Always read ingredients and check with the manufacturer if you are not sure if something contains fish, and avoid the food until you are sure.
Foods or ingredients that definitely are or contain fish:
- Fish, such as cod, salmon, trout, herring, sardines, bass, orange roughy, swordfish, halibut, and tuna (all types of fish can be allergenic)*
- Caviar or roe (fish eggs)
- Fish oil
- Fish sauce
- Surimi (imitation crabmeat) contains fish
*work with your doctor to determine if all types should be avoided
Things to watch out for:
- Caponata – a Sicilian relish that may contain anchovies.
- Caesar salad dressings, steak sauce, Worcestershire sauce often contain anchovies.
- Omega-3 supplements
- Seafood restaurants – high risk of contamination from food prep areas, utensils, cooking surfaces and in the air
- Asian food – fish and fish sauce is often used
- Fried foods if cooked in the same oil as fish
The Food Allergen Labeling and Consumer Protection Act (FALCPA), mandates that foods labeled on or after January 2006 must declare fish in plain language either on the ingredient list or by using the words “Contains” and then the specific fish that is used. Foods that were labeled before January 2006 are not subject to this law, so read ingredients carefully.