, Neocate Active and water in a saucepan and heat until jelly has melted 2. Add chopped fruit to the jelly mixture 3. Pour into containers 4. Set for 1 hour in the fridge 87 Source: http://www.doksinet Dairy-Free Cup Cakes Makes 24 INGREDIENTS CONTAINS
CONTAINS FREE METHOD FREE 1. Preheat oven to 180C 2. Line 2 x 12-hole muffin pans with paper cases Recipes · Stage 2+3 · Dairy-Free Cup Cakes Source: http://www.doksinet FREE 3. Sift the flour, custard powder and salt into a large bowl and stir in the sugar 4. Combine the measured water, oil, vanilla and lemon juice in a FREE large jug 5. Whisk the water mixture into the flour mixture until smooth 6. 7. Bake at 200C for about 25 minutes ICING INGREDIENTS AND METHOD 1. Combine sifted icing sugar, spread and soya milk in a small heatproof bowl 2. Place over small pan of simmering water and stir until spreadable 3. Tint with a few drops of food colouring if desired 4. Spread cold cakes with icing and decorate, if desired 89 Source: http://www.doksinet
Dairy-Free and Egg-Free Sponge Cake CONTAINS INGREDIENTS CONTAINS FREE FREE 17.5cm (7inch) round sandwich tin, lightly greased and base lined METHOD Recipes · Stage 2+3 · Sponge Cake Source: http://www.doksinet FREE 1. Place the margarine, sugar and vanilla essence in a large bowl, beat for 1-2 minutes, until light in texture and creamy coloured 2. Thoroughly mix together flour, Loprofin Low Protein Egg Replacer and baking powder. Stir into the creamed mixture adding the soya 3. Transfer the mixture to the prepared tin and level the surface 4. Bake the cake in a preheated oven at 190C for 15 minutes, until well risen and firm to touch. The cake will be very pale in colour 5. Cool in the tin for 5 minutes before transferring onto a wire rack 6. When cold, the cake may be split and sandwiched
with jam or buttercream*, the top may be iced or dusted with icing sugar Optional Flavourings to be added at step 1 1. Grated rind of 1 small orange 2. Grated rind of 1 small lemon or lime 3. * For further information on our Loprofin Product range, please contact our Freephone number as follows: ROI: 1800 923 535 / NI: 0800 973 216 * Loprofin Egg Replacer and Loprofin Egg White Replacer are egg and egg white substitutes. They are suitable for use in baking in a wide number of recipes. They are available on prescription from your healthcare professional 91 Notes Source: http://www.doksinet 92 Anaphylaxis Ireland PO Box 542, Ballinlough, Cork, Ireland Helpline: 0818 300 238 info@anaphylaxisireland.ie / wwwanaphylaxisirelandie Food Safety Authority of Ireland Abbey Court, Lower Abbey Street, Dublin 1, Ireland Tel: + 353 1 817 1300 / Fax: + 353 1 817 1301 info@fsai.ie / wwwfsaiie Allergy NI Allergy NI Support Centre, Unit 6 Mallusk
Enterprise Park, 2 Mallusk Drive, Newtownabbey BT36 4GN Helpline: 08448 243421 info@allergyni.couk / wwwallergynicouk Nutricia Medical Nutricia Ireland, Block 1, Deansgrange Business Park Co Dublin, Ireland Freephone: 1800 923404 (ROI) / 0800 7834379 (NI) www.nutriciaie / wwwmyneocatecouk / www.youtubecom/cowsmilkallergylive Useful Contacts Source: http://www.doksinet Source: http://www.doksinet Purées & Soups Just a taster of some of the delicious recipes in this booklet Page 43 Page 31 Page 69 Page 75 Page 73 Page 77 Page 53 Page 83 Page 37 Page 41 Page 83 Page 89 Page 91 Page 81 Page 87 Party Sweet Savoury Page 33 June 2013 For further information, please contact the Customer Care Team on Freephone: ROI - 1800 923 404 / NI - 0800 783 4379 Nutricia Medical, Block 1, Deansgrange Business Park, Deansgrange, Co. Dublin www.neocateie www.cowsmilkallergyie www.youtubecom/cowsmilkallergylive Email: support.ireland@nutriciacom Visit our website
www.nutriciaie
feed my baby, when to start weaning and what weaning foods are suitable? This booklet aims to provide you with practical help and guidance. Human breast milk is the preferred fuel for growth. For the first 6 months of life babies including those with food allergy ideally should only receive breast milk. If however you have made an informed decision to bottle feed your baby then a hypoallergenic formula, such as Neocate LCP, should be given. Most healthy babies do not need any solid food before 17 weeks of age. When your baby is ready and from about 6 months they will start to show a greater interest in food and will be ready to start weaning. Neither breast milk nor Neocate LCP alone can meet these needs and “solid” food becomes essential. This is a time where your baby learns new skills that encourage development. It is a gradual process that introduces your baby to new tastes and textures and eventually onto “family” foods. It will be important to avoid all contact with
cows’ milk protein during this time. Avoiding cows’ milk in childhood is a major nutritional concern. Excluding an entire food group (milk and dairy products) can have serious repercussions on vulnerable developing bones and needs careful consideration and planning. You will also need to discuss with your healthcare professional (HCP) whether you need to avoid goat milk and soy milk. There is a high risk of reacting to these foods with Cows’ Milk Protein Allergy. This booklet aims to provide you with all the information you will need to do this while guaranteeing that your baby gets the right nutrition for growth and development. Consultant Dietitian: Paediatrics Contents Weaning. 7 Stage 1. 11 Stage 2. 17 Stage 3. 23 Recipes. 27 Allergen symbols . 28 Stage 1. 30 Stage 2 & 3. 36 Toddlers. 59 Recipes for toddlers . 69 Contents Source: http://www.doksinet You have been given this recipe book to support your use of Neocate LCP which has been prescribed
