Easy recipes for children with diagnosed cows' milk protein allergy

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Easy recipes for children with diagnosed cows' milk protein allergy
Easy recipes for children
with diagnosed cows’ milk
protein allergy

          For healthcare professional use
Easy recipes for children with diagnosed cows' milk protein allergy
Food for thought...                                                                   Contents
There are lots of recipe books for parents with babies who have no allergies.         Managing a milk-free diet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
These books help parents prepare a whole variety of tasty meals. But what             Your questions answered about the recipes . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
happens when a baby has been diagnosed with cows’ milk protein allergy?
                                                                                      Fisherman’s pie with creamy mashed potato  . . . . . . . . . . . . . . . . . . . . . . . . . 8
When weaning time comes, what help is there for parents in choosing and
preparing suitable solid food, to ensure that baby gets a healthy, nutritious diet,   Chicken and mushroom stroganoff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
especially when you consider that milk is present in about 70% of all the foods       Chicken pie with a herb pastry crust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
sold in supermarkets.
                                                                                      Tuna pasta bake  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
This booklet has been developed for healthcare professionals, to support parents
                                                                                      Chicken winter warmer casserole  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
of children who have been diagnosed with cows’ milk protein allergy. It’s been
put together to help discuss the problems brought about by it – and to give a         Moussaka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
whole range of nutritious, delicious recipes for babies weaned onto a mixed diet.     Shepherd’s pie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
It was written by Tanya Wright BSc Hons, MSc (Allergy), a specialist Registered       Tofu korma  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Dietitian working within the Allergy Service at Amersham Hospital in
Buckinghamshire. Tanya specialises in adult and paediatric food allergy               Leek, broccoli and cauliflower cheese  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
and intolerance, and is the author of several food allergy and recipe books.          Omelette with tomato and mushroom filling  . . . . . . . . . . . . . . . . . . . . . . 26
This one is packed with Tanya’s nutritional analysis, help, information and advice.
                                                                                      Cheesy melting circles  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
All the meals are easy to prepare and designed to develop healthy eating habits       Cheese and spinach scones  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
from a young age. What’s more, they’ve been tested for use with specially designed
formula milks for cows’ milk protein allergy like Aptamil Pepti. However, other       Gingerbread family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
special milks, like Cow & Gate Pepti Junior or Infasoy                                Banana cake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
will work just as well. All three formulas were tested
                                                                                      Mini iced party cakes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
for use in the recipes, and were cooked by Valia Battat
BA Hons, qualified chef.                                                              Bread and butter pudding  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
All this has been done to help parents prepare                                        Chocolate pudding  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
nutritional, tasty meals for their babies.                                            Rice pudding with fruit topping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
                                                                                      Mini blueberry pancakes  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
                                                                                      Strawberry trifle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
                                                                                      Birthday cake  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
                                                                                      Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Easy recipes for children with diagnosed cows' milk protein allergy
Managing a
    milk-free diet
    Milk-free                                                                                                       Parents can identify foods that are milk-free by using
    Many foods are naturally milk-free such as plain meat, fish, eggs, fruit, vegetables                           an up-to-date ‘free from’ list in conjunction with reading
    and grains. Obvious dairy foods include milk, cheese, yoghurt, cream and ice cream.                          the ingredients list. The ‘free from’ lists are produced by
    However, milk is often present in unexpected places in manufactured foods,                                 supermarkets and manufacturers. Many manufacturers have
    including some breads, breakfast cereals, crisps, processed meat and fish products                       also added a ‘contains’ box to their products, which labels the
    and in about 70% of all the foods sold in the supermarket. If a child has been         sources of the allergens in the product. Parents can contact the customer services
    advised to follow a milk-free diet, parents will need to check the ingredients         department of their local supermarket to request a copy.
    label of all manufactured foods for cows’ milk and its derivatives. By law, if a       There are also likely to be some foods that are unexpectedly milk-free, so advise
    manufactured pre-packaged food for sale in the European Union contains any             parents to check. (Free from lists are also available for other major allergens such
    of the following sources of cows’ milk, it has to tell you clearly in a form you can   as eggs, soya, wheat, gluten and nuts).
    easily understand on the label. This has been the case for all manufactured foods
    made since November 25th 2005.                                                         Substitute foods
                                                                                           When following a milk-free diet, for nutrition, variety and taste, it is important
    What to look out for on food labels;                                                   to include dairy-free substitutes such as soya yoghurts and soya cheeses. For
    – Butter, butter oil, buttermilk                                                       those who cannot tolerate soya there are also dairy and soya-free foods which
    – Casein, caseinates, hydrolysed casein, sodium caseinates, magnesium caseinates      are often based on oats or rice. There are an increasing number of dairy-free
    – Cheese, cream cheese                                                                 foods available. Historically they were only available in health food shops. These
    – (Cows’) milk (fresh, UHT, evaporated, condensed, dried)                             days they are also widely available in supermarkets and by next day delivery via
    – Cream, sour cream                                                                    websites such as www.goodnessdirect.co.uk and www.dietaryneedsdirect.co.uk.
    – Curd                                                                                 It is worth checking their nutritional profile as some are enriched with calcium
    – Ghee                                                                                 and vitamins and others are not. Milk from sheep, goats and other mammals
    – Lactoglobulin                                                                        should not be substituted for cows’ milk as they contain similar proteins and
    – Lactose                                                                              are therefore not usually tolerated.
    – Milk solids
    – Quark                                                                                Soya, rice, oat and other off the shelf milks do not provide adequate nutrition
    – Whey, hydrolysed whey, whey powder, whey syrup sweetener                            for toddlers; they are not suitable alternatives to breastmilk or formula milks
    – Yogurt, fromage frais                                                                as the main source of nutrition until an infant is at least two years old.
                                                                                           Some toddlers are advised to continue with formula milks up until aged five or
    Some foods are exempt from these food labelling laws including foods sold              more if they have poor growth and development, or a very restricted diet for
    loose – such as bakery and delicatessen items and butchers products such as            whatever reason, as many alternative milks are not enriched
    meat pies and sausages. These are not suitable for milk allergic infants or children   with calcium, vitamins and other nutrients. A Paediatric
    as they may contain a hidden source of milk. Also remember if these foods              Dietitian will provide individual advice.
    come into contact with other foods containing milk products, they will be open
    to cross contamination making them unsuitable for a child’s milk-free diet.

