Frequently Asked Questions

Below you will find the most recent interesting questions concerning the diet and the effects of food on health, behaviour and learning.

All previous questions from Food Intolerance Network members that have been published since September 2002 have been collected into a single 54 page PDF file (330Kb) so that it is easier to download and search using Control/F or the PDF search function: http://www.fedupwithfoodadditives.info/information/failsafequestions.pdf.

Some of the information, particularly that about specific foods and what they contain, may be out of date – always check the Product Updates section on www.fedup.com.au for the latest information.

If you want a question answered, please email me on suedengate@ozemail.com.au. My mailing address is PO Box 718, Woolgoolga NSW 2456, Australia.

  (June 2010)

Q: Are chia seeds failsafe?

A: Chia seeds are not mentioned in the foods allowed on the RPA elimination diet (see the RPAH Elimination Diet Handbook 2009 available from www.allergy.net.au). Chia is a member of the mint family. Mint is very high is salicylates and there have been numerous reports of gastrointestinal symptoms due to chia seeds from salicylate sensitive people overseas (http://nutritionalconcepts.blogspot.com/2008/03/caution-regarding-chia-seeds.html).

Q: Can you suggest any cold and flu remedies for failsafers? When I have a cold - which fortunately isn't often - I can't take honey and lemon drinks, nor eat oranges or kiwi fruit due to salicylates.  I normally don’t take medication, but last night I took Demazin tablets and had a terrible reaction.

A: According to the new RPAH handbook, page 118 (available from www.allergy.net.au), Cold & Flu products containing paracetamol, codeine, antihistamine and/or pseudoephedrine can be suitable if not coloured and flavoured. They recommend the butterscotch/vanilla flavoured Demazin Cough & Cold syrup 2 years to adult, not to be confused with other Demazin syrups that may contain peach flavour and other additives. However, this syrup is currently off the market while being reformulated to remove pseudoephedrine, now tightly regulated due to its use in making cystal meth or ice. Another option is to have a similar medication made specially by a compounding pharmacist (expensive but safe) or try the failsafe version of hot lemon drinks – made with citric acid and Vitamin C - in the Failsafe Cookbook.

Q: Is Stevia failsafe?

A: Stevia is NOT approved for the RPAH elimination diet which recommends avoiding artificial sweeteners (RPAH handbook & shopping guide, p53). Although Stevia is promoted as natural (ie plant derived) by the food industry, as we all know, natural is not necessarily safe - e.g. salicylates. See more information at nutritionist Kimberley Bither’s website http://thewellnessworkout.typepad.com/the_wellness_workout/2009/04/is-stevia-safe-the-fda-now-approves-its-gras-status-but-dont-let-that-fool-you.html.

Q from #63: I'm failsafe, gluten free and dairy free – when I get stuck without food, what can I buy as a quick healthy snack in a supermarket?

A: Thanks to Leah who says: as I’m also very sensitive to sals and amines, and intolerant to soy, my favourite (and only) supermarket snack is Sunrice ricecake thins. Make sure you buy a bottle of water too coz they are a bit dry. I would have gone hungry many times without these.

Q: My 19 month-old son has bad reactions to salicylates so I've changed his diet accordingly. However, he had a high temperature two days ago and although I knew it would upset him in the following days, I gave him children's panadol as it was bedtime and I didn't want him sleeping with an awful fever. Anyway it's now day 2 and we're dealing with a very cranky and irritable little boy (am now regretting the Panadol decision!) I knew the "strawberry flavour" would affect him, but what else can I give him?

A: You can ask a compounding pharmacist to make up an additive free version (one family paid over $50) or you can ask for our paracetamol recipe (suedengate@ozemail.com.au). A week later this mother wrote again: ‘we've been using the dissolved panadol as per the "recipe" you provided and it has been a life-saver! Our baby boy doesn't have to be sick AND cranky any more!’

Q: I’m annoyed about the new Woolworths fruit juice drinks in Blackcurrant & Lemon, Orange, and Tropical flavours that sound as if they are natural. They say Natural Colours & Flavours, No artificial colours or flavours, No added preservative 211 (sodium benzoate); but they contain sorbates preservative (202). I think that’s misleading.

A: I agree with you but technically it’s legal. To protect themselves and their children, consumers must be able to read and understand ingredient labels. We wouldn’t recommend juice drinks anyway because they contain strong flavour additives (salicylates). Water is the best drink but if you want juice as a treat, and can manage salicylates, it is best to buy 100% pure juice and dilute it with water. 

Q: Just a quick question regarding the Coles Smart Buy pears in syrup.  Are they failsafe?  On the product updates it says to avoid the snackpacks (due to natural juice) but I just wanted to check the tins are ok as my son is not quite as well behaved as he used to be. I didn't know if he was having a reaction to something or just going through a phase.

A: Coles canned pears in syrup should be OK (ingredients: pear halves, water, sugar).

Some possible problems:

·         pears should be ripe (if pears are hard, they are moderate in salicylates)

·         pears are limited to 2 peeled pears per day or equivalent (including pear jam etc)

·         pears should be the traditional varieties such as Packham, Williams, Beurre Bosc, Bartlett NOT Nashi, Ya or other crisp Asian pears. I phoned the Coles free call number 1800 061 562 to ask about the country of origin and variety of the pears. (You need the barcode if enquiring about a product). The customer liaison officer was very helpful - he confirmed that the Coles pears in syrup are Australian and will be either Williams or Bartlett depending on the season. Could it be some other food or environmental chemical affecting your son? You are very welcome to send me a list of what he eats in a typical day so I can check for possible problems (including brand of toothpaste, washing powder etc).

(February 2010)

Q. My husband and I have been happily married for 35 years. Although he hasn’t done the elimination diet, I know he’s better on lower salicylates.  Now the doctor has put him on daily aspirin his personality has changed – it’s turned him into a grumpy old man and I don’t want to live with him any more. Is there an alternative?

A. If aspirin has been prescribed as a blood thinning medication, you can discuss switching to Clopidogrel with your doctor. (See page 115, RPA Elimination Diet Handbook 2009).

Q. I have suffering from hyperhidrosis (excessive sweating) for at least 15 years and it seems to be getting worse. Typically this would affect the hands and feet, but mine is mostly the back, thighs, chest etc. Recently I’ve spent over $1000 on Chinese Medicine and acupuncture and it did nothing. I’ve tried all the obvious things like deodorant, wearing cotton clothes, not eating hot or spicy food to no avail. Do you know of anyone that has been cured of this through food/additive elimination?

A. As with any food intolerance symptom, everyone is different. One reader reported ‘I have eliminated most things that contain salicylates - which is basically everything I eat – and I have stopped sweating ...’ and another failsafer found her excessive sweating was due to dairy foods. A three week trial of the elimination diet would show whether it would work for you.

Q. I have had to give my 4yo Maxamox antibiotics for a chest infection. I don't know if I'm imagining or not but she seems to have become oppositional, loud, disobedient and waking 4/5am (usually she wakes at 6.30) also she is doing some socially unacceptable behaviours (spitting, throwing cushions at her siblings’ friends, talking too much etc).  Can you spot anything in the attached ingredients that she might be reacting to?  She is intolerant to salicylates and additives.

A. I would expect sodium benzoate (preservative 211) and orange, lemon, peach, apricot flavouring (salicylates) in the Maxamox suspension to cause the kinds of behaviours you have described, most likely as a slow build up of symptoms. The Maxamox tablets not suspension would be suitable for failsafers – you can crush up plain white tablets and serve them in a spoonful of failsafe icecream but you would have to check with your pharmacist about dosage for a child.

Q. Do you know what colour is in Strepsils Honey/Lemon?  Based on my son’s reaction to one lozenge, there has to be an artificial yellow colour additive. Also, can you tell me why no ingredient listing is required for medications? 

A. When I asked a few years ago they contained Quinoline Yellow (artificial colour 104), now subject to a voluntary ban in the UK due to its effect on children’s behaviour. Why not list colours on medication labels? - in my experience the TGA (Therapeutic Goods Administration which regulates medication labelling) is extremely hostile to consumers and protective of Big Pharma. It is best to avoid all medications unless essential. For coughs and colds, Demazin Cough & Cold Syrup (2 years to adult) with butterscotch/vanilla flavour, no added colours, no preservatives, is suitable for failsafers (but beware of other Demazin syrups with additives).

Q. I have recently started reading your website as my 11 month old son still doesn’t sleep through the night. I started to think that it was something that he was eating. I was pretty lucky that the first 2 things I took out of his diet, Vegemite and margarine, have helped dramatically. My son really enjoys his Vegemite so I read all the labels of other alternative products. On the Marmite label it says it contains caramel 111, I have not been able to find any information on this. What is it and is it safe to eat????

A. Caramel iii is another way of saying caramel 150c, also called ammonia caramel because of how it is made. 150c has been found to decrease white cell counts in rats but only when the rats are deficient in a certain B vitamin. Caramel colour is not likely to cause your son’s sleeping problems. The culprit is most likely yeast extract (essentially MSG) - in Vegemite, Marmite and other similar products. See Cooks Corner in Failsafe Newsletter #63 for a substitute. 

Q. What’s in the popcorn they sell in cinemas? I’m sure it affects my 4 yo.

A. At Hoyts the popcorn contains tartrazine (102), one of the artificial colours now subject to a voluntary ban in the UK because it can cause irritability, restlessness, inattention and sleep disturbance in children. http://www.hoyts.com.au/Meta_Data/Footer/FAQ.aspx#sec5Aq1

Q. Are smoked cold meats generally preservative-free, or would sulfites still be used?

A. Smoked meats are listed as very high in salicylates, amines and glutamates so are never failsafe. I would expect ham to contain one of the nitrate/nitrite preservatives (249-252) although some manufactured meat contains sulphites. The Virginia Leg Ham below is described as quality boneless lean leg ham, Naturally Wood Smoked, No Artificial Colours, No Artificial Flavours. It contains preservative 250 and traces of sulphites. You can see the full ingredient listing at http://foodservice.hans.com.au/Products/Ham/HansVirginiaLegHam.aspx

Q. I currently use Campbell's Real Stock in Beef and Chicken (Ingredients: Beef Stock (water, beef, salt), vinegar, salt, sugar, soy sauce, garlic, yeast extract, natural food colour (Caramel1), natural flavours, spices and wheat gluten).  What is in this that is not failsafe and what could I use as an alternative? 

A. That stock is not failsafe due to vinegar (sals and amines); soy sauce, yeast extract, natural flavours (all with sals, amines, glutamates); and spices (sals). You can make your own stock, see recipe below.

Q. Is grain fed beef OK?

A. Grain fed means feedlot beef where animals are crowded together and low levels of antibiotics may be mixed into the feed over a long period of time. It is failsafe but if you can, it’s best to buy non-feedlot that can be described as free range, grass fed, pasture fed, organic or have no label at all. See more about feedlots at http://www.animalliberation.org.au/cattlefeed.php

Q. I’m failsafe, gluten free and dairy free – when I get stuck without food, what can I buy as a quick healthy snack in a supermarket?

