Cincinnati Center for Eosinophilic Disorders

  • Nutrition & Diet Considerations for Eosinophilic Disorders

    The Cincinnati Center for Eosinophilic Disorders at Cincinnati Children's provides nutrition information, consultation and resources for patients with an eosinophilic disorder and their families.
  • Commonly Recommended Dietary Therapies

    Show All

    Elemental Diet

    An elemental diet is achieved via the use of nutritionally complete, amino acid-containing formulas. These formulas are referred to as "elemental formulas" because the protein in the formula is in the form of amino acids rather than whole, intact protein. Amino acids are the basic building blocks of protein, and the body breaks down proteins into amino acids during the process of digestion. Allergic reactions can develop against intact or partially broken down protein, but not against amino acids.

    Elemental formulas, when taken in the prescribed amount, can provide all of the calories, vitamins and minerals that a person needs.

    Six-Food Elimination Diet

    A six-food elimination diet involves avoiding all foods that contain the six most commonly implicated dietary antigens in the United States, i.e. milk, soy, wheat, eggs, fish (and shellfish) and peanuts (and tree nuts), regardless of allergy testing results.

    Skin Test-Directed Elimination Diet

    An elimination diet involves avoiding specific foods that have been implicated in causing an eosinophil-associated gastrointestinal disorder (EGID).  These foods are usually identified by skin prick testing.


  • The Three "A's" to Dietary Therapy Success

    There is nothing easy about following any type of dietary therapy. However, with the support of their families and our team, many patients have successfully adhered to and used dietary therapy. These patients commonly practice the three "A's" to dietary therapy success:

    • A positive Attitude and willingness to undertake (the therapy)
    • Attention to detail
    • Anticipation of events involving food

    Types of Elemental Formulas

    Nutricia

    • Neocate Infant DHA & ARA (0-12 months)
    • Neocate Nutra (6+ months)
    • Neocate Junior (1+ years), plain, chocolate and tropical flavor
    • Neocate Junior with Prebiotics (1+ years), plain and vanilla flavor
    • E028 Splash (1+ years), grape, tropical fruit and orange-pineapple flavor

    Abbott Nutrition

    • EleCare (infants)
    • EleCare Jr (1+ years), plain or vanilla flavor

    External Resources

    **Testing and treatment for food-related allergies should be guided with the supervision of a trained physician in the field.

 
  • Research for Dietary Planning

    Members of our center's multidisciplinary team published a manuscript evaluating the comparative effectiveness of dietary therapy and the utility of skin tests to direct dietary planning in pediatric eosinophilic esophagitis.

    Read more
  • Patient Advocacy / Resources

    Family support & resources for patients with eosinophilic esophagitis.

    We provide eosinophilic patients and families with a list of patient advocacy organizations as well as contact information for other support services outside Cincinnati Children's. 

    Read more
  • Our dietitian, Alison Cassin, MS, RD, LD.
    Our dietitian, Alison Cassin, MS, RD, LD, works closely with patients with eosinophilic disorders.
    Our dietitian, Alison Cassin, MS, RD, LD.