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Neocate Recipe Book
Neocate
Recipe Book
Your Guide To Weaning And Beyond
Foreword
Your baby grows and develops dramatically during their first year of life: His/Her birth
weight doubles by six months and triples by one year. Rapid growth continues beyond age
1 and nutrition plays a very important role.
From about 6 months, neither human breast milk nor infant formula milk intake alone are
enough to meet their needs. Introducing solid foods, known as weaning, is essential for
continued growth and development. Over time, their feeding skills improve and teeth arrive
increasing the variety and texture of foods your baby is capable of managing. By age 1,
most babies are able to enjoy feeding themselves a wide variety of family foods.
A suspicion of food allergy during this time can be worrying and confusing; this booklet
aims to address these fears. A diagnosis of Cows’ Milk Protein Allergy can present you
with many challenges: what’s best to feed my baby, when to start weaning and what
weaning foods are suitable? This booklet aims to provide you with practical help and
guidance.
Human breast milk is the preferred fuel for growth. For the first 6 months of life babies
including those with food allergy ideally should only receive breast milk. If however you
have made an informed decision to bottle feed your baby then a hypoallergenic formula,
such as Neocate LCP, should be given.
Most healthy babies do not need any solid food before 17 weeks of age. When your baby
is ready and from about 6 months they will start to show a greater interest in food and will
be ready to start weaning. Neither breast milk nor Neocate LCP alone can meet these
needs and “solid” food becomes essential. This is a time where your baby learns new skills
that encourage development. It is a gradual process that introduces your baby to new
tastes and textures and eventually onto “family” foods.
It will be important to avoid all contact with cows’ milk protein during this time. Avoiding
cows’ milk in childhood is a major nutritional concern. Excluding an entire food group
(milk and dairy products) can have serious repercussions on vulnerable developing bones
and needs careful consideration and planning. You will also need to discuss with your
healthcare professional (HCP) whether you need to avoid goat milk and soy milk. There is
a high risk of reacting to these foods with Cows’ Milk Protein Allergy.
This booklet aims to provide you with all the information you will need to do this while
guaranteeing that your baby gets the right nutrition for growth and development.
Consultant Dietitian: Paediatrics
Weaning....................................
7
Stage 1.....................................
11
Stage 2.....................................
17
Stage 3.....................................
23
Recipes.....................................
27
Allergen symbols ........
28
Stage 1.......................
30
Stage 2 & 3................
36
Toddlers....................................
59
Recipes for toddlers .................
69
Contents
Contents
You have been given this recipe book to support your use of Neocate LCP which has been
prescribed by your healthcare professional
3
Weaning
Weaning
When To Start Weaning
All babies are different but most healthy infants should start weaning from
6 months of age.
Signs your baby is ready for weaning
Your baby is ready to start exploring food from a spoon when they:
If your baby seems interested but refuses food, don’t force them, try again the
next day.
Why weaning is important
zinc have been pretty much used up. Their growth and development continue
all the while but neither breast milk nor formula can meet their requirements.
Introducing solid food from a spoon becomes essential to support growth,
development and important skills of eating, drinking and swallowing. This is a
gradual process and it introduces your baby to new tastes and new textures.
7
As your baby eats more solid foods, you will find that the amount of Neocate
LCP they are taking may start to decrease.
Weaning
Weaning
Neocate LCP and weaning
A minimum of 600ml (20oz) of Neocate LCP is needed during weaning
(6-12months).
Neocate LCP will provide your baby with most of their requirements for key
nutrients as they progress through weaning and should continue to be your
baby’s main drink for the first 12 months of life.
Offer cool boiled water if extra fluid is needed.
See Toddler Section for information on Neocate follow-on products for 12months+
All babies, breast fed and bottle fed, need a vitamin D3 supplement in
the form of vitamin drops from birth to age 1 year. Please discuss with your
pharmacist, doctor, nurse or dietitian for more details
8
4
Stage 1
Stage 1
What to expect
all part of weaning and learning
morning time so that any reaction can be observed
It’s a good idea to keep a record because it’s easier to observe any link
between food, symptoms and timing for example:
DATE
TIME
FOOD EATEN /
MEDICATION TAKEN
QUANTITY
SYMPTOMS EXPERIENCED
& DESCRIPTION
TIME/
DURATION DATE
May 12th
10.30
Carrot purée
1 teaspoon
Crying-longer than usual
10.45-11.45
May 13th
10.30
Carrot purée
1 teaspoon
-
-
May 14th
10.30
Carrot purée
2 teaspoons
-
-
May 15th
10.30
Baby rice + Neocate
1 teaspoon
Diarrhoea-yellow
11.15 once
May 16th
10.30
Baby rice + Neocate
2 teaspoons
-
-
Over the next 2 weeks aim to:
their mouth for the spoon, turn their head away from the spoon
offer something else they like and wait about 5 days before offering the
refused food again
It is normal for your baby’s stools to smell differently and change colour when
solids are introduced
Feeding fact!
11
Suggested foods at 6 months (Duration 2 weeks)
CATEGORY
DESCRIPTION
Root Vegetable Purée
Carrot, Parsnip, Turnip
Other Vegetable Purée
Butternut Squash, Aubergine, Courgette, Broccoli
Grain & Starch Purées
Corn, Millet, Rice, Sweet Potato, White Potato
Meat & Poultry Purées
Lamb, Beef, Pork, Chicken, Turkey
Fruit Purée
Banana, Melon, Avocado, Plum, Apricot, Pear, Peach
Starting to Wean
Stage 1
Stage 1
Neocate LCP, cooled boiled water or vegetable water can be used to mix with these foods
to get the texture right. See recipe section for ideas.
