Category Archives: Food Lists

Low Nickel Food List

Low Nickel Diet and Food List

Information courtesy of Dr. Matthew Zirwas

Background on Nickel Allergy

21871756-Symbol-for-the-chemical-element-nickel-Stock-PhotoNickel allergy (allergic contact dermatitis to nickel), has always been thought of as a rash that is isolated to the area where nickel makes contact with the skin. However, new evidence is showing that nickel, which is ingested in the diet, can cause systemic contact dermatitis (a rash other than where the nickel makes contact).

In an article published in the Journal of Clinical and Aesthetic Dermatology, Drs. Matthew Zirwas and Matthew Molenda, Ohio State University examined three different cases where individuals with nickel allergy also had generalized itching especially on their hands and feet. When the individuals were placed on a low nickel diet, their nickel allergy and generalized itching cleared.

Factors other than the actual food that is eaten can affect the amount of nickel ingested:

  • The amount of nickel in the soil and water used to grow the food.
  • Processed and canned foods can add nickel via equipment used and leaching from the metallic can.
  • Tap water may contain nickel. Hot water can leach nickel from faucets into the water, as can water sitting overnight in the fixtures.
  • Cookware such as stainless steel can leach nickel into the food if cooking with acidic foods such as tomato, vinegar or lemon.

Nickel allergic individuals should consider a low nickel diet if they have either hand dermatitis or a nonspecific, pruritic dermatitis (rash that itches).

The Low Nickel Diet

We’ve outlined Dr. Zirwas’ Low Nickel Diet below.

  1. It may take up to 2 months to see the benefits from following this diet.
  2. Adults should consume no more than 15 points per day.
  3. Children under age 12 should consume no more than 10 points per day.
  4. Very rare individuals are even more sensitive than this and may need to stay under 5 points per day.
  5. In general, even if not listed specifically, avoid anything with beans, chocolate, peanuts, soy, oatmeal, whole grain, or granola.
  6. Only bottled/distilled water should be consumed, either by drinking or in cooking.
  7. Avoid cooking acidic foods in stainless steel cookware. Acidic food include tomatoes, vinegar, and citrus. Types of cookware that are safe: non-stick coated of any type, aluminum, copper, cast iron.
  8. Do not take any vitamins or supplements except for vitamin C.
  9. Take the calcium disodium EDTA with each meal for one month on, one month off. While taking it, you should also take a multivitamin with minerals once a day right before bed or first thing in the morning (the important thing is that you take it at a different time than when you take the EDTA).
  10. The Low Nickel Diet is relatively low in fiber. Patients are advised to take a stool softener such as ducosate sodium to prevent constipation.

The List

Dr. Zirwas has organized the Low Nickel Diet food list by a points system – which corresponds to the point limits mentioned above.

0 Points

  • Apple
  • Beer
  • Butter or Margarine
  • Candy, hard
  • Cheese, cheddar
  • Cheese, Swiss
  • Chicken breast, skin removed
  • Coffee creamer, non-dairy
  • Cottage cheese
  • Cream cheese
  • Eggplant
  • Eggs
  • Fruit drink
  • Half and half cream
  • Honey
  • Ice cream, vanilla
  • Jelly
  • Lunch meat (chicken, turkey, or ham)
  • Maple syrup
  • Mayonnaise
  • Milk, white
  • Mushrooms
  • Olive oil
  • Popsicle
  • Salad dressing
  • Shrimp
  • Soda / Pop / Cola
  • Sour cream
  • Soup, oriental noodles-ramen
  • Spaghetti
  • Spaghetti with meat sauce
  • Steak
  • Sugar
  • Tuna, canned
  • Vegetable oil

