walkitout: (Default)
I did not forget anything that needed to go in with A. today. I had a whiteboard checklist and was diligent. We mostly got her there on time. R. had left much earlier, to go visit a nursery in Connectthedots, regarding plants for the new house landscaping.

I got a text from EP regarding who would be attending OAC meetings after he went on parental leave. Apparently JB talked to him, and the result of that conversation was a change. She preferred C, and I 100% do, too, altho I was prepared to work with whatever happened. Fingers crossed! We’ll all keep learning things, and hopefully we’ll end on a collaborative and collegial high note.

I finally got around to digging around in pubmed / Teh Interwebs on the topic of whether anyone has milk-fat sensitivity / intolerance. There are people out there who describe the same kind of problem I have, and that A. has developed recently, but no science on it except a somewhat cryptic abstract from the early 1970s.

But I learned a bunch of stuff by trying to make sure that my understanding was correct before dismissing a whole bunch of redditors who … turned out to be right (this is why I check!). I had failed to understand that an ingredient on a food label, whey is NOT entirely protein, and neither is casein. So, if you are really lactose intolerance, and you consume whey and/or casein, just know that you are also consuming lactose. Even if you are consuming “whey isolate” or “casein isolate”, altho with those, there’s a lot LESS lactose.

The other thing I learned that was notable was “non-IgE mediated allergy”. And the description of that is a remarkably perfect match for my life history — and the treatment is total avoidance. Go figure. Right down to major ulceration when accidentally consuming a large volume of milk (I foolishly had a mocha beverage post-skiing when I was in college, and spent the next year with massive stomach pain that totally disappeared after receiving broad spectrum antibiotics — so, yep, ulcer, yep h pylori infection — but if was the very early 1990s, so h pylori wasn’t as publicly understood at the time).

I also poked around a bit at some of the mechanics of milk allergy and diabetes (the association of type 1 diabetes and milk allergy is of long standing, and I’ve known about it for years if not decades, and have generally assumed that’s why my Uncle Dick was diabetic) and learned that, unsurprisingly to me now, it’s all about mast cells and glp-1 suppression and yada yada yada. Depressing how powerful my little knob theory is, especially since that uncle passed of colon cancer, entirely associated with diabetes AND I might add, entirely associated with a quiescent immune system.

I had to stop, at that point, because I was so angry. I was angry at all the people who push back on me saying that I have to watch out for ghee, even tho it should be fine — there’s enough milk protein left in ghee to be a problem for folks like me. Even tho folks like me do NOT show allergy on scratch tests or even show an immediate allergic response with a dietary challenge. Non-IgE mediated allergy can take up to 48 hours to show up. *sigh* _Even Slower Than Alpha-Gal_

Worse, poor Priestess, life-threateningly allergic to cats and pork, obviously has pork-cat syndrome, but all tests show negative to cats and to pork. Probably another non-IgE mediated allergy.

We know what’s wrong with us, at least in the, “That will make us really really sick” sense. We figure out that we have to avoid it. We keep having to explain it to people who often seem more interested in us convincing them than in being helpful to us. I don’t mind explaining weird and confusing stuff to people who would like to be helpful! I often ask a lot of infuriatingly detailed questions. And also, I am trying to get to an understanding that will allow me to be helpful!

Additionally, however, I keep thinking about the possibility that the up to 5% of kids who have food allergy but supposedly “outgrow it” might actually just have given up on talking about it, and accepted that they had to choke down stuff that was making them ill. Meanwhile, it was setting them up for Crohn’s and who knows what else, and possibly also contributing to a metabolic cycle that leads to overweight and insulin resistance and so forth, and now we are fixing with injectables. But what if this could have been avoided if we quit telling everyone they have to consume milk products.