A. A popper of So Good Soymilk Lite contains about 100 calories, similar to 10 raw cashews, 1 container Heinz babyfoods Pureed Fruity Pear, 15 Red Rock Deli Sea Salt potato chips, 1 medium Golden Delicious apple (moderate in sals), or 1 medium firm banana (moderate in amines).

(November 2009)

Q.  Does white wine have less salicylates than red wine?

 

A. See below for the amounts of salicylates in Dr Swain's 1985 Salicylates in Foods research (in mg of salicylate per 100 ml). Note that as well as salicylates, grapes contain amines and glutamates which puts wine in the very high category for troublesome food chemicals, and most wines also contain sulphite preservatives (220 or 223). White wines are generally higher in sulphites than red. As you can see below there are considerable variations - possibly the cheaper wines are slightly lower in salicylates but they are generally much higher in sulphites. Also, salicylate content depends on many changing factors including the climate and variety so these particular brands could be very different by now. According to RPA (Friendly Food p22), people who aren't too sensitive can often tolerate a half glass of wine. They say that high quality wines are less likely to cause reactions, presumably because they are lower in sulphites.

 

WHITE 

0.10   McWilliams Dry White Wine

0.81   Lindeman's Riesling

0.81   Penfolds Traminer Riesling Bin 202

0.89   Seaview Rhine Riesling

1.02   Yalumba Champagne

 

RED

0.35  McWilliams Reserve Claret

0.86  McWilliams Cabernet Sauvignon

0.90  McWilliams Private Bin Claret

 

Q. I am totally confused about formula vs cows milk about whether to continue on formula after 12 months or change to cows milk. Can you offer any insight?

 

A. Toddler milk formulas for babies over 12 months are just a marketing trick, see http://www.choice.com.au/Reviews-and-Tests/Babies-and-Kids/Food-and-health/Kids-food/Kids-milk/Page/Kids%20milk.aspx.

 

Q. I was wondering where on the scale of things oranges and avocado fit? My daughter is an extremely fussy eater and I hate to take away some of the few things she will eat.

 

A. Oranges and avocados are definitely NOT OK for failsafers because they are very high in both salicylates and amines. If you haven’t seen the RPA’s Friendly Food or Elimination Diet Handbook, ask for our Salicylate Mistakes Information Sheet (suedengate@ozemail.com.au)

 

Q. I was put onto cholesterol tablets earlier this year. 1st one (Lipistat) gave me twitches and sleeplessness together with aching limbs. 2nd: Lipitor gave me severe muscle soreness. My third try: Cholstat, I had 2 months of terrible trouble sleeping with twitches during the night. Within a few days of starting Ezetrol I was getting aching joints. I have now tried 5 or 6 different cholesterol tablets. Since coming off the tablets I have very few twitches and am sleeping much better. I must admit quality of life is important so if I have to stop taking cholesterol tablets, then so be it. I love my gym work and hate it when I can't go because of muscle problems caused by the medication. Do you have any "natural" remedies for me?

 

A. Muscle pain and/or weakness can be a severe, disabling, long lasting and even fatal side effect of cholesterol drugs (http://www.statinanswers.com/effects.htm). The best diet in the world for lowering cholesterol is probably the Pritikin program which we tried 20 years ago - before we found failsafe - because of Howard’s family-related high cholesterol level. His cholesterol quickly shot down to a ridiculously low level on the program which avoids added sugar, fat and salt; no fatty foods such as cheese and butter; only skim milk dairy products; only small servings of lean meats; only egg whites; only wholegrains; no processed foods and so on. These days they have relaxed it a bit so you can have a little vegetable oil to saute your foods in and have a few nuts (which suits failsafe - 10 raw cashews per day); I'm not sure about whole eggs.

 

The London Business Times calls Pritikin ‘arguably the most effective diet, exercise, and lifestyle change program in the world.’  Unfortunately, the Pritikin diet tends to be very high in salicylates. It is more difficult to stick to when you have to avoid most fruit and some vegetables, or have an intolerance to wheat or wholegrains, so we don't follow it strictly all the time, and Howard's cholesterol has gone up a little bit but it is still very, very good. An example of Pritikin-style failsafe meals would be chicken, lamb or lentil soups and stews; stir fries; and other meals with kidney beans or chick peas and failsafe vegies. Although it is difficult to combine Pritikin and failsafe, it is not impossible. For more information, you can borrow Pritikin books from your local library, or see www.Pritikin.com, and see our factsheet Failsafe Weightloss.

 

Q. I have a 13-month-old who appears to be intolerant to dairy, soy and legumes for certain, and I am questioning eggs and fish. I am also not sure if my drinking wine or coffee affects him. His symptoms were prolific vomiting (which has resolved now) and inconsolable night times where he can cry for over an hour at a time several times a night. He has been known to sleep through the night with one wake for a feed, but then he and I can eat the identical food the next day and have a shocking night. I find the problems with eliminating and reintroducing at this age is knowing if it was the food, a cold, teething etc when they are so little!!!  Just when we have a few good nights in a row and I contemplate giving him fish, we have a bad night the night before I want to introduce the food …

 

A. This email shows just how confusing food intolerance symptoms can be and why the RPA elimination diet is the easiest approach. The mother was extremely reluctant but when she finally tried the elimination diet, her son was sleeping through the night (4 nights in a row) by the end of the third week.

 

Q. I am new to failsafe and have found our local IGA bake their own bread without preservatives. I was hoping you could tell me if it would be suitable, the ingredients are: flour, salt, soy flour, emulsifiers (481,472e) mineral salt, enzyme (alpha amylase), flour treatment agents (920,223), vitamin (thiamin).

 

A. All of those ingredients are failsafe except 223 (sodium metabisulphite) which is one of the sulphite preservatives associated with asthma and other food intolerance symptoms. According to RPA most of the sulphites used in bread disappear in the cooking process. However, some extra sensitive people in our network do react to 223 in bread with various symptoms including children with behavioural problems. Bakers Delight, Brumbys and Banjo’s plain breads do not contain any nasty additives.

 

Q. My doctor wants me on high omega 3 oils, any suggestions?

 

A: Omega-3 and omega-6 fatty acids are essential to human health but it is best if they are consumed in balance, that is, close to a ratio of 1:1. Instead, Western diets are typically much higher in omega-6s, generally in the range of 10:1 to 30:1. It is thought that traditional subsistence diets were much more in balance. The ratios of omega-6 to omega-3 fatty acids in oils includes:

 

·         cottonseed oil (commonly used in fried takeaways such as fish and chips) 258:1

·         sunflower seed oil 156:1 (failsafe)

·         palm oil (in many processed foods, often listed as vegetable oil) 46:1

·         rice bran oil (OK for failsafers except those affected by whole grains) 35:1

·         soy oil 7:1 (failsafe)

·         butter 3:1 (failsafe)

·         canola oil 2:1 (failsafe except when cold pressed)

·         fish oil 1:1 (potentially not failsafe due to possible amines)

·         flaxseed oil 1:3 (contains small amounts of salicylates and amines so needs to be approached with caution)

 

By choosing the right foods you may be able to achieve the correct balance without the need for supplements. The only omega supplement recommended by RPA is flaxseed oil. For more information and failsafe foods that are a good source of Essential Fatty Acids see in our supplements factsheet  http://www.fedupwithfoodadditives.info/factsheets/Factsupplements.htm#fishoilsupps.

 

Q. The doctor gave my son Nilstat, but it is bright yellow, which puts me off a bit. Is it safe?

 

A. I did a Google search for Nilstat. The Australian CMI says the colouring agent in Nilstat tablets is Quinoline Yellow CI 47005. That’s artificial colour 104. Yet the Nilstat datasheet in New Zealand lists Opadry Yellow containing Y-2144A (hypromellose, macrogol 400, iron oxide yellow CI 77492, titanium dioxide). Iron oxide is a failsafe colour 172. It seems that Nilstat tablets are failsafe in New Zealand but not Australia.

 

Q. Today I saw a packet of homestyle jam drops in a fruit shop.  The label said "no added artificial colours or flavours". The ingredients list included custard powder, and the ingredients of the custard powder included 102 and 110.  The implication of the "no added artificial colours" seem to be that the colours which were already in the custard powder somehow didn't count.  I would be very concerned that people would buy them because of the implied no artificial colours claim.  I now read the label of every product I buy, but prior to starting the elimination diet, I could have been taken in by such a label. Should I contact the manufacturer to complain, or should it be reported to the relevant authority (whoever that is)?

 

A. One thing we have learned over the years is NOT to complain to FSANZ. You can complain to the relevant food authority in the State/Territory where the main food factory is located (listed for all states at http://www.health.sa.gov.au/PEHS/Food/food-state-health.htm), but our experience has been that any action or feedback is rare to non-existent. You can try the ACCC: http://www.accc.gov.au/content/index.phtml/itemId/801600. Or you can try to contact the company first, and sometimes they will agree to change it. That happened to me once - no apology, the representative used so much spin you would think she was a leading anti-additive campaigner instead of a health food company using artificial colour 102 listed as "natural colour"!  It makes me really mad that it is up to consumers to police labels, and there are no consequences for companies that use misleading labelling unless they refuse to change it. Many thanks for taking the time.

(August 2009)

Q. In the last newsletter you said that McDonalds Soft serve was okay (if you don't eat the cone) but we tried it and saw a reaction. Have I missed something?

 

A. My answer to this question in the previous newsletter was wrong. There was a colour-free soft serve mix listed on the McDonald’s website (since removed) but it is only available occasionally in remote areas The sundae mix sold in most outlets contains 160b so it is not failsafe. Please let me know if you tried it and saw a reaction (suedengate@ozemail.com.au)

 

Q. Yesterday I went to a new dietitian ...  I became frustrated yet again as these professionals just don't seem to be passionate about what they do. It is as if I have to justify my son’s behaviour. The first thing she said was do you know what to expect for a 4 year old boy. I am sick of having to justify myself, being on the elimination diet has changed our whole family life for the better. Why is it that even the professionals come across as not being fully aware of how food affects behaviour? I usually end up feeling let down, confused and disappointed.

 

A. We have received several similar reports lately. There are some excellent, extremely supportive dietitians. If you are not happy with your dietitian, please tell us (suedengate@ozemail.com.au) so that we can warn others and ask for our list of dietitians who have been recommended by other failsafers.

 

Q. Do you think that eating a food a child/adult is intolerant to weakens their immune system, leaving them more prone to colds and the like?  I've noticed this pattern in my kids and myself, but when I ask Paediatricians and GPs they dismiss it, saying it could have been coincidental and that there's no evidence to prove this. 