4                                                                                                                                                                                 5
Easy recipes for children with diagnosed cows' milk protein allergy
Frequently asked
    questions
    Which formula milks can be used to make these recipes?                                            Should the ingredients
    The recipes in this book have mainly been tested for use with the special formula milk            be fresh, frozen or tinned?
    Aptamil Pepti, though would also work for Cow & Gate Pepti Junior and Infasoy.                    Frozen fruit, vegetables, fish and meat
    Aptamil Pepti has been developed for babies diagnosed with cows’ milk protein allergy,            can all be used in these recipes. They are
    who are not being breastfed. It still contains cows’ milk protein, but it is structurally         nutritionally comparable to fresh varieties. Tinned
    altered so that a baby’s immune system is unlikely to react to it. Aptamil Pepti is suitable      vegetables with added salt or preservatives should not be
    for infants and children as the sole source of nutrition, as part of a mixed diet, or as a        used as these are not recommended for infants or young children.
    top up for breastfeeding, and is available on prescription from a healthcare professional.
                                                                                                      Is it ok to freeze the meals once they are made?
    Soya formulas should only be used in exceptional circumstances and on the advice of               Yes, but remember that if the recipes are to be frozen and reheated, take care to ensure
    a healthcare professional, the Department of Health recommends soya milk is not used              that the meal is completely defrosted and then reheated until piping hot throughout.
    under 6 months of age.1
                                                                                                      What age are these recipes suitable for?
    How should the formula milk be made up?                                                           The recipes are aimed at infants once they have been weaned onto a mixed diet up to
    Aptamil Pepti should be made up according to the manufacturers instructions on the                3 years of age, although they can be used beyond that.
    pack i.e. 1 scoop per 30ml/1fl oz of water. Where possible, recipes have been adapted to
                                                                                                      Remember, for babies in the early stages of weaning, foods should be smooth and puréed
    include multiples of this figure for ease of preparation.
                                                                                                      with no lumps. After this initial stage (at around 7-9 months), meals should be mashed,
    What if a baby doesn’t like one of the ingredients?                                               with more texture, and require chewing.
    Where a recipe contains an ingredient that parents wish to avoid, it can be substituted           Simply take a portion of the meal and either purée or mash it to the required consistency.
    with something else to make it more suitable for their requirements. But if so, please note
    that the diet coding (i.e. “egg-free”), nutritional profile and possibly the cooking properties   Will diagnosed babies always have to avoid milk?
    of the recipe may differ from the information provided in this booklet.                           Probably not. Cows’ milk protein allergy will resolve in most children by the time they
                                                                                                      are 5. It is important to consult a doctor who will monitor this and give advice based on
    What are dairy-free margarines made from?                                                         the child’s individual needs. Never attempt to reintroduce milk or milk products without
    Most dairy-free margarines are made with soya, so where dairy-free margarine is specified         consulting a doctor or dietitian.
    in the recipe, it should be noted that this should also be soya-free for those infants and
    toddlers who need to avoid soya.                                                                  Some babies are allergic to other foods,
                                                                                                      how will I know if these are in the recipe?
    Which formula milk has been used to                                                               All the menus are coded to indicate if they are free from cows’ milk, eggs, wheat, gluten,
    calculate the nutrition analysis?                                                                 nuts, peanuts and soya.
    All nutritional analysis has been done using Aptamil Pepti, therefore
                                                                                                      In this booklet, milk-free* means free from whole cows’ milk protein. Aptamil Pepti
    if other formulas are being used the nutritional information
                                                                                                      does still contain cows’ milk protein, but it has been structurally altered so that a baby’s
    will vary slightly. As portion sizes for infants and young
                                                                                                      immune system is unlikely to react to it.
    children will vary greatly, the nutritional information
    is based on 100g of the finished meal. Parents can                                                They also show which of these foods each recipe contains. All the recipes are free from
    weigh a child’s portion size in grams and then work                                               nuts (tree nuts) and peanuts (ground nuts).
    out how much they are getting.

6                                                                                                                                                                                                    7
Easy recipes for children with diagnosed cows' milk protein allergy
Fisherman’s Pie with                                                                                  Nutrition information   Per 100g   Nutrition information   Per 100g

    Creamy Mashed Potato
                                                                                                          Energy                  130kcals   Iron                    0.6mg
                                                                                                          Protein                 6.2g       Calcium                 32mg
                                                                                                          Carbohydrate            9.9g       Sodium                  22mg
                                                                                                          Fat                     7.6g
    Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
    Contains: Wheat, gluten.
    Suitable from: 6 months.
    Makes: 5 toddler size portions.
    Ingredients                                Method
    250g mixed white fish and               1 Preheat the oven to 190°C, 375°F or gas mark 5.
    salmon (fresh or frozen).
                                            2 Cover the whole fish fillet in 350ml of formula milk
    400ml Aptamil Pepti
                                              and bring to the boil. Reduce the heat and simmer
    (or appropriate alternative).
                                              gently for 3 minutes. Strain and set the milk aside.
    50g broccoli florets.
                                              Skin and flake the fish ensuring all bones are removed.
    1 teaspoon chopped parsley.
    75g dairy and soya-free                 3 Divide the broccoli into small florets and cover with
    margarine.                                boiling water. Simmer for 2 minutes or until soft. Drain.
    40g leeks, finely chopped.
    50g plain flour.                        4 Heat 50g margarine and fry the chopped leeks until
    200g potatoes, peeled and diced.          golden, then reduce the heat, cover the pan and cook
                                              until very soft.
                                            5 Remove from the heat, add the flour and stir until
                                              a paste is made.
                                            6 Gradually stir in the reserved formula milk then return
                                              the pan to the heat until the sauce thickens. Bring
                                              to the boil, reduce the heat and simmer gently for 1
                                              minute.
                                            7 Add the fish, broccoli and parsley and stir in gently.
                                            8 Place in a heatproof dish and set aside. Peel and dice
                                              the potatoes. Bring to the boil and simmer until soft.
                                              Drain and mash. Add the remaining 25g margarine
                                              and 50ml formula milk and stir until creamy. Fork on
                                              top of the fish mixture and brush with formula milk.
                                            9 Cook in the centre of the oven until golden brown.

       Cooks tip: If this recipe is to be frozen then brush top with formula milk and brown after
       defrosting. Wheat-free flour or gluten-free flour can be used instead of wheat flour.
       Do not use new potatoes as they do not mash well.

       Serving suggestion:
       Freeze individual portions in ramekin dishes or foil containers.
8
Easy recipes for children with diagnosed cows' milk protein allergy
Chicken and                                                                                   Nutrition information   Per 100g   Nutrition information   Per 100g

     Mushroom Stroganoff
                                                                                                   Energy                  91kcals    Iron                    0.6mg
                                                                                                   Protein                 9.7g       Calcium                 37mg
                                                                                                   Carbohydrate            9.6g       Sodium                  27mg
                                                                                                   Fat                     2.5g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free.
     Contains: Wheat, gluten and soya.
     Suitable from: 6 months.
     Makes: 4 toddler size portions.
     Ingredients                                Method
     1 skinless chicken breast fillet        1 Dice the chicken into small pieces. Heat the oil
     (approx 200g).                            in a frying pan and fry the chicken until lightly
     1-2 tablespoons vegetable oil             browned and cooked through, then place in a dish
     (may contain soya – please check          and set aside.
     ingredients).
                                             2 Add the onions to the pan and cook until soft,
     1 small onion, finely chopped.
                                               without browning. Mix in the mushrooms.
     70g closed cup mushrooms, sliced.
     50g plain flour.                        3 Turn down the heat, place a lid on the pan and
     360ml Aptamil Pepti                       cook until the mushrooms have sweated so that
     (or appropriate alternative).             there is juice at the bottom of the pan.
     1 teaspoon basil, chopped
     (optional).                             4 Add the flour and stir until a paste is made.
     1 tablespoon natural soya yoghurt.      5 Gradually add the formula milk and heat until
                                               the sauce thickens, stirring constantly.
                                             6 Add the chicken, bring to the boil then turn down
                                               the heat and simmer gently for 5 minutes.
                                             7 Remove from the heat, add the basil, stir in
                                               the yoghurt and serve.