by your healthcare professional 3 Source: http://www.doksinet Weaning Source: http://www.doksinet Source: http://www.doksinet Weaning When To Start Weaning All babies are different but most healthy infants should start weaning from 6 months of age. Signs your baby is ready for weaning Your baby is ready to start exploring food from a spoon when they: If your baby seems interested but refuses food, don’t force them, try again the next day. Why weaning is important zinc have been pretty much used up. Their growth and development continue all the while but neither breast milk nor formula can meet their requirements. Introducing solid food from a spoon becomes essential to support growth,
development and important skills of eating, drinking and swallowing. This is a gradual process and it introduces your baby to new tastes and new textures. 7 Neocate LCP and weaning As your baby eats more solid foods, you will find that the amount of Neocate LCP they are taking may start to decrease. Weaning Weaning Source: http://www.doksinet A minimum of 600ml (20oz) of Neocate LCP is needed during weaning (6-12months). Neocate LCP will provide your baby with most of their requirements for key nutrients as they progress through weaning and should continue to be your baby’s main drink for the first 12 months of life. Offer cool boiled water if extra fluid is needed. See Toddler Section for information on Neocate follow-on products for 12months+ All babies, breast fed and bottle fed, need a vitamin D3 supplement in the form of vitamin drops from birth to age 1 year. Please discuss with your pharmacist, doctor, nurse or dietitian for more details 8 4 Stage 1 Source:
http://www.doksinet Source: http://www.doksinet Stage 1 What to expect all part of weaning and learning morning time so that any reaction can be observed It’s a good idea to keep a record because it’s easier to observe any link between food, symptoms and timing for example: DATE TIME FOOD EATEN / MEDICATION TAKEN QUANTITY SYMPTOMS EXPERIENCED & DESCRIPTION TIME/ DURATION DATE May 12th 10.30 Carrot purée 1 teaspoon Crying-longer than usual 10.45-1145 May 13th 10.30 Carrot purée 1 teaspoon - - May 14th 10.30 Carrot purée 2 teaspoons - - May 15th 10.30 Baby rice + Neocate 1 teaspoon Diarrhoea-yellow 11.15 once May 16th 10.30 Baby rice + Neocate 2 teaspoons
- - Over the next 2 weeks aim to: their mouth for the spoon, turn their head away from the spoon offer something else they like and wait about 5 days before offering the refused food again It is normal for your baby’s stools to smell differently and change colour when solids are introduced Feeding fact! 11 Stage 1 Suggested foods at 6 months (Duration 2 weeks) CATEGORY DESCRIPTION Root Vegetable Purée Carrot, Parsnip, Turnip Other Vegetable Purée Butternut Squash, Aubergine, Courgette, Broccoli Grain & Starch Purées Corn, Millet, Rice, Sweet Potato, White Potato Meat & Poultry
Purées Lamb, Beef, Pork, Chicken, Turkey Fruit Purée Banana, Melon, Avocado, Plum, Apricot, Pear, Peach Starting to Wean Stage 1 Source: http://www.doksinet Neocate LCP, cooled boiled water or vegetable water can be used to mix with these foods to get the texture right. See recipe section for ideas 12 6 Source: http://www.doksinet Stage 1 Best avoided for all infants up to 12 months FOOD REASON Honey Risk of food poisoning Unpasteurised Cheese Risk of food poisoning Undercooked Egg Risk of food poisoning Bran Difficult to digest and can reduce absorption of iron, calcium and zinc Tea Caffeine and tannin content can reduce absorption of iron and calcium Added Salt e.g In Sauces And Gravy Mixes Long term effect on blood pressure and increased taste for salty foods Processed Meat: Ham, Rasher, Sausage High in salt and can have levels of additives and preservatives that are unsuitable for babies and small children High Fat High Sugar Foods Increased taste
for sweet food, long term risk of overweight and tooth decay Whole/Chopped Nut Risk of choking Gluten containing foods (wheat, rye, oat, barley) Introducing gluten before 4 months or after 7 months can increase the risk of introduce very small amounts gradually after 2 weeks of Stage 1 foods. Other food allergens For those infants with a strong family history of food allergy or in infants at high risk of food allergy you should discuss introducing the following foods with your healthcare professional. Soy, Wheat, Egg, Peanut, Other Nuts, Lupin, Legumes, Fish, Celery, Kiwi 13 Stage 1 Source: http://www.doksinet If you decide to use commercial baby food you will need to check every label every time for cows’ milk and other allergens. While some sources of milk may be obvious, others can be less obvious (see table below). When you’re shopping, read food labels and watch out for the following products and
ingredients which should be avoided on a milk-free diet: / *)) # "! / # / *)) )) ))) % " /)%"*# $ / ( $.) ( () &%) $ $# "!(% look out for: caseinates, hydrolysed casein, sodium caseinate, calcium caseinate, ammonium caseinate, magnesium caseinate potassium caseinate / $ / "! ( +&%) condensed, dried) / "!(%" ( / ( /% # "!( / %%") / #%) " # /%$ )# "!(%" (# "!(%" ( # "!&%, # "!&%) $ / * / $$ $) / *() /! ## # "!&%, / " *)) / -, -(%" (, -(-*& (, ) $ , -&%, , ) $ r / -%"-( , -&%) $ /% *) %# ( / -%"-( , -(* /)% "%*" $ 14 Stage 2 Source: http://www.doksinet Source: http://www.doksinet Stage 2 Stage 2 between 6-9 months (duration 3-4
months) Other Allergens It’s important for you to discuss your baby’s risk of allergy to other foods at this stage with your healthcare professional. Wheat, soy, egg, fish, kiwi, celery, lupin, legumes, peanut and other nuts may cause allergic reactions. Once these allergies have been excluded, these foods can and should be included smooth butter form due to the risk of choking on whole or chopped nuts. Gluten containing foods Week 1: one portion every 3 days Week 2: one portion every 2 days Week 3: one portion every day Week 4: more than one portion every day One portion of gluten containing milk-free food: Half a slice of white bread/ half a Weetabix™/ half an Oatabix™ 2-3 cooked (dried) pasta pieces 5-6 level teaspoons Ready Brek™/Wheat or oat based baby cereal/Porridge 1 Farley’s Original Rusk™/Liga Original Rusk™ 17 Stage 2 Source: http://www.doksinet Suggested milk-free Stage 2
