0.5 L-CERP + 0.5 R-CERP + 1 CEU

What is an Elimination Diet and When Should a Nursing Parent Try One?

Hope K Lima, PhD, RDN, IBCLC
Course description
Occult blood in the stool of an exclusively breastfed infant can indicate a cow-milk/soy protein allergic colitis. In some instances, pediatricians may recommend moving the symptomatic infant to infant formula to help provide a resolution. Research shows, though, that elimination of the appropriate allergens from the maternal diet can improve or resolve infant symptoms. 
As not all infant allergic colitis is due to a cow-milk/soy protein intolerance, this presentation will overview clinical differences between food protein-induced allergic proctocolitis (FPIAP), food protein induced enterocolitis syndrome (FPIES) and gastroesophageal reflux disease (GERD), as well as the difference between IgE and Non-IgE mediated allergic responses in breastfed infants. Then, the basics of an elimination diet and criteria warranting introduction of an elimination diet will be summarized
Meet the Instructor

Hope K Lima,

Hope became an International Board Certified Lactation Consultant (IBCLC) in 2017, completed her PhD in nutritional biochemistry in May 2018, and became a Registered Dietitian Nutritionist (RDN) in September 2020. In addition to owning and operating Hope Feeds Babies, Hope is employed full time at Winthrop University in the Department of Human Nutrition overseeing the Certificate in Medical Lactation and running a research lab that focuses on helping mothers to reach their infant feeding goals, improving access to human milk, and analyzing the nutritional content of human milk.
Patrick Jones - Course author

Learners say 

This is essential for all IBCLCs and any person who works in healthcare. We need to always strive to do better and remember we are a work in progress.

Margot Hodes, IBCLC

I have taken many courses on bias and how to continuously learn and unlearn explicit and implicit bias in everyday life and in my practice, but this training was incredibly helpful in knowing how to address mistakes when it inevitably occurs. Thank you!

Jessi Sletten, CLC, PMH-C

Start learning now!

Knowledge Gap
This presentation will clarify the diagnostic criteria for infant allergic diagnoses and overview the structure of an elimination diet so that practitioners are able to better support parents when their providers recommend an elimination diet.


List two signs/symptoms that may indicate the need for referral to a dietitian to oversee an elimination diet


Describe the difference between an IgE and non-IgE mediated allergic response


3, 4, & 5: List diagnostic criteria for FPIAP, FPIES, and GERD


Define the basic structure of an elimination diet


Describe the possible impacts of unaddressed dietary allergen exposure in the breastfed infant
IBLCE Content Outline
I. A. 2 Food intolerances/allergies
I. B. 5 Maternal nutritional status

Course Lessons

Guaranteed Security using one of the most advanced encrypted systems on the market.
The information in this page is being processed and encrypted securely using industry-leading encryption and fraud prevention tools.