        Cooks tip: Try adding spinach with the mushrooms for extra flavour and nutrition.

        Serving suggestion:
        Serve on a bed of noodles, cous cous, or rice.
        Additional dietary information: Flour in the recipe can be substituted for a wheat or
        gluten-free type, if necessary. Wheat and/or gluten-free varieties of noodles are widely
        available. Rice noodles are gluten and wheat-free, some wheat noodles are egg-free.
        Cous cous contains wheat so would not be suitable for a wheat-free or gluten-free diet.
        Always check ingredients labels if using manufactured foods.
10
Easy recipes for children with diagnosed cows' milk protein allergy
Chicken Pie with a                                                                                 Nutrition information   Per 100g   Nutrition information   Per 100g

     Herb Pastry Crust
                                                                                                        Energy                  168kcals   Iron                    0.7mg
                                                                                                        Protein                 8.8g       Calcium                 63mg
                                                                                                        Carbohydrate            17.4g      Sodium                  68mg
                                                                                                        Fat                     8.1g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
     Contains: Wheat, gluten.
     Suitable from: 6 months.
     Makes: 4 toddler size portions.
     Ingredients                               Method
     1 skinless chicken breast fillet        1 Preheat the oven to 190°C, 375°F or gas mark 5.
     (approx 200g).
                                             2 Dice the chicken breast into small pieces. Heat the
     1-2 tablespoons vegetable oil
                                               oil and fry the chicken until lightly browned.
     (may contain soya – please check
     ingredients).                           3 Add the onion, peppers and carrots. Lower the
     1 small onion, finely chopped (60g).      heat and cover the pan. Cook until the vegetables
     1 small carrot, finely chopped (50g).     are soft and the chicken is cooked through.
     1 green pepper, finely chopped (50g).
     40g cornflour.                          4 Add the cornflour and stir until a paste is made.
     300ml Aptamil Pepti                     5 Gradually stir in the formula milk and heat until
     (or appropriate alternative).             the sauce thickens. Simmer gently for 1 minute.

     Pastry:                                 6 Place in a heatproof dish and set aside.
     50g white vegetable cooking             7 To make the pastry rub the fat into the flour. Mix
     fat (check ingredients).                  in the herbs then add the water, a teaspoonful at a
     100g self-raising flour.                  time. The dough should be soft but not wet or sticky.
     1 teaspoon fresh parsley
     or dried mixed herbs.                   8 Roll out the pastry. Brush the edge of the dish with
     Cold water to mix.                        water, place the pastry on top of the chicken filling
                                               and seal by pressing the pastry against the rim of
                                               the dish with a finger pattern. Make two small air
                                               vents in the centre of the pastry or use a pie funnel.
                                               Brush with formula milk.
                                             9 Bake in the oven for 20 minutes or until the pastry
                                               is golden brown.

        Cooks tip: A wheat or gluten-free pastry can be made and placed on the pie filling
        in the usual way.

        Serving suggestion:
        Delicious served with a selection of seasonal fresh or cooked frozen vegetables.
12
Easy recipes for children with diagnosed cows' milk protein allergy
Tuna Pasta Bake                                                                                         Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                             Energy                  164kcals   Iron                    0.7mg
                                                                                                             Protein                 5.9g       Calcium                 34mg
                                                                                                             Carbohydrate            13.4g      Sodium                  43mg
                                                                                                             Fat                     10.1g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free.
     Contains: Wheat, gluten and soya.
     Suitable from: 6 months.
     Makes: 4 toddler size portions.
     Ingredients                                 Method
     50g egg free pasta spirals.               1 Cover the pasta in boiling water and simmer
     100g tuna (drained).                        gently until soft. Drain and set aside.
     1 tomato.
                                               2 Drain the tuna, flake and set aside.
     50g courgette.
     1 red onion.                              3 Peel and finely chop the onion. Melt 25g margarine
     75g dairy-free margarine.                   in a frying pan and fry the onion gently until soft
     50g plain flour.                            without colouring.
     360ml Aptamil Pepti                       4 Peel the tomato by cutting a large cross in the skin
     (or appropriate alternative).               and standing in boiling water for 1 minute. The skin
     50g dairy-free hard cheese,                 should then come away easily. Cut the tomato in half
     finely grated.                              and carefully remove all the seeds.
                                               5 Dice the courgette and tomato and add them to
                                                 the onion. Carefully stir in the tuna, put on the lid and
                                                 cook gently for 5 minutes.
                                               6 To make the sauce, melt the remaining margarine
                                                 (50g) in a pan. Remove from the heat, stir in the flour
                                                 and whisk in the formula milk. Return to the heat,
                                                 stirring constantly until boiling and simmer gently for
                                                 1 minute. Add the cheese and continue
                                                 to stir until melted.
                                               7 Combine the pasta with the sauce, then top with the
                                                 tuna topping.
                                               8 Serve with baby triangles of herb toast.

         Cooks tip: Wheat and gluten-free pastas based on rice, millet, corn and other suitable
         grains can be used in this recipe. Take care not to overcook them – follow the instructions
         carefully. Nutritional analysis is based on tuna in oil, if you prefer you can use tuna in
         springwater.

         Serving suggestion:
         Serve with herby toast triangles. To make these brush a slice of bread with olive oil,
         sprinkle with dried oregano. Toast. Cut into 16 triangles or star shapes using a cutter
         (remember to check ingredients of the bread used).
14
Easy recipes for children with diagnosed cows' milk protein allergy
Chicken Winter                                                                                     Nutrition information   Per 100g   Nutrition information   Per 100g

     Warmer Casserole
                                                                                                        Energy                  127kcals   Iron                    0.7mg
                                                                                                        Protein                 7.2g       Calcium                 55mg
                                                                                                        Carbohydrate            11.8g      Sodium                  46mg
                                                                                                        Fat                     6g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
     Contains: Wheat and gluten.
     Suitable from: 6 months.
     Makes: 3 toddler size portions.
     Ingredients                                Method
     1 skinless chicken breast fillet        1 Cut the chicken into small cubes. Heat the oil in
     (approx 200g).                            a pan and fry the chicken lightly to seal without
     1-2 tablespoons vegetable oil             colouring. Remove from the pan and set aside.
     (may contain soya – please check
                                             2 Dice the chosen vegetables, add to the pan
     ingredients).
                                               and sauté until golden. Add the chicken to the
     100g winter root vegetable
                                               vegetables together with the herbs.
     selection (e.g. leek, onion,
     turnip, swede, parsnip, sweet           3 Stir in the flour, then the formula milk. Bring to the
     potato, carrot, potato).                  boil then turn down the heat and simmer gently for
     Pinch dried mixed herbs.                  20 minutes, stirring occasionally, until the chicken
     25g plain flour.                          is cooked through and the vegetables are soft.
     450ml Aptamil Pepti
     (or appropriate alternative).           4 Make the dumplings by mixing all the ingredients
                                               together. The dough should be soft but not sticky.
     Dumplings:                              5 Roll the dumplings into 6 small balls then add
     50g self-raising flour.                   them to the casserole and simmer for a further
     Pinch dried mixed herbs                   5 minutes, turning each dumpling once during
     (optional).                               cooking.
     25g vegetable suet (check
     ingredients).
     30ml Aptamil Pepti
     (or appropriate alternative).

