The iMap Milk Ladder

This video gives an overview of the iMAP Milk Ladder, which is to be used only in children with Mild to Moderate Non-IgE Cow’s Milk Allergy under the supervision of a healthcare professional.
The MAP Guideline has been developed in a collaboration between the GP Infant Feeding Network (GPIFN) UK and the MAP Guideline team.
Information on the background to the MAP Guidelines, the authors and the Guideline itself can be found here: gpifn.org.uk/i...
The iMAP Milk Ladder guideline can be found here: gpifn.files.wo...
Published Recipes for Step 1, 2 and 3 are found here:
Step 1: Biscuit - www.allergyuk....
Step 2: Muffin - www.allergyuk....
Step 3: Pancake - www.allergyuk....
Speak to your healthcare professional, GP or dietitian and they will supervise you throughout the reintroduction of milk.
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[@mariageorgoula3198]

Hello! I am confused about the 4th step. do we give raw cheese? Is this tolerated better than baked cheese? At other milk ladders the equivalent step is lasagna or shepherds pie so the cheese is baked. Thank you!

[@nutribytes2532]

Hi, the iMap guideline was updated in 2019, and you might have seen previous versions of the Milk Ladder which as 12 steps (as opposed to the latest one, which has 6 steps).
Step 4 mentions: Cheese - amount 15g (hard cheese e.g. cheddar or parmesan). Once your child tolerates cheese, you can introduce 15g baked cheese on a pizza or baked on other food as well.
Hard cheese is less allergenic due to the way it is made. Hence, it is advisable to introduce hard cheese and not soft cheese. After hard cheese is tolerated, you can introduce 15g of baked cheese (including both hard and soft cheese).
Soft cheese will then be introduced fully in Step 6.

[@mariageorgoula3198]

@@nutribytes2532 Thank you so much for taking the time to reply. I am just wondering why it is raw cheese introduced first instead of baked cheese. Normally I see cheese first introduced in form of lasagna or pizza instead of unbaked/raw cheese.

[@tarahanson7900]

We are doin* the milk ladder my little one won’t eat the pancakes and has reacted to cheese is there any alternatives for step 3 thank you 😊

[@msbee1443]

Where are the recipes

[@zeldalombard2266]

Bad song 🎵 😪 😐