foods CATEGORY FOOD Dairy substitutes: Neocate LCP Cartons of soy milk, oat milk, almond milk, hazelnut milk or coconut milk (UHT or chilled) 5 $*.!%#$/1 -%!/%!*-) ! .0# -1 -%!/%! /$ /$ 1! ! %0( ) 1%/ (%)D *3 $!!.!*33#0-/ 0//!-*-.+-! $*0 )/ ! ! /*" //$%./ #!%1!0)"*2!--1!#!/ !%. ) !0.! %)/! - *$3 - /!. !-! #- %)+*/ /!/ /-% ! *-)(%!/,0%) 2$! /.+!t 2$%/!+*/ /.2!!/+*/ / -%! &! + ./ bread -*/!%) ! /+0/-3"%.$)0/ ) +0! *)!!.*%3 ) 2$%/!"%.$(%) ! (! / ) +*0/-3$ - %! !##( .$! +! ! ) ) lentils, smooth nut pastes/ butters and nut flour, hummus -0%/ ) 1!#!/ !. *1!)"-("-0%/+0-7!/ $++! -.*"/ %/! .%4! 1 -%!/%!/$ / -!"-!$ ) %)! *) -*4!)1 -%!/%!. -!0%/ ! %)#!-"* s Dry toast*, cooked pasta pieces, bread stick, - 2.*"/- &! %/!.%4! 1!#!/ !*- "-0%/+%! !. 1*
$0)&.*3 $!!.!+%! ! fresh cooked meat or poultry pieces )" )/.$*0 )/ !!"/0).0+!-1%! 0!/* -%.&*" $&%)# $! & -! ) -! ./% & !"*- 2.(%& Over the next 3-4 months aim to: potato portions This will encourage self feeding and improve hand eye co-ordination 18 Feeding fact! every meal doesn’t need to be finished wait about 5 days before offering the refused food again Stage 2 Source: http://www.doksinet Progressing through weaning- Infants who start weaning at 6 months will usually move through Stage 1 quicker
than infants who start solids before 6 months Lumpy foods - After 2-3 weeks of Stage 1 foods your baby should be moved on to a wider variety of lumpier Stage 2 foods Gagging Gagging is a normal part of weaning and happens when your infant is learning how to move lumps of food around their mouth. It is a normal feature of learning to eat and swallow Gagging is a sign that your infant can protect their airway and can clear food from the back of their mouth. This reflex will gradually lessen over time provided your baby is challenged with new textures Gagging is not choking, but it can be scary for parents when it happens and you might be tempted to avoid offering lumpier textures Gagging is something that will only start to lessen when your baby is repeatedly challenged with lumpier textures Drinking from a cup - Your baby should be encouraged to start drinking from a free flowing lidded cup at this stage, expect a mess as they learn another important skill of how
to sip Developing taste buds - Providing a wide variety of foods without added sugar and salt can help prevent your baby developing a strong preference for these foods as they grow 19 Stage 2 Source: http://www.doksinet Iron rich foods are an important part of the weaning diet at this stage to help prevent anaemia. Haem iron from beef, lamb, pork and poultry is more easily absorbed than non haem iron from green leafy vegetables, pulses (pea, bean, and lentil), supplements and formula. Cured meats (ham, bacon, rasher, sausage, salami) are not suitable haem iron sources. They contain too much salt and can contain many additives and preservatives and often contain cows’ milk protein. Bran and tea reduce iron absorption and should be avoided. Other foods best avoided at this stage are listed on page 13 Omega 3 fats have an important role in brain and eye development. Breast milk and Neocate LCP
baby’s weaning diet contains good food sources of Omega 3 fats. Once fish allergy has been ruled out, you should aim to include two 1 oz portions of boneless salmon, trout or mackerel a week from 7 months. This will also 20 Stage 3 Source: http://www.doksinet Source: http://www.doksinet Stage 3 Stage 3: between 9-12 months (duration 3-4 months) Other Allergens In discussion with your healthcare professional it should be clear at this stage if cows’ milk allergy persists and if there are any other foods that need to be avoided because of allergy. Suggested milk-free Stage 3 foods CATEGORY FOOD Dairy substitutes: Neocate LCP Cartons of soy milk, oat milk, almond milk, hazelnut milk or coconut milk (UHT or chilled) 2 "((+ %#!",.*# ,# +(( +-!.*# ,# + ,",". % #-& #,&#D (0 " + (00(!-*,/#," "()) -#t -* (%#. +-
%(/ *. ! , % (#%+(* (/+&#%$ +) +( ," & -+ /" * ," #,#(( butter may be of benefit. #! * (( s (+,/#,"+(0 " + *# $ /#,"-, -,, *"-&&-+) $ )%#( -#,+ ( +( , *# )# (, #!-+%, $ + )#,, * "-$0)# +( -#, . ! , % + ,++"(-% (, % ,-+-) *.#+ - ,(*#+$( "($#! " $% %+ (* (/+&#%$ Over the next 3-4 months aim to: portions based on a wide variety of family foods Feeding fact! from cows’ milk protein) along with all family members avoided
and in doing so will help lower your baby’s preferences for high fat, salt and sugar foods in later life 23 Source: http://www.doksinet Recipes Source: http://www.doksinet Basic equipment needed to prepare smooth weaning foods spoon OR small food processor Recipes Source: http://www.doksinet OR sieve and wooden 27 Recipes Source: http://www.doksinet 28 Allergen legend for recipe section Free from FREE FREE FREE (egg free) (wheat free) (free from all allergens) FREE FREE (peanut & tree nut free) (soy free) FREE FREE (cows’ milk-free) (fish free) Recipes Source: http://www.doksinet Contains CONTAINS CONTAINS (contains egg) (contains wheat) CONTAINS CONTAINS (contains peanut & tree nut) (contains soy) CONTAINS CONTAINS (contains cows’ milk) (contains fish) 29 Source: http://www.doksinet STAGE 1: Starting to
Wean - Recipes 4-6 months (duration 2 months) Apple and Pear Purée 3 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD 1. Place the apple and pear in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the fruit until smooth using a food processor or hand blender 4. 5. Stir in Neocate LCP thoroughly and serve VARIATIONS Recipes · Stage 1 · Apple and Pear Purée · Baby Rice Source: http://www.doksinet Neocate LCP once it has been defrosted Baby Rice 1 portion INGREDIENTS cows’ milk protein) Neocate LCP (2 scoops to 60ml cooled boiled water) FREE METHOD 1. Place 2 teaspoons of baby rice into a clean