         Cooks tip: Add low salt bacon when frying the vegetables to give a delicious taste.

         Serving suggestion:
         Serve with herby dumplings or pastry shapes.
16
Easy recipes for children with diagnosed cows' milk protein allergy
Moussaka                                                                                            Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                         Energy                  159kcals   Iron                    0.9mg
                                                                                                         Protein                 8g         Calcium                 30mg
                                                                                                         Carbohydrate            7.7g       Sodium                  31mg
                                                                                                         Fat                     11g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free.
     Contains: Wheat, gluten and soya.
     Suitable from: 6 months.
     Makes: 3 toddler size portions.
     Ingredients                                   Method
     200g minced lamb (lean).                   1 Pre-heat the oven to 190°C, 375°F or gas mark 5.
     1 small onion, finely sliced.
                                                2 Heat the oil in a frying pan and fry the onions
     1 small clove garlic, crushed
                                                  and garlic without colouring.
     (optional).
     1-2 tablespoons vegetable oil              3 Add the mince and fry until browned, stirring from
     (may contain soya – please                   time to time to prevent it sticking together.
     check ingredients).
     100g aubergine, peeled and diced.          4 Mix in the aubergine, oregano, tomato purée and
     1
      / teaspoon dried oregano.
         2
                                                  flour. Cook on a high heat for 5 minutes, then
     1 teaspoon tomato purée.                     turn down the heat and simmer uncovered for 20
     1 level teaspoon flour.                      minutes, stirring occasionally. (You should not need
                                                  to add any liquid to this recipe as water seeps from
                                                  the aubergine. If necessary add liquid sparingly).
     Sauce:
     150ml Aptamil Pepti (or                    5 Place the mince in an ovenproof dish and set aside.
     appropriate alternative).
     25g dairy-free margarine.                  6 To make the sauce, combine the margarine, flour
     25g plain flour.                             and formula milk in a pan and whisk continuously
     20g dairy-free hard cheese,                  over a medium heat until the sauce thickens and
     finely grated.                               is smooth.
                                                7 Pour the sauce over the mince, top with the
                                                  cheese and bake in the oven on the centre shelf
                                                  for 20 minutes until golden brown. Stand for
                                                  10 minutes before serving.

             Cooks tip: Grate soya melting cheese on the top to add more nutrition and taste.

             Serving suggestion:
             Serve with baby tomatoes and skinned cucumber stars.
18
Shepherd’s Pie                                                                                         Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                            Energy                  133kcals   Iron                    0.9mg
                                                                                                            Protein                 7.4g       Calcium                 18mg
                                                                                                            Carbohydrate            7.2g       Sodium                  30mg
                                                                                                            Fat                     8.5g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
     Contains: Wheat, gluten.
     Suitable from: 6 months.
     Makes: 4 toddler size portions.
     Ingredients                                   Method
     200g mashed potatoes.                       1 Preheat the oven to 190°C, 375°F or gas mark 5.
     60ml Aptamil Pepti
                                                 2 Peel and dice the potatoes. Place in a pan with cold
     (or appropriate alternative).
                                                   water, bring to the boil and simmer until soft. Drain
     25g dairy and soya-free margarine.
                                                   and mash. Stir in the margarine and formula milk.
     1 tablespoon vegetable oil
     (may contain soya – please                  3 Heat the oil in a pan and gently fry the onions
     check ingredients).                           and garlic until soft, without colouring.
     250g lamb mince (or beef
     mince for cottage pie).                     4 Add the mince and fry until browned, stirring
     1 small onion, finely chopped (60g).          from time to time to prevent it sticking together.
     1
      / teaspoon fresh garlic,
         4
                                                 5 Finely dice the carrots and peppers and add to
     crushed (optional).                           the mince over the heat. Add the mushrooms.
     50g carrots.
     50g green peppers.                          6 Stir in the tomato purée, mixed herbs and plain flour.
     40g mushrooms, finely
                                                 7 Cover with water, bring to the boil and simmer
     chopped.                                      for 30 minutes.
     1 teaspoon tomato purée.
     1 pinch mixed herbs (optional).             8 Place the mince in an ovenproof dish and fork
     1 teaspoon plain flour.                       or pipe the mashed potato on top. Brush with
                                                   formula milk and bake in the oven until golden
                                                   brown. This recipe can also be heated through in
                                                   the microwave then browned under the grill.

             Cooks tip: Use a good non-stick pan as this will reduce the amount of oil required
             and will prevent the mince from burning or sticking to the pan.

             Serving suggestion:
             Serve with a green vegetable such as mange-tout, broccoli or French beans to add
             colour and taste. For toddlers and older children these can be undercooked so they
             maintain a greater amount of their water soluble vitamin content and encourages
             different textures within the diet.
20
Tofu Korma                                                                                           Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                          Energy                  120kcals   Iron                    1.8mg
                                                                                                          Protein                 4.8g       Calcium                 228mg
                                                                                                          Carbohydrate            4.9g       Sodium                  17mg
                                                                                                          Fat                     9.2g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, wheat-free, gluten-free.
     Contains: Soya.
     Suitable from: 6 months.
     Makes: 4 toddler size portions.
     Ingredients                                     Method
     200g vegan marinated tofu                    1 Heat the oil in a frying pan. Add the spices
     pieces (check ingredients).                    (cumin, turmeric, cardamom, cloves, cinnamon,
     olive oil.                                     ground coriander and ginger) and cook for
     1 small onion peeled and                       1 minute, stirring continuously.
     finely chopped.
                                                  2 Add the onion and garlic, then reduce the heat
     1 small clove garlic, peeled
                                                    and cook until the onion is soft.
     and crushed.
     1 teaspoon ground cumin.                     3 Add the formula milk and coconut and simmer
     1
      / teaspoon ground turmeric.
         2                                          gently for 15 minutes.
     1
      / teaspoon cardamom powder.
         4

     1
      / teaspoon ground coriander.
         4
                                                  4 Dice the tofu into small pieces, add to the pan
     1
      / teaspoon ground cloves.
         4
                                                    and simmer for a further 5 minutes.
     1
      / teaspoon ground cinnamon.
         4
                                                  5 Remove from the heat, stir in the yoghurt and
     1 pinch ground ginger.                         coriander. Serve with plain or coconut rice.
     1
      / teaspoon sugar (for Pepti
         4

     and Pepti-Junior recipes only).
     150ml Aptamil Pepti
     (or appropriate alternative).
     50g block coconut.
     2 tablespoons natural soya yoghurt.
     1 teaspoon fresh coriander,
     finely chopped.

             Cooks tip: Try using a selection of vegetables instead of the tofu. Try using garam
             marsala instead of the individual spices.