If you want to play along, try googling “FPIES”. But be ready to get really, really, really angry, because when you look at all the stuff that goes along with FPIES, and the commitment to “growing out of it”, it’s really hard to believe that so much of our world could be so committed to ignoring so much feedback, and so prepared to literally kill people rather than accept that some people should be eating some foods and other people should be eating other foods.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9489450/

Apparently celiac counts as a non-IgE mediated food allergy, which makes a ton of sense to me.
walkitout: (Default)
I have some food allergies. They are real allergies. I’ve had them since I was quite small; they had to put me on soy formula back when formula was the preferred baby feeding option and dairy allergies were not very respectable. Also, back then — alas, still quite a lot now! — there is a theory that people “grow out” of allergies. Unlike now, this theory was pretty heavy weight and assumed as opposed to carefully monitored for and challenge tested. Also, a component of this theory was sort of, well, how much can this person have before they have to be hospitalized, as opposed to, how little should they consume to enjoy the robust good health of “normal” children.

Because I grew up with this nonsense, I believed in it for a long time, not knowing any better and all of the compliance not having been burned out of me yet. And then I discovered Real Ice Cream on a trip to Boston, back in the Good Years of Steve’s Ice Cream. Also, I had a boss at my first “real job” who would go buy fudge at the shop in the mall and share it ‘round. Great boss; really fun. I have a ton of very, very entertaining stories from that job that I don’t write down. Sorry! Good news tho; the statue of limitations on everything has long since run out. (And yes, I do understand how moving out of jurisdiction can affect the clock. I was in the state for plenty of time. The clock has run out. And I’m still not writing any of those stories down.)

Anyway, real ice cream plus fudge pushed me over the edge, and during the recovery from that I inadvertently discovered that if I read all the labels and stayed away from all milk products whenever I possibly could, I was a whole lot less sick all the time — my stomach didn’t hurt, I didn’t feel like I had a cold all the time and when I got a cold, it was less likely to turn into bronchitis, hang around for a month, and result in a need for antibiotics.

This was amazing! It would be another decade before I figured out the other major allergy category for me (schaaldieren, or crustaceans, neither of which helps with communication because no one knows what either of them mean), altho fortunately, I figured it out before it had progressed very far into contact reactions and I’ve never had an anaphylactic response. In the course of mopping of the last of the food allergies (that I know of!), I realized that I had a problem with some still-seem-kinda-random-to-me things like lemongrass (*sigh*) and mangoes.

And _then_ I remembered how much I loved buckwheat toast. I got some kasha (a lot, sadly) and I ran it through the mill and make buckwheat pancakes. They were soooooo good. I cannot even tell you how fantastic they were. And every morning I had a massive allergic reaction to. . . Something. You would think I would have figured this out immediately, but as a practical matter, the love of buckwheat took a solid week or possibly more to percolate through my surprisingly thick and very, very snotty head. At this point in my life, I finally understood something that people in the field had referred to for years — that often it is a favorite or very exciting and desirable food that is the one you are allergic to. I mean, unfair! Also, pretty sure a sign of a strong histamine mediated cortisol response.

One thing I have discovered over and over and over again is that once I identify an allergen, and eliminate it carefully for a while, when I accidentally run into it hidden in something unexpected, I find it pretty quick, and often based on, “wow this smells / tastes really gross”. Usually, if I have someone else smell or taste the thing that smells or tastes really gross to me, they’re like, I have no idea what you are smelling; it smells fine to me. So, good news! Once you’ve adapted, your sensory system can give you lots of warning! It’s just figuring it out so it can train that’s the hard part.

