First Foods & Allergy Introduction Matrix

Developmental Readiness Checklist

Most babies are ready around 6 months when these signs appear together.

• Can hold head up steady and sit with support.
• Shows intense interest in food (watching your plate, reaching for food).
• Has lost the tongue-thrust reflex (doesn't automatically push food out of mouth).
• Weighs at least 13 pounds or has doubled birth weight.

High-Allergen Introduction Timeline

Following AAAAI guidelines for early introduction of peanut, egg, and dairy.

1. 1
   Step 1 — Start with a safe staple

   Introduce a non-allergenic starter food first (e.g., oatmeal, avocado, pureed sweet potato). Ensure infant tolerates it perfectly.

2. 2
   Step 2 — Introduce one allergen at a time

   Introduce one single high-allergen food (like a small amount of thinned smooth peanut butter or cooked egg scrambled/pureed) early in the morning when baby is well.

3. 3
   Step 3 — Wait and watch

   Space next new food out by 3-5 full days to accurately monitor for delayed allergic reactions.