             Serving suggestion:
             Serve with mini pitta breads (gluten-free and wheat-free varieties are available, you
             will need to check the sodium level, as these will probably be made for adults), tortillas
             or coconut rice. This can be made simply by adding some pure block coconut to the
             boiling water before the rice is added. Remember to check all manufactured food
             ingredient labels.
22
Leek, Broccoli and                                                                               Nutrition information   Per 100g   Nutrition information   Per 100g

     Cauliflower Cheese
                                                                                                      Energy                  130kcals   Iron                    0.8mg
                                                                                                      Protein                 3.5g       Calcium                 42mg
                                                                                                      Carbohydrate            10.2g      Sodium                  12mg
                                                                                                      Fat                     8.6g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free.
     Contains: Wheat, gluten and soya.
     Suitable from: 6 months.
     Makes: 3 toddler size portions.
     Ingredients                               Method
     50g leeks (white part only).           1 Slice the leeks finely. Divide the cauliflower and
     75g broccoli (trimmed weight).           broccoli into small florets. Place into boiling water
     75g cauliflower (trimmed weight).        then simmer until soft. Drain and reserve the
     300ml Aptamil Pepti (or                  vegetable water.
     appropriate alternative) (made up
                                            2 When the vegetable water has cooled use it
     using cooled vegetable water).
                                              to make up the formula milk according to the
     40g dairy-free margarine.
                                              manufacturer’s instructions.
     40g plain flour.
     50g hard soya cheese,                  3 Make the sauce by melting the margarine in a pan.
     finely grated.                           Remove from the heat and stir in the flour to make
                                              a paste. Add the formula milk a little at a time,
                                              stirring well between each addition. Return to the
                                              heat whisking continuously until the sauce thickens,
                                              then reduce the heat and simmer for 1 min. Add the
                                              grated cheese and stir until melted.
                                            4 Pour the sauce over the vegetables and serve
                                              immediately.

        Cooks tip: Ensure you grate the soya cheese on the fine side of the grater or it will
        not melt properly. Alternatively buy a soya melting cheese. For a really creamy sauce
        a teaspoon of soya cream cheese may also be added. Aim to use a calcium enriched
        variety.

        Serving suggestion:
        Add cooked chicken or cooked flaked white fish to give extra protein, iron and vitamin B .
                                                                                                 12

24
Omelette with Tomato                                                                             Nutrition information   Per 100g   Nutrition information   Per 100g

     and Mushroom Filling
                                                                                                      Energy                  151kcals   Iron                    0.9mg
                                                                                                      Protein                 6g         Calcium                 24mg
                                                                                                      Carbohydrate            2.5g       Sodium                  50mg
                                                                                                      Fat                     13g
     Allergen advice: Milk-free*, nut-free, peanut-free, wheat-free, gluten-free.
     Contains: Egg, soya.
     Suitable from: 6 months.
     Makes: 1-2 toddler size portions – DO NOT FREEZE.
     Ingredients                                  Method
     1 egg.                                    1 Whisk together the egg, water and formula milk
     2 scoops Aptamil Pepti                      powder then add the cheese. Set aside.
     (or appropriate alternative)
                                               2 Skin the tomato by scoring with a cross then
     powder.
                                                 placing in boiling water for 1 minute. The skin
     15ml (1 tablespoon) cooled,
                                                 should then come off easily. Cut the tomato in
     boiled water.
                                                 half and carefully remove all the seeds.
     Soya melting cheese,
     finely chopped.                           3 Chop the tomato and finely slice the mushrooms.

     Filling:                                  4 Make the filling by frying together the tomato and
     2-3 button mushrooms.                       mushrooms in half the dairy-free margarine until
     1 tomato.                                   soft. Set aside.
     1 tablespoon dairy-free                   5 To make the omelette melt the remaining
     margarine.                                  margarine in a non-stick frying pan. Pour in the
                                                 egg mixture and cook over a gentle heat until
                                                 completely set throughout.
                                               6 Place the tomato and mushroom filling onto half
                                                 the omelette then flip over the other half to make
                                                 a lid. Serve immediately.

        Cooks tip: Ensure you do not cook on too hot a heat and that your frying pan or wok is
        non-stick to prevent sticking or burning of the omelette. Ensure the egg mix is thoroughly
        cooked to destroy the salmonella found in raw egg.

        Serving suggestion:
        Try your own alternative favourite fillings.
26
Cheesy Melting Circles                                                                          Nutrition information**   Per 100g   Nutrition information**   Per 100g

                                                                                                     Energy                    252kcals   Iron                      1.3mg
                                                                                                     Protein                   13.3g      Calcium                   68mg
                                                                                                     Carbohydrate              21.5g      Sodium                    447mg
                                                                                                     Fat                       13.1g
     Allergen advice: Milk-free*, nut-free, peanut-free.
     Contains: Soya, wheat, gluten, egg.
     Suitable from: Finger food stage.
     Makes: 1-2 toddler size portions.
     Ingredients                                 Method
     1 muffin, cut in half (carefully         1 Preheat the grill on a medium heat.
     check ingredients to ensure
                                              2 Mix together the egg, milk powder and grated
     dairy-free).
                                                cheese.
     50g dairy-free melting cheese,
     finely chopped.                          3 Toast the muffin on both sides.
     2 scoops Aptamil Pepti
     (or appropriate alternative)             4 Chop the ham finely then sprinkle over the muffin.
     powder.                                    Top with a thin layer of the cheese mixture.
     1 slice ham (40g) (carefully             5 Grill until golden brown.
     check ingredients as some
     processed ham contains
     milk proteins and lactose).
     1 egg yolk.

     Please note, this recipe does not require you to make up the formula into a liquid.

     ** This nutritional analysis does not include the muffin. See the nutrition information
        on the side of the packet of muffins for details and add on accordingly.

         Cooks tip: Spread the cheese mixture thinly to ensure that the egg is completely cooked
         through before serving. If you try and use a non-melting soya cheese it will go hard and
         become unpalatable. Be aware that this is the only recipe using the formula as a powder.

         Serving suggestion:
         Spread the topping onto a slice of toast instead of the muffin and cut into soldiers
         after grilling.
28
Cheese and                                                                                        Nutrition information   Per 100g   Nutrition information   Per 100g

     Spinach Scones
                                                                                                       Energy                  267kcals   Iron                    1.2mg
                                                                                                       Protein                 5.8g       Calcium                 180mg
                                                                                                       Carbohydrate            35.6g      Sodium                  229mg
                                                                                                       Fat                     12.3g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free.
     Contains: Soya, wheat, gluten.
     Suitable from: 6 months.
     Makes: 12 small scones.
     Ingredients                                Method
     225g self-raising flour.                1 Preheat the oven to 220°C, 425°F or gas mark 7.
     50g hard dairy-free
                                             2 Wash the spinach leaves and shake off the excess
     margarine.
                                               water. Remove any long stalks then place in a
     150ml Aptamil Pepti
                                               pan over a medium heat with a pinch of nutmeg,
     (or appropriate alternative).
                                               stirring occasionally. Do not add any liquid as water
     50g dairy-free hard cheese,
                                               will sweat out of the spinach. After a couple of
     finely grated.
                                               minutes when the spinach is evenly cooked, drain
     50g spinach.
                                               it and place into a cloth. Squeeze to remove excess
     Pinch of ground nutmeg.
                                               water, then chop finely and set aside.
                                             3 In a separate bowl rub the margarine into the flour,
                                               grate in / of the cheese, then add the chopped
                                                        3
                                                            4

                                               spinach. Mix well.