bowl 2. Add 60ml of Neocate LCP and stir thoroughly 3. As your baby grows use a larger spoon for measuring the rice and more Neocate LCP VARIATIONS 31 Source: http://www.doksinet Potato and Leek Purée 3 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD 1. Place the potato and leek in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the vegetables until smooth using a food processor or hand blender 4. 5. Stir in the Neocate LCP thoroughly and serve Sweet Potato and Carrot Purée 3 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD Recipes · Stage 1 · Potato and Leek Purée · Sweet Potato and Carrot Purée Source:
http://www.doksinet 1. Place the sweet potato and carrot in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the vegetables until smooth using a food processor or hand blender 4. 5. Stir in the Neocate LCP thoroughly and serve Neocate LCP once it has been defrosted 33 Source: http://www.doksinet Trio of Root Vegetable Purée 6 portions INGREDIENTS FREE Neocate LCP (1 scoop to 30ml cooled boiled water) METHOD 1. Place the sweet potato, carrots and parsnip in a small saucepan with a little water 2. Simmer until tender, drain and leave to cool 3. Blend the vegetables until smooth using a food processor or hand blender 4. 5. Stir in the Neocate LCP thoroughly and serve Recipes · Stage 1 · Trio of Root Vegetable Purée
Source: http://www.doksinet VARIATIONS Neocate LCP once it has been defrosted 35 Source: http://www.doksinet STAGE 2+3: Recipes 6-12 months (duration 6 months) Porridge 1-2 portions INGREDIENTS CONTAINS Neocate LCP FREE METHOD 1. Place oats and water in a saucepan and bring to the boil and simmer for 3 – 5 minutes FREE Recipes · Stage 2+3 · Porridge Source: http://www.doksinet 2. Leave to cool and mix in Neocate LCP powder 3. FREE FREE 37 Source: http://www.doksinet Fromage Frais 1-2 portions INGREDIENTS FREE Neocate LCP METHOD 1. Mix cornflour with a little water to form a smooth paste and then gradually add additional water 2. Cook on a low heat until the mixture thickens 3. Take off the heat and add Neocate LCP while continuously stirring 4. Leave to cool by
placing container of mixture in a larger container filled with cold water 5. Store Fromage Frais in a covered container in the fridge for up to 2 days Chef’s tip Fruity Banana Pudding Recipes · Stage 2+3 · Fromage Frais · Fruity Banana Pudding Source: http://www.doksinet 1-2 portions INGREDIENTS Neocate LCP (2 scoops to 60ml cooled boiled water) FREE METHOD 1. Chop/mash/blend the fruit as appropriate 2. Stir in the Neocate LCP thoroughly and serve 39 Source: http://www.doksinet Custard 1-2 portions INGREDIENTS FREE Neocate LCP METHOD Recipes · Stage 2+3 · Custard Source: http://www.doksinet 1. Mix Neocate, custard powder, sugar and vanilla essence with some of the water to form a smooth paste 2. Place the rest of the water into pan and bring to the boil then remove from the heat
3. Slowly add the custard mixture to the hot water Whisk briskly to form a smooth mixture 4. Return pan to heat and gently heat while stirring 5. Serve hot or cold Chef’s tip Older children 12months + Neocate LCP with Neocate Active sachet) and follow the recipe as above 41 Source: http://www.doksinet Roasted Root Vegetables with Chicken 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS FREE Neocate LCP plus 60ml of cooled boiled water mixed to a smooth consistency METHOD 1. Place all ingredients into a large bowl 2. 3. Stir
in the Neocate LCP thoroughly and serve Recipes · Stage 2+3 · Roasted Root Vegetables with Chicken Source: http://www.doksinet 43 Source: http://www.doksinet Fish and Vegetable Pie 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS CONTAINS (check for bones) FREE FREE Neocate LCP plus 60ml of cooled boiled water mixed FREE to a smooth consistency METHOD Recipes · Stage 2+3 · Fish and Vegetable Pie Source: http://www.doksinet FREE 1. Place carrot, sweet potato and peas into a bowl 2. Add water, oil and fish 3. FREE 4. Stir in the Neocate LCP thoroughly and serve 45 Source: http://www.doksinet Salmon with Potato and Spinach 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS
CONTAINS (check for bones) FREE FREE Neocate LCP plus 60ml of cooled boiled water FREE mixed to a smooth consistency FREE METHOD 1. Heat the oil in a small pan 2. Fry the onion gently for a few minutes until soft FREE Recipes · Stage 2+3 · Salmon with Potato and Spinach Source: http://www.doksinet 3. Stir in the salmon and cook for 2-3 minutes until cooked 4. Add the spinach and lemon juice and continue to cook until the spinach has wilted 5. Add the water and and leave the mixture to cool 6. Add the Neocate LCP to the salmon mixture and stir thoroughly 7. Add the cooked potato 8. 9. Adjust consistency with cooled boiled water if required and serve 47 Source: http://www.doksinet Pasta with Beef and Vegetable Sauce 3-4 portions (Purée, mash, chop as appropriate)
INGREDIENTS CONTAINS CONTAINS FREE FREE Neocate LCP plus 60ml of cooled boiled water mixed to a smooth consistency FREE METHOD 1. Heat the oil in a small pan FREE 2. Fry the mince and onion until lightly browned 3. Add the pepper and courgette and stir Recipes · Stage 2+3 · Pasta with Beef and Vegetable Sauce Source: http://www.doksinet 4. Fry for a further 2 minutes 5. Add the tomato and oregano and stir 6. Simmer gently for 10 minutes 7. Stir in Neocate LCP thoroughly 8. 9. Adjust consistency with cooled boiled water if necessary 10. Serve with pasta shapes Chef’s tip 49 Source: http://www.doksinet Lamb and Aubergine Casserole 3-4 portions (Purée, mash, chop as appropriate)