12
6
Stage 1
Best avoided for all infants up to 12 months
FOOD
REASON
Honey
Risk of food poisoning
Unpasteurised Cheese
Risk of food poisoning
Undercooked Egg
Risk of food poisoning
Bran
Difficult to digest and can reduce absorption of iron,
calcium and zinc
Tea
Caffeine and tannin content can reduce absorption
of iron and calcium
Added Salt e.g In Sauces And Gravy Mixes
Long term effect on blood pressure and increased
taste for salty foods
Processed Meat: Ham, Rasher, Sausage
High in salt and can have levels of additives and
preservatives that are unsuitable for babies and small children
High Fat High Sugar Foods
Increased taste for sweet food, long term risk of
overweight and tooth decay
Whole/Chopped Nut
Risk of choking
Gluten containing foods (wheat, rye, oat, barley)
Introducing gluten before 4 months or after 7 months can increase the risk of
introduce very small amounts gradually after 2 weeks of Stage 1 foods.
Other food allergens
For those infants with a strong family history of food allergy or in infants at high
risk of food allergy you should discuss introducing the following foods with your
healthcare professional.
Soy, Wheat, Egg, Peanut, Other Nuts, Lupin, Legumes, Fish, Celery, Kiwi
13
Stage 1
If you decide to use commercial baby food you will need to check every
label every time for cows’ milk and other allergens.
While some sources of milk may be obvious, others can be less obvious (see table below).
When you’re shopping, read food labels and watch out for the following products
and ingredients which should be avoided on a milk-free diet:
/
*))'# "!
/'#
/
*))'*))')*))'% "
/)%"*# $
/( $.) ( ()&'%) $ $# "!(%
look out for: caseinates, hydrolysed casein,
sodium caseinate, calcium caseinate,
ammonium caseinate, magnesium caseinate
potassium caseinate
/'' $
/ "!'(+&%')
condensed, dried)
/ "!(%" (
/(
/% # "!(
/%%")
/'#%'') "'#
/%$)# "!(%" (# "!(%" (
# "!&%,'# "!&'%) $
/*'
/$$$)
/*()'
/! ### "!&%,'
/"' *))'
/-,-(%" (,-(-'*&
(,)$',-&%,', )$r
/-'%"-(,-&'%) $
/%*')'%#' (
/-'%"-(,-(*'
/)%"%*" $
14
Stage 2
Stage 2
Stage 2 between 6-9 months (duration 3-4 months)
Other Allergens
It’s important for you to discuss your baby’s risk of allergy to other foods at
this stage with your healthcare professional. Wheat, soy, egg, fish, kiwi, celery,
lupin, legumes, peanut and other nuts may cause allergic reactions. Once
these allergies have been excluded, these foods can and should be included
smooth butter form due to the risk of choking on whole or chopped nuts.
Gluten containing foods
Week 1: one portion every 3 days
Week 2: one portion every 2 days
Week 3: one portion every day
Week 4: more than one portion every day
One portion of gluten containing milk-free food:
Half a slice of white bread/ half a Weetabix™/ half an Oatabix™
2-3 cooked (dried) pasta pieces
5-6 level teaspoons Ready Brek™/Wheat or oat based baby cereal/Porridge
1 Farley’s Original Rusk™/Liga Original Rusk™
17
Stage 2
Suggested milk-free Stage 2 foods
CATEGORY
FOOD
Dairy substitutes:
Neocate LCP
Cartons of soy milk, oat milk, almond milk,
hazelnut milk or coconut milk (UHT or chilled)
5$**.!'%#$/1-%!/%!.*-)* ! .0#-1-%!/%!.
/$/$1! ! '%0() 1%/(%)D
*3$!!.!.*33*#0-/
0//!-*-.+-! ..$*0' )*/!
! /*"** //$%../#!'%1!.0)"'*2!-*-1!#!/'!*%'.
)!0.! %)./! -*$3 -/!.!-!'.#-%).+*//*!/
/-%!*-)(%''!/,0%)*2$!/.+!'t
2$%/!+*//*.2!!/+*//* -%! **&! +./
bread
-*/!%)!/+*0'/-3"%.$)0/.) +0'.!.
*)!'!..*%'3) 2$%/!"%.$(%)! (!/) +*0'/-3$- *%'! !##(.$! +!.!).) lentils, smooth nut pastes/ butters and nut flour,
hummus
-0%/) 1!#!/'!.
*1!*)"-*("-0%/+0-7!/*$*++! *-.*"/%/!
.%4! 1-%!/%!./$/-!"-!.$) %).!.*)
-*4!)1-%!/%!.-!.0%/'!
%)#!-"** s
Dry toast*, cooked pasta pieces, bread stick*,
-2.*"/*-**&! %/!.%4! 1!#!/'!*-
"-0%/+%!!.1* *$0)&..*3$!!.!+%!!.
fresh cooked meat or poultry pieces
)")/..$*0' )*/!'!"/0).0+!-1%.! 0!/*-%.&*"$*&%)#
$!&-! ) -! ./%&'!'."*-*2.(%'&
Over the next 3-4 months aim to:
potato portions
This will encourage self feeding and improve hand eye co-ordination
18
every meal doesn’t need to be finished
wait about 5 days before offering the refused food again
Stage 2
Feeding fact!