                                             4 Add the formula milk one tablespoon at a time,
                                               taking care not to make the mixture too wet. The
                                               dough should be soft but not sticky.

                                             5 Roll out the dough on a lightly floured surface to
                                               a thickness of 2cm, then cut out with a fluted
                                               pastry cutter. Cut straight down and do not twist
                                               the cutter or the scones will not rise evenly.

                                             6 Place on a prepared baking tray, brush with formula
                                               milk and sprinkle with the remainder of the cheese.

                                             7 Bake in the oven on the centre shelf for 10-15
                                               minutes until golden brown. Cool on a wire rack.

         Cooks tip: Do not overcook or they will become hard and difficult to chew and swallow.

         Serving suggestion:
         Cut in half and spread with a dairy-free cream cheese. Alternatively omit the cheese and
         spinach and add 2 level tablespoons of caster sugar to make sweet scones. Then serve with
         dairy-free cream cheese and strawberry jam, a delicious dairy-free version of a cream tea.
30
Gingerbread Family                                                                                 Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                        Energy                  356kcals   Iron                    1.5mg
                                                                                                        Protein                 4.5g       Calcium                 80mg
                                                                                                        Carbohydrate            68g        Sodium                  234mg
                                                                                                        Fat                     9.3g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
     Contains: Wheat, gluten.
     Suitable from: 6 months.
     Makes: 12.
     Ingredients                                Method
     350g plain flour.                       1 Preheat oven to 190°C, 375°F or gas mark 5.
     2 rounded teaspoons ground
                                             2 Sift the flour, ginger, bicarbonate of soda and
     ginger.
                                               baking powder into a bowl.
     1 level teaspoon bicarbonate
     of soda.                                3 Rub the margarine into the flour mixture.
     1 level teaspoon baking
     powder.                                 4 Add the sugar.
     100g dairy and soya-free                5 Stir in the golden syrup and formula milk, adding the
     margarine.                                latter a tablespoon at a time. Mix until a dough ball
     175g soft light brown sugar.†             is formed. The dough should be soft but not sticky.
     60ml Aptamil Pepti
     (or appropriate alternative).           6 Knead the dough to a smooth consistency on a
     4 tablespoons golden syrup.               floured surface, then roll out to a thickness of / cm.
                                                                                              1
                                                                                                  2

     Currants and glace cherries             7 Use a cutter to cut a gingerbread family, or other
     to decorate.                              shapes if you prefer. Decorate with currants and
                                               glacé cherries.
                                             8 Grease and flour a baking tray, or use non-stick
                                               baking parchment. Place the gingerbread people
                                               on the tray and bake in the middle of the oven for
                                               10 minutes.
                                             9 Once cooked remove from the oven and leave on
                                               the tray for 5 minutes before transferring to a wire
                                               rack. Serve when cool.

     †
      Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

         Cooks tip: For those who can tolerate eggs, omit the baking powder and add an
         egg alongside the syrup.

         Serving suggestion:
         Make other shapes such as hearts and stars and decorate them with icing sugar for
         Valentines, Christmas and other special occasions.
32
Banana Cake                                                                                      Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                      Energy                  254kcals   Iron                    1mg
                                                                                                      Protein                 4.7g       Calcium                 119mg
                                                                                                      Carbohydrate            47.3g      Sodium                  182mg
                                                                                                      Fat                     6.4g
     Allergen advice: Milk-free*, nut-free, peanut-free, soya-free.
     Contains: Egg, wheat, gluten.
     Suitable from: 6 months.
     Makes: 12 slices.
     Ingredients                                Method
     50g dairy and soya-free                 1 Preheat the oven to 190°C, 375°F or gas mark 5.
     margarine.
                                             2 Grease and flour a loaf tin.
     150g caster sugar.†
     2 eggs.                                 3 Cream the margarine and sugar together until pale
     225g self-raising flour.                  and fluffy.
     1 level teaspoon baking powder.
                                             4 Beat in the eggs together with a spoonful of the
     2 bananas, large and very ripe.
                                               sifted flour.
     60ml Aptamil Pepti
     (or appropriate alternative).           5 Fold in the remaining flour and baking powder.
                                             6 Mash the bananas and stir into the cake mixture
                                               together with the formula milk a tablespoon at a
                                               time. Do not make the mixture too wet.
                                             7 Transfer to the tin and bake on the centre shelf
                                               for 45 minutes until the loaf is golden and springy
                                               to the touch, and has shrunk a little from the sides
                                               of the tin.
                                             8 Turn out onto a wire rack to cool.

     †
      Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

         Cooks tip: Eat some – freeze some. This recipe freezes well, try freezing in portions
         so you can take a slice with you when you are out and about. For an egg-free version,
         omit the eggs and use egg re-placer instead.

         Serving suggestion:
         For a delicious topping; mix some plain dairy-free soft cheese with icing sugar and
         spread on top. Sprinkle with some toasted desiccated coconut.
34
Mini Iced Party Cakes                                                                                     Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                               Energy                  328kcals   Iron                    1.3mg
                                                                                                               Protein                 3.5g       Calcium                 110mg
                                                                                                               Carbohydrate            51.1g      Sodium                  246mg
                                                                                                               Fat                     13.5g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
     Contains: Wheat and gluten.
     Suitable from: 6 months.
     Quantity: Makes 58 petit four sized cakes (or 32 regular sized cakes).
     Ingredients                                        Method
     300g self-raising flour.                         1 Preheat the oven to 170°C, 325°F or gas mark 3.
     50g cocoa powder.
                                                      2 Sift flour, cocoa and baking powder into a bowl
     3 level teaspoons of baking powder.
                                                        and stir in the sugar.
     250g caster sugar.†
     1 / teaspoons vanilla extract.
         1
             2                                        3 Add the vanilla, oil, and formula milk and mix to
     9 tablespoons vegetable oil                        a batter consistency.
     (may contain soya – please
                                                      4 Spoon the mixture into petits fours paper cases.
     check ingredients).
     350ml Aptamil Pepti                              5 Bake on the centre shelf for approx 10 minutes
     (or appropriate alternative).                      until the cakes spring back to a light touch.
     Icing:                                           6 Cool on a wire rack.
     150g icing sugar.
     25g cocoa.                                       7 To make the icing: cream the margarine and icing
     75g dairy and soya-free                            sugar together until pale then combine with the
     margarine.                                         remaining ingredients.
     1 teaspoon vanilla extract.                      8 When the cakes are cold, decorate with icing on
     2 tablespoons Aptamil Pepti                        the top and add a cherry or small sweet.
     (or appropriate alternative).

     †
      Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

                 Cooks tip: Never use olive oil or other strongly flavoured oil to make this cake,
                 as the finished cake will taste of it!