1 Point

  • Apple juice
  • Applesauce
  • Bacon
  • Bagel, plain
  • Banana
  • Beets
  • Bologna
  • Bread, white
  • Broccoli
  • Brussels sprouts
  • Cabbage
  • Carrot
  • Cauliflower
  • Celery
  • Cheese, American, processed
  • Chicken breast, fried with skin
  • Chicken leg, fried with skin
  • Chicken, roasted skinless
  • Chuck roast, beef
  • Coffee
  • Coffee, decaffeinated
  • Coleslaw
  • Collards
  • Cookies, sugar
  • Corn/hominy grits
  • Cornbread
  • Crackers (non-whole wheat)
  • Cranberry juice cocktail
  • Cucumber
  • English muffin, plain
  • Fruit juice blend
  • Grape juice
  • Grapefruit
  • Grapes
  • Gravy, canned or bottled
  • Ham, cured, baked
  • Hot dog
  • Lamp chop
  • Lemonade
  • Liver (beef/calf)
  • Lunch meat, salami
  • Macaroni and cheese
  • Macaroni salad
  • Meatloaf
  • Muffin, fruit or plain
  • Noodles, egg
  • Okra
  • Olives
  • Onion
  • Orange
  • Orange juice
  • Pickles, dill
  • Pork chop
  • Pork roast
  • Potato chips
  • Pretzels
  • Raisins
  • Rice, white
  • Sausage
  • Sherbet

3 Points

  • Asparagus
  • Beef stroganoff with noodles
  • Cereal, fruit flavored
  • Chicken nuggets, fast food
  • Chicken with vegetables in sauce
  • Doughnut
  • Meal replacement shake
  • Peach
  • Peanut butter
  • Pineapple
  • Pizza, cheese and pepperoni
  • Pumpkin pie
  • Rice, fried & meatless
  • Soup, vegetable beef, canned
  • Stew, beef & vegtable
  • Taco, tostada with beef & cheese
  • Vegetables, mixed
  • Watermelon

4 Points

  • Beef with vegetables in sauce
  • Chicken potpie, frozen
  • Clam chowder
  • French fries
  • Fruit cocktail, canned
  • Milk, chocolate
  • Peas, frozen
  • Soup, tomato, canned
  • Tomato juice

5 Points

  • Granola bar with raisins

6 Points

  • Beans, white
  • Brownie
  • Cereal, granola with raisins
  • Chocolate
  • Chocolate syrup
  • Pineapple juice

7 Points

  • Lasagna with meat
  • Prune juice

8 Points

  • Burrito with beef, beans, cheese
  • Milk shake, chocolate

9 Points

  • Oatmeal

10 Points

  • Soup, bean, bacon, pork-canned

AVOID

  • Cake, chocolate with icing

Corn Allergy Food List

This list is intended for patients who are sensitive or allergic to corn and/or corn derivatives.

* Most common items that might not always contain or be derived from corn. Be informed and proceed with caution!