This is the long way round to saying: R. bought some new flavors of Ben & Jerry’s Non-Dairy Frozen Dessert. One of the flavors is Boom Chocolatta Core, and is advertised as both Dairy Free and Gluten Free, and has the delightful and new to me Kosher marking of “DE”, which means “Dairy Equipment”:

https://oukosher.org/halacha-yomis/i-have-seen-some-ou-products-labeled-ou-de-what-does-de-mean/

The gluten free always makes me a little nervous. LOTS of people hear me describe my allergies (go ahead, refer to above) when I am characterizing them as “milk allergic and some other things like some shellfish” and hear — don’t ask me why!!! — “gluten intolerant”. Because milk is wheat? I don’t know? Cows? WTF? More support for the theory that no one is listening very carefully to the words anyway. So I get offered a lot of gluten free products, and I have noticed over the years that I’m better off with the unlabeled “normal” product than the “gluten free product”, because the gluten free products often have _way_ _more_ milk products in them than the “normal” product (see: gluten free breads of the “cloud” variety). And occasionally, especially in cookies, there is buckwheat.

But honestly, I just did not expect there to be buckwheat flour in a frozen dessert. I mean, sure, there are gluten-free cookies with buckwheat. But what are they doing in my dairy free frozen dessert? Probably helping someone out with their GFCF diet, presumably.

This is now _two_ vegan ice creams I cannot have. There’s the vegan ice cream with vat-created casein in it (allergic to casein, doesn’t matter where it comes from). (First to market example: https://en.wikipedia.org/wiki/Brave_Robot . My BIL in NJ attempted to serve it to me. I asked to see the label and I did not consume anyway. We had an entertaining speculative convo about kosher and lab-grown proteins that I followed up with more detailed research on; there will be more developments in that for years to come, I feel sure.) And now there’s buckwheat flour in a vegan ice cream. Mango is usually on the label if included, so that’s probably fine. I guess I just gotta watch out for lemongrass and crustacea.

ETA: As near as I can tell, Boom Chocolatta is the only Ben & Jerry’s that uses any buckwheat. There are two other gluten free vegan options from Ben & Jerry’s (Karamel Sutra and and the Non Dairy Phish Food), if you want to do your GFCF and are also looking to avoid buckwheat (also, if you are in that situation, wow, do I feel for you).

As I was poking around looking for other vegan ice cream that has casein in it (yeah, I really did decide this was a good use of my time, and if you read all the way down to here, you might even agree with me. Right _now_ this seems like a total waste, but I’m going to be staring at a label some day, possibly while under the influence, and need to be able to make a decision that doesn’t involve me getting any sicker than I already am. Background research is how my control-freakiness manifests, it is true, but it is _also_ how I get to keep trying new things without it constantly going horribly awry), I ran across this:

https://fitfoodiefinds.com/chocolate-protein-ice-cream/

I’m not going to get into the whole Protein Makes It Healthy part; you do you. HOWEVER!

“This ice cream recipe is dairy free and made with frozen bananas, cocoa powder, chocolate protein powder, and almond milk!”

I’m like, “chocolate protein powder”? And sure enough, while they do have a guide to protein powder link that links to both plant based protein options that are genuinely dairy free, and whey protein powders, the recommended protein powder further down the page is … Tera’s Whey. They’ve machined the language to CTA, of course:

“Chocolate protein powder – you make this chocolate protein ice cream extra chocolate-y by using chocolate protein powder. Feel free to use whey or plant based protein powder. Our personal favorite protein powder is Teras Whey.”

Yeah, that’ll make dairy free ice cream for sure. *eye roll* I would say, “Well, I’m sure anyone who carefully read all of that would keep it straight in their head, but RKTs literally have three ingredients (rice krispies, marshmallows and some sort of fat), two of which contain no milk products at all, and one of my sisters swore up and down that she’d made it safe for me and had still used butter. Sure, she’s a fucking psychopath (this is not the sister who I travel with frequently, obviously) who has it in for me, but mistakes are pretty easy to make and calling a recipe dairy free and inviting people to put mystery powder in it and then including dairy-full mystery powder as a recommendation does seem kinda dodgy.
walkitout: (Default)
So, this is a relatively plausible description of what happens with nut exposure in neighboring seats on an airline:

http://nonuttraveler.com/tree-nut-reaction-on-american-airlines

Pointing out a few things: the nuts were heated, they were in very close proximity. Also, the reaction resolved with Benadryl — no EpiPen required.