                 Serving suggestion:
                 Substitute the cocoa for flour and add 2 lemons both zest and juice to make delicious lemon
                 cakes. Place the lemon juice in a measuring jug and top up with formula milk to 350ml and
                 omit the vanilla extract. Make up the icing using juice and zest of one lemon. Use the same
                 mix to make one big cake (cooking time should be increased to 30-40 minutes) – use this to
                 make trifle or serve with a ‘butter’ icing as a Birthday cake.
36
Bread and                                                                                             Nutrition information   Per 100g   Nutrition information   Per 100g

     Butter Pudding
                                                                                                           Energy                  182kcals   Iron                    1mg
                                                                                                           Protein                 3.6g       Calcium                 64mg
                                                                                                           Carbohydrate            25.6g      Sodium                  96mg
                                                                                                           Fat                     8g
     Allergen advice: Milk-free*, nut-free, peanut-free.
     Contains: Eggs, wheat, gluten, soya (soya flour is usually present in bread).
     Suitable from: 6 months.
     Makes: 6 toddler size portions.
     Ingredients                                     Method
     150g (5-6 slices) white bread                1 Preheat the oven to 150°C, 300°F or gas mark 2.
     (check ingredients).
                                                  2 Cut the crusts off the bread and spread generously
     Dairy-free margarine.
                                                    with dairy-free margarine. Cut into small triangles.
     100g sultanas (or dried
     apricots, chopped).                          3 Grease an oven-proof dish with margarine and
     2 eggs.                                        arrange half the triangles overlapping in one layer
     40g caster sugar.†                             in the bottom of the dish, buttered side down.
     500ml Aptamil Pepti                            Sprinkle with half the sultanas.
     (or appropriate alternative).
                                                  4 Repeat to make a second layer.
     1 teaspoon vanilla extract.
     1
      / teaspoon ground mixed
         2                                        5 Make the custard by whisking the eggs, sugar and
     spice (optional).                              formula milk together. Add the vanilla extract and
     2 tablespoons demerara sugar.                  mixed spice.
                                                  6 Pour the custard over the bread and leave to stand
                                                    for 30 minutes.
                                                  7 Sprinkle with Demerara sugar and bake for 1 hour
                                                    until set and the top is crisp and golden.

     †
      Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

             Cooks tip: Use a dairy-free fruit loaf instead of bread for that extra flavour. Instead
             of cutting this into triangles, try other shapes such as stars, hearts or diamonds.

             Serving suggestion:
             Serve with dairy-free custard – this can be either bought, or made using formula
             milk (made according to the instructions on the tin) and custard powder. Most custard
             powder is milk free but do remember to check the ingredients.
38
Chocolate Pudding                                                                                    Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                          Energy                  228kcals   Iron                    0.9mg
                                                                                                          Protein                 2.7g       Calcium                 53mg
                                                                                                          Carbohydrate            38g        Sodium                  168mg
                                                                                                          Fat                     8.3g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, soya-free.
     Contains: Wheat, gluten.
     Suitable from: 6 months.
     Makes: 6 toddler size portions.
     Ingredients                                   Method
     90g dairy and soya-free                     1 Preheat oven to 180°C, 350°F or gas mark 4.
     margarine.
                                                 2 Cream all the margarine and 110g sugar together
     200g caster sugar.†
                                                   until white and fluffy.
     1 teaspoon vanilla extract.
     35g cocoa powder.                           3 Stir in the vanilla extract.
     12g drinking chocolate
                                                 4 Sift together 20g cocoa powder, the drinking
     powder (check ingredients
                                                   chocolate powder and the baking powder.
     carefully as some brands
     contain milk products).                     5 Fold into the creamed mixture.
     150g plain flour.
     2 / teaspoons baking powder.
      1
          2
                                                 6 Add the formula milk and beat until smooth.
     225ml Aptamil Pepti                         7 Pour the mixture into a baking dish approx
     (or appropriate alternative).                 15cm x 10cm.
     225ml water.
                                                 8 Take a small bowl and mix the remaining cocoa
                                                   and sugar together. Sprinkle over the mixture in the
                                                   baking dish.
                                                 9 Pour the water over the mixture in the baking dish.
                                                   Do not stir.
                                               10 Bake for 45 minutes. The mixture separates into
                                                  a sponge layer on top with a chocolate sauce
                                                  underneath.

     †
       Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

              Cooks tip: Serve immediately or sauce will become absorbed by the cake.

              Serving suggestion:
              Serve with sliced bananas which should be cut at the last minute to prevent
              them from browning.
40
Rice Pudding with                                                                                               Nutrition information   Per 100g   Nutrition information   Per 100g

     Fruit Topping
                                                                                                                     Energy                  125kcals   Iron                    0.5mg
                                                                                                                     Protein                 1.9g       Calcium                 44mg
                                                                                                                     Carbohydrate            16.7g      Sodium                  17mg
                                                                                                                     Fat                     6.3g
     Allergen advice: Milk-free*, egg-free, nut-free, peanut-free, wheat-free, gluten-free, soya-free.
     Suitable from: 6 months.
     Makes: 3 toddler size portions.

     Ingredients                                     Method
     50g shortgrain pudding rice.                 1 Preheat the oven to 150°C, 300°F or gas mark 2.
     568ml Aptamil Pepti
                                                  2 Wash the rice and drain well. Generously grease
     (or appropriate alternative).
                                                    an ovenproof dish with half the margarine. Place
     25g caster sugar.†
                                                    the rice in the dish and stir in the formula milk.
     Grated nutmeg.
                                                    Leave to soak and soften for 30 minutes.
     Dairy and soya-free margarine.
                                                  3 Add the sugar and stir well. Sprinkle with grated
                                                    nutmeg and dot with the remaining margarine.
     † Care should be taken over the
                                                  4 Bake in the centre of the oven for approximately
     amount of sugar in a baby’s diet,              2 hrs until soft and creamy, stirring after the first
     particularly young infants. This               30 minutes.
     recipe should only be used as a
     special treat or with older children.        5 Serve with a fruit topping.

         Cooks tip: Please note that nutmeg is NOT a nut, despite having the word ‘nut’ in it.

         Serving suggestion:
         Apricot and apple purée – peel and slice the apples and apricots ensuring all stones and pips are
         removed. Place in a pan with 2 tablespoons of water and 2 tablespoons of caster sugar. Cook gently
         until very soft and of a purée consistency. Tinned apricots may be substituted – replace the water
         with juice from the tin and omit the sugar.
         Mango purée – this fruit should be very ripe. Peel the mango, remove the flesh from the stone and purée.
         Poached pears – Use firm pears. Peel, core and quarter. Make a light syrup with 125g sugar to
         250ml water. Stir gently over a low heat until the sugar has dissolved then turn up the heat and
         boil fiercely for 5 minutes without stirring. Reduce the heat, add the pears and a pinch of cinnamon,
         and poach gently for 1 1/2 hours until soft, turning the pears halfway through cooking.
         Summer fruit compote – use fresh or frozen fruit (strawberries, raspberries, blackberries, blueberries,
         redcurrants). Sprinkle with sugar and leave to stand for 1 hour. Place in an ovenproof dish with a little
         water and cover with foil. Cook gently at 140°C, 275°F or gas mark 1 for approximately 40 minutes
         until the juices have run, stirring gently from time to time. Do not allow to boil.
         Raspberry coulis – Press fresh or thawed raspberries through a sieve to remove all seeds. Add icing
         sugar to sweeten if required.
42
Mini Blueberry                                                                                     Nutrition information   Per 100g   Nutrition information   Per 100g