 

A. It is common for failsafers to report that they no longer suffer frequent colds, flu and other recurrent infections once they are established on failsafe eating - and yes, there is scientific evidence. Studies have shown that certain artificial colours and preservatives act as immunosuppressants, that is, they can actually suppress the immune system, making us more likely to suffer from recurrent infections. This has been shown in the laboratory by Greek researchers with artificial colours tartrazine (102) and amaranth (123) using small doses normally considered to be nontoxic, and by Brazilian researchers with propionic acid which is part of the group that includes bread preservative 282. As well, a US study with beagle dogs showed they were more susceptible to fatal viruses when fed indigotine (132).  Failsafers who are salicylate-sensitive know that although we are constantly told to eat fruit to build up our immunity, for us, it works the opposite way. We are better off eating failsafe vegetables such as cabbage as described in the Myths of Fruit: http://www.guardian.co.uk/lifeandstyle/2008/jan/23/foodanddrink.healthandwellbeing.

  • Koutsogeorgopoulou L and others Immunological aspects of the common food colorants, amaranth and tartrazine.Vet Hum Toxicol. 1998;40(1):1-4.
  • Wajner M and others Inhibition of mitogen-activated proliferation of human peripheral lymphocytes in vitro by propionic acid.Clin Sci (Lond). 1999;96(1):99-103.
  • Hansen WH and others Chronic toxicity of two food colors, brilliant blue FCF and indigotine, Toxicol Appl Pharmacol. 1966;8(1):29-36.

 

Q. My sister-in-law was diagnosed after a long few months with Vasculitis - she now has to avoid things like aspartame and 635 and a few others other wise she breaks out in the rash. Just wondering if you know if there is a link between Vasculitis and Ribo Rash???

 

A. Vasculitis simply means inflammation of the blood vessels that can be due to a variety of causes. Allergic or hypersensitive vasculitis is caused by hypersensitivity to a drug or foreign agent that leads to inflammation and damage to blood vessels of the skin. Ribo rash has been diagnosed as many conditions including hypersensitive vasculitis, see reader story [273] ‘At death’s door’ (http://www.fedupwithfoodadditives.info/stories/failsafestories.pdf). If the symptoms go away when you stop eating 621-635 and start again if you eat more 621-635, it seems to me it is ribo rash. Other culprits for itchy rashes include artificial colours, flavours and preservatives, and salicylates. There are some unconfirmed suggestions that Aspartame (951) could have a similar effect to flavour enhancers, or it could be other nasty additives in the same foods and drinks.

 

Q. My girls were on elimination for 3 weeks. Our eldest - we did it for her - was a new calm tolerant child. We were thrilled. We did the salicylate challenge and after 4 days we had to abort it as she had enormous stomach cramps, diarrhoea and bad behaviour. Since then she has gone downhill and we have not been able to do another challenge yet (3 weeks). Her behaviour and concentration have plummeted and even the netball coach commented this week. The only thing we have done differently is that we have a new hairspray, my husband feels that must be problem and I am getting suspicious too. Even though her diet is true elimination could one small spray of this hairspray each morning be the culprit??? She is miserable and we are back to being exhausted with her. I feel sorry for our eldest as she had been making such progress.  If it is hairspray is there one that is ok to use or are they all bad????

 

A. Hairspray can definitely cause all the symptoms you mentioned (See Failsafe Stories [379] Sleep and behaviour problems due to hairspray, airfreshener).  Aerosol products are particularly bad but any fragranced product can be a problem for some people because e.g.  citrus, strawberry or flowery fragrances contain salicylates and in some cases amines. I don’t know of any commercial fragrance free hairsprays but you can make your own with half a cup of water and 3 tbsp corn syrup: http://organic-oil.blogspot.com/2009/06/natural-organic-hairspray.html. 

 

Update: Well, our daughter has already settled down after about 2-3 days. She even said this morning gosh I feel better. Made up the hairspray recipe, very sticky so I think you could dilute it by half.

 

Q. My 2 yo son is highly sensitive to salicylates. We find that he is having a very strong salicylate type reaction whenever he eats bread. He can only have 2 slices a day or he goes ballistic. Would this be due to yeast or vinegar?? The bread is 282 free. He has also reacted to pitta bread.

 

A. Vinegar is definitely NOT OK for salicylate responders - all white vinegars are VERY HIGH in salicylates and that is what they use in bread (I've checked). I am very surprised he can manage 2 slices per day. That’s why we recommend Brumbys, Bakers Delight and Banjos. Check ingredients in pitta bread - most wraps, flatbreads, tortillas and pizza bases etc contain 282 and/or sorbates (200-203) or vinegar or unlisted antioxidants e.g. BHA 320 or TBHQ 319 in the oil. Mountain Bread is safe and so are the new Coles thin pizza bases (see Product Updates). Another problem can be soy flour in many breads for those who have soy intolerance. Nonna’s bread (available in Sydney) contains only flour, water, salt and yeast.

 

Q. I'm amazed to discover rosemary extract is very commonly used as an antioxidant in vegetable oils. The amounts are so small as to avoid labelling laws, yet enough to upset a sensitive soul like myself (troubling neurological symptoms). Reading food company reports, I see comments that rosemary extract is 'free of known allergens’. Are you aware of any reports (solid or anecdotal) on rosemary allergy? 

 

A. Reactions to rosemary extract are most likely intolerance (reactions to chemicals) rather than a true allergy (reaction to proteins). The chemical in rosemary most likely to cause problems is salicylates.

 

Q. Have you found that eliminating problem foods makes you more sensitive when you DO have them? 

 

A. It is true that failsafers sometimes notice a big reaction when they break the diet but you have to remember that previously there was less of a contrast between good and bad. You can choose to go back to the old diet but you will have to put up with the old symptoms again. The best time to break the diet is on holidays when there is less stress. If concerned about reintroduction of foods, see an experienced dietitian (ask for our list of supportive dietitians: confoodnet@ozemail.com.au)

 

Q. I have a 9-year-old son with autism who has been on a gluten- and casein-free diet for 7 years, which has helped his behaviour and digestive problems immensely. We have noticed/wondered over the years whether certain foods, including eggs, citrus, tomatoes, and others cause him problems. We have not done a systematic removal of any other category of foods from his diet besides gluten and casein, mostly because he was doing fairly well and we couldn't bear to limit his diet any further--he enjoys foods and is not a picky eater. Lately, however, he has had problems with wetting his pants and more difficulty keeping up in school. I would like to try reducing his intake of salicylates to see if this helps him. If we reduce but not completely eliminate these foods, should we see an improvement, or is a complete elimination necessary? How long does it generally take to notice improvements?

 

A. Regarding reduced salicylates, one mother wrote: 'I cut back my five year old daughter's intake of fruit to about a quarter of what she normally had. Within days we saw dramatic changes. Her behaviour evened out - she was more sensible and obliging, less aggressive and defiant - and altogether much more pleasant to live with.'  As a result of seeing such positive changes she then went ahead and did the full elimination diet and was very pleased she did. It is a difficult decision: while socially the diet is awkward, children are then able to be themselves and reach their full potential rather than be held back by something they are eating. For more information, ask for our Salicylate Mistakes information sheet (suedengate@ozemail.com.au)

 

Q. I recently asked a big confectionery manufacturer what is in their chocolate frogs because they list 'flavours' on the ingredients list, but do not stipulate which flavours. According to them under legislation they are not required to divulge this information to consumers. I am utterly astounded and it certainly makes me suspicious - what exactly are they using?

 

A. There are over two thousand flavour additives permitted in our foods. These flavours do not have to be listed on the label because they are considered to be trade secrets. It would be difficult for manufacturers to list flavour additives and hard for consumers to understand because for example a strawberry flavour may contain twenty or thirty chemicals that sound more like a chemistry laboratory than a pantry. However, I have heard that plain chocolates may contain flavour ingredients such vanilla and cinnamon. Obviously cinnamon would not be failsafe. Failsafers are safest avoiding all flavoured products except vanilla flavoured products, and even then the amount is limited. Chemically it doesn’t matter to us whether vanilla/vanillin flavour is natural, artificial or nature identical. What matters is the size of the dose. For more information see http://www.fedupwithfoodadditives.info/factsheets/Factflavour.htm.

 

Q. Help! what is the best brand of paracetamol for failsafers? Preservative, colour and flavour free - I tried Herron tablets and they have a vanilla flavoured coating.

 

A. You can use Herron brand tabsules (white, no flavouring, no preservatives). Another alternative is Herron Capseals or Panadol Mini-caps  – discard the gelatin capules which are artificially coloured and use the contents mixed with magic cordial, milk, or 1 tbsp failsafe icecream. Dose for children is 15mg paracetamol per kg body weight. For children under two, ask for our baby paracetamol recipe.

 

Q. I’ve been failsafe for two years and have got the stage where I can tolerate some high salicylates but I’ve got thrush for the first time since going failsafe, should I eliminate sugar?

 

A. From the RPA point of view, thrush is just one more food intolerance symptom - it means that the diet needs fine-tuning. It does NOT mean you need to eliminate sugar and yeast - the so called candida diet is not scientifically proven. When failsafers develop thrush it always turns out they have let the diet slip. Usually it is too many salicylates as in the example above but it can be any of the other culprits, including amines or dairy products. See more in the Women’s Problems Factsheet http://www.fedupwithfoodadditives.info/factsheets/Factwomen.htm

 

Q. The ingredients in my baby’s formula include nucleotides guanosine 5’-monophosphate and inosine 5’-monophosphate. Aren’t they the same as flavour enhancer 635 (ribonucleotides) that causes Ribo Rash?

 

A. Yes, in the body these ingredients are chemically the same as flavour enhancer 635 (which is a mixture of disodium guanylate and disodium disodium inosinate). Presumably they are added in much smaller doses. I agree it does seem odd that ribonucleotides can be added to infant formula while prohibited as additives in foods for babies and young children. However, as we all know with food intolerance, reactions are related to the size of the dose. Ribonucleotides occur naturally in human breastmilk and are thought to boost immunity, which is why they are added to infant formulas. Ribonucleotides in baby formulas have probably been much better tested than ribonucleotides as flavour enhancers – at least, one hopes so, particularly with regard to later development of allergies. We are concerned that since ribonucleotides are known to boost the immune system, it seems possible that large uncontrolled doses (e.g. eaten by pregnant or breastfeeding mothers or in chicken flavoured chips or soups and sauces often given to babies in family meals) may contribute to the development of allergies which are essentially over-functioning of the immune system. Childhood allergies started increasing about the same time that ribonucleotides became popular as flavour enhancers and experts have no idea why. Ribonucleotides are used to boost the effects of MSG up to 15 times and in our experience they boost the adverse effects too. Some people in our network have started off with a food intolerance reaction to 635 that has developed into an allergic-type reaction; and some babies exposed early to 635 in food have developed allergies. Oh, and one more thing: since ribonucleotides occur naturally in the body, allergists can’t test for IgE mediated allergic reactions to nucleotide flavour enhancers. (Further reading: low-birth-weight babies fed preterm formula with and without ribonucleotides: comparison with human milk http://www.ajcn.org/cgi/reprint/62/5/943. Later studies increased the dose.)