INGREDIENTS FREE Neocate LCP plus 60ml of cooled boiled water mixed to a smooth consistency METHOD 1. Heat the oil in a small pan and gently fry the lamb and onions and garlic Recipes · Stage 2+3 · Lamb and Aubergine Casserole Source: http://www.doksinet until lightly browned 2. Add the aubergine and fry for another 5 minutes 3. Add the tomato, rosemary and parsley 4. Simmer on a low heat for 15 minutes until tender and then leave to cool 5. 6. Stir in the Neocate LCP thoroughly 7. Serve with rice or mashed potato 51 Source: http://www.doksinet Shepherd’s Pie 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS FREE beef, or turkey)
Neocate LCP Recipes · Stage 2+3 · Shepherd’s Pie Source: http://www.doksinet METHOD 1. Peel and grate carrot and courgette 2. Heat oil in saucepan and cook vegetables on a low heat until soft 3. Add meat and cook until brown 4. Reduce heat and simmer for 10 minutes 5. Meanwhile peel and chop the potatoes, place into a separate saucepan and boil until very soft 6. 7. Mix the Neocate LCP into the meat mixture 8. Spread the mashed potato on top of the meat mixture Adjust consistency if needed and serve 53 Source: http://www.doksinet Bean Feast 3-4 portions (Purée, mash, chop as appropriate) INGREDIENTS FREE Recipes · Stage 2+3 · Bean Feast Source: http://www.doksinet Neocate LCP plus 60ml of cooled boiled water
mixed to a smooth consistency METHOD 1. Heat the oil in a small pan and fry the onion until lightly brown and soft 2. Add the butternut squash and green beans 3. Fry for 2-3 minutes until the squash begins to soften 4. Add the chopped tomatoes, beans and basil and simmer for 5 minutes 5. 6. Adjust consistency with cooled boiled water if necessary 7. Stir in the Neocate LCP thoroughly and serve 8. Serve with rice or mashed potato All of the recipes on pages 41-53 can be made with 8 scoops of Neocate LCP to make them even more nutritious which may help if your baby is a difficult feeder 55 Source: http://www.doksinet Toddlers Source: http://www.doksinet Toddlers Your toddler is amazing and unrecognizable from the new-born you took home after birth. They’re on the move and full of life Restricted adult diets (high fibre, low fat etc.) are not at all suitable Toddlers grow and develop rapidly and they need fuel to allow this. Food is the fuel and
they have specific nutrient needs for energy (calories) and bone health among others. Because they have high needs but relatively small tummies they will need to eat roughly every 3 hours and will need snacks between their traditional meals of breakfast, dinner, tea and supper before bed. These snacks need to be nutritious; it’s best to avoid those high in empty calories (sweets, chocolate, crisps, biscuits and fizzy drinks). Toddlers Source: http://www.doksinet Food choices at this age can affect eating habits for life so it is really important to encourage a wide variety of tastes and to encourage savoury over sweet flavours. A suspicion of food allergy during this time can be worrying, confusing and can present you with many challenges: what’s best to feed my toddler, what do I avoid, what do I include, what about childcare, parties and play dates? This section of the booklet aims to provide you with practical help and guidance. It will be important to avoid all contact with
cows’ milk protein during this time. Avoiding cows’ milk in childhood is a major nutritional concern. Excluding an entire food group (milk and dairy products) can have serious repercussions on vulnerable developing bones and needs careful consideration and planning. By this age, it will usually be clear if any there are any other foods causing allergy. You should link in with the healthcare professional who diagnosed your toddler’s cows’ milk allergy and ask if, when, how and where to re test/challenge to see if the allergy has resolved. Some children will outgrow allergy to milk or egg by school age. This section of the booklet aims to provide you with all the information you will need to do this while ensuring that your toddler gets the right nutrition for growth and development. Consultant Dietitian: Paediatrics 59 Toddlers Source: http://www.doksinet Neocate Active Neocate Active is a follow-on supplement for toddlers with cows’ milk allergy who have been advised by
a healthcare professional to continue a cows’ milk-free diet beyond the age of 12 months. Neocate Active is similar to Neoacte LCP and is made from nonallergenic amino acids that will not contribute to an allergic reaction in your child. Neocate Active is suitable for children from 1-10 years and is used to supplement the diet with key nutrients such as calcium, Neocate Active is available in 2 variants - Unflavoured and Blackcurrant and is suitable as a drink. Neocate Active is made up by adding 1 sachet to 240mls of water and the recommended intake is 2 sachets per day (600ml) for 1-10 years olds. Neocate Active can also be added to foods, see recipe section for details. Please note your toddler may be advised to stay on Neocate LCP beyond 12 months by a healthcare professional as the nutritional needs of toddlers will vary. Important nutrients for toddlers 60 NUTRIENT: DIETARY SOURCES INCLUDE: FUNCTION IN TODDLERS INCLUDE:
Energy (calories) Good quality fats and starchy carbohydrates Growth and weight gain Vitamin A Milk, egg, fish, yellow fruit and veg, liver and fish Growth and development Vitamin D Oily fish, eggs Calcium absorption for bone health Calcium Milk and dairy products* Calcium for bone health Iron Red meat, poultry and liver Healthy blood formation Zinc Meat, nut and whole grains Normal metabolism and enzyme function Vitamin B complex Milk, meat, whole grains, nuts and eggs* Brain and nerve function Energy release from food Omega 3 fats Oily fish Brain and eye development Fibre Wholegrain, fruit and vegetables Good bowel function and heart health * You will need to read every food label every time to ensure that all your toddlers’ food is free from cows’ milk protein. (See Page 14) Bread, cereal and potatoes Fruit and vegetables Milk, yoghurts and cheese Meat, fish and alternatives Sugar, cakes, sweets fats, spreads and oils The Food Pyramid at a
