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http://Www.tinytotsnutrition.co.uk/

Tiny Tots Nutrition, 141b Kingston Road, Wimbledon (2026)

19/09/2022

A CHANGE IN DIRECTION…🌱🌱🌱

Dear parents,

I wanted to write to you all to let you know that I am changing direction slightly with my business in that I will be focusing on Plant Based Nutrition for children going forwards.

For about 18 months now, I have been running my Tiny Tots Nutrition business helping parents to navigate the world of food allergies, as well as running my other platform .uk

After a huge amount of deliberation, thought and soul searching, I have decided that I want to focus my energy on PLANT BASED KIDS and will move away from seeing children with food allergies over the next few months.

I want to be totally honest and transparent with you all, so I am writing to you all to let you know that I will no longer be providing new content on this page. I will be keeping this page open as a FREE RESOURCE but I will no longer be replying to comments or DMs from 1/10/22.

If you are interested in plant based nutrition for children, I’d LOVE you to join me over .uk. There will be LOADS of exciting new projects, resources and recipes for you to enjoy.

I’d love to hear your comments/feedback/questions below ⬇️

With all best wishes,
Paula x 💚🌱

12/09/2022

CALORIE BOOSTERS

Some babies may struggle with weight gain and it’s important to offer nutrient-dense foods to offer the most nutrition possible in every bite.

SEED & NUT BUTTERS 🌰🥜
These all add protein and healthy fats as well as containing many vitamins and minerals such as vitamin E, zinc and iron.
Add to porridge or other cereals, spread on toast, stir into yoghurts, use as a dip... so many options!

CHEESE 🧀
Great to add to vegetables, sauces and soups. Watch the salt content of hard cheeses. Cream cheese and soft cheeses can be great options too, stirred into pasta or spread on toast and tend to be lower in salt. Think fresh mozzarella, marscapone or ricotta.

PLAIN GREEK YOGHURT 🥛
Full fat Greek yoghurts tend to have more fat and protein than regular yoghurt. Great for dips, a dollop over a curry or as a dessert with fruit 🍌🥭🥝🍓🫐

EGGS 🥚 🍳
Eggs are so versatile and nutritious. You can serve them in so many ways! Hard boiled and cut into strips, mashed, omelettes, frittata, baked eggs. The list is endless!

AVOCADO 🥑
Packed full of heart healthy fats and vitamins, avocado is a great way of adding calories to a meal. Mash and spread on toast or offer as a finger food.

OILS and FATS 🧈 🫒 🥥
Olive, rapeseed or coconut oils can be used to add calories to vegetables. Aim to use a variety of fats/oils.

Which of these are your LOs favourites?

🍎

09/09/2022

⭐️ THE EGG LADDER ⭐️ ⠀

🍳 The egg ladder is a guide to the home reintroduction of egg. It is ONLY suitable for children who have, or are growing out of, a delayed or non-IgE type egg allergy or those who have been advised by their doctor/dietitian that home introduction of egg is safe.⠀
⠀

🍳 Around 80% of people with an egg allergy can eat egg that has been well cooked/baked and will only develop symptoms of an egg allergy when they eat lightly cooked eggs, such as scrambled eggs or raw eggs in fresh mayonnaise. This is because the structure of egg protein is changed when it is cooked, making it less allergenic. ⠀
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Things to consider BEFORE you start the egg ladder:⠀
1️⃣ Ensure your child is well and eczema, asthma or hay fever is well controlled.
2️⃣ If your child has used a blue inhaler in the last 3 days, delay starting the introduction. ⠀
3️⃣ No new medication should be started in the 2 weeks preceding.
4️⃣ Choose a day when you have time to observe your child for at least 2 hours after they have eaten the food containing egg.⠀
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⠀
STAGE 1️⃣ – baked egg in a flour matrix ⠀
STAGE 2️⃣ – baked egg in other foods⠀
STAGE 3️⃣ – cooked whole egg, hard boiled ⠀
STAGE 4️⃣ – lightly cooked egg (1 medium egg, scrambled/soft-boiled/fried/omelette)⠀
STAGE 5️⃣ – undercooked / raw egg (CHECK with your doctor/dietitian FIRST before oprogressing to this stage). ⠀
⠀
NOTES:⠀
✅ It’s recommended to spend at least 3 days on each stage (varies widely).
✅ Don’t introduce any other new foods while introducing egg.
✅ If your child refuses to eat the food, do not force them.
✅ Observe your child closely for at least 2 hours after they have eaten their first portion of egg and each time you increase the portion size.