Progressing through weaning- Infants who start weaning at 6 months will
usually move through Stage 1 quicker than infants who start solids before 6
months
Lumpy foods - After 2-3 weeks of Stage 1 foods your baby should be
moved on to a wider variety of lumpier Stage 2 foods
Gagging
Gagging is a normal part of weaning and happens when your infant is
learning how to move lumps of food around their mouth. It is a normal feature
of learning to eat and swallow
Gagging is a sign that your infant can protect their airway and can clear food
from the back of their mouth. This reflex will gradually lessen over time
provided your baby is challenged with new textures
Gagging is not choking, but it can be scary for parents when it happens and
you might be tempted to avoid offering lumpier textures
Gagging is something that will only start to lessen when your baby is
repeatedly challenged with lumpier textures
Drinking from a cup - Your baby should be encouraged to start drinking
from a free flowing lidded cup at this stage, expect a mess as they learn
another important skill of how to sip
Developing taste buds - Providing a wide variety of foods without added
sugar and salt can help prevent your baby developing a strong preference for
these foods as they grow
19
Stage 2
Iron rich foods are an important part of the weaning diet at this stage to
help prevent anaemia. Haem iron from beef, lamb, pork and poultry is more
easily absorbed than non haem iron from green leafy vegetables, pulses
(pea, bean, and lentil), supplements and formula. Cured meats (ham, bacon,
rasher, sausage, salami) are not suitable haem iron sources. They contain
too much salt and can contain many additives and preservatives and often
contain cows’ milk protein. Bran and tea reduce iron absorption and should
be avoided. Other foods best avoided at this stage are listed on page 13
Omega 3 fats
have an important role in brain and eye development. Breast milk and
Neocate LCP
baby’s weaning diet contains good food sources of Omega 3 fats. Once
fish allergy has been ruled out, you should aim to include two 1 oz portions
of boneless salmon, trout or mackerel a week from 7 months. This will also
20
Stage 3
Stage 3
Stage 3: between 9-12 months (duration 3-4 months)
Other Allergens
In discussion with your healthcare professional it should be clear at this stage
if cows’ milk allergy persists and if there are any other foods that need to be
avoided because of allergy.
Suggested milk-free Stage 3 foods
CATEGORY
FOOD
Dairy substitutes:
Neocate LCP
Cartons of soy milk, oat milk, almond milk,
hazelnut milk or coconut milk (UHT or chilled)
2"((+%#!",.*#,#+(*'(+-!*.*#,#+
,",".%#-&'.#,&#'D
(0"+(00(!-*,/#,""()) *-#t
-*(%#.+-' %(/*.!,%(#%+(*(/+&#%$ *+)*+( ,"&'-+
/"*,"#,#('( butter may be of benefit.
#'!* ((s
(+,/#,"+(0"+*#$/#,"'-,
-,,*"-&&-+)'$)%#'(* *-#,+('
+( ,*#)*#(, #!-'+%,*$*+*
)#,,*"-'$0)#+( *-#,'.!,%+
' ',++"(-%'(,% ,-'+-)*.#+-,(*#+$( "($#'!
"$%%+ (*(/+&#%$
Over the next 3-4 months aim to:
portions
based on a wide variety of family foods
Feeding fact!
from cows’ milk protein) along with all family members
avoided and in doing so will help lower your baby’s preferences for high fat, salt
and sugar foods in later life
23
Recipes
spoon OR small food processor
Recipes
Basic equipment needed to prepare
smooth weaning foods
OR sieve and wooden
27
Recipes
28
Allergen legend for recipe section
Free from
FREE
FREE
FREE
(egg free)
(wheat free)
(free from all allergens)
FREE
FREE
(peanut & tree nut free)
(soy free)
FREE
FREE
(cows’ milk-free)
(fish free)
Recipes
Contains
CONTAINS
CONTAINS
(contains egg)
(contains wheat)
CONTAINS
CONTAINS
(contains peanut & tree nut)
(contains soy)
CONTAINS
CONTAINS
(contains cows’ milk)
(contains fish)
29
STAGE 1: Starting to Wean - Recipes
4-6 months (duration 2 months)
3 portions
INGREDIENTS
FREE
Neocate LCP (1 scoop to 30ml cooled boiled water)
METHOD
1. Place the apple and pear in a small saucepan with a little water
2. Simmer until tender, drain and leave to cool
3. Blend the fruit until smooth using a food processor or hand blender
4.
5. Stir in Neocate LCP thoroughly and serve
VARIATIONS
Recipes · Stage 1 · Apple and Pear Purée · Baby Rice
Apple and Pear Purée
Neocate LCP once it has been defrosted
Baby Rice
1 portion
INGREDIENTS
cows’ milk protein)
Neocate LCP (2 scoops to 60ml cooled boiled water)
FREE
METHOD
1. Place 2 teaspoons of baby rice into a clean bowl
2. Add 60ml of Neocate LCP and stir thoroughly
3. As your baby grows use a larger spoon for measuring the rice
and more Neocate LCP
VARIATIONS
31
3 portions
INGREDIENTS
FREE
Neocate LCP (1 scoop to 30ml cooled boiled water)
METHOD
1. Place the potato and leek in a small saucepan with a little water
2. Simmer until tender, drain and leave to cool
3. Blend the vegetables until smooth using a food processor or hand blender
4.
5. Stir in the Neocate LCP thoroughly and serve
Sweet Potato and Carrot Purée
3 portions
INGREDIENTS
FREE
Neocate LCP (1 scoop to 30ml cooled boiled water)
METHOD
Recipes · Stage 1 · Potato and Leek Purée · Sweet Potato and Carrot Purée
Potato and Leek Purée
1. Place the sweet potato and carrot in a small saucepan with a little water
2. Simmer until tender, drain and leave to cool
3. Blend the vegetables until smooth using a food processor or hand blender
4.
