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Can I Eat Almond Extract with a Tree Nut Allergy?

Ask the Allergist Service 1/17/244:06 PM

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Question

I have a tree nut allergy. Is it okay for me to eat cake with almond extract (e.g., wedding cake)?

Answer

Natural tree nut extracts (e.g., pure almond extract) can contain tree nut allergens. People with a tree nut allergy should avoid these extracts. Also, avoid foods with natural almond flavoring. There may be almond allergen in the product.

Imitation or artificially flavored extracts are generally safe. Telling the difference between imitation products and natural extracts is not always easy. If you can’t confirm the type of extract used, avoid eating the food (e.g. wedding cake) containing almond extract.

Read labels closely to see if natural tree nut extracts are in the food products. The manufacturer can also help provide this information.

Categories

Food Allergy, Tree Nut Allergy

Answered by

John M. James, MD, is a board-certified allergist. He is also President of Food Allergy Consulting and Education Services, LLC. He has worked as a medical specialist in the field of allergy, asthma, and immunology for over 30 years. Dr. James received his bachelor’s degree from the University of Arkansas and his Doctor of Medicine degree from the University of Tennessee. He is board certified by the American Board of Allergy and Immunology.

Reviewed and Answered

June 29, 2023

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