❓Any questions? Let me know below ⬇️

06/09/2022

🍳EGG ALLERGY 🍳

I’ve had a few questions about egg allergy, so thought I’d re share this post ⬇️⬇️⬇️

🍳Eggs are one of the more common foods to trigger an allergic reaction in babies and young children. Egg allergy is reported to affect 2% of young children in the UK (1 in 50). Most children with an egg allergy will outgrow it by the time they go to school, but in some cases it will persist into later childhood and rarely into adulthood.

🍳Babies who have eczema, have another food allergy (such as cow’s milk protein allergy) or a strong family history of allergy (parent or sibling), have an increased likelihood of developing an egg allergy.
Symptoms of an egg allergy can range from mild to moderate to severe (anaphylaxis). Severe reactions are more likely to occur with raw egg and if a large amount of egg is eaten.

🍳However, most reactions are mild and in IgE mediated or immediate type allergies, symptoms such as redness, swelling of lips or eyes, vomiting and diarrhoea are commonly seen soon after the egg is eaten. Babies can often show reluctance or refuse to eat the egg. Egg allergy can also cause eczema to flare up.

🍳Severe reactions to egg are also possible, but much less common. Symptoms affecting breathing may occur and be seen as a cough or noisy breathing as well as the circulation being affected (baby may become pale and floppy) – call an ambulance immediately in this case.

🍳Around 80% of people with an egg allergy can eat egg that has been well cooked/baked such as an ingredient in a cake or pancake and will only develop symptoms of an egg allergy when they eat lightly cooked eggs, such as scrambled eggs or raw eggs in fresh mayonnaise or chocolate mousse. This is due to the fact that the structure of the egg protein is changed when it is cooked, making it less likely to cause an allergic reaction.

🍳Therefore, not all children with an egg allergy will need to avoid all forms of egg. However, this needs to be decided on an individual basis and will depend on the severity of previous reactions as well as the results of allergy testing. Please speak to your GP first.

👇🏻Questions? Ask below ⬇️

01/09/2022

DO I NEED TO AVOID DAIRY WHEN BREASTFEEDING MY BABY WITH CMA?? 🤱

This is a question I’m asked all the time! The answer is NOT NECESSARILY but of course it’s not straightforward, like most nutrition questions, there are nuances.

🤱 CMPA can occur in breastfed babies but it is much less common than in formula fed babies. 0.5-1% of exclusively breastfed babies show reactions to cow’s milk protein compared with 2-7.5% of formula fed babies. It is thought that immunomodulators present in breast milk and differences in the gut bacteria of breastfed and formula fed infants, may contribute to this.

🤱The level of cow’s milk protein present in breast milk is 100 000 times lower than that in cow’s milk. Not all breastfeeding mums need to restrict dairy products from their diet, as some babies with CMPA only react to dairy products given to them in their own diet.

🤱In order to prove/disprove a delayed type allergy to cow’s milk of an exclusively breast fed baby, a trial elimination of dairy products (for mum) for 2 to 4 weeks is recommended and then a reintroduction to see if symptoms return (or not).

🤱If you need to exclude dairy products form your diet, it is really important that you are supported to help you maintain a good nutritional intake to support breastfeeding for as long as you wish to continue, preferably until 2 years of age as recommended by the World Health Organisation.

🤱Fortified alternatives to dairy/soya milk, yoghurt and cheese can be very useful for breastfeeding mums to meet your nutritional requirements. However, you may need supplementation if you cannot meet your nutritional requirements of 1250mg calcium, 10ug vitamin D and 150-200ug iodine per day. Ask a Registered Dietitian for help.

🍎

26/08/2022

WHAT ARE THE SYMPTOMS OF CMPA?

