Living with alpha-gal syndrome means rethinking your plate, transforming the way you eat out of necessity. As you adopt an alpha-gal diet, let’s explore the foods you can still relish, the ones you’ll have to give up, and the ingredients that you’ll need to cautiously consider.
The information provided on this site is based on my personal experience living with alpha-gal syndrome. I consistently cite and link to expert sources, but nothing published on this site should be perceived as medical advice.
Alpha-gal sensitivities vary by person. You should understand your dietary restrictions, making any adjustments needed, and directing any questions to your physician.
Alpha-gal syndrome is more than avoiding red meat. Unfortunately, the alpha-gal molecule can be found in many foods beyond ground beef and pork chops. You can find it in a variety of packaged foods as well as beverages, beauty products, and medications. So it is a condition that demands attention and care, because a single bite can mean the difference between your well-being and a medical emergency. This article dives into the alpha-gal diet, identifying the foods that comfort and nourish without harm, and those in which hidden dangers lurk.
In This Article
Who Should Follow an Alpha-Gal Diet?
Before we dive into the alpha-gal diet, let’s tackle a fundamental question: What exactly is alpha-gal syndrome? Alpha-gal syndrome is an allergic reaction to galactose-α-1,3-galactose, a sugar molecule found in most mammalian meats. After a bite from a lone star tick, your immune system can be reprogrammed to react to alpha-gal. Allergic symptoms range from annoying hives to severe gastrointestinal distress to downright dangerous anaphylactic shock — often hours after exposure.
But alpha-gal is not a one-size-fits-all condition. Unlike a conventional food allergy, it’s as varied as the individuals it touches, with reactions and sensitivities that can differ wildly from one person to the next. Take my hiking buddy, for instance — she sidesteps mammalian meat and is good to go. Yet, my oldest daughter has to steer clear of an entire “maybe” list that we’ll explore below.
And it doesn’t stop there. The plot thickens with time, as what’s tolerable today might not be tomorrow — especially if you receive additional tick bites. You could be sipping on a decadent hot chocolate topped with whipped cream and marshmallows, feeling fine, only to find that the next cup sends your body into a tailspin. It’s a dietary roller coaster that keeps those with alpha-gal syndrome on their toes.
Sage Advice: You may also hear alpha-gal syndrome referred to as a mammalian meat allergy or red meat allergy. But as you read on, you’ll quickly learn that alpha-gal can be found in much more than red meat.
Related Article: 5 Surprising Alpha-Gal Diet Benefits That Could Change Your Life
Safe Foods to Eat on an Alpha Gal Diet
Navigating the alpha-gal diet can feel like a culinary puzzle. Yet, amidst the restrictions lies a bounty of safe, delicious foods that can be enjoyed without worry. Let’s explore the vibrant variety of alpha-gal-friendly foods that can fill your plate with color, flavor, and nutrition.
Fruits and Vegetables
The rainbow of fruits and vegetables is your playground. Crunch into a juicy apple, savor the sweetness of a ripe strawberry, or roast a medley of vegetables — using a plant-based oil like olive, of course — for a comforting dinner. These natural delights are free from alpha-gal, making them a cornerstone of your diet.
Grains
Whole grains form a foundational element of the alpha-gal diet, offering both variety and versatility. Whether it’s the fluffy quinoa in your salad, the warm rice in your burrito bowl, or the comforting oats in your morning porridge, grains provide essential energy and comfort without risking an alpha-gal reaction.
Nuts and Seeds
Nuts and seeds are allies in your alpha-gal journey. Almonds, walnuts, chia seeds, and flaxseeds not only offer a satisfying crunch but also pack a nutritional punch with their healthy fats and protein content, all while being completely alpha-gal safe.
Eggs
Eggs are a versatile staple in the alpha-gal diet. Scramble them for breakfast, slice a hard-boiled egg onto a salad, or use them in baking. They’re a fantastic source of protein and nutrients, free from alpha-gal.