 

Q. Recently I purchased a quality fresh homemade style chicken and leek family pie.  On reading the ingredients I was overjoyed that here was a fast food that had failsafe ingredients, listing salt but no stock. Anyway I was hit with severe tiredness, heavy eyes, thirst and unusual (for me) bad mood within one hour of eating it that lasted over 24 hours.  My breastfed 10-month old baby had a bit of an unsettled night, bit of a cough and … some red blotchy rash on her torso. I knew for sure that there must be an ingredient unlisted like stock or flavour enhancer.  I rang the company (who said) “there is no stock, just a bit of chicken salt”! What is “chicken salt” and is there somewhere I should report the label being incorrect?

 

A. Chicken salt is usually ordinary table salt with added flavour enhancers, often in quite large quantities. That would account for all your symptoms. Our updated MSG factsheet might be useful: http://www.fedupwithfoodadditives.info/factsheets/FactMSG.htm. In Australia you must report illegal labeling to the relevant state/territory authority. For instance, in NSW this is the NSW Food Authority, but in Victoria local councils have the responsibility (although not the resources).

 

Q. My food intolerant teenage daughter has had extreme skin irritations with weeping, red, scaly and flaring spots all over body since purchasing a latex mattress. She is a responder to bananas, strawberries and avocadoes.

 

A. Sensitivity to those fruits can indicate latex allergy and people with latex allergy can’t use latex mattresses. Update: the skin irritation improved within 2 days of removing the latex mattress. For more information:

 

 

(June 2009)

 

Q. My son adores peanut butter, and I m having a big struggle to find a substitute for him. I have tried the cashew paste in your cookbook, but he hates it. I also notice that Freedom Foods soy butter is no longer available. Yesterday however I came across a product called Eskals FreeNut Butter. The ingredients are sunflower seed (85% minimum), sugar, emulsifier (471), salt and antioxidant (306). Is it considered failsafe?

 

A. Unfortunately, Freenut Butter is NOT failsafe because sunflower seeds are listed as high in salicylates and amines by RPA. For children who hate cashew paste, try the option with carob powder added, it’s much nicer. Thanks to Annette.

 

Q. My 2 year old daughter is addicted to salicylates - she loves breaking into the bathroom and sucking on her minty Wiggles baby paste. Is there a low fluoride plain toothpaste for kids?

 

A. Young children shouldn’t swallow fluoride toothpaste, because too much fluoride can affect the formation of permanent teeth and possibly other health problems. An advantage of plain toothpaste – other than lack of salicylates - is that children aren’t tempted to eat it. Normal toothpastes contains about 1 mg of fluoride per gram of toothpaste and low fluoride toothpaste contains about half that. I don’t know of any low fluoride children’s toothpastes that are free of both flavours and colours but you can use Plain Toothpaste from Oral Hygiene Solutions (http://www.oralhygienesolutions.com/page/plain_toothpaste.html) or Soul Pattinson pharmacies. The current medical recommendation for children under six is to use only a pea size amount of low fluoride toothpaste or a smear of regular fluoride toothpaste twice a day.

 

Q. Our school has announced they are installing new carpet in my son’s classroom. Can you put me in touch with some information about why this is not acceptable for my food and chemically sensitive son?

 

A. The Carpet Institute of Australia has finally come around to admitting that some carpets contain hazardous chemicals that are dangerous to health. They have identified 13 "chemicals of concern" (some of these are known carcinogens!), see http://www.carpetinstitute.com.au/downloads/accs_tech_guide.pdf. Some carpets are now certified according to health standards regarding emissions of VOCs (Volatile Organic Compounds) - at the very least you could ask your school to install a certified carpet. Other options include moving to another class or using special air filters. The Total Environment Centre in Sydney is a consumer support centre (like the Food Intolerance Network but better funded). They can supply you with more information about environmental chemicals and indoor air quality: www.tec.org.au.

 

Q. After attending one of your seminars about 4 years ago we have managed to change our now 15 year old daughter’s life by eliminating preservatives, colours and flavours. We are travelling to the USA shortly and we feel that the issue of her eating will be a problem. Any advice on how we can get around this issue both on the flights and on the ground in America?

 

A. We took our teenagers around the world, including the USA, in 2001. You can see the full story at http://www.fedupwithfoodadditives.info/information/world.htm. Australian failsafers often join the failsafeUSA group for a few months before their trip (email with subscribe in the subject line to failsafeUSA-subscribe@yahoogroups.com). You can see a list of failsafe foods in the USA http://www.fedupwithfoodadditives.info/information/updates.htm#USA

 

My recommendation about traveling is to cater for yourself whenever possible. For flights, take your own food. I always pack lots of sandwiches – e.g. preservative free cream cheese with finely sliced celery (or cucumber if you can manage salicylates) travels well. If you happen to find any food in airline meals or airports that you can eat, regard that as a bonus. In airports, you can often ask for a milkshake/smoothie with nothing but banana (or real mango) and milk. Contributions from readers are welcome: email to suedengate@ozemail.com.au.

 

Q. My 12 yr old son has taken penicillin for tonsillitis twice in the last two months. Both times I have noticed my son’s behaviour became much more moody and disobedient. The medication was LPV capsules. Could there be a problem with the drug itself or am I looking for an unlisted culprit?

 

A. I did a Google search in May 09 for <LPV capsules> and found the CMI (Consumer Medicines Information) leaflet at http://www.mydr.com.au/medicines/cmis/lpv-capsules. The "inactive" ingredients are listed at the bottom of the CMI. They include three artificial colours which are listed by names and Colour Index (CI) numbers but are also known as colours 110, 127 and 133 – all artificial colours we recommend to avoid. At that time, the CMI claimed "LPV does not contain gluten, sucrose, tartrazine or any other azo dyes" but this is incorrect as sunset yellow (110) is an azo dye. I notified the manufacturer and they promised to change it. You can see more information and a list of Colour Index numbers on our Medications factsheet.

 

Q. My daughter recently went from taking 10mg Losec to 20mg (half twice a day). I noticed the colour of the tablets is quite different. When I contacted the manufacturer they told me that the darker colour in the 20mg is due to the fact that it has iron oxide red and iron oxide yellow in it (although they did say there is also a small amount of iron oxide red in 10mg) do you know anything about these colours and whether they are OK or should be avoided?

 

A. Iron oxides (red, yellow and black) are all variations on natural colour 172. They are considered to be well tolerated by failsafers and were consumed without problems for years in the RPA-recommended Macro M vitamin supplements that have since been discontinued.

 

Q. Could Vegeta stock powder be causing my son’s bad behaviour? We have it nearly every night.

 

A. Yes it could. The vegetable flavour Vegeta gourmet stock powder contains MSG (flavour enhancer 621) which has been associated with a range of reactions including behaviour. The other Vegeta flavours (chicken, beef and chicken salt reduced) contain the newer flavour enhancer disodium inosinate (627) which seems to cause even more problems than MSG. 

 

Q. Can you tell me if processed eucheuma seaweed listed as a stabiliser in a homemade icecream mix is failsafe?

 

A. Processed eucheuma seaweed is vegetable gum (407a) also known as PNG-carrageenan or semi-refined carrageenan. Vegetable gums are regarded as failsafe although if eaten in large quantities or by extra sensitive people they may cause symptoms of IBS such as stomach discomfort and bloating. The other version of carrageenan (commonly known as additive 407) is controversial because some studies have suggested it is carcinogenic. However, others say that only degraded carrageenan (never used in food) is carcinogenic.

 

Q. My son has been getting into serious trouble at school and has been hitting children (he does not have ADHD). At home, we seem to have a very difficult time with him. Our children eat at least 3 fruits a day - mainly kiwi, pineapple, mangoes, apples and tangerines - and these seem to be the worse offenders.

 

A. Most of the fruits you mention wouldn’t have been eaten every day by young children 30 years ago. Kiwi fruit, pineapples and citrus are all rated as very high in natural chemicals called salicylates and amines that are known to cause behavioural effects and most varieties of apples are high in salicylates. Blueberries, strawberries, grapes and sultanas are some other fruits commonly eaten every day by young children that can cause problems. Some families can see improvements by avoiding additives and possibly reducing fruit and tomato intake, while others get best results through doing the RPA elimination diet supervised by a dietitian. This family saw a big improvements when they cut out additives.

(February 2009)

Q. My dentist wants me to use GC Tooth Mousse - I phoned the supplier to ask whether there are preservatives or colours and she said it contains propylene glycol, titanium dioxide and xylitol sugars. I seem to react to very small amounts of any preservatives, colours or flavours so I believe I would be in trouble if I used this mousse (it has to be left on every night to help my gums and teeth). What are your views?

A. The list of ingredients from the supplier didn't seem long enough so I searched the internet for "GC Tooth Mousse ingredients". According to the Material Safety Data Sheet the product contains three hydroxybenzoate preservatives. Also known as parabens or preservatives (214-219), these preservatives are known to affect people who are sensitive to artificial colours and salicylates. The European MSDS warns "Do not use this material on patients with a proven or suspected milk protein allergy and/or with a sensitivity or allergy to benzoate preservatives". This product is NOT FAILSAFE.

Feedback:  ‘Well I have tried the "plain" GC Tooth Mousse three times and have reacted each time with the usual symptoms. It appears to stay in my system for two days. I react with insomnia, then my body gets "the jumps". I have even gone back to having the jumps in my legs and arms during the day (two days after using the tooth mousse)!’ See also next question.

Q. I seem to be reacting to NEO-MERCAZOLE tablets with the following ingredients: lactose, maize starch, sucrose, magnesium stearate, talc, microcrystalline cellulose, gum acacia, ferric oxide, propyl hydroxybenzoate, gelatin. They are coloured pink. The pharmacist at the company that distributes the neo-mercazole said the colour was ferric oxide (Fe2O3) also known as Iron (III) oxide, Pigment red 101 or Diiron Trioxide; colour index (C.I.)  77491. Colour 101 isn't on the list of nasty additives. Does that mean I can discount colour as a cause of problems?

A. Under TGA (Therapeutic Goods Administration) regulations colours do not have to be listed on medication labels - due to lack of space - leaving consumers to rely on dodgy word-of-mouth advice from suppliers or pharmacists. The pharmacist who advised you was either ignorant or misleading. Pigment red 101 is not the same as Food Colour 101 (riboflavin, a B vitamin). Ferric oxide, the colour used in your medication, is also called iron oxide or food colour (172). Iron oxides are available in red (and pink), yellow and black. Although iron is toxic in large doses, the small amounts of iron oxide used as colours are considered safe - in the past many failsafers have consumed iron oxide as the colour in Macro M Vitamins. The additive most likely to cause problems in the list above is propyl hydroxybenzoate (also known as preservative 216). Benzoates include preservatives 210-213 especially sodium benzoate (211) in foods and drinks, and parabens or hydroxybenzoates (216, 218) in drugs. All benzoates can cause the same adverse effects. See also question above.  *** Please report all adverse reactions to additives in medications in Australia to the adverse medicines events line on 1300 134 237.

Q. Are there any failsafe low GI (Glycemic Index) breads?

A.