glance Your toddler with cows’ milk protein allergy Toddlers Bread, cereal and potatoes: Toddlers should have a portion of these foods at breakfast, dinner and tea and usually need more of these foods as they get older. A portion is 1 slice or 1 cup cooked or half cup of uncooked. Once there is no allergy to wheat then it should be included. Choose no added sugar wholemeal cereals and grains Fruit and vegetables: Toddlers should be working up to 5 portions each day of whole fruits and cooked veg. rather than purées and juices Encourage a wide variety of different colours, seasonal produce is better value. (One portion is around half a disposable plastic cup full) Milk, yogurts and cheese: These foods will have to be foods replaced with nutritionally equal alternatives. See pages 60-63 Meat, fish and alternatives: Toddlers should have a minimum portion size roughly the size and thickness of their palm. These foods are an important source of protein and iron Oily fish
should be included at least twice a week. Once there is no allergy to egg or nut these foods should be included. Whole nut carries a choking risk Fats, spreads and oils: Toddlers should have small amounts of sunflower oil, safflower oil, corn oil, olive oil, canola oil. rapeseed oil and dairy-free margarine made from these oils (high in polyunsaturates/monounsaturates). Dairy-free margarines can be high in salt and are best used sparingly. Sugar, cakes and sweets: These foods are not needed for healthy growth. They are usually high in fat and sugar and can reduce a toddler’s appetite for nourishing food, lead to tooth decay and poor food choices as they grow older Source: http://www.doksinet 61 Toddlers Source: http://www.doksinet Calcium and Vitamin D
free from cows’ milk protein sources as possible each day Natural sources Hummus, Oranges. Fortified foods Enriched soya milk and yoghurts (choose reduced sugar varieties), breakfast cereals, fortified bread. Neocate Active 600ml per day of Neocate Active provides your toddler with their full 62 Iron There are two types of iron rich food sources: haem and non-haem. Toddlers Source: http://www.doksinet (most easily absorbed by the body) is found in: Beef, lamb, pork, poultry and fish (least easily absorbed) is found in: Peas, beans, lentils and eggs These sources of iron need foods rich in vitamin C (potato, dark green vegetables, oranges, mandarins, clementines) to help the body absorb it Natural
cow’s milk free food source Approx. iron content mg / #$&(" )#! / /$##)#$&% !## * / / !" % )#! / / / / %)# %*!#) # )&&% / /(! ! (!&* # )&&% / / &# $ #( )#! / /(&&#!)!% )) (*)&&% / / &* !, $# / /&(*! ! - &# (!% ( #-! %& )+ ( $##&-# / Neocate Active 600ml Neocate Active per day provides your toddler with their full requirements for iron Your toddler needs up to 8mg of easily absorbed iron daily from age 1-3 years. 63 Toddlers Source: http://www.doksinet Healthy meal and snack pattern for toddlers with cows’ milk allergy A typical day should have a routine something like this: Breakfast, Snack, Dinner, Snack, Tea, Supper, Bed. Drinks Every drink at this age should be offered from an unlidded cup rather than
bottle and teat or sippy cup. This promotes better dental health, speech and feeding skills Meal patterns Toddlers should eat their main meals with others and learn to understand that these eating times are a normal part of the day. Nourishing snacks are not intended as a meal substitute, they are a necessary nutrient “top up” for small tummies. Letting a toddler graze through the day on their own terms usually results in unhealthy eating habits and food choices as your toddler grows. It should be discouraged Preparing your own food Preparing food from raw materials will ensure you are in control of the allergen and nutritional content. If you decide to use commercial toddler food you will need to check every label every time for cows’ milk and other allergens. It’s best to choose savoury varieties in preference to sweet/dessert/pudding varieties. Breakfast and supper ideas Dinner/tea
ideas vegetables sauce with pasta 64 Source: http://www.doksinet Toddlers Nourishing snack ideas Best Drinks for toddlers
Neocate LCP - 600ml per day as a milk drink substitute and for use in food, up to age 2 years or Neocate Active 600ml per day up to age 10 years hydrated 65 Toddlers Source: http://www.doksinet Help! My toddler has become a fussy eater and is refusing to eat their usual food. Your toddler has changed from being totally reliant on you for all their needs and is becoming more independent and self-sufficient. They learn a lot about how important food and eating is from how adults react to their eating especially if they refuse food. They will test your limits and push the boundaries to see if they get the reaction from you that they want. This is a normal part of toddler development and is very common in under 5’s. Try To
and reduce if interfering with appetite the sauce beside it rather than on top of it Try not to gives the wrong message 66 Source: http://www.doksinet Toddlers Childcare and playschool environments It is ideal if you can meet everyone involved in your toddlers care, face to face, and to enquire how new/absent staff will be updated. A clear one page plan is very useful, clearly stating the food allergen(s) involved, food(s) to be avoided and how to reduce the risk of accidental exposure. Most childcare menus can easily be adapted for allergy with minimum