Fish and Seafood
With its vast selection of fish and seafood, the sea offers a safe haven for those on the alpha-gal diet. From a well-seasoned white fish filet to a pot of steamed mussels, these aquatic offerings are alpha-gal allergy-safe proteins packed with essential omega-3 fatty acids.
Sage Advice: Looking for ways to round out a fish or seafood meal? Here are more than 40 incredible sides for fried fish.
Poultry
For those yearning for the heartiness of red meat, poultry offers a delightful alternative. In addition to grilling and baking, chicken, turkey, and duck can be creatively prepared to replace ground beef and pork sausage. Meanwhile, emu or ostrich can safely stand in for steak and roasts.
Sage Advice: Get a detailed list of foods you CAN enjoy with alpha-gal syndrome, with this free download.
Foods that are Off-Limits on an Alpha-Gal Diet
While an alpha-gal diet can include a variety of safe and tasty foods, mammalian meat products should be avoided by all alpha gals. Saying farewell forever to crispy bacon, a grilled cheeseburger, or a juicy steak can be hard. One of the lessons I’ve learned through adopting an alpha-gal diet is that it is okay to feel sad, angry, or some other emotion as you accept this reality.
Mammalian Meats
When it comes to alpha-gal syndrome, mammalian meats are one of the main culprits, including beef, bison, pork (and yes, that includes bacon), lamb, deer, and rabbit. These meats contain the alpha-gal sugar that can trigger severe reactions.
Sage Advice: While being diagnosed with alpha-gal syndrome means no more “regular” cheeseburgers, you can enjoy these turkey smash burgers. Just be sure to skip the cheese or use a plant-based option if you’re sensitive to dairy.
Mammalian Organs
It’s not just mammalian meat that’s off the table — their internal organs are also a no-go. Kidneys, liver, heart, and intestines contain high levels of the alpha-gal sugar. This also includes pork gut casings commonly used in sausages. For someone with alpha-gal syndrome, these organ meats can pose the same risk as the meats themselves, necessitating their complete avoidance to prevent allergic reactions.
Broth, Gravy, and Items Containing Red Meat Extracts
Beef broth, beef bouillon, and other mammalian meat-based ingredients are also off-limits for people with alpha-gal syndrome, as they contain the alpha-gal sugar that can trigger allergic reactions. This restriction extends to gravies and sauces that are often enriched with mammalian stocks hiding potential dangers in seemingly safe dishes. Even packaged chicken gravy can have hidden mammalian ingredients! For a safe alternative, look for vegetable-based broths and homemade gravies made without mammalian products.
Lard and Beef Tallow
Lard, a type of fat rendered from pork, can be found in everything from refried beans to pie crusts. Beef tallow is a similar animal fat derived from cattle. Both are commonly used for frying. For those with alpha-gal syndrome, it’s important to be aware of these ingredients, as they can be hidden in otherwise innocuous foods like vegetable side dishes or doughnuts.
Foods to Eat with Caution on an Alpha-Gal Diet
While many people with alpha-gal syndrome can enjoy a wide range of foods without issue, there are certain items that sit in a gray area. These foods may be tolerable for some but can cause reactions in others. When I was determining my own “maybe” list, I created this trigger tracker. If you’re still determining your sensitivities, I encourage you to download a free copy.
According to resources like the Alpha Gal Information website and the Fig app, most people with AGS can handle the following foods, but it’s important to know your sensitivities, carefully read ingredient lists, proceed with caution, and pay attention to your body.
Carrageenan
This seaweed-derived substance is a common thickener in dairy products, including some dairy-free vegan items. Although carrageenan is a plant-based ingredient, it contains the alpha-gal epitope, which can cause a reaction in some people with alpha-gal syndrome. Fortunately, many food manufacturers are phasing out carrageenan in favor of other plant-based thickeners.
