Congratulations! Now that your child has passed their baked milk challenge, you can start to add baked milk into their diet. This means your child can eat baked products that list cow’s milk as one of the ingredients.

Foods Allowed

  • Foods that include baked milk thoroughly cooked in a wheat or wheat alternative mix. This includes breads, crackers, cookies, cakes and muffins.
  • Store bought baked goods with cow’s milk listed as the third ingredient or farther down the ingredients list.
  • Processed baked goods with a disclaimer that says “may contain milk” or “processed in the same facility as milk.”
  • Home baked recipes that contain at least 1 cup of flour for every 1 cup of milk. Most recipes for breads, crackers, cookies, cakes and muffins containing milk have at least twice as much flour as milk.

Foods You Should Continue to Avoid

  • Store bought baked products with cow’s milk listed as the first or second ingredient.
  • Products that include cow’s milk and have not been baked per guidelines mentioned in the Important Things to Know box at the bottom of this handout.
  • Milk chocolate and milk chocolate chips. Use dairy-free alternative such as Enjoy Life® Chocolate Morsels
  • Products that contain a dairy ingredient that is not baked cow’s milk (i.e. cheese flavored chips/crackers, cheese popcorn, frosting and fillings, cheese on pizza, lasagna or cream sauce)
  • Cooked milk products that are not baked such as pudding, custard, homemade French toast, homemade pancakes and homemade waffles.
  • Regular milk or dairy in any form, including cow’s milk that is not baked, lactose-free products, milk powder, yogurt, sour cream, butter, cheese and ice cream.

Important Things to Know…

  • There is an important difference between cooked and baked milk products. Your child can eat baked milk products, but not cooked milk products. Baking is a specific type of cooking. When a food is baked, it is cooked in an oven with dry heat. Cooking is a more general word that can also include other forms of heat to cook food. This includes boiling, frying or steaming.
  • Bake homemade baked goods at 350° F (176.6°C) or higher for at least 30 minutes or until a toothpick comes out dry.
  • All baked products should be baked completely through. Avoid products that are wet or soggy in the middle.

Rev. 2/2020. MassGeneral Hospital for Children and Massachusetts General Hospital do not endorse any of the brands listed on this handout. This handout is intended to provide health information so that you can be better informed. It is not a substitute for medical advice and should not be used to treatment of any medical conditions.