Peanuts as Baby Food?

GettyImages_464671264Should you begin exposing your infant to peanuts very early in life?  The answer may well be yes, even and especially if your baby is at risk to develop peanut allergy, a study Rick and I examine on PodMed this week  and published in the New England Journal of Medicine concludes.  How can babies at risk to develop peanut allergy be identified?  Turns out if they have the skin rash known as eczema, or have siblings or parents with the condition, this can be predictive.  Clearly parents will want to know about risk before exposing their infants, and skin testing may also help.  Finally, we conclude that peanut butter rather than whole peanuts may be the right vehicle, and Rick suggests that parents may want to attempt this in a physician's office so help is available if the baby has a reaction.  Since this is such a big and growing problem, seems like an 80% reduction in development of the condition is well worth attempting.

Other topics this week include pregnancy after bariatric surgery in the same journal, a report from the CDC and other federal agencies on common bugs and foods that cause food borne illness, and the risk of NSAIDs in those who've had a heart attack in JAMA.  Until next week, y'all live well.

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