Milk and Dairy Products
Dairy can be a complex category for alpha-gal individuals. Some can consume milk, cheese, yogurt, and butter without issues, while others may react to these products. Your intolerance may be tied to products that contain animal rennet, animal enzymes, or whey. And with all triggers, your sensitivity may change over time.
Speaking from experience, after two years of avoiding all dairy products when initially diagnosed with alpha-gal by my primary care physician, my allergist encouraged me to slowly introduce select dairy products back into my diet. I started with skim milk and low-fat cottage cheese and, under my allergist’s supervision, slowly added to the list. Unfortunately, I still react to products containing whey or animal enzymes, but I’m so excited to be able to tolerate vegetarian cheese.
Related Article: Dairy Free Baking: Proven Tips for Beginners
Gelatin
Found in products like JELL-O, marshmallows, jelly beans, and gummy candies, gelatin is typically derived from bovine or porcine sources and can be problematic for those with AGS. Alternatives made with fish gelatin or vegan options are generally safer, although it’s worth noting that vegan marshmallows often contain carrageenan, which can be a trigger for some alpha gals.
Collagen
Collagen supplements are commonly sourced from cattle or pigs, which is a no-go for alpha-gal folks. However, marine collagen, derived from fish, is a suitable alternative and may even offer additional health benefits, according to this report.
Natural Flavors and Flavorings
The term “natural flavors” on packaged goods may sound wholesome, but they can be a minefield for people with alpha-gal syndrome. These hidden allergy triggers are often made from meat extracts, including mammalian bouillon, and are found in an array of products, from soups to snacks. Without clear labeling, the only surefire way to determine the presence of mammalian ingredients is to use a tool like the Fig app or to reach out directly to the manufacturer.
Sugar
The white color of some sugars comes from a refining process that uses bone char, which can be an alpha-gal concern. For those sensitive to this ingredient, look for raw cane sugar, certified-organic cane sugar, or sugar made exclusively from beets. You can also use ingredients like agave, honey, and maple syrup to sweeten your life without the added worry.
Beer, Wine, and Spirits
Following an alpha-gal diet means being vigilant about what’s in your glass as well as what’s on your plate. Gelatin is a common clarifying agent in beer, wine, and spirits, yet producers aren’t required to disclose this ingredient. This lack of transparency can pose a risk for those with alpha-gal syndrome. However, resources like Barnivore can help you find alpha-gal friendly beverages, ensuring you can enjoy a drink without the worry of an allergic reaction.
Do You Follow an Alpha-Gal Diet?
What alpha-gal friendly foods do you enjoy? What foods do you miss most? Do you have any additional tips and tricks to pass along to your fellow alpha gals? Share your thoughts in the comments section below.
I am so happy to find this website. My friend Mary was recently diagnosed with Alpha-Gal and every month we get together (with our other girlfriends) and have a dinner party. I was panicking because it is my turn to host and I want to surprise her with an all Alpha-Gal friendly menu. This post covered all of my questions! I also love all the other posts you have with recipes I can make. Thank you so much!
I’m so sorry to hear your friend has alpha-gal, but she’s so lucky to have an allergy ally like you! Being able to continue to enjoy food-related festivities, like your monthly girlfriend get-togethers, means a lot to the newly diagnosed. You are such an awesome friend! <3
I have been alpha Gal cooking for over a year now for my Husband with Alpha gal. You newsletter have been very insiteful. We are awaiting his blood test results for 2023. Thank you for all you do to educate and inform new Alphagal patients. The hardest part has been overcoming the fear of eating out and of traveling. We got an RV so I can cook on the road and alleviate some of that stress for us.
My husband was a picky eater before and now even more so. But using some of the plant based meats has been a lifesaver, because ground turkey was getting old fast. Now I supplement the ground turkey with beyond meat and the flavor enhancement is amazing.
Every week I try something new. It is challenging but absolutely doable.
Keep up the good work!!