Avoid

  • Acetic acid
  • Alcohol
  • Alpha tocopherol
  • Artificial flavorings
  • Artificial sweeteners
  • Ascorbates
  • Ascorbic acid
  • Aspartame (Artificial sweetener)
  • Astaxanthin
  • Baking powder
  • Barley malt* (generally OK, but can be contaminated)
  • Bleached flour*
  • Blended sugar (sugaridextrose)
  • Brown sugar* (generally OK if no caramel color)
  • Calcium citrate
  • Calcium fumarate
  • Calcium gluconate
  • Calcium lactate
  • Calcium magnesium acetate (CMA)
  • Calcium stearate
  • Calcium stearoyl lactylate
  • Caramel and caramel color
  • Carbonmethylcellulose sodium
  • Cellulose microcrystalline
  • Cellulose, methyl
  • Cellulose, powdered
  • Cetearyl glucoside
  • Choline chloride
  • Citric acid*
  • Citrus cloud emulsion (CCS)
  • Coco glycerides (cocoglycerides)
  • Confectioners sugar
  • Corn alcohol, corn gluten
  • Corn extract
  • Corn flour
  • Corn oil, corn oil margarine
  • Corn starch
  • Corn sweetener, corn sugar
  • Corn syrup, corn syrup solids
  • Corn, popcorn, cornmeal
  • Cornstarch, cornflour
  • Crosscarmellose sodium
  • Crystalline dextrose
  • Crystalline fructose
  • Cyclodextrin
  • DATUM (a dough conditioner)
  • Decyl glucoside
  • Decyl polyglucose
  • Dextrin
  • Dextrose (also found in IV solutions)
  • Dextrose anything (such as monohydrate or anhydrous)
  • d-Gluconic acid
  • Distilled white vinegar
  • Drying agent
  • Erythorbic acid
  • Erythritol
  • Ethanol
  • Ethocel 20
  • Ethylcellulose
  • Ethylene
  • Ethyl acetate
  • Ethyl alcohol
  • Ethyl lactate
  • Ethyl maltol
  • Fibersol-2
  • Flavorings*
  • Food starch
  • Fructose*
  • Fruit juice concentrate*
  • Fumaric acid
  • Germ/germ meal
  • Gluconate
  • Gluconic acid
  • Glucono delta-lactone
  • Gluconolactone
  • Glucosamine
  • Glucose*
  • Glucose syrup* (also found in IV solutions)
  • Glutamate
  • Gluten
  • Gluten feed/meal
  • Glycerides
  • Glycerin*
  • Glycerol
  • Golden syrup
  • Grits
  • High fructose corn syrup
  • Hominy
  • Honey*
  • Hydrolyzed corn
  • Hydrolyzed corn protein
  • Hydrolyzed vegetable protein
  • Hydroxypropyl methylcellulose
  • Hydroxypropyl methylcellulose pthalate (HPMCP)
  • Inositol
  • Invert syrup or sugar
  • Iodized salt
  • Lactate
  • Lactic acid*
  • Lauryl glucoside
  • Lecithin
  • Linoleic acid
  • Lysine
  • Magnesium fumarate
  • Maize
  • Malic acid
  • Malonic acid
  • Malt syrup from Cornu
  • Malt, malt extract
  • Maltitol
  • Maltodextrin
  • Maltol
  • Maltose
  • Mannitol
  • Methyl gluceth
  • Methyl glucose
  • Methyl glucoside
  • Methylcellulose
  • Microcrystaline cellulose
  • Modified cellulose gum
  • Modified corn starch
  • Modified food starch
  • Molasses* (corn syrup may be present; know your product)
  • Mono and di glycerides
  • Monosodium glutamate
  • MSG
  • Natural flavorings*
  • Olestra/Olean
  • Polenta
  • Polydextrose
  • Polylactic acid (PLA)
  • Polysorbates* (e.g. Polysorbate 80)
  • Polyvinyl acetate
  • Potassium citrate
  • Potassium fumarate
  • Potassium gluconate
  • Powdered sugar
  • Pregelatinized starch
  • Propionic acid
  • Propylene glycol*i
  • Propylene glycol monostearate*
  • Saccharin
  • Salt (iodized salt)
  • Semolina (unless from wheat)
  • Simethicone
  • Sodium carboxymethylcellulose
  • Sodium citrate
  • Sodium erythorbate
  • Sodium fumarate
  • Sodium lactate
  • Sodium starch glycolate
  • Sodium stearoyl fumarate
  • Sorbate
  • Sorbic acid
  • Sorbitan
  • Sorbitan monooleate
  • Sorbitan tri-oleate
  • Sorbitol
  • Sorghum* (not all is  bad; the syrup and/or grain CAN be mixed with corn)
  • Splenda (Artificial sweetener)
  • Starch (any kind that’s not specified)
  • Stearic acid
  • Stearoyls
  • Sucralose (Artificial sweetener)
  • Sucrose
  • Sugar* (not identified as cane or beet)
  • Threonine
  • Tocopherol (vitamin E)
  • Treacle (aka golden syrup)
  • Triethyl citrate
  • Unmodified starch
  • Vanilla, natural flavoring
  • Vanilla, pure or extract
  • Vanillin
  • Vegetable anything that’s not specific*
  • Vinegar, distilled white
  • Vinyl acetate
  • Vitamin C* and Vitamin E*
  • Vitamins*
  • Xanthan gum
  • Xylitol
  • Yeast*
  • Zea mays
  • Zein

Sulfur Supplement and Food Lists

sulfur

Sulfur – So What?

