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18 December 2013

Here’s a catch up of what was discussed at last Thursday’s chat!

Is ‘gluten free’ and ‘very low gluten’ the same thing and is it safe to give a child with a gluten intolerance?

Gluten free products must have a gluten level of less than 20 parts per million (ppm) and products labeled as ‘very low gluten’ must have a gluten level of 100ppm.

If you are wanting to introduce a food into a diet but fear they may be a risk of allergy/intolerance please seek medical advice.

I am breastfeeding, do you have any dietary advice for me?

When breastfeeding it is important to eat a balanced diet and drink plenty of water. Also do not ‘diet to lose weight’. Also when breastfeeding try to eat around two portions of fish a week (make one oily but try not to eat more than two portions of oily fish per week). Avoid deep sea fish such shark and swordfish and limit tuna restrict alcohol and caffeine intake.

I am going to start to wean my baby but unsure about how much food I should introduce them too.

When introducing solids, milk (breast, formula, prescription)  is still the main source of energy. Start with small amounts of smooth food around 1-2 times a day.

Then introduce 2-3 small meals a day of a greater variety of foods. Milk should still be the main source of energy.

During weaning progress to introduce 2-3 meals a day which are thicker and lumpier. By the time the child is around 1-2 years they should share a normal family diet and eat approximately three main meals and two snacks per day.

Is it true that you can not improve bone health no matter how much calcium you take.

We reach our peak bone mass at around 30 years old so it important to store adequate reserves earlier in life. It has been found that adequate vitamin D and calcium intake in later life can slow the rate of bone loss but cannot stop the process.

Should I be concerened about the arsenic level in rice? My dietician has told me not to worry but I am. What does Kimmy think?

Aresnic is naturally occurring so it is not something that can easily be removed from food. The FSA recommends that tollders and young children do not consume rice milk (as a drink) as a substitute for breast milk/formula/prescription milk due to arsenic and other nutritional factors. You did the right think by discussing it with your dietician. I do think that if your dietician was worried about the levels your child was consuming then it would have been highlighted.