TABLE 1

Food and product safety for patients with alpha-gal syndrome

Contain alpha-gal
Foods
 Meat: beef, pork, lamb, venison, rabbit, goat, buffalo, bison horse
 Animal viscera: kidney, liver, heart, intestine, lung
 Gelatin from beef and pork: marshmallow, gummy bears, other gelatin-based items
 Lard and tallow
 Cow’s milk and cow’s milk–based items: butter, cheese, yogurt, cream, cream cheese, ice cream
 Nut milks
Medical products
 Gelatin-containing vaccines: measles, mumps, and rubella; yellow fever; live attenuated zoster
 Glycerol
 Magnesium stearate
 Porcine-sourced heparin
 Monoclonal antibodies
 Thrombin
 Bovine-derived pancreatic enzymes
 Porcine and bovine heart valves
 Equine-derived antivenin
Personal care products
 Lanolin
 Collagen
 Glycerin
Do not contain alpha-gal
Meat: chicken, turkey, duck
Seafood
Fish
Eggs
Fruits
Vegetables
  • Alpha-gal = galactose-alpha-1,3-galactose.

  • Based on information from references 15 and 24.