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Dietary nut avoidance and provision of emergency medication is currently the mainstay of treatment. Nut avoidance has consequences on both quality of life and nutrition. We review the terminology that may cause confusion and lead to unnecessary dietary restrictions. In peanut or tree nut\u2010allergic children, introduction of specific nuts to which the child is not allergic may improve quality of life and should be considered in patients with multiple foods allergies, vegan or ethnic\u2010specific diets, in whom nuts are an important source of protein. Nut\u2010allergic consumers do not just need to avoid foods containing nuts as an ingredient, but also contend with pre\u2010packed foods which frequently have precautionary allergen labelling (<jats:styled-content style=\"fixed-case\">PAL<\/jats:styled-content>) referring to possible nut contamination. Although the published rate of peanut contamination in \u2018snack\u2019 foods with <jats:styled-content style=\"fixed-case\">PAL<\/jats:styled-content> (see Box\u00a0<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#cea12466-fea-0001\"\/>) ranges from 0.9\u201332.4%, peanut contamination in non\u2010snack items with <jats:styled-content style=\"fixed-case\">PAL<\/jats:styled-content> is far less common. We propose that in some peanut\u2010allergic patients (depending on history of reactivity to trace levels of peanut, reaction severity, other medical conditions, willingness to always carry adrenaline, etc.), consideration may be given to allow the consumption of non\u2010snack foods containing <jats:styled-content style=\"fixed-case\">PAL<\/jats:styled-content> following discussion with the patient's (and their family's) specialist. More work is needed to provide consumers with clearer information on the risk of potential nut contamination in pre\u2010packed food. We also draw attention to the change in legislation in December 2014 that require mandatory disclosure of allergens in non\u2010pre\u2010packed foods.<\/jats:p>","DOI":"10.1111\/cea.12466","type":"journal-article","created":{"date-parts":[[2014,11,28]],"date-time":"2014-11-28T18:51:18Z","timestamp":1417200678000},"page":"859-871","source":"Crossref","is-referenced-by-count":60,"title":["Dietary management of peanut and tree nut allergy: what exactly should patients avoid?"],"prefix":"10.1111","volume":"45","author":[{"given":"H. 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