disruption. A “no food sharing” policy among all children is probably the single most useful measure that childcare providers can adapt and it is well worth discussing this with them in advance. Training for catering providers interested in learning more about food allergy is available by contacting the Training Section of the Food Safety Authority of Ireland. Anaphylaxis Ireland provides a free educational guide for parents, teachers and schools on their website. See useful contacts section in appendix. Birthday parties at home These are great opportunities to show other parents that life doesn’t have to See suggestions in recipe section of this booklet. Play dates and parties Toddlers cannot always identify the food that they are allergic to and will need adult supervision when making food choices. It is ideal to meet with other parents as far in
advance as possible of a party or play date. Providing details of all the party/treat foods that your toddler can have is as important as advising about the food to be avoided. 67 Source: http://www.doksinet TODDLERS: Recipes AGE 1 year + Butternut Squash and Sweet Potato Soup 3-4 portions INGREDIENTS FREE Neocate Active METHOD 1. Heat oil in saucepan and fry off the onions, carrots, garlic, sweet potato, and butternut squash for 10 mins until they soften 2. Add the vegetable stock 3. Simmer for 10 mins 4. Place soup in a blender, add the Neocate Active and blend until smooth Bacon, Leek and Potato Soup 3-4 portions INGREDIENTS or use
low salt vegetable stock cube) Neocate Active METHOD 1. Heat oil in saucepan and fry off bacon, onions, leeks and potatoes for 5 mins until they soften Recipes · Toddlers · Butternut Squash and Sweet Potato Soup · Bacon, Leek and Potato Soup Source: http://www.doksinet 2. Add the vegetable stock 3. Simmer for 10 mins 4. Place soup in a blender, add Neocate Active and blend until smooth 69 Source: http://www.doksinet Lentil and Red Pepper Soup 3-4 portions INGREDIENTS FREE Neocate Active METHOD 1. Heat oil in saucepan and fry off red peppers, carrot, onions, garlic for 5 mins until they soften 2. Add lentils and vegetable stock Recipes · Toddlers · Lentil and Red Pepper Soup Source: http://www.doksinet 3. Simmer for 20 mins 4. Place soup in the blender then add
Neocate Active and blend until smooth 71 Source: http://www.doksinet Recipes Toddlers Macaroni Cheese with Bacon and Tomato 3-4 portions INGREDIENTS Neocate cheese sauce (see recipe below) CONTAINS CONTAINS METHOD 1. Mix the pasta and Neocate cheese sauce together with the FREE bacon in an oven proof dish 2. Sprinkle the grated dairy-free cheese on top of the macaroni and place slices of tomato on the top FREE 3. Bake in the oven for 20 minutes at 180C Chef’s tip bacon FREE FREE Basic White Sauce/Cheese Sauce 1 portions INGREDIENTS Neocate Active FREE METHOD 1. Mix Neocate and cornflour with 50ml of water and mix to a smooth paste 2. Place the rest of the water into a pan and bring to the boil Recipes - Toddlers · Macaroni Cheese with
Bacon and Tomato · White Sauce / Cheese Sauce Source: http://www.doksinet 3. Slowly add the cornflour and Neocate mixture to the hot water keep whisking while adding the mixture 4. Bring back to the heat and stir until thickened Chef’s tip powder for a great cheese sauce 73 Source: http://www.doksinet Chicken Supreme 2 portions INGREDIENTS Neocate White Sauce (Recipe on Page 71) METHOD 1. Heat oil in a pan and fry onion and carrrot until softened 2. Add diced chicken and brown FREE Recipes · Toddlers · Chicken Supreme Source: http://www.doksinet 3. Add cooked peas / sweetcorn 4. Pour Neocate white sauce over chicken and vegetable mix 5. Serve with mashed potato or rice 75 Source: http://www.doksinet Mushroom and Leek Risotto 2 portions INGREDIENTS
FREE Neocate Active consistency METHOD 1. Heat oil in a small pan 2. Add leeks and garlic and fry gently until soft 3. Add mushrooms and fry for additional 2-3 minutes Recipes · Toddlers · Mushroom and Leek Risotto Source: http://www.doksinet 4. Stir in the rice and cook for 1-2 minutes until the rice is coated in oil 5. Pour in the stock and stir thoroughly 6. Turn down the heat to very low and simmer for 10-15 minutes until rice is cooked and stock is absorbed 7. Add more stock and cook a little longer if rice is still hard 8. Add Neocate Active to the mixture, stir and serve VARIATIONS 77 Source: http://www.doksinet Ratatouille Lasagne - 4-5 portions INGREDIENTS
CONTAINS CONTAINS FREE Neocate Cheese Sauce (Recipe on Page 71) FREE METHOD Recipes · Toddlers · Ratatouille Lasagne Source: http://www.doksinet FREE 1. Gently fry the onion and garlic in the oil for 2-3 min 2. Add the remaining vegetables, basil and tin of chopped tomatoes FREE to the pan 3. Cover the pan with a lid and cook for about 15 to 20 minutes on gentle heat, stirring 2 or 3 times To make the Lasagne 1. Place 1/3 of the vegetable mix on the bottom of oven-proof dish 2. Cover with lasagne sheets and 1/3 of the Neocate Cheese Sauce Repeat layers 3. Add grated dairy-free cheese to the top and bake in the oven for 35 minutes on 180C Chef’s tip 79 Source: http://www.doksinet Dairy-Free Pizza 6 portions INGREDIENTS
CONTAINS FREE FREE Method - To make the base 1. Place the flour into the bowl of a table-top mixer FREE Recipes · Stage 2+3 · Dairy-Free Pizza Source: http://www.doksinet (or food processor with a dough attachment) 2. Add 1 tsp salt to one side of the bowl and the yeast to the other FREE 3. Add 275ml lukewarm water and mix on slow until a sticky dough forms 4. Turn up the mixer for 5-6 mins until an indent pushed into the dough pops out quickly 5. Put the dough in a lightly oiled bowl, then cover and leave in a warm place to prove until doubled in size Method - To make Pizza Sauce /Topping 1. Heat the oil in a frying pan and fry the garlic for a few seconds 2. Add in the tomatoes, season and simmer for 5 mins until the sauce has thickened Method 1. Heat the oven to 220C 2. Knead the dough for a few minutes, then halve and roll each half as thinly as