5. Stir in the Neocate LCP thoroughly and serve
Neocate LCP once it has been defrosted
33
6 portions
INGREDIENTS
FREE
Neocate LCP (1 scoop to 30ml cooled boiled water)
METHOD
1. Place the sweet potato, carrots and parsnip in a small saucepan with a little
water
2. Simmer until tender, drain and leave to cool
3. Blend the vegetables until smooth using a food processor or hand blender
4.
5. Stir in the Neocate LCP thoroughly and serve
Recipes · Stage 1 · Trio of Root Vegetable Purée
Trio of Root Vegetable Purée
VARIATIONS
Neocate LCP once it has been defrosted
35
STAGE 2+3: Recipes
6-12 months (duration 6 months)
1-2 portions
INGREDIENTS
CONTAINS
Neocate LCP
FREE
METHOD
1. Place oats and water in a saucepan and bring to the boil and
simmer for 3 – 5 minutes
FREE
Recipes · Stage 2+3 · Porridge
Porridge
2. Leave to cool and mix in Neocate LCP powder
3.
FREE
FREE
37
1-2 portions
INGREDIENTS
FREE
Neocate LCP
METHOD
1. Mix cornflour with a little water to form a smooth paste and then gradually
add additional water
2. Cook on a low heat until the mixture thickens
3. Take off the heat and add Neocate LCP while continuously stirring
4. Leave to cool by placing container of mixture in a larger container filled with
cold water
5. Store Fromage Frais in a covered container in the fridge for up to 2 days
Chef’s tip
Fruity Banana Pudding
Recipes · Stage 2+3 · Fromage Frais · Fruity Banana Pudding
Fromage Frais
1-2 portions
INGREDIENTS
Neocate LCP (2 scoops to 60ml cooled boiled water)
FREE
METHOD
1. Chop/mash/blend the fruit as appropriate
2. Stir in the Neocate LCP thoroughly and serve
39
1-2 portions
INGREDIENTS
FREE
Neocate LCP
METHOD
Recipes · Stage 2+3 · Custard
Custard
1. Mix Neocate, custard powder, sugar and vanilla essence with some of the
water to form a smooth paste
2. Place the rest of the water into pan and bring to the boil then remove from
the heat
3. Slowly add the custard mixture to the hot water. Whisk briskly to form a
smooth mixture
4. Return pan to heat and gently heat while stirring.
5. Serve hot or cold
Chef’s tip
Older children 12months +
Neocate LCP with Neocate Active
sachet) and follow the recipe as above
41
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
FREE
Neocate LCP plus 60ml of cooled boiled water mixed
to a smooth consistency
METHOD
1. Place all ingredients into a large bowl
2.
3. Stir in the Neocate LCP thoroughly and serve
Recipes · Stage 2+3 · Roasted Root Vegetables with Chicken
Roasted Root Vegetables with Chicken
43
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
CONTAINS
(check for bones)
FREE
FREE
Neocate LCP plus 60ml of cooled boiled water mixed
FREE
to a smooth consistency
METHOD
Recipes · Stage 2+3 · Fish and Vegetable Pie
Fish and Vegetable Pie
FREE
1. Place carrot, sweet potato and peas into a bowl
2. Add water, oil and fish
3.
FREE
4. Stir in the Neocate LCP thoroughly and serve
45
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
CONTAINS
(check for bones)
FREE
FREE
Neocate LCP plus 60ml of cooled boiled water
FREE
mixed to a smooth consistency
FREE
METHOD
1. Heat the oil in a small pan
2. Fry the onion gently for a few minutes until soft
FREE
Recipes · Stage 2+3 · Salmon with Potato and Spinach
Salmon with Potato and Spinach
3. Stir in the salmon and cook for 2-3 minutes until cooked
4. Add the spinach and lemon juice and
continue to cook until the spinach has wilted
5. Add the water and and leave the mixture to cool
6. Add the Neocate LCP to the salmon mixture and stir thoroughly
7. Add the cooked potato
8.
9. Adjust consistency with cooled boiled water if required and serve
47
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
CONTAINS
CONTAINS
FREE
FREE
Neocate LCP plus 60ml of cooled boiled water
mixed to a smooth consistency
FREE
METHOD
1. Heat the oil in a small pan
FREE
2. Fry the mince and onion until lightly browned
3. Add the pepper and courgette and stir
Recipes · Stage 2+3 · Pasta with Beef and Vegetable Sauce
Pasta with Beef and Vegetable Sauce
4. Fry for a further 2 minutes
5. Add the tomato and oregano and stir
6. Simmer gently for 10 minutes
7. Stir in Neocate LCP thoroughly
8.
9. Adjust consistency with cooled boiled water if necessary
10. Serve with pasta shapes
Chef’s tip
49
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
FREE
Neocate LCP plus 60ml of cooled boiled water mixed to a smooth
consistency
METHOD
1. Heat the oil in a small pan and gently fry the lamb and onions and garlic
Recipes · Stage 2+3 · Lamb and Aubergine Casserole
Lamb and Aubergine Casserole
until lightly browned
2. Add the aubergine and fry for another 5 minutes
3. Add the tomato, rosemary and parsley
4. Simmer on a low heat for 15 minutes until tender and then leave to cool
5.