I had loads of questions about possible CMPA symptoms, so I thought this may be helpful…

IgE mediated CMPA (IMMEDIATE TYPE)
* IgE stands for ‘immunoglobulin E’ - an antibody produced by your immune system. This type of CMPA occurs very quickly after a food with milk protein in it has been eaten - typically a few minutes and up to 1-2 hours afterwards.
* These reactions can be brought on by very small quantities of milk protein which binds to allergen specific IgE receptors in the body leading to the release of histamine and other inflammatory chemicals.
* Skin prick tests or specific IgE blood tests can help with the diagnosis of this type of allergy, along with an allergy focussed diet history. ⠀
⠀

Non-IgE mediated CMPA (DELAYED TYPE)
* These are delayed type of allergies and occur more than 2 hours and up to 2-3 days after eating a particular food.
* This is NOT an intolerance, as this type of CMPA still involves the immune system. Different components of the immune system are involved (not IgE antibodies ).
* They are more difficult to diagnose than immediate-type allergies. ⠀
* Unfortunately there are no tests to help with the diagnosis of this type of allergy at the moment – the only way to diagnose this type of allergy is to eliminate the suspected food for 2-4 weeks, check for symptom improvement and (crucially) reintroduce the suspected food to confirm if symptoms return. Please seek the help of a paediatric dietitian if you suspect your child has this type of CMPA.

PLEASE NOTE:
Many of the gut symptoms of delayed CMPA can occur on their own (eg. Colic or Reflux) and these symptoms alone do not necessarily mean a baby has CMPA, but they may form part of the picture.

Please discuss your concerns with your doctor - a careful history by a trained professional is key to a CMPA diagnosis

MIXED PICTURE OF BOTH TYPES
It is possible for babies/children to have features of BOTH IgE mediated and non-IgE mediated CMPA

What were your baby’s symptoms of CMPA? ⬇️

24/08/2022

DAIRY FREE SNACK IDEAS

I had a few requests for dairy free snack ideas, so I have put together a few ideas for you for those of you with children who have cow’s milk protein allergy (CMPA).

Babies only need snacks from around 12 months of age. Think of them as “mini-meals” and a way of topping up nutrients. Try to include at least 2 of these at each snack:
1️⃣ Carbohydrate/energy rich food
2️⃣ Protein rich food
3️⃣ Fruit or vegetable or both! .

EXAMPLES (swipe right to see photo) ➡️
🥜 Peanut butter on oat cake with 1/2 satsuma
🥒 Hummus, 1/4 pitta bread and cucumber
🥑 Smashed avocado, 1/4 bagel, cherry tomato (cut into 1/4s)
🍌 1/4 - 1/2 Banana and almond butter

OTHER EXAMPLES:
• 100ml Fortified Pea/soya/oat based dairy alternative drink + fruit 🍓🍑🍐
• 2-3 Tbsp dairy free yoghurt alternative + fruit 🍇 🍉🥭

What are your LO’s favourite dairy free snacks?

🍎

22/08/2022

THE MILK LADDER 🪜

I received LOADS of questions about the milk ladder in my last Q&A so I thought I’d share this post again…

🥛The milk ladder is ONLY recommended for children with mild to moderate non-IgE or delayed type CMPA. It is NOT appropriate to reintroduce milk into a child’s diet at home if they have an immediate type allergy (unless advised to do so by your allergy clinic). This would usually be done in a hospital setting. It is also important that your child is well and that any tummy/bowel symptoms or eczema are settled.⠀
⠀ ⠀
⠀
🥛The milk ladder is a stepwise, systematic way of reintroducing cow’s milk protein back into a child’s diet after a period of avoidance. The concept of the milk ladder is based on the fact that research shows that the more ‘baked’ cow’s milk protein is, usually the less allergenic it is.⠀
⠀ ⠀
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🥛Therefore the first step of the ladder begins with a very well baked milk protein and then the further steps are examples of gradually less well-baked milk protein products.⠀
⠀ ⠀
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🥛The milk ladder consists of 6 steps (previous version had 12 steps) but this may be adjusted by your HCP. The time spent on each step will also vary from one child to another depending on the type of CMPA and individual symptoms.⠀
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🥛A recipe accompanies each of the early steps of the ladder and all options on the milk ladder are also soya free. There are also wheat and egg free options available, if required.⠀
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🥛If your child does not tolerate the food in a particular step, simply go back to the previous step. Your HCP will advise you when that step can be tried again. The amounts of each food to be offered vary and your HCP may advise smaller / larger quantities, depending on individual circumstances.⠀
⠀ ⠀
⠀
STEP 1: Biscuit*⠀
⠀
STEP 2: Muffin*⠀
⠀
STEP 3: Pancake*⠀
⠀
STEP 4: Cheese⠀
⠀
STEP 5: Yoghurt⠀
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STEP 6: Milk / suitable formula (depending on the age of your child)⠀
⠀ ⠀
*has an accompanying recipe⠀
⠀ ⠀
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🥛The age at which the milk ladder is started varies enormously. A period of at least 6 months of cows milk protein avoidance is usually recommended or until around 10-12 months of age. Your allergy team will guide you further.

