Recipes for Recovery 003: Navigating Allergies and Intolerances in ED Recovery 

“First we eat, then we do everything else.” 

-M.F.K. Fisher

Eating disorder recovery can be challenging and the added stress of managing allergies and intolerances can make it even more difficult. When someone has a food allergy or intolerance, their relationship with food is inevitably disrupted. Food freedom, a concept the eating disorder community promotes, may be difficult to achieve if you have a food allergy or intolerance. 

To start, it may be helpful to review the difference between an allergy and an intolerance. An allergy is an immune system response, while an intolerance is a digestive response. The most common food allergies are peanuts, tree nuts, fish, shellfish, milk, eggs, soy, and wheat. Common food intolerances include dairy (lactose) and gluten. Symptoms of a food allergy may include rash, hives, shortness of breath, chest pain, and anaphylaxis. Symptoms of food intolerance include nausea, stomach pain, gas, cramps, bloating, vomiting, and diarrhea. Pro-tip: the best treatment for those with lactose intolerance is to take Lactaid before meals. However, if you have a milk allergy you should avoid dairy altogether! 

Sometimes, claiming an undiagnosed food allergy or intolerance is a way to justify restrictive food behaviors. GI distress is common as your body is healing from an eating disorder. It is understandable to believe that you are allergic or intolerant to a specific food after experiencing adverse GI effects, however, the issue may be the bodies lack of exposure to that food, not the food itself. Sometimes, the best course of action may be continued exposure (as uncomfortable as it may be). If you are avoiding foods for reasons other than an allergy or intolerance, it is important to explore the reasons for doing so. For example, some people avoid eating meat for ethical reasons. Be sure to think deeply about your intentions for avoiding certain food groups to assure they are coming from a healthy place and not your ED. In general, it is recommended that those in ED recovery not avoid any food groups unless absolutely necessary, as this may exacerbate the eating disorder. 

If you suspect you have an allergy or intolerance it is best to get tested as soon as possible. If tests indicate you are allergic or intolerant of a certain food group, you should work with your individual RD to assure that you find adequate substitutes for those foods to make up for any nutrients that may be lost. There are plenty of options for those with special dietary needs. Being aware of them is the best way to assure your nutritional needs are safely met, and can make navigating ED recovery much easier. Below you can find a list of my favorite alternative brands as well as a simple and delicious gluten-free, dairy-free pasta recipe. 

Gluten-free:

  • Bread: Udi’s, Canyon Bakehouse, Glutino, Schar, Katz 

  • Pasta: Banza, Ancient Harvest, La Veneziane, Jovial, Barilla

  • Cereals: Honey Bunches of Oats, Rice Krispies, Vans, Honey Nut Cheerios

  • Granola: Purely Elizabeth, KIND, Udi’s

  • Crackers: Mary’s, Simple Mills, Glutino, Blue Diamond

  • Cookies: Tate’s, Simple Mills, Glutino, Schar 

Dairy-free:

  • Milk: Almond Breeze, Silk, Oatlay, Ripple

  • Yogurt: Kite Hill, Forager, So Delicious, Daiya

  • Cheese: Daiya, Miyokos, Kite Hill, Follow Your Heart

  • Butter: Earth Balance, Miyokos 

Vegetarian:

  • Meat: Morningstar, Quorn, Boca, Field Roast, Gardein, Beyond Meat  

  • Eggs: Follow Your Heart, Just Egg 

Nut-free bars:

  • Luna Bars (only the S’more and Lemon Zest flavors!)

  • Clif Bar Crunch (only the Chocolate Chip flavor!) 

  • KIND Breakfast Bars (only the Honey Oat flavor!) 

  • Bobo’s

  • Made Good

  • Nature’s Bakery 

  • 88 Acres 

  • Don’t Go Nuts 

  • Enjoy Life

  • Freedom Foods

Rotini Pesto with Tomatoes (gluten-free and dairy-free)


Prep time: 5 min

Cook time: 15 min

Difficulty: Easy

Servings: 2-3


 GROCERY LIST:

  • One box of Banza rotini 

  • One 8 oz. tub of Trader Joe’s Vegan Kale Cashew Pesto  

  • Cherry tomatoes (about 10-15)

  • Salt 


DIRECTIONS:

  1. Bring roughly 8 cups of salted water to a rolling boil. 

  2. Add the full box of Banza, stir immediately.

  3. Cook to desired firmness (about 6-8 minutes) stirring occasionally. 

  4. While the pasta is cooking, wash and cut the cherry tomatoes into halves. 

  5. Strain and rinse the pasta. 

  6. Stir in the full tub of pesto sauce and toss in cherry tomatoes. Serve warm.

  7. Enjoy!


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