Milk free diet

Guidence about a milk free diet.

A milk free diet should be composed so that it does not contain any milk or milk constituents.

When the child needs to follow a milk free diet, it is very important that all products containing milk are excluded. Even small amounts of milk protein can cause an allergic reaction, which is why it’s a good idea to inform the child’s surroundings regarding the diet.

This brochure contains only a small sample of the many dairy-free products available on the market. Try to explore the supermarket for more milk-free products.

Always read the product labels carefully to make sure that the product is free of milk and milk components, as the manufacturers are allowed to change the list of ingredients as often as they want.

Be aware that your child may be missing some of the nutrients found in milk such as Calcium. Therefore, it is often necessary to supplement the diet with a calcium supplement. See the section regarding calcium supplements.

Foods that must be avoided in the milk free diet

All kinds of milk:

  • Whole milk.
  • Low fat milk.
  • Mini milk.
  • Skimmed milk.
  • Buttermilk.
  • Lactose-free milk.
  • Chocolate milk.

Fermented milk products:

  • Yoghurt.
  • A38.
  • Ymer.
  • Ylette.
  • Fromage frais.
  • Skyr.
  • Sour cream.
  • Cream.
  • Cremefine.
  • All kinds of cheese, including sheeps and goats cheeses.
  • Butter.
  • Kærgården.
  • Bakkedal.
  • Other blended butter products.

Organic, homogenized and unhomogenized milk products are not tolerated and should be avoided in the diet.

Declarations

The declarations shall clearly state if the product contains milk. The manufacturer must highlight allergens, such as milk and milk components, in italics or bold.

The ingredients listed beneath contain or may contain milk protein and should therefore be avoided when you have milk allergy.

  • Animal fat*.
  • Calcium caseinate.
  • Animal oil*.
  • SMP - Skimmed Milk Powder.
  • Whey protein.
  • Margarine.
  • Sodium caseinate.
  • Dry milk.
  • Minarine.
  • Casein.
  • Evaporated milk.
  • Milk constituents.
  • Potassium caseinate.
  • Whey.
  • Dried milk.
  • Caseinate.
  • Lactaalbumin.
  • Butter flavor*.
  • Milk protein.
  • Lactose (milk sugar)**.
  • Butter oil.
  • Whole milk powder.
  • Whey powder.

*The products may contain small amounts of milk protein

** Lactose may contain small amounts of milk protein, as it may be difficult to separate the lactose completely from the milk protein. In specific cases where a strictly enforced milk free diet is not enough to avoid symptoms, it may be necessary to avoid lactose.

Lactic acid and cocoa does not contain milk proteins and can be tolerated in a milk free diet.

Tips for grocery-shopping

  • Read the labels each time you go shopping.
  • Use the list on the previous page to help identify milk components. The manufacturer is required by law to declare ingredients derived from milk. Some manufacturers may break the law intentionally or unintentionally.
  • The note ”contains traces of milk” means that the product may be contaminated as the manufacturer produces other products in the production facility, which can include milk and therefore inadvertently contaminate other products.

Various mail order/Internet stores stock milk free food. Examples of these are Allergikost or Oskarsspisekammer.

A selection of foods that MAY contain milk:

  • Bread.
  • Cakes.
  • Biscuits.
  • Pancakes.
  • Waffles.
  • Custard and pudding powders.
  • Desserts.
  • Cake mix.
  • Pancake mixes.
  • Ice cream.
  • Milk shake.
  • Mashed potato powder.
  • Breadcrumbs and fried food.
  • Dressings.
  • Stews.
  • Ready-made meat or fish eg. meatballs, sausages, fish cakes etc.
  • Cold cuts.
  • Sausages.
  • Pâtés.
  • Canned fish.
  • Frozen and canned dinners eg. meatballs, soups, fried foods etc.
  • Sweets, e.g., licorice, taffy, filled boiled sweets, chocolate, nougat etc.

Additional costs

It is possible to apply for grants at Borgerservice to cover extra costs regarding the milk-free diet. Asthma -allergi Danmark annually updates their additional cost rates and these are available through the Patient Association’s website: astma-allergi.dk These rates can form the foundation for a payment application covering extra costs.

Overview of milk free foods

Milk free spreads:

  • Nutana vegetable margarine.
  • Natura ”free of milk and soy”.
  • Yellow and blue Becel.
  • Ama organic margarine (does not contain milk).
  • Fri - milk free margarine from Coop.
  • Becel oil margarine, plain and olive.
  • Various oils, for example olive oil, canola oil, rapeseed oil, sunflower oil, grapeseed oil, and other vegetable oils.
  • Most mayonnaise and remoulade.
  • Kara, coconut milk can be whipped into whipped cream.
  • Sojatoo, soy whipped cream in an aerosol can, can be purchased from allergikost.
  • Erlett creamer.