Every Single Fucking Time there is a pet in the airplane, or a service animal — animal dander and feathers don’t care whether they are from a pet, a service animal, an emotional support animal, etc. in terms of triggering an allergy in me — I have to take extra allergy medication, and I will _still_ wind up coughing so much I disturb my fellow passengers. I don’t ask people not to bring their animals on the plane.

Yet somehow, tree nut / peanut allergies still generate a cabin wide do not eat peanuts announcement on JetBlue, which actually has a policy against doing exactly that, because some asshole, er, Poorly Informed Parent in the row behind me _on the other side of the plane_ has a kid who has an allergic reaction to airborne peanuts / tree nuts. Well, Dear Fellow Parent, I have allergic reactions to all _kinds_ of things: perfumes, your shampoo / conditioner / laundry detergent, the animal dander all over pet owners clothing. Everywhere I go I have allergy reactions that lead to me having to medicate constantly, itch and scratch a whole lot more than _I_ am comfortable with, and, occasionally, vomit.

But I don’t stop breathing and I don’t have asthma. (I do have a reactive airway disorder tho, so there’s always the chance that one of those horrifying coughing episodes could result in the end of my life. Why exactly is this not taken more seriously by anyone?)

You might think, well, you know, _that’s different_. Turns out it is not. Peanuts and tree nuts don’t readily aerosolize. There are a pretty wide variety of articles online on this exact topic.

Here is one:

https://thepointsguy.com/news/why-you-dont-need-to-panic-if-youre-flying-with-a-peanut-allergy/

In the meantime, because I foolishly believed there was actually a risk that was somehow different from the one I live with every day of my life, I didn’t eat the lunch I brought with me because _I_ have food allergies that prevent me from eating the food available on the plane, because there were peanuts and/or tree nuts in most of it. I wish I _had_ eaten my food.

I wish I had done this research before yesterday. But you know, there will be more airline rides, and this will be handy to know. The next time there is an announcement to refrain from consuming nuts, I’ll be eating my PB&J anyway, unless your kid is sitting right next to me. Which your kid will not be doing, because I’ll be seated between my own two kids. As a courtesy, I will NOT serve any nut products to my children, because they are often messy, and I wouldn’t want that to become a problem for you. In the unlikely event I remembered to bring wipes and you forgot yours, I’d be happy to share, but you probably shouldn’t actually get anywhere near me because, you know, I had peanut butter for breakfast, too, so I’m probably breathing peanut particles and you could die if you are anywhere near me. Or there might be peanut particles on my hands. Or something.

In mildly related news, Disney Cruise Line does a really nice job handling allergies, but they are still transitioning to the menu that lists options approach, and they sometimes have printed menus at a sit down restaurant that has zero DF options. They will _always_ accommodate and they always do a great job, but it is definitely still in Talk To the Chef mode. After a while, I quit even asking about the plain bread, because I knew perfectly well it was safe for me to eat.

ETA: Before anyone thinks, hey, you have no idea how hard it can be, walkitout, dealing with contact and airborne allergies and allergies to multiple foods. Surprise! I am also allergic to a wide variety of shellfish which has not yet reached anaphylaxis, but every exposure makes it worse. Turns out that is _also_ a contact allergy for me (yeah, don’t prepare shrimp for other people). I am also, disappointingly, allergic to buckwheat, so a fair amount of dairy free / gluten free items are off limits to me because they contain ... buckwheat. I really love buckwheat, too. I also loved crab and lobster before I figured out what was causing the multi-day migraines with vomiting. Other things I am allergic to: lemongrass (wow, that was sad — a bunch of thai dishes I loved really don’t love me, but at least now I know why I always itched after eating them), mango, the aforementioned feathers and animal dander, along with a really wide variety of plant pollen. And then all those scented products that everyone persists in using.

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