·         Bakers Delight Hi-Fibre Lo GI (GI=52, the average GI of bread is 70) is failsafe and is the lowest GI white bread. The low GI is achieved through the inclusion of oatbran and inulin. Check other low GI breads for the inclusion of non-failsafe ingredients such as sesame seeds, calcium propionate (preservative 282 ) or cultured whey which is a natural form of 282 (see Watch out for Whey on our 282 factsheet). Linseeds have small amounts of salicylates and amines in them. RPA recommends the use of linseed oil in small quantities as a supplement, but you would need to test your own tolerance for linseeds in bread. Also, some people with food intolerance do better with refined white flour than wholegrain wheat. Bakers Delight white Lo GI may be best for them.

·         Bakers Delight Wholemeal Country Grain (GI=53) contains both maize semolina and linseeds so it is not fully failsafe and you would need to approach it with caution. Maize semolina is near the cornstarch end of the scale so it may be worth a try.

·         Country Life Rye Hi-Soy Bread with Linseed (GI=42) is not completely failsafe as sour rye dough may be a problem for amine responders, and check your tolerance for the linseed. 

·         Country Life Performax bread (GI=38) has the lowest GI of any Australian bread, achieved by a high linola content. Linola is a new form of golden linseed developed from brown linseeds, unfortunately without the excellent omega ratio - linola has only about 2% of alpha-linolenic acid (ALA, an omega 3 fatty acid, the good one) but about 72% of linoleic acid LA (omega 6). Performax may be suitable, we just don’t know - you would have to try it carefully (feedback welcomed to suedengate@ozemail.com.au).

Q. I was wondering if the Nestle Nesquiks (powder form) are ok, we have been giving them to our son for a trial but I think I may have stuffed up. Normally we go bright colour definitely alarm bells and stick to what we know, but these drinks say ‘no artificial colours or flavours’ so we gave them a go. On the back it says natural flavours, natural colours (riboflavin, annatto) where I thought annatto was bad.

Chocolate has: cane sugar, non-alkalised cocoa, emulsifier (soy lecithin), spice (cinnamon).

Strawberry has: cane sugar, maltodextrin, natural colour (120), natural flavour.

Banana has: cane sugar, natural flavour, natural colours (riboflavin, annatto).

What do you think? I would be happier if ingredients came with a dictionary.

A. Annatto (160b) is bad. It is the only natural colour that causes as many problems as artificial colours. So that would account for a reaction to the banana flavoured product. See annatto factsheet for more information.

If your son is reacting to the strawberry or chocolate flavours, then he almost certainly sensitive to either salicylates (in the cinnamon and the natural strawberry flavour) or amines (in the cocoa and the natural banana flavour) or both. You can see more about salicylates and amines in my books or the introduction to food intolerance). If you’ve read those and are still confused, ask me for the special salicylate and amine mistake factsheets (suedengate@ozemail.com.au)

Q. My two-year-old daughter is being investigated for autism and has been started on Incremin cherry iron mixture. Can she continue with this on the elimination diet?

A. According to the manufacturers at the time of writing, Incremin cherry iron mixture contains artificial colour Amaranth (123) as well as two preservatives Sodium Benzoate (211) and Sorbic Acid (200) so it is definitely NOT suitable for the elimination diet. See our supplements factsheet for alternatives.

Q. My asthmatic daughter (asthma normally controlled by diet) started back at school swimming today and has come home very blue around her mouth. It looks like someone has punched her in the face and she has two black eyes. Could this be a chlorine allergy? We have found that she does react to chlorine but not to this degree. She said that she thought that they had only put chlorine in the day before or that morning.

A. Chlorine levels can vary alarmingly and could have been particularly high if they had just dosed the pool. There are many children in our network who cannot tolerate chlorinated pools and who react with a variety of symptoms including asthma, eczema and problems behaviours. Sometimes symptoms can be minimised by wearing goggles and showering immediately after leaving the pool. Consult your doctor if worried about asthmatic reactions. See the full text research: Bernard A and others, Chlorinated pool attendance, atopy, and the risk of asthma during childhood. Environ Health Perspect. 2006;114(10):1567-73.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17035144

Q. Are you aware of any websites/books which would have a comprehensive list of the amine content in foods? 

A. The best sources are RPA’s Friendly Food and the booklet Salicylates, Amines and Glutamates from your dietitian or RPA website. Oddly, there is also a useful website promoting recreational use of the Peruvian drug ayahuasca because the drug turns users into amine responders by inhibiting the enzyme that breaks down amines, see http://www.biopark.org/peru/maoi-1.html. There is some useful stuff on Wikipedia under different types of amines and you can ask (suedengate@ozemail.com.au) for our Amine Mistakes factsheet.

Q. Is TVP (textured vegetable protein) failsafe?   I have googled it and from the Wikepedia description it appears to me to be ok.

A. The latest version of Friendly Food says it is NOT failsafe. I agree that from the Wikipedia description it sounds OK: made from soy, not to be confused with HVP (hydrolysed vegetable protein) and has "little flavour of its own". However, according to the manufacturer’s website (http://www.southnettradeaust.com/pdfs/tvp.pdf) "taste and colour can be made to order as mince, dice, flake, chunk, crumble or flour" so obviously the flavours and colours wouldn’t be failsafe. For example, the ingredient list for simulated bacon flavoured sprinkles made from TVP is "Textured soy flour, Vegetable oil, Salt, Flavours, Colour-129 [artificial colour allura red], Whey powder".

(November 2008)

Q. My nearly two-year-old is the most boisterous boy I have met, and to be honest I am feeling beaten down. I cannot remember the last time he slept all night. He is a handful from the moment he wakes up, and that never stops. We don't eat a lot of junk food, but after looking at your website I am identifying a lot of my family’s behaviour with intolerances. I feel I need to start cutting out certain things from his diet but after talking to my doctor I came away deflated. She told me that it is very rare that people have allergies to salicylates and that it would be an expensive, long and hard path to go down when it probably wasn't the answer. *sigh* Instead she recommended some sort of controlled crying.

 

A. Some doctors may not understand dietary salicylates because the information is new. The elimination diet is:

  • not expensive - one mother wrote: ‘my shopping bill has gone down by about $100 per week with no junk or frozen convenience food anymore’
  • not long – you only have to try it for three weeks
  • not hard – most mothers say it is easier than living with a difficult child
  • is probably the answer. Royal Prince Alfred Hospital allergy clinic research shows that about 75 per cent of boisterous children are sensitive to salicylates.

Follow up: One week later – after cutting down on fruit and high salicylate vegetables - this mother wrote to say her son had slept through the night: ‘could this be a glimmer of hope?’

 

Q. Does ham sliced off the bone in the deli still contain nitrites/nitrates like processed sliced ham in the packets?

 

A. Yes! For people who don’t react to amines, it is possible to buy preservative-free ham and bacon from organic suppliers in fine food shops or health food stores. Read the label and expect it to be more expensive. See Product Updates on our website, e.g. products from Eumundi Smokehouse Sydney, 402 New Canterbury Rd, Dulwich Hill, 9569 0205, are available in health food stores.

 

Q I found a vegemite copy spread with no preservative, no yeast extract but with the main ingredient being vegetable protein extract. Is this the same as hydrolysed vegetable protein – to be avoided?

 

A. Yes. It’s the next step in the confuse-the-consumer game. Now consumers know to avoid hydrolysed vegetable protein and hydrolysed plant protein, manufacturers have switched to words such as ‘formulated’ proteins or ‘protein extracts’, ‘yeast extracts’ or even just ‘soy (flavouring)’. You can expect an ingredient that sounds like a plant, vegetable or soy protein or flavouring or yeast to contain natural glutamates, especially when used in a ‘delicious’ sauce or product.

 

Q. I am pregnant again and was unable to breast feed last time.

 

A. Food intolerance can cause a range of breastfeeding problems. Food intolerant babies will often pull away from the breast and refuse to feed, see story # 000.

 

Q. I am intolerant to salicylates, natural MSG and have restricted all types of colourings, additives, wheat and milk. With such intolerances, do you think it would be wise to refrain from eating Japanese food? 

 

A. It depends what you choose. Wasabi sauces and flavours, e.g. wasabi flavoured peas, generally contain artificial colours 110 and 133. MSG is commonly used in Japanese food for flavour. Soy sauce is high in natural glutamates even when all natural. Miso soup is high in amines and natural glutamates. Japanese foods such as soba – traditionally buckwheat noodles – and tempura batter – traditionally rice flour – now often contain wheat. Sushi rolls are made with rice vinegar which would contain amines. We don’t know about Nori seaweed, it may contain natural glutamates and/or other natural chemicals. 

Follow up: The questioner replied: ‘this confirmed why I was getting headaches every day (MSG). Back to my strict diet!’

 

Q. Which in your opinion is the best Australian book covering natural substances and their derivatives and extracts etc like milk, casein and eggs. I have been shocked at how little help you receive in Australia for an allergy as long as it's ‘legally’ listed as a number.

 

A. For information on a range of food allergens including milk, eggs, soy, peanuts, etc see the Food Allergen Cards available from www.allergyfacts.org.au; also see the comprehensive Allergy Free shopping list (nut, egg, milk) on the RPA website at http://www.cs.nsw.gov.au/rpa/allergy/resources/allergy/allergenfreeshoppinglist.pdf.

(August 2008)

Q. My son who has just turned 4 has just been diagnosed with his 54th ear infection. He has had 13 perforated ear drums with bleeding. His speech is affected and his hearing. He has had two operations: the first for grommets and the second for grommets and adenoids removed. I'm at the end, I cry all the time, he cries in pain and keeps us up at night. He is just such a sad boy. He has these really loud naughty outbursts that take their toll on the whole family. Please help me.

A. The answer for this child – as for many others with frequent ear infections – was dairy foods. The child improved so much on dairy avoidance that the mother was able to cancel the next grommet operation. After a week-long dairy challenge the problems recurred. While dairy foods seem to be the main culprits with frequent ear infections, other common culprits (additives, salicylates, amines, gluten) can be involved, depending on individual sensitivity.

Q. My husband gets severe eczema from amines. A couple of months ago he was watching an action movie with Harrison Ford in it. Lots of fighting, guns etc. He doesn't normally watch these sort of movies. By the end of the movie his skin had gone red, weepy and very itchy. Within a half hour of the movie finishing his skin had settled back down. Could an adrenaline rush cause a reaction?

A. Yes. Adrenaline is an amine.

Q. We can’t find cauliflower mentioned in your book – it is failsafe?

A. Cauliflower originally tested as moderate in salicylates but has been upgraded and is now listed by RPA in Friendly Food as *very high* in both salicylates and amines. Fruit and vegetables mentioned in the shopping list and recipes in my books are low in salicylates and therefore permitted on the strict elimination diet unless otherwise specified. If moderate, they are listed as optional -not suitable for the strict diet. If high, they are in the challenge section. If not mentioned at all they are probably very high in both salicylates and amines. If you’d like more information about salicylates or amines, write to suedengate@ozemail.com.au.