6. Stir in the Neocate LCP thoroughly
7. Serve with rice or mashed potato
51
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
FREE
beef, or turkey)
Neocate LCP
Recipes · Stage 2+3 · Shepherd’s Pie
Shepherd’s Pie
METHOD
1. Peel and grate carrot and courgette
2. Heat oil in saucepan and cook vegetables on a low heat until soft
3. Add meat and cook until brown
4. Reduce heat and simmer for 10 minutes
5. Meanwhile peel and chop the potatoes, place into a separate saucepan and
boil until very soft
6.
7. Mix the Neocate LCP into the meat mixture
8. Spread the mashed potato on top of the meat mixture. Adjust consistency if
needed and serve
53
3-4 portions
(Purée, mash, chop as appropriate)
INGREDIENTS
FREE
Recipes · Stage 2+3 · Bean Feast
Bean Feast
Neocate LCP plus 60ml of cooled boiled water mixed to a smooth
consistency
METHOD
1. Heat the oil in a small pan and fry the onion until lightly brown and soft
2. Add the butternut squash and green beans
3. Fry for 2-3 minutes until the squash begins to soften
4. Add the chopped tomatoes, beans and basil and simmer for 5 minutes
5.
6. Adjust consistency with cooled boiled water if necessary
7. Stir in the Neocate LCP thoroughly and serve
8. Serve with rice or mashed potato
All of the recipes on pages 41-53 can be made
with 8 scoops of Neocate LCP to make them even
more nutritious which may help if your baby is
a difficult feeder
55
Toddlers
Your toddler is amazing and unrecognizable from the new-born you took home
after birth. They’re on the move and full of life. Restricted adult diets (high fibre,
low fat etc.) are not at all suitable. Toddlers grow and develop rapidly and they
need fuel to allow this. Food is the fuel and they have specific nutrient needs for
energy (calories) and bone health among others. Because they have high needs
but relatively small tummies they will need to eat roughly every 3 hours and will
need snacks between their traditional meals of breakfast, dinner, tea and supper
before bed. These snacks need to be nutritious; it’s best to avoid those high in
empty calories (sweets, chocolate, crisps, biscuits and fizzy drinks).
Toddlers
Toddlers
Food choices at this age can affect eating habits for life so it is really important
to encourage a wide variety of tastes and to encourage savoury over sweet
flavours.
A suspicion of food allergy during this time can be worrying, confusing and can
present you with many challenges: what’s best to feed my toddler, what do I
avoid, what do I include, what about childcare, parties and play dates? This
section of the booklet aims to provide you with practical help and guidance.
It will be important to avoid all contact with cows’ milk protein during this time.
Avoiding cows’ milk in childhood is a major nutritional concern. Excluding an
entire food group (milk and dairy products) can have serious repercussions on
vulnerable developing bones and needs careful consideration and planning.
By this age, it will usually be clear if any there are any other foods causing allergy.
You should link in with the healthcare professional who diagnosed your toddler’s
cows’ milk allergy and ask if, when, how and where to re test/challenge to see
if the allergy has resolved. Some children will outgrow allergy to milk or egg by
school age.
This section of the booklet aims to provide you with all the information you will
need to do this while ensuring that your toddler gets the right nutrition for growth
and development.
Consultant Dietitian: Paediatrics
59
Toddlers
Neocate Active
Neocate Active is a follow-on supplement for toddlers
with cows’ milk allergy who have been advised by a
healthcare professional to continue a cows’ milk-free
diet beyond the age of 12 months. Neocate Active
is similar to Neoacte LCP and is made from nonallergenic amino acids that will not contribute to an
allergic reaction in your child. Neocate Active is suitable for children from 1-10
years and is used to supplement the diet with key nutrients such as calcium,
Neocate Active is
available in 2 variants - Unflavoured and Blackcurrant and is suitable as a drink.
Neocate Active is made up by adding 1 sachet to 240mls of water and the
recommended intake is 2 sachets per day (600ml) for 1-10 years olds. Neocate
Active can also be added to foods, see recipe section for details. Please note
your toddler may be advised to stay on Neocate LCP beyond 12 months by a
healthcare professional as the nutritional needs of toddlers will vary.
Important nutrients for toddlers
60
NUTRIENT:
DIETARY SOURCES INCLUDE:
FUNCTION IN TODDLERS INCLUDE:
Energy (calories)
Good quality fats and starchy
carbohydrates
Growth and weight gain
Vitamin A
Milk, egg, fish, yellow fruit and
veg, liver and fish
Growth and development
Vitamin D
Oily fish, eggs
Calcium absorption for bone health
Calcium
Milk and dairy products*
Calcium for bone health
Iron
Red meat, poultry and liver
Healthy blood formation
Zinc
Meat, nut and whole grains
Normal metabolism and enzyme function
Vitamin B complex
Milk, meat, whole grains,
nuts and eggs*
Brain and nerve function
Energy release from food
Omega 3 fats
Oily fish
Brain and eye development
Fibre
Wholegrain, fruit and vegetables
Good bowel function and heart health
* You will need to read every food label every time to ensure that all your toddlers’ food is free from cows’ milk protein.
(See Page 14)
Bread, cereal
and potatoes
Fruit and
vegetables
Milk, yoghurts
and cheese
Meat, fish
and alternatives
Sugar, cakes, sweets
fats, spreads and oils
The Food Pyramid
at a glance
Toddlers
Bread, cereal and potatoes: Toddlers should have a portion of these foods at breakfast,
dinner and tea and usually need more of these foods as they get older. A portion is 1 slice
or 1 cup cooked or half cup of uncooked. Once there is no allergy to wheat then it should
be included. Choose no added sugar wholemeal cereals and grains
Fruit and vegetables: Toddlers should be working up to 5 portions each day of whole
fruits and cooked veg. rather than purées and juices. Encourage a wide variety of different
colours, seasonal produce is better value. (One portion is around half a disposable plastic
cup full)
Milk, yogurts and cheese: These foods will have to be foods replaced with nutritionally
equal alternatives. See pages 60-63.