Some patients have difficulty clearing sulfur (sulfites and/or sulfates) from their system, most often due to specific genetic inheritance from either or both parents.

We screen for this via genetic saliva testing and urine testing of sulfites and sulfates in the office.

An intolerance to sulfur can manifest as asthma/shortness of breath, hives/itchy skin, headaches, nausea, diarrhea, flushing, high or low blood pressure, brain fog, chronic stress (via elevation of cortisol and glutamate) and fatigue.  Patients who are intolerant to sulfa drugs should suspect an issue here and consider testing.

It’s important to keep in mind that limiting sulfur foods should be short-term since the body does need sulfur to make many critical compounds, such as glutathione and taurine. The length of time needed to lower urine sulfites/sulfates varies and is monitored with at-home urine testing of these levels.

There are many foods and supplements that are sulfur-containing, but we have had good success with limiting only those that are highest in sulfur, so keep in mind that many sulfur-containing items will not be included here.

It may take several weeks for urine testing to normalize to the desired level of <800. If you start out at >1600, keep in mind that your levels may actually be far above that since the strips do not reflect anything higher. In that case, it may take several weeks before your levels begin to shift lower on the testing strips.

In addition to lowering sulfur consumption through diet and supplements, we find Sparga Sulfur detox helps to assist in this process. (Use 10 drops in 4 ounces of water 1-2 times daily.) Some people require molybdenum or boron (or other nutrient support) since it gets used up in detoxification of sulfites.

Sulfur-Containing Supplements

  • *Alpha Lipoic Acid (or thioctic acid)
  • Chondroitin Sulfate
  • *Cysteine
  • DMPS
  • DMSA/*DMSO
  • Epsom Salts (baths)
  • Garlic
  • Glucosamine Sulfate
  • *Glutathione
  • Magnesium Sulfate
  • *Methionine
  • Milk Thistle
  • *MSM
  • *N-Acetyl Cysteine (NAC)
  • Sulfur-containing meds (antibiotics, sulfonylurea, etc)
  • Taurine

*These items are not only high in sulfur—they are high in thiols as well.

Medications that Increase Sulfur

  • Bactrim
  • All diuretics except spironolactone

Sulfur Containing Foods

  • Arugula
  • Carageenan
  • Coconut milk, juice, oil
  • Cruciferous veggies, including:  bok choy, broccoli, cabbage, cauliflower, horseradish, kale, kohlrabi, mustard leaves, radish, turnips, watercress
  • Dairy (except butter)
  • Dried fruits
  • Eggs
  • Garlic
  • Legumes and dried beans
  • Lime/lemon juice in bottle
  • Meat and fish
  • Nuts
  • Onions (leeks, shallots, chives also)
  • Wine and grape juice

What About Thiol?

There are many who believe thiol content is more significant than actual sulfur content of foods. When a food contains thiols, it can cause elevation of sulfur. When foods don’t contain a high amount of thiols, it is believed the sulfur in these foods stays complexed with methionine and does not significantly raise sulfur levels.

Other common foods and supplements not listed on the high sulfur list that are high in free thiols are:

Supplements High In Free Thiols

  • Bromelain
  • Chlorella
  • Cysteine
  • Dairy sourced acidophilus
  • Papain

Foods High In Free Thiols

  • Artichokes
  • Asparagus
  • Bean sprouts
  • Buckwheat
  • Carob and chocolate
  • Coffee
  • Green beans
  • Jicama
  • Papaya
  • Peas (split and fresh)
  • Pineapple
  • Rutabaga
  • Soy
  • Spinach

Turmeric is not high in sulfur or thiols, but has been found to raise  levels significantly. I have not been able to find an explanation for this. If anyone has heard of one, I would be grateful for the reference.

Finally, Food Additives

Also pay attention to these food additives:

  • Sulfur dioxide
  • Sodium sulfite
  • Sodium bisulfite
  • Sodium metabisulfite
  • Potassium bisulfite
  • Potassium metabisulfite