Q. Cornflakes are not on the shopping list but I can't see what is wrong with them. Please explain! 

A. The salicylate content of corn products depends on the variety of corn and the processing method:

·         corn, cornflakes and other corn cereals (e.g. Nutrigrain), cornmeal and polenta are listed as high in salicylates by RPA

·         corn chips (crisps), tacos and corn oil are listed as moderate

·         highly refined corn products totally lacking in flavour such as corn cornflour (e.g. White Wings) and cornstarch are listed as low

·         corn syrup hasn’t been tested but is probably moderate

·         in Dr Swain’s salicylate analyses, canned corn was much higher (up to 0.39 - in the high category) than fresh sweetcorn on the cob (0.13 - in the moderate category), so fresh homegrown sweetcorn on the cob may be moderate

·         popcorn has not been tested but I’m guessing it’s high

·         highly refined maize starch is probably low but maize meal and wholegrain maize would probably be high.

Q. My son (now 22) ate very limited salicylates for much of his younger childhood. It made a dramatic difference to his personality and behaviour. He now wants to eliminate them again to see if it helps him to focus, become more organised, and gain a bit of self-control to assist him in his uni studies.

A. We have heard from many parents that their grown up children – including mine - have good motivation and do well on the diet at university.

(May 2008)

Q. I regard potatoes more as a starchy carbohydrate than a vegetable and wonder if my son has too many.

A. Often called uber tubers, potatoes contain all the vitamins, minerals, proteins, calories and cellulose necessary for life. A healthy adult can survive indefinitely on potatoes alone. A potato crop can grow in any climate and can yield four times the calories of a grain crop. (http://books.guardian.co.uk/review/story/0,,2263286,00.html). Jamie Oliver lists potatoes as the top crop for home gardeners: 'Everyone deserves to experience home-grown potatoes - what a pleasure!' To be low in salicylates, potatoes must be large, old, brown skinned, white fleshed and thickly peeled. Potatoes that are small, new, red skinned or have coloured flesh - even cream colour like Kipfler - are higher in salicylates.

Q. I seem to have troubling neurological symptoms due to Rosemary Extract, commonly used as an antioxidant in almost all vegetable oils. The amounts are so small as to avoid labelling laws, yet enough to upset a sensitive soul like myself. Even rabid herbalists concede rosemary can cause gastric and neural problems in some people. Are you aware of any reports on reactions to rosemary? 

A. Rosemary extract would be very high in natural food chemicals called salicylates. These chemicals occur in most plant foods in varying amounts and can cause the same problems as additives if consumed in large doses or by sensitive people, see our salicylate factsheet. Compare the following figures from Swain et al's 1985 paper 'Salicylates in Foods': pears 0.00 (mg per 100 mg); carrot 0.23; strawberries 1.36; sultanas (dried white grapes) 7.80; cinnamon powder 15.20; rosemary (dried) 68.00.

Q.I have just started my son on the elimination diet, he is in the 3rd week and we have slowly seen some improvement.

A. By the end of the 3rd week most people see spectacular improvement if they have the diet right. Have you read the Checklist of Common Mistakes on the website? You are welcome to send me a list of everything your son eats in a typical day so I can look for possible mistakes. I can usually find about five mistakes - some serious enough to prevent improvement - in food lists from people who swear they are sticking strictly to the diet.

Q. I am finding it hard to come up with enough variety of foods for my son as he is very fussy and this seems to limit what sort of foods he can eat. Do you have any suggestions?

A. Fussy eaters usually improve when you get the diet right. One mother whose two young daughters had previously been picky described how they turned into 'clean plate' eaters after three weeks on the diet. For suggestions regarding a variety of foods I recommend the Failsafe Cookbook. One mother whose son was lunch swapping wrote: 'I was able to buy your cookbook, so now he is getting enough interesting things and variety that he feels he is not missing out!'

Q. Since we started our elimination diet I have been experiencing a lot of diarrhoea, at one point, every day for a week. I thought maybe it was a withdrawal reaction, but it has continued. I have stopped my 2 blocks of chocolate a day habit and to get me through I am using xylitol which the homeopath said was completely safe. Is xylitol not recommended as a sugar substitute?

A. Xylitol is not safe for some people. It doesn't cause the full range of food intolerance reactions such as behaviour or headaches, but any of the sugar free sweeteners ending in '-ol' (e.g. Sorbitol, Mannitol) can cause diarrhea and irritable bowel symptoms, especially if eaten frequently. See our Sugar Free Sweetener factsheet for more details.

Q I've noticed that my brand of contraceptive pill has artifical colouring. I really don't want to be consuming this every single day! Do you know of any brands of the contraceptive pill that are failsafe or where I might find out?

A. Contraceptive pills aren't great for women with food intolerance because female hormones can make symptoms of food intolerance worse, i.e. premenstrually and when taking oestrogen in medication. For pills without artificial colour, you can browse through the Consumer Medicine Information (CMI) sheets for ingredients of oral contraceptives at http://www.mydr.com.au/drugs/mediresults.asp.

(February 2008)

Q. I bought green grapes two weeks straight – they were so cheap and I haven’t bought them since last year. My son loved them but for those two weeks he was screaming and hitting me and going crazy until I put it together - behaviour + grapes.  I was talking to another friend and she said her daughter was reacting the same way.  We took the grapes away and both the kids calmed down within a couple of days.  There was a warning at the supermarket about sulphur dioxide next to the price sign on the grapes. Is this a common phenomenon?

A. Since the ‘salad bar’ asthmatic deaths in the 1970s due to overuse of sulphur dioxide on lettuce, sulphur dioxide has been banned on fresh fruit and vegetables except for grapes. These days they use sulphur dioxide generator pads instead of sprays. However, growers are warned that high temperatures can cause excessive sulphur dioxide in the grapes. January was the hottest month ever in Australia so sulphur dioxide level could have been very high. Sulphur dioxide (220-228) can cause asthma, behaviour problems, eczema, irritable bowel and other symptoms. Another reader has reported feeling asthmatic since buying similarly labelled grapes. Another possibility would be behavioural disturbance due to high natural levels of salicylates, amines and glutamate in grapes (and sultanas). The more children eat, the more likely they are to be affected.

Q. Would removing the crusts on bread get rid of the preservative?

A. In Australia, preservative 282 is baked into the bread and removing the crusts will make no difference. In the UK, according to a recent article by Ian Tokelove of the Food Commission, the freshly baked loaf of bread is given ‘a light coating of preservative - usually calcium propionate or E282’ (http://www.foodcomm.org.uk/backmags.htm#2007). In that case, it is possible that removing crusts from bread could remove preservative E282. However, I would want to know for sure that all bakers used this system, and that cutting off crusts would remove all the preservative before I would rely on it. Any UK failsafers like to comment? (reply to suedengate@ozemail.com.au with newsletter reply in the subject line)

Q. Can you tell me is bocconcini cheese failsafe? I assumed it was since it is a fresh white cheese.

A. White cheeses such as cottage cheese or ricotta are low in amines and failsafe as long as they are recently made and preservative-free. Bocconcini are small, mild, white, young mozzarella cheeses kept moist by storage in natural whey or brine. Fresh bocconcini are probably failsafe but if kept will develop amines.

Q. We have benefited greatly from failsafe eating. However we are in a newly renovated house and although my son is on the full elimination diet, his behaviour which we discovered to be due to food has now returned to pre-diet due to the effects of paint smells etc. Any suggestions?

A. The best way to deal with new renovation smells is to ventilate - leave all the doors and windows wide open as much as possible and run fans. If there are any smelly removable items such as mattresses or new furniture, you can put them on a verandah or leave them in the garage to gas off. Some people have dealt with this problem successfully by getting their kids to sleep in a tent in the back yard. Or could you stay with someone else for a month or two until the worst of it is over. Formaldehyde (a common VOC in renovations) is a carcinogen so it's not something you want to be exposed to anyway.

Q. My son aged 12 months is allergic to soy. Do you know the number codes for soy derived emulsifiers etc?

A. From a reader who is sensitive to both soy and legumes: “As well as 322 (lecithin) I also avoid additives 476,471,492 (emulsifiers), vegetable gums 410,412,415,416,461 (not all soy but derivatives of various beans), vegetable gums & vegetable protein, TVP (textured vegetable protein) and vegetable starch (even if they do not specifically state soy, I don't take the chance). Soya beans, soya meal, soy flour (very common in breads and cakes), soya sauce, miso, tofu and chickpeas. In fact quite a lot of 'health foods' are grossly unhealthy for me. Packaged health foods nearly always contain a soy additive.” See more details in story [314] “13 years of intolerance to soy” (April 2004).

Q. It is easier for me to buy goats’ milk than A2 milk. Is it the same?

A. Goats milk contains the same A2 beta casein protein as A2 cow’s milk, but it has a different nutritional profile. Babies who have goat’s milk may need extra supplements including Vitamin D and Folic Acid. Your dietitian can advise about this.

(November 2007)

Q. I came across "1422 - thickener" in a packet of frozen meals. What is this please and is it a no no? We really enjoy your informative site.

A. Thickeners are only a problem for coeliacs and others who are very sensitive to gluten. Also called modified starches, thickeners 1400-1450 may contain trace amounts of gluten if they have been derived from wheat. If gluten is in the product, it will be listed on the label.

Q. I would like your opinion on whether fresh coriander is failsafe or not. Also interested in seeing if there is a difference between fresh coriander and ground seed?

A. Technically, fresh coriander is moderate in salicylates. It contains 0.20 mg per 100 mg (compared to fresh parsley leaves with 0.08 and Red Delicious apple with 0.19, according to the Swain et al 1985 analyses). An occasional small amount is probably okay for most salicylate sensitive people, but I recommend caution if using it in a product you eat every day. It is so easy for salicylates to build up when you are not looking. Ground coriander seed was not tested but you would expect it to be much higher in salicylates.

Q. My son’s aggression has been increasing. He has been eating a lot of the new all natural jelly cups, strawberry flavour (ingredients: sugar, thickener (401), food acids (355,331), mineral salt (341), flavour, colour (120).) What do you think, is this jelly failsafe?

A. Those jelly cups are fine for families who are simply going additive-free but they are not failsafe because of the strawberry flavour which contains natural chemicals called salicylates. Salicylates can cause the same problems as additives if consumed in large doses or by sensitive people. Note that colour (120, cochineal) doesn’t cause behaviour problems but because it is made from insects it should be used with caution by children with a family history of food allergy (also not kosher). 

Q  I feel very confused about which is the lesser of two evils - the trans fats in butter (which is listed as 'natural trans fats' - what does that mean???) or the preservative 202.

A. It is the unnatural trans fats that are the problem. We ourselves eat pure butter (Mainland Buttersoft from NZ) and totally avoid 202. We also avoid synthetic trans fats. Nuttelex additive-free dairy-free margarine is low in trans fats. However, we minimise our intake of saturated fats including butter. For example, when baking I will often choose to make muffins or a cake recipe with vegetable oil rather than rather than butter or margarine. For vegetable oil, we use canola oil. It's a monounsaturate with one of the best omega ratios despite scientific-seeming internet criticism probably started by an opposing industry. Olive oil is similar but we can't eat it because of salicylates.

