Hello everyone, and thank you for contributing to this discussion. The LEAP and LEAP-On studies have revealed some truly exciting findings that have challenged the way we think about early food introduction- so much so that the recently released NIAID addendum provides an algorithm for peanut introduction. The proposed guidelines specify that infants without eczema or existing food allergy may have peanut freely introduced into their diets. However, a few other subsets of such children come to mind: how should we manage those children whose parents or siblings have peanut allergy, and are these patients also considered high risk? Would babies with preexisting milk allergy be considered as high risk as those with egg allergy? What advice should we give parents of older babies who have previously been avoiding peanut, but now wish to incorporate it into their diets?
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