Avoiding Shellfish

To prevent a reaction, it is very important to avoid all shellfish and shellfish products. Always read food labels and ask questions about ingredients before eating food that you have not prepared yourself.

Most people who are allergic to one group of shellfish are allergic to other types, but our allergist will usually recommend you avoid all kinds of shellfish. If you are allergic to a specific type of shellfish but want to eat other shellfish, talk to your doctor about further allergy testing.

Steer clear of seafood restaurants, where there is a high risk of cross-contact during food preparation. You should also avoid being in an area where shellfish is being cooked since shellfish protein could be in the steam.

Crustacean shellfish are one of the nine major allergens that must be listed in plain language on packaged foods sold in the U.S., as required by federal law, either within the ingredient list or in a separate “Contains” statement on the package. For crustacean shellfish, the specific variety must also be identified on the package, such as crab or shrimp.

Mollusks do not have to be labeled in the U.S. at this time and may be present in a food item unexpectedly.

Avoid foods that contain shellfish or any of these ingredients:

• Barnacle
• Crab
• Crawfish (crawdad, crayfish, ecrevisse)
• Krill
• Lobster (langouste, langoustine, Moreton Bay bugs, scampi, tomalley)
• Prawns
• Shrimp (crevette, scampi)

Your doctor may recommend that you avoid mollusks* or these ingredients:

• Abalone
• Clams (cherrystone, geoduck, littleneck, pismo, quahog)
• Cockle
• Cuttlefish
• Limpet (lapas, opihi)
• Mussels
• Octopus
• Oysters
• Periwinkle
• Sea cucumber
• Sea urchin
• Scallops
• Snails (escargot)
• Squid (calamari)
• Whelk (Turban shell)

*Note: The federal government does not require mollusks to be fully disclosed on product labels.

Shellfish are sometimes found in the following:

• Bouillabaisse
• Cuttlefish ink
• Glucosamine
• Fish stock
• Seafood flavoring (e.g., crab or clam extract)
• Fish stock or fish sauce (sometimes made from krill)
• Surimi

What About Carrageenan or Iodine?

Carrageenan, or “Irish moss,” is not shellfish. It is a red marine algae used as an emulsifier, stabilizer and thickener in many foods like dairy foods. It is safe for most people with food allergy .

Shellfish allergy is sometimes confused with iodine allergy because shellfish is known to contain iodine. But iodine is not what triggers a reaction in people who are allergic to shellfish, rather it is the protein tropomyosin. If you have a shellfish allergy, you do not need to worry about cross-reactions with iodine or radiocontrast material (which can have iodine and is used in some radiographic medical procedures).