Q. I recently asked our Swedish food safety authorities if they do tests on additives themselves, or do they rely only on the tests done by the producers of the additives? They answered that neither they, nor the EFSA (European Food Safety Authority), do any tests at all. The approval of an additive is based solely on tests performed by the producer of the additive. Isn´t this a bit like asking Phillip Morris if smoking is safe? – Stefan from Sweden

A. It’s even worse than that – before additives are approved there are no tests at all regarding their effects on children’s health, behaviour and learning – and there is no monitoring afterwards. When consumers report adverse effects, they are advised to carry out their own double blind placebo controlled studies.

 

Q. I found the following radio story a bit of a worry: http://www.abc.net.au/news/stories/2007/11/20/2095831.htm  [A leading CSIRO scientist says there is no reason to fear that future gene technology will threaten food safety. Deputy chief of plant industry research, Dr TJ Higgins, says consumers have been using oil from genetically modified cotton for the past 10 years. Most of the fish and chips that we eat are cooked in the oil from cotton seed, and there are 33 other foods have been approved for consumption. "So there are already many products that are in the food chain that we have been consuming safely."]

 

A. We are worried too. Dr Higgins says there are strict regulations to protect consumer food safety, but as we have already seen, regulations about food additives haven't done anything to protect our children. Here's what you can do. This Saturday, vote for your local Green candidate and vote Green in the Senate. The Greens have a strong policy about GM foods, including mandatory full labelling. Of course they won't win, but every vote sends a message and if there are some Greens in the Senate, there is a chance of controlling what happens with GM foods.

(August 2007)

Q. I have just read your fact sheet on 635 (riborash).  It seems that any time we eat a food with this in it (particularly cream of chicken and corn soup used in risotto), my 16 month old gets severe nappy rash.  Could this be a reaction to the additive? 

 

A. Yes. The rash can appear differently in different people. One of the original observations of ribo rash was in twin 10-month-old boys who suffered severe rash in the nappy area and extending down to their feet and on their faces when at its worst.

 

Q. I have been using a saline spray for my son’s seasonal itchy nose with great success. However we have experienced aggressive episodes since using the product (Narium).  I did a double check and found a preservative Benzalkonium Chloride (BAC) is in the product. Have you had any experience with this?

 

A. There have been some reports of nasal burning, dryness, or irritation due to nasal sprays preserved with BAC. There are also reports in the medical literature of contact dermatitis due to BAC. We generally find any additive that can cause the very obvious signs of contact dermatitis may also be associated with more subtle behavioural symptoms such as aggression. It is possible to make your own preservative free saline: a teaspoon of salt in half a litre of water, boiled and cooled. Store in the fridge and discard after 24 hours.

 

Q. Why is sulphur dioxide added to wine?

 

A. According to Erl Happs, maker of the excellent Happs range of preservative-free and low preservative wines, sulphur dioxide ‘hardens the palate’ of a wine, see http://www.happs.com.au/pages/PFQandA.html.

 

Q. Is there a product like muesli bars that can be bought directly off the shelf that is homemade without all the additives?

 

A. Thanks to Jenny Ravlic from Additive Education (www.additiveeducation.com.au) for the following answer: We don't suggest any of the standard packets of muesli bars available in supermarkets because they all have either sulphites, annatto, flavours and/or nasty antioxidants in the oil. There is a great product called Naturally Organic Oat Slice (few varieties) made by the All Natural Bakery. They are sold individually in 100g slices with no artificial flavours, colours or preservatives - very much like a homemade product. There is also the Amore Fruity Nut Bars, sold in multi packs. Both of these are available in Coles, possibly Safeways and IGA. Please note that these suggestions are additive free but not failsafe (low in salicylates and amines).

(May 2007)

Q. What is the best way to stay with the most current info on the salicylate content in foods?

A. See the latest edition of Friendly Food by the Royal Prince Alfred Hospital Allergy Clinic, http://www.cs.nsw.gov.au/rpa/Allergy/default.htm

Q. My daughter suffers from dizzy spells. Specialist testing, from MRI scans to epilepsy, has found nothing. I was wondering if intolerance to certain foods can cause dizziness, I am at my wit’s end as my daughter cannot even close her eyes sometimes at night because her head starts to spin.

A. Dizziness and a spinning head (vertigo) can be related to chemicals in foods and medications. The most likely culprits are: synthetic salicylates in medications such as aspirin, nurofen and other pain killers or anti-inflammatory medications, acne cleansers, wart medication, sports liniments and medicated lotions; artificial colours and preservatives in foods and medications; natural salicylates in most fruit and some vegetables - particularly high in tomato sauce, juice, broccoli, grapes and citrus fruits - (see the Salicylates and Meniere’s factsheets). If avoiding salicylate-containing medications doesn't help, the best way to find out if foods are your daughter's problem would be to do a 3 week trial of the RPAH (Royal Prince Alfred Hospital) elimination diet, supervised by a dietitian. Write to confoodnet@ozemail.com.au for our list of supportive dietitians.

Q. I would like to contact Woolworths with an enquiry about their Home Brand products. Do you have an email address for them?

A. Go to www.woolworths.com.au and click on Contact Us

Q. Since we are off dairy I thought we would have to do an amine challenge without chocolate, otherwise how will we know if we are reacting to amines or the milk solids in the chocolate? 

A. You can buy dairy-free chocolate (read labels, e.g. Sweet William www.sweetwilliam.com.au, contains soy flour and soy lecithin).

Q. Where can I get the dietician’s booklets for information about challenges?

A. Your dietitian will give you one or you can buy them direct from Royal Prince Alfred Hospital Allergy Clinic: www.cs.nsw.gov.au/rpa/Allergy.

Q.  My husband and I are having severe relationship problems, and I'm not sure how much of it might be due to ODD (oppositional defiance). When he is calm and rational and nothing immediate is happening, he seems normal, mature, etc. Says all the right things. But if a situation arises where he is confronted with a problem he seems to react badly. His behaviour is like that of a child throwing a tantrum. I am finding it very hard to cope and have noticed this comes in cycles. This is really difficult for me because it feels like I have 3 children sometimes, not 2 and honestly, our children behave better than he does, and appropriately for their ages whereas he doesn't. The symptoms that really stood out when reading the ODD factsheet were “deliberately annoying other people” (He says he knows he does this sometimes and to the point where he can't stop himself) “blames me for mistakes or problems related to him” (He is very good at this, most of the time I end up wondering what it is that I have done wrong). Living with him is like walking on eggshells. I don't know what might set him off - what triggers him one day doesn’t trigger him the next. He keeps putting off responsibilities and either refuses to do them or puts it off so long that I end up doing it or he is too tired to do it and leaves it for the next day. If I remind him or ask him, he often reacts with anger, resentment and refusal. I'm aware of a few food additives such as tartrazine that trigger aggressive moods in him but I feel there are other things influencing his behaviour. His mother told me recently he was a problem child and on drugs for ADHD. Is this possible - that adults can have ODD too?

A. Yes. The most important behavioural effect of food chemicals is irritability, which is also the core feature of ODD. There are numerous reports of ODD-type symptoms improving in the father or mother when the whole family goes on the diet to support a difficult child.

Q. Recently my husband has awoken with awful headaches after eating a "Healthy Choice" meal which is supposed to be "good for you". One was a stuffed shell dinner and another one was a beef stroganoff meal, which he used to eat without getting a headache. I wonder if they're currently sneaking in things which produce the same thing in him that MSG does; i.e., bad headaches?

A. Since you already know your husband gets headaches from MSG, it is most likely he is affected by some new flavour enhancers that can enhance the effects of MSG by up to 15 times. Here in Australia they are called disodium inosinate (627), disodium guanylate (631) and ribonucleotides (635, a combination of the previous two). In the US, they can be listed with different names such as disodium inosinate (“DSI” or “IMP”), disodium guanylate (“DSG” or “GMP”), and the combination of IMP and GMP (“I&G”); IMP, GMP and I&G are also known as nucleotides. Although these extra flavour enhancers are used to enhance the effect of MSG, MSG itself doesn't have to be listed on the label and often the packet will say "no added MSG" although MSG will be there in some other form such as yeast extract, hydrolysed or autolysed vegetable or plant proteins or even just "flavor".

Q. My daughter who is 3.5 years old suffers from eczema and around the age of about 10 months she went completely bald from Alopecia Areata (she lost all hair on her head, eyebrows and eye lashes), but fortunately the hair started to grow back around 19 or 20 months. However, we are very disappointed to discover the alopecia appears to be returning as a bald patch has recently appeared on the top of her head. I am wondering if you are aware of any food additives which may have triggered this condition?

A. Alopecia areata (patchy baldness) or totalis (total hair loss) has been associated with coeliac disease and may respond well to a gluten-free diet, see http://www.fedupwithfoodadditives.info/factsheets/Symptomalopecia.htm. Coeliac disease is a serious condition, if you suspect you have CD, see more information at www.coeliac.org.

Q. Is strawberry Nesquik OK for a homemade milkshake on the elimination diet?  The ingredients are: cane sugar, maltodextrin, natural colour (120), natural flavour.

A. No. The natural flavour is obviously strawberry. It’s probably in a very strong, concentrated flavour and would contain at least as many salicylates as a milkshake made with real strawberries, possibly much more.

Q. Do you know anything about brilliant scarlet 4R CI6255? It is one of the active ingredients in Polaramine antihistamine tablets. I gave this to my son (10yrs) tonight under instruction from my pharmacist for sedative reasons. My son’s reaction to the tablet was very defiant/angry, definitely did not want to go to sleep etc and we could not reason with him at all.

A. That’s another name for artificial colour (124) also known as Ponceau 4R. It is one of the worst of the artificial colours – known as synthetic coal tar dyes and azo dyes – that have been associated with irritability, restlessness, inattention and sleep disturbance in children, and also with asthma and many other problems such as hives. Children who have a big reaction to an artificial colour are likely to be sensitive to a range of other additives, and salicylates as well. If your son has problems enough to need medication, you might want to try the elimination diet supervised by a dietitian to find out exactly what affects him. You can request our list of friendly dietitians from confoodnet@ozemail.com.au.

Q. Sago pudding is on your recipe list (and we like eating it) yet every brand of sago I have seen so far contains 220. Do you know if it possible to buy sago without it and from where?

A. Howard tested Lion brand sago from Anchor foods with sulphite test strips. This brand lists preservative 220 but Howard couldn’t detect any either cold (uncooked) or when cooked. We also buy Cock brand Tapioca Pearl (really sago) from Thailand which has no preservative listed and tests sulphite-free.

Q. My 5yr-old daughter has been diagnosed with severe food intolerances and a moderate allergy to soy. I do not have the finances to use a private dietician. I went to the public hospital yesterday with no positive outcomes – they can’t offer the service of their dietician as they are understaffed and are not taking outpatient appointments – and I was told to go home and try the elimination diet again. This is hard work on your own. I need some support. – by email

A. I recommended the Failsafe booklet and our email support groups to this mother. A week later, she replied “Thank God for the Failsafe booklet. I am now managing to keep the whole family on the elimination diet due to the extra recipes”. She had also joined an email support group.