Meat, fish and alternatives: Toddlers should have a minimum portion size roughly the
size and thickness of their palm. These foods are an important source of protein and iron.
Oily fish should be included at least twice a week. Once there is no allergy to egg or nut
these foods should be included. Whole nut carries a choking risk
Fats, spreads and oils: Toddlers should have small amounts of sunflower oil, safflower
oil, corn oil, olive oil, canola oil. rapeseed oil and dairy-free margarine made from these
oils (high in polyunsaturates/monounsaturates). Dairy-free margarines can be high in salt
and are best used sparingly.
Sugar, cakes and sweets: These foods are not needed for healthy growth. They are
usually high in fat and sugar and can reduce a toddler’s appetite for nourishing food, lead
to tooth decay and poor food choices as they grow older
Your toddler with cows’ milk protein allergy
61
Toddlers
Calcium and Vitamin D
free from cows’ milk protein
sources as possible each day
Natural sources
Hummus, Oranges.
Fortified foods
Enriched soya milk and yoghurts (choose reduced sugar varieties), breakfast
cereals, fortified bread.
Neocate Active
600ml per day of Neocate Active provides your toddler with their full
62
There are two types of iron rich food sources: haem and non-haem.
Toddlers
Iron
(most easily absorbed by the body) is found in:
Beef, lamb, pork, poultry and fish
(least easily absorbed) is found in:
Peas, beans, lentils and eggs
These sources of iron need foods rich in vitamin C (potato, dark
green vegetables, oranges, mandarins, clementines) to help the
body absorb it
Natural cow’s milk free food source
Approx. iron content mg
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Neocate Active
600ml Neocate Active per day provides your toddler with their full
requirements for iron
Your toddler needs up to 8mg of easily absorbed iron
daily from age 1-3 years.
63
Toddlers
Healthy meal and snack pattern for toddlers with cows’
milk allergy
A typical day should have a routine something like this:
Breakfast, Snack, Dinner, Snack, Tea, Supper, Bed.
Drinks
Every drink at this age should be offered from an unlidded cup rather than bottle
and teat or sippy cup. This promotes better dental health, speech and feeding skills.
Meal patterns
Toddlers should eat their main meals with others and learn to understand that these
eating times are a normal part of the day. Nourishing snacks are not intended as
a meal substitute, they are a necessary nutrient “top up” for small tummies. Letting a
toddler graze through the day on their own terms usually results in unhealthy eating
habits and food choices as your toddler grows. It should be discouraged.
Preparing your own food
Preparing food from raw materials will ensure you are in control of the allergen and
nutritional content. If you decide to use commercial toddler food you will need to
check every label every time for cows’ milk and other allergens. It’s best to choose
savoury varieties in preference to sweet/dessert/pudding varieties.
Breakfast and supper ideas
Dinner/tea ideas
vegetables
sauce with pasta
64
Toddlers
Nourishing snack ideas
Best Drinks for toddlers
Neocate LCP - 600ml per day as a milk drink
substitute and for use in food, up to age 2 years or Neocate Active 600ml
per day up to age 10 years
hydrated
65
Toddlers
Help! My toddler has become a fussy eater and is refusing
to eat their usual food.
Your toddler has changed from being totally reliant on you for all their needs
and is becoming more independent and self-sufficient. They learn a lot
about how important food and eating is from how adults react to their eating
especially if they refuse food. They will test your limits and push the boundaries
to see if they get the reaction from you that they want. This is a normal part of
toddler development and is very common in under 5’s.
Try To
and reduce if interfering with appetite
the sauce beside it rather than on top of it
Try not to
gives the wrong message
66
Toddlers
Childcare and playschool environments
It is ideal if you can meet everyone involved in your toddlers care, face to
face, and to enquire how new/absent staff will be updated. A clear one page
plan is very useful, clearly stating the food allergen(s) involved, food(s) to be
avoided and how to reduce the risk of accidental exposure. Most childcare
menus can easily be adapted for allergy with minimum disruption. A “no food
sharing” policy among all children is probably the single most useful measure
that childcare providers can adapt and it is well worth discussing this with them
in advance. Training for catering providers interested in learning more about
food allergy is available by contacting the Training Section of the Food Safety
Authority of Ireland. Anaphylaxis Ireland provides a free educational guide for
parents, teachers and schools on their website. See useful contacts section in
appendix.
Birthday parties at home
These are great opportunities to show other parents that life doesn’t have to
See suggestions in recipe section of this booklet.
Play dates and parties
Toddlers cannot always identify the food that they are allergic to and will need
adult supervision when making food choices. It is ideal to meet with other
parents as far in advance as possible of a party or play date. Providing details
of all the party/treat foods that your toddler can have is as important as
advising about the food to be avoided.
