Avoiding the Risks of Elimination Diets (2017)

The NIAID Food Allergy Guidelines Expert Panel recommends an elimination diet for the treatment of a properly diagnosed food allergy. Additionally, elimination of one or a few foods may be useful for diagnostic purposes, especially to help identify food triggers for certain non-IgE mediated allergies. Elimination diets, however, are not without risk. Children in particular are at increased risk of inadequate nutrient intake and poor growth. This course will address how to avoid those risks and provide recommended nutritional counseling and regular growth monitoring for children with food allergies.

Target Audience

  • Allergist/immunologists
  • Fellows-in-Training
  • Allied Health Professionals

Learning Objectives

Upon completion of this course, learners should be able to:

  • Prescribe an elimination diet when appropriate
  • Identify the consequences of elimination diets, including the nutrients most likely to be at risk and consequent effects on growth and development
  • Outline the nutritional risks associated with clinical manifestations of specific food allergic disorders  
  • Recommend appropriate substitute foods and identify when appropriate supplemental micronutrients or substitute formula are needed
Available credit: 
  • 0.50 Attendance
    Attendance credit.
  • 0.50 CE
    CE credit.
  • 0.50 CME
    CME credit.
Course opens: 
Course expires: 

Marion E. Groetch, MS RDN
Icahn School of Medicine at Mount Sinai
Relevant Relationships: Nutricia North America: Consultant 

Isabel J. Skypala, PhD RD
Royal Brompton & Harefield NHS Foundation Trust
Relevant Relationships: None

Julie Wang, MD FAAAAI
Icahn School of Medicine at Mount Sinai
Relevant Relationships: None

CME Committee Reviewers
Karen Gregory, DNP APRN-BC RRT AE-C
Oklahoma Allergy and Asthma Clinic, Edmond, OK
Relevant relationships: Merck, MEDA and Novartis: Speakers bureau

Edwin Kim, MD
University of North Carolina, Chapel Hill, NC
Relevant relationships: None

Accreditation Statement
The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement
The American Academy of Allergy, Asthma & Immunology designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CE Designation Statement
The American Academy of Allergy, Asthma, & Immunology (AAAAI) is a Provider, approved by the California Board of Registered Nursing, Provider #10704, for up to 0.50 contact hour.

Medium and Method of Physician Participation
This is an enduring activity. Follow these steps to complete the activity:

  1. Register for the activity.
  2. Review the CME Info Page.
  3. Complete all required components.
  4. Complete the post-test and achieve a score of 70% or higher.
  5. Complete the activity evaluation.
  6. Print your certificate.

AAAAI Privacy Policy
To verify your participation in live educational activities, you may be asked to provide your name, contact information, and/or other descriptors. The AAAAI will not release this information to outside entities. It may be used internally to inform you of other AAAAI educational activities. If you wish to have your information excluded from this process, please contact us at cme@aaaai.org.

Activity-related questions should be directed to cme@aaaai.org.

Available Credit

  • 0.50 Attendance
    Attendance credit.
  • 0.50 CE
    CE credit.
  • 0.50 CME
    CME credit.


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