     Pancakes
                                                                                                        Energy                  164kcals   Iron                    1mg
                                                                                                        Protein                 4.8g       Calcium                 70mg
                                                                                                        Carbohydrate            24.6g      Sodium                  29mg
                                                                                                        Fat                     5.9g
     Allergen advice: Milk-free*, nut-free, peanut-free, soya-free.
     Contains: Wheat, gluten, egg.
     Suitable from: 6 months.
     Makes: 6-8 pancakes.
     Ingredients                                    Method
     125g plain flour.                           1 Sift the flour and sugar into a bowl.
     1
      / teaspoon caster sugar
         2
                                                 2 Whisk the egg and the formula milk together and
     (Pepti and Pepti-Junior recipes
                                                   gradually add this mixture to the flour, beating
     only).
                                                   continuously until you have a smooth batter.
     1 egg.
     300ml Aptamil Pepti                         3 Fold in the blueberries.
     (or appropriate alternative).
     Fresh blueberries or other                  4 Heat the oil in a frying pan over a medium heat
     soft fruit.                                   until you see a faint haze.
     Vegetable oil (may contain                  5 Ladle the batter into the pan to make several thin
     soya – please check ingredients).             discs approx 5cm across.
                                                 6 When the mixture has set into shape ensure that
                                                   the underside is golden. Turn the pancakes over
                                                   with a palette knife and cook for a few seconds to
                                                   brown.
                                                 7
                                                   Serve with dairy-free yoghurt.

             Cooks tip: To make the recipe egg-free, omit the egg and use self raising flour in the
             recipe with an extra teaspoon of baking powder. These are delicious when made with
             berry fruits.

             Serving suggestion:
             Omit the blueberries and serve these pancakes with banana and maple syrup.
             Honey is not recommended as an alternative for infants under 12 months.
44
Strawberry Trifle                                                                                       Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                             Energy                  203kcals   Iron                    0.7mg
                                                                                                             Protein                 2.9g       Calcium                 102mg
                                                                                                             Carbohydrate            25g        Sodium                  65mg
                                                                                                             Fat                     10.8g
     Allergen advice: Milk-free*, nut-free, peanut-free.
     Contains: Egg, wheat, gluten, soya.
     Suitable from: 6 months.
     Makes: a delicious pudding for all the family – DO NOT FREEZE.
     Ingredients                                   Method
     Sponge mix:                                1 Preheat oven to 190°C, 375°F or gas mark 5.
     100g milk free margarine.
                                                2 Prepare a 7’’/18cm cake tin.
     100g caster sugar.†
     2 eggs.                                    3 Make sponge: combine all ingredients in a bowl
     100g self raising flour.                     and whisk until smooth.
     1 teaspoon vanilla extract.
                                                4 Bake in the tin for 15 minutes until well risen
                                                  and shrinking from sides of the tin.
     Filling and Topping:
     Orange juice.                              5 Remove from the tin and cool.
     Fresh strawberries.
     125g dairy-free cream cheese.              6 Dice the cool cake and place in the bottom of
     1 teaspoon icing sugar.                      glass bowl or dish.
                                                7 Sprinkle orange juice over the cake and top with
     Custard:                                     sliced strawberries.
     1 pint/568ml Aptamil Pepti
     (or appropriate alternative).              8 Make custard according to instructions on pack
     2 tablespoons custard powder.                and pour over the strawberries.
     1 tablespoon sugar.                        9 Set aside until cold.
                                               10 Carefully combine the cream cheese and sieved
                                                  icing sugar (don’t over mix).
                                               11 Spread the mix on top of the custard and decorate
                                                  with strawberries just before serving.

     †
      Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

         Cooks tip: To make it egg-free use mini iced party cake recipe for the cake.

         Serving suggestion:
         Use other berry fruits or tinned fruit. (Swap orange juice for tinned fruit syrup. Decorate the
         top with glace cherries). For a special occasion, pipe the cream cheese mix – using a piping bag.
46
Birthday Cake                                                                                       Nutrition information   Per 100g   Nutrition information   Per 100g

                                                                                                         Energy                  329kcal    Iron                    1.4mg
                                                                                                         Protein                 3.7g       Calcium                 106mg
                                                                                                         Carbohydrate            50.8g      Sodium                  254mg
                                                                                                         Fat                     13.5g
     Allergen advice: Milk free*, egg free, nut free, peanut free, soya free.
     Contains: wheat and gluten.
     Suitable from: 6 months.
     Quantity: makes one 25cm/10’’ round (or square) cake.
     Ingredients                                 Method
     285g self-raising flour.                  1 Preheat the oven to 170°C, 325°F, gas mark 3.
     55g cocoa powder.
                                               2 Sift flour, cocoa and baking powder into a bowl
     3 level teaspoons baking
                                                 and stir in the sugar.
     powder.
     250g caster sugar.†                       3 Add the vanilla, oil, and formula milk and mix to
     3 teaspoons vanilla extract.                a batter consistency. Spoon the mixture into a
     9 tablespoons vegetable oil                 greased and lined square or round tin.
     (not olive oil) (check ingredients
                                               4 Bake on the centre shelf for approximately 30-35
     of ‘vegetable oils’ for soya).
                                                 minutes until the cake springs back to a light touch.
     350ml formula milk.
                                               5 Cool on a wire rack.
     For the icing
                                               6 To make the icing: cream the margarine, cocoa
     175g icing sugar.
                                                 powder and icing sugar together until pale then
     50g cocoa powder.
                                                 combine with the remaining ingredients.
     75g dairy & soya free
     margarine.                                7 When the cake is cold, decorate with icing on
     2 teaspoons vanilla extract.                the top and add a topping of your choice; cherries,
     2 tablespoons formula milk.                 sweets, sprinkles or a suitable type of grated
                                                 chocolate.

     †
       Care should be taken over the amount of sugar in a baby’s diet, particularly young infants.
     This recipe should only be used as a special treat or with older children.

         Cooks tip: bake as one whole cake rather than 2 halves as otherwise
         the top half may crack when placed on top of the other.

         Serving suggestion:
         Buy your child’s favourite mini character figures and display on top of the cake.
         Little guests could take the figures home for a gift.
48
Notes   Notes

50                   51
Reference: 1. Department of Health. CMO’s Update 37–January 2004. London: Department of Health, 2004.
Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/CMOupdate/DH_4070172
[Accessed September 2009]

IMPORTANT NOTICE: Aptamil Pepti
should only be used under medical
supervision, after full consideration of                                    Call on our expertise
the feeding options available, including                                    for further information,
breastfeeding. Aptamil Pepti is suitable                                    0800 996 1234
as the sole source of nutrition for infants                                 aptamilprofessional.co.uk
and as a principle source of nourishment
with other foods for children.

Milupa Aptamil, White Horse Business Park, Trowbridge, Wiltshire BA14 0XB                SPD504 (01/10)
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