67
TODDLERS: Recipes
AGE 1 year +
3-4 portions
INGREDIENTS
FREE
Neocate Active
METHOD
1. Heat oil in saucepan and fry off the onions, carrots, garlic, sweet potato, and
butternut squash for 10 mins until they soften
2. Add the vegetable stock
3. Simmer for 10 mins
4. Place soup in a blender, add the Neocate Active and blend until smooth
Bacon, Leek and Potato Soup
3-4 portions
INGREDIENTS
or use low salt vegetable stock cube)
Neocate Active
METHOD
1. Heat oil in saucepan and fry off bacon, onions, leeks and potatoes for 5
mins until they soften
Recipes · Toddlers · Butternut Squash and Sweet Potato Soup · Bacon, Leek and Potato Soup
Butternut Squash and Sweet Potato Soup
2. Add the vegetable stock
3. Simmer for 10 mins
4. Place soup in a blender, add Neocate Active and blend until smooth
69
3-4 portions
INGREDIENTS
FREE
Neocate Active
METHOD
1. Heat oil in saucepan and fry off red peppers, carrot, onions, garlic for 5 mins
until they soften
2. Add lentils and vegetable stock
Recipes · Toddlers · Lentil and Red Pepper Soup
Lentil and Red Pepper Soup
3. Simmer for 20 mins
4. Place soup in the blender then add Neocate Active and blend until smooth
71
Recipes
Toddlers
3-4 portions
INGREDIENTS
Neocate cheese sauce (see recipe below)
CONTAINS
CONTAINS
METHOD
1. Mix the pasta and Neocate cheese sauce together with the
FREE
bacon in an oven proof dish
2. Sprinkle the grated dairy-free cheese on top of the macaroni
and place slices of tomato on the top
FREE
3. Bake in the oven for 20 minutes at 180C
Chef’s tip
bacon
FREE
FREE
Basic White Sauce/Cheese Sauce
1 portions
INGREDIENTS
Neocate Active
FREE
METHOD
1. Mix Neocate and cornflour with 50ml of water and mix to a smooth paste
2. Place the rest of the water into a pan and bring to the boil
Recipes - Toddlers · Macaroni Cheese with Bacon and Tomato · White Sauce / Cheese Sauce
Macaroni Cheese with Bacon and Tomato
3. Slowly add the cornflour and Neocate mixture to the hot water keep whisking
while adding the mixture
4. Bring back to the heat and stir until thickened
Chef’s tip
powder for a great cheese sauce
73
2 portions
INGREDIENTS
Neocate White Sauce (Recipe on Page 71)
METHOD
1. Heat oil in a pan and fry onion and carrrot until softened
2. Add diced chicken and brown
FREE
Recipes · Toddlers · Chicken Supreme
Chicken Supreme
3. Add cooked peas / sweetcorn
4. Pour Neocate white sauce over chicken and vegetable mix
5. Serve with mashed potato or rice
75
2 portions
INGREDIENTS
FREE
Neocate Active
consistency
METHOD
1. Heat oil in a small pan
2. Add leeks and garlic and fry gently until soft
3. Add mushrooms and fry for additional 2-3 minutes
Recipes · Toddlers · Mushroom and Leek Risotto
Mushroom and Leek Risotto
4. Stir in the rice and cook for 1-2 minutes until the rice is coated in oil
5. Pour in the stock and stir thoroughly
6. Turn down the heat to very low and simmer for 10-15 minutes until rice is
cooked and stock is absorbed
7. Add more stock and cook a little longer if rice is still hard
8. Add Neocate Active to the mixture, stir and serve
VARIATIONS
77
-
4-5 portions
INGREDIENTS
CONTAINS
CONTAINS
FREE
Neocate Cheese Sauce (Recipe on Page 71)
FREE
METHOD
Recipes · Toddlers · Ratatouille Lasagne
Ratatouille Lasagne
FREE
1. Gently fry the onion and garlic in the oil for 2-3 min
2. Add the remaining vegetables, basil and tin of chopped tomatoes
FREE
to the pan
3. Cover the pan with a lid and cook for about 15 to 20 minutes on
gentle heat, stirring 2 or 3 times
To make the Lasagne
1. Place 1/3 of the vegetable mix on the bottom of oven-proof dish
2. Cover with lasagne sheets and 1/3 of the Neocate Cheese Sauce. Repeat
layers
3. Add grated dairy-free cheese to the top and bake in the oven for 35 minutes
on 180C
Chef’s tip
79
6 portions
INGREDIENTS
CONTAINS
FREE
FREE
Method - To make the base
1. Place the flour into the bowl of a table-top mixer
FREE
Recipes · Stage 2+3 · Dairy-Free Pizza
Dairy-Free Pizza
(or food processor with a dough attachment)
2. Add 1 tsp salt to one side of the bowl and the yeast to the other
FREE
3. Add 275ml lukewarm water and mix on slow until a sticky
dough forms
4. Turn up the mixer for 5-6 mins until an indent pushed into the
dough pops out quickly
5. Put the dough in a lightly oiled bowl, then cover and leave in a
warm place to prove until doubled in size
Method - To make Pizza Sauce /Topping
1. Heat the oil in a frying pan and fry the garlic for a few seconds
2. Add in the tomatoes, season and simmer for 5 mins until the sauce has
thickened
Method
1. Heat the oven to 220C
2. Knead the dough for a few minutes, then halve and roll each half as thinly as
possible
3. Lay each base on a baking sheet dusted with the semolina
4.