possible 3. Lay each base on a baking sheet dusted with the semolina 4. 5. Add your toppings and drizzle with a little oil 6. Cook for 15-20 minutes or until bases are cooked through Topping Ideas 81 Source: http://www.doksinet Pancakes 2 portions INGREDIENTS CONTAINS CONTAINS Neocate Active FREE Recipes · Toddlers · Pancakes Source: http://www.doksinet METHOD 1. Place all the ingredients into a large mixing bowl and blend FREE until smooth using food processor or hand blender 2. Heat frying pan with oil 3. Use a large spoon or ladle to add pancake mixture to the FREE frying pan 4. Cook the pancake until golden brown FREE 5. Serve with filling of your choice Neocate LCP version- 4 scoops of Neocate LCP
lemon juice/maple syrup Chef’s tip of mixed herbs, 50g of dairy-free cheese and serve with the following fillings: pan fried bacon/mushrooms and leeks/roasted mediterranean vegetables/stir fry vegetables/savoury minced meat 83 Source: http://www.doksinet Fruit Smoothie Ice Lollies 1-2 portions Pineapple and Mango Sunrise INGREDIENTS FREE Neocate Active (1 sachet to 200ml water) METHOD 1. Place all ingredients in a blender and blend until smooth Chef’s tip to get ‘bits’ out date and label them before placing the mixture into the freezer Neocate Fruit Burst Recipes · Toddlers · Fruit Smoothie Ice Lollies · Neocate Fruit Burst Source: http://www.doksinet 1-2 portions INGREDIENTS
FREE Neocate Active (1 sachet to 200ml water) METHOD 1. Place all ingredients in a blender and blend until smooth 85 Source: http://www.doksinet Ice Cream 2 portions INGREDIENTS FREE Neocate Active METHOD 1. Blend ingredients 2. Place in a container and freeze for about 3 hours Fruit Jelly Recipes · Toddlers · Ice Cream · Fruit Jelly Source: http://www.doksinet 1-2 portions INGREDIENTS FREE Neocate Active METHOD 1. Place jelly, Neocate Active and water in a saucepan and heat until jelly has melted 2. Add chopped fruit to the jelly mixture 3. Pour into containers 4. Set for 1 hour in the fridge 87 Source: http://www.doksinet Dairy-Free Cup Cakes Makes 24 INGREDIENTS CONTAINS
CONTAINS FREE METHOD FREE 1. Preheat oven to 180C 2. Line 2 x 12-hole muffin pans with paper cases Recipes · Stage 2+3 · Dairy-Free Cup Cakes Source: http://www.doksinet FREE 3. Sift the flour, custard powder and salt into a large bowl and stir in the sugar 4. Combine the measured water, oil, vanilla and lemon juice in a FREE large jug 5. Whisk the water mixture into the flour mixture until smooth 6. 7. Bake at 200C for about 25 minutes ICING INGREDIENTS AND METHOD 1. Combine sifted icing sugar, spread and soya milk in a small heatproof bowl 2. Place over small pan of simmering water and stir until spreadable 3. Tint with a few drops of food colouring if desired 4. Spread cold cakes with icing and decorate, if desired 89 Source: http://www.doksinet
Dairy-Free and Egg-Free Sponge Cake CONTAINS INGREDIENTS CONTAINS FREE FREE 17.5cm (7inch) round sandwich tin, lightly greased and base lined METHOD Recipes · Stage 2+3 · Sponge Cake Source: http://www.doksinet FREE 1. Place the margarine, sugar and vanilla essence in a large bowl, beat for 1-2 minutes, until light in texture and creamy coloured 2. Thoroughly mix together flour, Loprofin Low Protein Egg Replacer and baking powder. Stir into the creamed mixture adding the soya 3. Transfer the mixture to the prepared tin and level the surface 4. Bake the cake in a preheated oven at 190C for 15 minutes, until well risen and firm to touch. The cake will be very pale in colour 5. Cool in the tin for 5 minutes before transferring onto a wire rack 6. When cold, the cake may be split and sandwiched
with jam or buttercream*, the top may be iced or dusted with icing sugar Optional Flavourings to be added at step 1 1. Grated rind of 1 small orange 2. Grated rind of 1 small lemon or lime 3. * For further information on our Loprofin Product range, please contact our Freephone number as follows: ROI: 1800 923 535 / NI: 0800 973 216 * Loprofin Egg Replacer and Loprofin Egg White Replacer are egg and egg white substitutes. They are suitable for use in baking in a wide number of recipes. They are available on prescription from your healthcare professional 91 Notes Source: http://www.doksinet 92 Anaphylaxis Ireland PO Box 542, Ballinlough, Cork, Ireland Helpline: 0818 300 238 info@anaphylaxisireland.ie / wwwanaphylaxisirelandie Food Safety Authority of Ireland Abbey Court, Lower Abbey Street, Dublin 1, Ireland Tel: + 353 1 817 1300 / Fax: + 353 1 817 1301 info@fsai.ie / wwwfsaiie Allergy NI Allergy NI Support Centre, Unit 6 Mallusk
Enterprise Park, 2 Mallusk Drive, Newtownabbey BT36 4GN Helpline: 08448 243421 info@allergyni.couk / wwwallergynicouk Nutricia Medical Nutricia Ireland, Block 1, Deansgrange Business Park Co Dublin, Ireland Freephone: 1800 923404 (ROI) / 0800 7834379 (NI) www.nutriciaie / wwwmyneocatecouk / www.youtubecom/cowsmilkallergylive Useful Contacts Source: http://www.doksinet Source: http://www.doksinet Purées & Soups Just a taster of some of the delicious recipes in this booklet Page 43 Page 31 Page 69 Page 75 Page 73 Page 77 Page 53 Page 83 Page 37 Page 41 Page 83 Page 89 Page 91 Page 81 Page 87 Party Sweet Savoury Page 33 June 2013 For further information, please contact the Customer Care Team on Freephone: ROI - 1800 923 404 / NI - 0800 783 4379 Nutricia Medical, Block 1, Deansgrange Business Park, Deansgrange, Co. Dublin www.neocateie www.cowsmilkallergyie www.youtubecom/cowsmilkallergylive Email: support.ireland@nutriciacom Visit our website
www.nutriciaie
Ahogy közeledik a történelem érettségi, sokan döbbennek rá, hogy nem készültek fel eléggé az esszéírás feladatra. Módszertani útmutatónkban kitérünk a történet térbeli és időbeli elhelyezésére, a források elemzésére és az eseményeket alakító tényezőkre is.