Q. We have dairy and soy issues. Is there a substitute for yoghurt?

A. We have been unable to make yoghurt or kefir out of rice milk and have found it only works with soymilk and cows’ milk, due to the protein content. If you can tolerate A2 milk you can make your own A2 yoghurt using sheep’s yoghurt as a starter. If you are asking because you want an alternative to eat, see Narni’s custard recipe in the new version of the Failsafe Cookbook.  If you are asking because of the probiotic effects, an alternative is the Inner Health Plus dairy-free probiotic capsules – these are not on the RPAH elimination diet list so you would have to introduce them as a challenge. Note that there is little scientific evidence for the effectiveness of probiotic supplements other than Lactobacillus GG; however, some people say they help and others report no effect.

Q. After eating a lot of dried fruit we noticed our sons’ behaviour worsened as well as asthma.  Are sulphites also likely to cause hyperactivity and/or aggression?

A. Yes, but they are not the only problem with dried fruit - most dried except pears contain high levels of natural salicylates and some (e.g. sultanas) contain very high levels of both salicylates and amines.  Although sulphites have been associated with a range of symptoms including asthma, headaches, irritable bowel and behaviour, so too have other food chemicals including salicylates and amines. It is worth suspecting sulphites in dried fruit first for asthma, but everyone is different, and you might need to consider any or all of these food chemicals.

Q. Is Aussie mite (vegemite alternative) failsafe?

A. Yeast extracts are never OK because they are loaded with natural glutamates (MSG is a yeast extract) as well as high in salicylates and amines.

Q. Is benzoyl peroxide (for acne) failsafe? My teenage son seems to have had a reaction to it.

A. Benzoyl peroxide breaks down into benzoic acid and is excreted as benzoate, so unfortunately it is not suitable for failsafers. It would be like drinking products preserved with sodium benzoate (211). (Would the person who sent this question please write again as I deleted your email by mistake. S)

(January 2007)

Q. Over the last two months I have consumed 4 bottles of a special juice from the Himalayas. Since taking this product my eyes have become very dry and sore and I had to go to an optometrist who advised I apply a solution to my eyes to get relief. My sister did a little research and discovered that one of the preservatives in this juice is benzoic acid (210), and that side effects of benzoic acid can include eye irritation as well as asthma, hives and hyperactivity. This was a shock to me as I have been taking the juice because I believed it to be beneficial for my health, containing natural ingredients. I would like to know what your thoughts are on benzoic acid and its effects.

A. I agree with your sister. Benzoic acid and other benzoates (310-319) can be associated with a very wide range of adverse effects. Reactions are related to dose and delayed, so the effects will be worse when you are consuming a benzoate-preserved product every day. The effects can build up so slowly you would not be able to notice the connection between a new food and how it is affecting you. You could test this for yourself by avoiding your special juice until your eye symptoms disappear. Then reintroduce the special juice in the same doses that you have been consuming while keeping a diary of your eye symptoms. If you want to test the benzoates without the juice - there is always a possibility that something in the juice itself is affecting you - you could use Schweppes lemonade in cans (contain preservative 211) not bottles (preservative free).

Reply (two weeks later): As you suggested I went off the special juice. It has been 2 weeks now and my eyes have improved 100%. Who would have thought that something like that could do this? Thank you for your reply because if it was not for you and my sister I would probably still be taking it.

Q. I’m confused. On page 16, Friendly Food says shallots are low in salicylates, but the recipes and shopping list refer to “spring onions (scallions)”?

A. These members of the onion family lack a fully-developed bulb and are milder tasting than other onions. I call them shallots but they have various regional names (scallions, spring onions, eschallots, green onions). See what to buy on our DVD, Friendly Food p7 or http://en.wikipedia.org/wiki/Scallion

Q. We're on day seven of our elimination diet for my six-year-old daughter, and every day since we've been on this new diet she's gotten a little worse - more insolent, less able to keep still than normal, much MORE day-dreamy and going off on tangent-ish, slightly 'violent' - absolutely driving me crazy! How long does it take to see positive effects?

A. These turned out to be withdrawal symptoms, and the answer was, it took 8 days to see positive effects.

Q. The website is so handy and I refer to it frequently, but I often get lost looking for a piece of information I know I have read somewhere. A search tool would be very useful!

A. You can search our website using google. Search for: fedupwithfoodadditives <whatever you are looking for>

Q Can you direct me to any research that shows how diet can affect an adolescent with ADHD & ODD?

A. Superintendent Peter Bennett from the West Yorkshire police did a diet trial with 12 chronic juvenile offenders (aged 8-16) who had an average arrest rate of more than once a month. All improved. Those who remained on the diet did not re-offend. These were children whose ODD had progressed to Conduct Disorder, see citation below. You can see this study on our DVD. It is very difficult to do diet with adolescents unless 1) they themselves want to try it and 2) they get support from the community (e.g. school etc). The participants in the Shipley Project had to stay at home in the care of their parents for the first three weeks of their elimination diet. Further reading: Bennett CPW and others, The Shipley Project: treating food allergy to prevent criminal behaviour in community settings, J Nutr Envir Med 1998;8:77-83.

Q. Can the elimination diet help these children: • a four year old girl who can be quite defiant when asked to do something she does not want to do, blames others for her behaviour (mainly her six-year-old brother), is very loud and chatty, and sings all the time when she is not chatting  • a three year old boy son is very defiant, answers back "no", won’t listen to instructions, almost shouts when he speaks and wakes early (5.30am) in the foulest mood?

A. The symptoms described generally improve if you can get the diet right.

Q.  I have a son in his thirties who has been on the diet since the age of 6 (salicylates, preservatives, colours and dyes are the problem, not amines). Unfortunately, he has recently begun getting quite serious depression and is seeing a psychiatrist who just keeps prescribing different anti-depressants as none seem to work.  I recently wrote a letter to the psychiatrist explaining my son’s dietary problems and the symptoms he gets. The psychiatrist told him that all food intolerance is psychosomatic. You can imagine how much help that was. Are there any psychiatrists or counsellors who understand this chemical sensitivity problem? While he does try to stick to his diet, I do suspect there may be too frequent diversions from it or something is catching him out he is not aware of. Trying the elimination diet again is something I think I shall try to persuade him to do. 

A. Symptoms of food intolerance can change throughout the lifespan, and it is not uncommon to find the foods that caused hyperactivity in childhood can cause depression in adulthood. There is case history describing a young adult with a history of childhood ADD whose severe treatment-resistant depression improved dramatically on a low salicylate elimination diet (Parker G and Watkins T, Treatment-resistant depression: when antidepressant drug intolerance may indicate food intolerance, Aust N Z J Psychiatry, 2002). The article concludes that clinicians should be aware of food intolerance-related depression and that it may be worsened by psychotropic medication. You can request our list of supportive health professionals - including some psychologists – from confoodnet@ozemail.com.au. It may be worth consulting a dietitian, as safe foods for this diet change constantly and your son could be following an out-of-date diet. To send the article’s abstract to your son’s psychiatrist, see http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Select+from+History&db=pubmed&query_key=1 

Q. I know it is a mistake to buy anything without checking the ingredients, but the name on the packet of "Traditional Home Style Preservative Free" Egg Noodles sort of lulled me into a false sense of security. These egg noodles contain two artificial colours Sunset Yellow (110) and the dreaded Tartrazine (102)! ... I wouldn't have even noticed if the water I cooked them in hadn't turned a sickly yellow colour! The back of the packet talks about how the family began making traditional noodles back in the 'thirties from a time-honoured family recipe and also says that that the family has a commitment to quality and hand-made authenticity ... isn’t this a bit misleading? I intend to email them to register my disappointment.

A. It is always worth emailing a food company with feedback about their product. Let us know about their reply and if you need any backup. Or nominate it for our Nasty Food Awards – send us the packet or a good photo of the packet and ingredients list.

Q. Because everything on the elimination diet is so 'green' I decided it would be a great idea to get red cabbage to liven my fried rice up a bit! ... problem is (being a novice) I had no idea that the red cabbage would colour the eggs in the fried rice an amazingly rich blue!!! ... lovely but it didn't look so appetizing! Then the next day I was thinking of using the cabbage to colour icing for some 'gingerless pigs'. How do I extract the colour without my icing tasting like cabbage??? ... Also, although I noticed the eggs went bright blue, water left in the bowl with some leftover cabbage in it went a kind of a beetroot 'red'... Just curious as to why, how and whether I can make two different colours out of my cabbage?

A. Cabbage juice will be different colours depending on whether it is acid or alkaline - you can make it acid by adding citric acid (red; that will also take care of the cabbage taste), and alkaline by adding soda bicarb (blue).

Q. I believe my six-year-old son may be affected by food additives as he is erratic, runs, yells loud and then fights with his two older brothers, although he can behave when he wants to. After observing my son, our paediatrician decided that he did not have ADHD nor did the food he eats affect him, instead he said it was my parenting skills. I do not believe this as I have two older boys who do not behave badly. The paediatrician refused to write me a referral letter. I need help.

A. There are a number of ways around this. If you need to prove to the paediatrician that behaviour management isn’t the answer you could do a parenting course such as 123 Magic (many community organisations are now offering this) or see the 123 Magic DVD (there’s a link from our website). You would probably find it very helpful to join one of our email support groups (see EMAIL SUPPORT GROUPS on the website)  You could ask your group or local contact if there is a supportive dietitian who can help you or write to confoodnet@ozemail.com.au for our list of supportive dietitians. Or you could cut down on problem additives and foods such as tomato sauce, citrus and broccoli, see the free downloadable Failsafe Booklet (under FAILSAFE EATING on the website).

Q. Are there any laxatives that can be used during our elimination diet?

A. Your dietitian may recommend one of the following laxatives – though obviously not the coloured or flavoured options:

psyllium hulls or husks - a type of dietary fibre that is used as a bulk forming laxative, the husks swell when they come in contact with liquids so should be taken with plenty of liquids - available from your health food store or as plain Metamucil from pharmacies

Ispaghula husks act in the same was as psyllium, available from your pharmacy as Fybogel

• guar gum - a vegetable gum sold in health food stores as a gluten free baking aid that you can add to muffins, bread etc, or as Benefibre in pharmacies

lactulose - a synthetic sugar available as Actilax from pharmacies

• Epsom salts (magnesium sulphate - do not confuse safe sulphates with nasty sulphites, only for occasional use as a laxative). A bath of Epsom salts is sometimes used to calm autistic children, see www.epsomsaltcouncil.org for health benefits including a claim to ease migraines. Consult your pharmacist about dosage.

• vanilla parachoc.

The information given is not intended as medical advice. Always consult with your doctor for underlying illness. Before beginning dietary investigation, consult a dietician with an interest in food intolerance. You can find a supportive dietitian through the Dietitians Association of Australia www.daa.asn.au or write for our list of supportive dietitians (confoodnet@ozemail.com.au)

© Sue Dengate