5. Add your toppings and drizzle with a little oil
6. Cook for 15-20 minutes or until bases are cooked through
Topping Ideas
81
2 portions
INGREDIENTS
CONTAINS
CONTAINS
Neocate Active
FREE
Recipes · Toddlers · Pancakes
Pancakes
METHOD
1. Place all the ingredients into a large mixing bowl and blend
FREE
until smooth using food processor or hand blender
2. Heat frying pan with oil
3. Use a large spoon or ladle to add pancake mixture to the
FREE
frying pan
4. Cook the pancake until golden brown
FREE
5. Serve with filling of your choice
Neocate LCP version- 4 scoops of Neocate LCP
lemon juice/maple syrup
Chef’s tip
of
mixed herbs, 50g of dairy-free cheese and serve with the following
fillings: pan fried bacon/mushrooms and leeks/roasted mediterranean
vegetables/stir fry vegetables/savoury minced meat
83
1-2 portions
Pineapple and Mango Sunrise
INGREDIENTS
FREE
Neocate Active (1 sachet to 200ml water)
METHOD
1. Place all ingredients in a blender and blend until smooth
Chef’s tip
to get ‘bits’ out
date and label them before placing the mixture into the freezer
Neocate Fruit Burst
Recipes · Toddlers · Fruit Smoothie Ice Lollies · Neocate Fruit Burst
Fruit Smoothie Ice Lollies
1-2 portions
INGREDIENTS
FREE
Neocate Active (1 sachet to 200ml water)
METHOD
1. Place all ingredients in a blender and blend until smooth
85
2 portions
INGREDIENTS
FREE
Neocate Active
METHOD
1. Blend ingredients
2. Place in a container and freeze for about 3 hours
Fruit Jelly
Recipes · Toddlers · Ice Cream · Fruit Jelly
Ice Cream
1-2 portions
INGREDIENTS
FREE
Neocate Active
METHOD
1. Place jelly, Neocate Active and water in a saucepan and heat until jelly
has melted
2. Add chopped fruit to the jelly mixture
3. Pour into containers
4. Set for 1 hour in the fridge
87
Makes
24
INGREDIENTS
CONTAINS
CONTAINS
FREE
METHOD
FREE
1. Preheat oven to 180C
2. Line 2 x 12-hole muffin pans with paper cases
Recipes · Stage 2+3 · Dairy-Free Cup Cakes
Dairy-Free Cup Cakes
FREE
3. Sift the flour, custard powder and salt into a large bowl and stir
in the sugar
4. Combine the measured water, oil, vanilla and lemon juice in a
FREE
large jug
5. Whisk the water mixture into the flour mixture until smooth
6.
7. Bake at 200C for about 25 minutes
ICING INGREDIENTS AND METHOD
1. Combine sifted icing sugar, spread and soya milk in a small heatproof bowl
2. Place over small pan of simmering water and stir until spreadable
3. Tint with a few drops of food colouring if desired
4. Spread cold cakes with icing and decorate, if desired
89
CONTAINS
INGREDIENTS
CONTAINS
FREE
FREE
17.5cm (7inch) round sandwich tin, lightly greased and base lined
METHOD
Recipes · Stage 2+3 · Sponge Cake
Dairy-Free and Egg-Free Sponge Cake
FREE
1. Place the margarine, sugar and vanilla essence in a large bowl,
beat for 1-2 minutes, until light in texture and creamy coloured
2. Thoroughly mix together flour, Loprofin Low Protein Egg Replacer
and baking powder. Stir into the creamed mixture adding the soya
3. Transfer the mixture to the prepared tin and level the surface
4. Bake the cake in a preheated oven at 190C for 15 minutes, until well risen
and firm to touch. The cake will be very pale in colour
5. Cool in the tin for 5 minutes before transferring onto a wire rack
6. When cold, the cake may be split and sandwiched with jam or buttercream*,
the top may be iced or dusted with icing sugar
Optional Flavourings to be added at step 1
1. Grated rind of 1 small orange
2. Grated rind of 1 small lemon or lime
3.
* For further information on our Loprofin Product range,
please contact our Freephone number as follows:
ROI: 1800 923 535 / NI: 0800 973 216
* Loprofin Egg Replacer and Loprofin Egg White Replacer are egg and egg white substitutes. They are suitable for use
in baking in a wide number of recipes. They are available on prescription from your healthcare professional.
91
92
Notes
Helpline: 0818 300 238
[email protected] / www.anaphylaxisireland.ie
Food Safety Authority of Ireland
Abbey Court, Lower Abbey Street, Dublin 1, Ireland
Tel: + 353 1 817 1300 / Fax: + 353 1 817 1301
[email protected] / www.fsai.ie
Allergy NI
Allergy NI Support Centre, Unit 6 Mallusk Enterprise Park,
2 Mallusk Drive, Newtownabbey BT36 4GN
Helpline: 08448 243421
[email protected] / www.allergyni.co.uk
Nutricia Medical
Nutricia Ireland, Block 1, Deansgrange Business Park Co Dublin, Ireland
Freephone: 1800 923404 (ROI) / 0800 7834379 (NI)
www.nutricia.ie / www.myneocate.co.uk /
www.youtube.com/cowsmilkallergylive
Useful Contacts
Anaphylaxis Ireland
PO Box 542, Ballinlough, Cork, Ireland
Purées & Soups
Just a taster of some of the
delicious recipes in this booklet
Page 43
Page 31
Page 69
Page 75
Page 73
Page 77
Page 53
Page 83
Page 37
Page 41
Page 83
Page 89
Page 91
Page 81
Page 87
Party
Sweet
Savoury
Page 33
June 2013
For further information, please contact the Customer Care Team on Freephone: ROI - 1800 923 404 / NI - 0800 783 4379
Nutricia Medical, Block 1, Deansgrange Business Park,
Deansgrange, Co. Dublin.
www.neocate.ie
www.cowsmilkallergy.ie
www.youtube.com/cowsmilkallergylive
Email: [email protected]
Visit our website
www.nutricia.ie