Always remember to check the product labels for milk or milk components, as this may be amended from time to time!

Suggestions for meat and meat products without milk:

  • Cold cuts from whole pieces of meat, such as ham, roast beef, chicken breast.
  • Fish products, for example, tuna, mackerel and shrimp.
  • Egg.
  • Honey.
  • Jam.
  • Figs and other dried fruit bars.
  •  Raisins.
  • Tulip coarsely chopped liver pate.
  • Tulip bacon pâté.
  • Tulip French pâté.
  • Cold meat salads such as K-salad’s mackerel and ham salad.
  • Hanegal has a hypoallergenic series which is milk free, the series include mortadella, chicken salami, wieners, chicken wieners, mild sausage and pâté.

Suggestions for drinks without milk:

  • Juice.
  • Soft drinks.
  • Tea.
  • Coffee.
  • Water.
  • Highly hydrolyzed infant formula is recommended from 0-3 years, preferably longer, as a substitute for milk. These products are rich in vitamins, minerals and protein.
  • Oat milk, soy milk, soycocoa milk and almond milk. Be aware that these plant based milks/beverages are poor in nutrients and do not substitute milk, some products, however, contain added calcium, but are still poor in other nutrients.
  • Amino acid-based infant formula are available for children who are very sensitive and do not tolerate Nutramigen, Profylac, Althéra or Pepticate.
  • Nutritional supplements can be used as an extra supplement of calories if your child has difficulty maintaining the weight or are underweight. There are a few drinks without milk protein which can be purchased at the pharmacy, eg. Provide Xtra and Elemental 028 Extra Liquid.

Talk to your doctor or clinical dietitian when choosing a product and the possibility of financial support through the green nutrition prescription.

Candy snacks and sweets without milk:

  • See www.haribo.com for allergen list.
  • Chocolate spread eg. Chocoreale without milk and nuts. (Sold mostly in health food stores or SuperBrugsen).
  • Milk free chocolate eg. Toms gold barre 45 g / 200 g, Anton Berg marzipan bread.
  • Nuts, dried fruits and fig bars.
  • potato chips (crisps) and popcorn (remember to check the contents)
  • Spelt Biscuits with cocoa cream (Urtekram).
  • Some brands of Marie and Digestive biscuits.

Suggestions for a dairy-free energy-rich snacks:

  • Dried fruit and fig bars.
  • Pancakes made from oat or soy milk or special formula.
  • Potato chips (crisps).
  • Bread with milk free margarine, milk free chocolate spread, jam or cold cuts.
  • Milk free biscuits with milk free margarine.
  • Coconut tops without chocolate.
  • Marzipan or nuts.
  • Homemade dairy-free cake or havrekrynskugler made of milk free margarine.
  • Hot soy cocoa milk with soy cream or Erlett.

Did you know?

Did you know that almost everything homemade food can be prepared without dairy products?
Here are some tips:

Baking Recipes:

Butter and ordinary margarine can be replaced with milk free margarine or oil Milk can be replaced with oat or soy milk, juice, water or special infant formula.

Dinner recipes:

Milk can be replaced with oat or soy milk, coconut milk, cooking water from vegetables, water or broth. Soy or oat cooking cream can give the sauce a thicker consistency. Meatballs and fish cakes can be cooked with broth or coconut milk.

Meal suggestions:

It may be a good idea to provide a list for your surroundings with foods that your child can tolerate. This makes it much easier for them to provide and prepare food for your child.

Breakfast:

Millet porridge, wholegrain porridge or oatmeal boiled in water containing hydrolysed formula prepared as written on the can, oat or soy milk, and preferably with 1-2 teaspoons of fat.

Snack:

Milk-free bread or crisp bread with milk free margarine - see the snack suggestions in this pamflet.

Lunch:

Milk-free bread with milk free margarine. Cold cuts like eggs, avocado, fruit spreads, fish products without milk and milk-free spreads, juice or hydrolyzed infant formula.

Afternoon snack:

Milk-free bread with milk free margarine. Soy cocoa milk with milk free whipped cream. See snack suggestions in this pamphlet.

Dinner:

Potatoes, pasta, rice, bulgur, couscous etc. Meat, fish, seafood or poultry. Milk free gravy, a small quantity of vegetables. Soy should not be used for children under 1 year of age as there is an increased risk of developing an allergy towards soy. Rice milk should not be used for children, as excessive levels of arsenic have been found.

Recipes and cookbooks:

At the library you can take out books with recipes for meals without milk. If necessary, use bibliotek.dk to search or reserve books.

Calcium supplements

Most children who follow a milk free diet longer than 1 month will need a supplement of calcium. Below you can see the recommended daily intake of calcium.

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