16/08/2022

NUTRITIONAL YEAST

WHAT IS IT?
Nutritional yeast or ‘nooch’ as it is commonly known, is a deactivated yeast often from a strain called Saccharomyces cerevisiae.

It is sold as a food product and it looks a bit like fish food! 😂
It is in the form of yellow flakes or granules.

WHAT IS IT USED FOR?
It’s used in vegan or allergy friendly recipes to give a cheesy or umami flavour. Often used in dishes such as sauces/soups/stews and also over pasta as a vegan parmesan.

It’s also a great source of B vitamins (not vitamin B12 unless it is fortified), zinc, protein and fibre whilst being low in salt. Swipe right for nutritional profile ➡️

Do you use nooch?? What’s your favourite recipe to use it in? I’d love to know!
Paula x

11/08/2022

NEW PEA BASED DAIRY ALTERNATIVE

Thank you to a lovely follower for sending me details of this pea-based dairy alternative drink, that also contains coconut 🥥.

Families of children with cows milk allergy or plant based families may be interested in this information…

Swipe right for the nutrition information ➡️

None of the dairy alternative drinks available are ‘perfect’ but some are better for toddlers and young children than others.

GOOD POINTS
✅ Micronutrients - It’s fortified with calcium, iodine, vitamins D and B12.

✅ Protein - It has a good amount of protein (3.4g/100ml) which is similar to cows milk and soya drinks and more than that found in breast milk.

NOT IDEAL
❌Salt - the salt content is quite high at 0.3g/100ml. That’s almost 1g salt in 300ml which is an average amount a toddler might be drinking. Toddlers should have no more than 2g salt in total per day.

❌Energy - calories are on the low side for toddlers at 30kcal/100ml (similar to skimmed milk).

OVERALL
Overall I’d say I probably wouldn’t recommend this particular dairy alternative drink for toddlers but it could be another fortified option for older children or adults.

Have you tried this dairy alternative drink yet? Let me know below what you think ⬇️

Paula x

Ps. REMEMBER:
The ideal milk for all toddlers is breast milk. The WHO recommends breastfeeding to 2 years and beyond.

If your toddler is breastfeeding at least 3-4 times per day you don’t have to or need to introduce cows milk or a dairy alternative as a drink after 1 year of age. You can offer other dairy products such as full fat yoghurt or cheese or fortified dairy free versions as additional calcium sources. X

26/07/2022

Out of office on!

18/07/2022

SHOULD I RUB A FOOD ON MY BABYS SKIN FIRST IF I’M WORRIED THEY ARE ALLERGIC?

In short, NO!

This is a question that comes up often in my weekly Q&As and weaning workshops for parents, so I thought I’d post this again. Hope it’s helpful ❤️

I can totally understand why parents would like the idea of a test that could “predict” if their baby is allergic to a particular food. However, rubbing or smearing food onto a baby’s skin does not necessarily tell us if they are allergic to that food.

Remember:
1️⃣ Babies have very sensitive skin and sometimes the contact of certain foods with the skin can caused localised redness but this is not a food allergy.

2️⃣ Babies who have eczema have a damaged skin barrier and it is particularly important NOT to rub food proteins on to a baby’s skin who has eczema, as this is thought to be a route for the immune system to become sensitised to food proteins before those foods have been eaten. This can actually increase a babies risk of developing a food allergy so the exact opposite of allergy prevention!

3️⃣ If your baby has early onset eczema they may be at increased risk of developing a food allergy, so please speak with a health professional to seek help with managing your baby’s eczema.

4️⃣ If you are feeling nervous or anxious about introducing allergens, my top tip is to start SMALL… the smaller the quantity of food served the less severe an allergic reaction is likely to be, if it happens at all. Remember 95% of children DON’T have a food allergy!

If you would like some further guidance and support for introducing allergens during weaning, I have an e-book to help you with introducing allergens to your baby when starting solids. Check out the link in my bio 😊

❓I hope this was helpful, let me know if you have any questions.

🍎

Tiny Tots Nutrition

19/09/2022

12/09/2022

09/09/2022

06/09/2022

01/09/2022

26/08/2022

24/08/2022

22/08/2022

16/08/2022

11/08/2022

26/07/2022

18/07/2022

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