Blessings for 2024.
I was diagnosed with alpha-gal after suffering through 6-7 years of HUGE hives covering my entire body and digestive symptoms which I was told was IBS. I’m wondering if you know of a good marine collagen I could order. I’m 65 and need it badly! Thanks!
I’m so glad you finally have a diagnosis and can manage your condition. I like both of these options: Vital Proteins and Amandean. I will warn you that, unlike bovine collagen, marine collagen doesn’t always dissolve quite as smoothly and can sometimes add a slightly fishy taste. So while I would pour a scoop of bovine collagen into my morning coffee (back when I could still have it), I don’t like adding marine collagen to my morning cup of java. However, I do put it in my oatmeal before I cook it or into my smoothies. Hope that helps!
This site has been a blessing. Thank you for always good information. I have been diagnosed since 2020 and it has been challenging. Finding my way. I take xolair injections once a month. Between the injections and watching what I eat, life is good.
Hi Cheryl! Thank you SO MUCH for taking the time to share such kind and encouraging words with me. I’m so sorry you’re part of the alpha gal community, but glad to hear you’re managing well and enjoying the good life (despite this insane food allergy). Take good care of yourself! <3
My husband just found out that he has Alpha-gal. He is having a hard time adjusting to no red meat, we live a small town with limited access to a lot of things that I’ve read about. What’s a good site or somewhere we can order certain things from?
Thank you
I’m so sorry to hear your husband has alpha-gal. He’s lucky to have an allergy ally like you! I guess it depends on what it is you want to purchase. I have good luck with Amazon (especially now that they own Whole Foods) and Walmart. Feel free to email me directly (hello @ sagescott.com) and we can chat specifics. I’m happy to help any way I can! 🙂
Hey Elizabeth,Henry here,just a quick note to say,I too just got my bloodwork back and am panicking a little.This is all new to me and I have nothing hardly to eat here that wont cause a reaction of anaphlaxis (required two hospital stays).So to say the least,I feel you on this one.God bless,hope its working out ok since a little time has passed.My is just beggining.
I too have just been diagnosed with AGS and already had my first trip in the ambulance less than a week in of getting diagnosed! Anaphylactic over Jello. And it was my third time to have it, so I was shocked that it went to that level of danger so quickly. I want to be super careful and your site has been such a help! I feel like it’s a good book that I can’t put down! Thank you for compiling all of this helpful information and resources for us fellow AGS’s. You are bringing some light to the darkness of the situation. Thank you!!
I’m so sorry to hear you are part of the AGS club, especially with a trip to the ER in an ambulance. Gelatin and other “hidden” triggers like that can be really hard to identify. I hope you’re feeling better now and are adjusting to your new normal. I also really appreciate your kind words. It means everything to me that this site is helping a fellow alpha gal adjust to this often misdiagnosed and frequently misunderstood condition. Take good care of yourself! <3
Thank you for your sweet reply! I plan to be extremely careful with what I eat and I am now better prepared thanks to your website/blog. Thank you for all of your help! Wishing you the best, Rebecca
Hi Sage,
I really appreciate your website, it’s very informative and well designed. I was diagnosed with AGS about 2 years ago. Not sure when I got the tick bite, but I had many GI issues for 8 months or so before the diagnosis and had no idea why.
I owned a BBQ supply store in Wichita, KS, and taught BBQ and smoking classes. BBQ was one of my favorite foods. One day I cooked a wonderful brisket for a big family dinner. We ate dinner at about 6am and I felt OK in the morning. The brisket was so good that I had brisket and eggs for breakfast at about 8 am. I was at the VA medical center in Wichita for an 11 am appointment for my annual physical. While in the waiting room, my tongue started swelling. They got me in the ER, and then my throat started swelling, and they told me that I was in anaphylactic shock. After 5 hours in the ER and a lot of meds and probing, they got it under control and admitted me to the hospital for a couple of days. Once they diagnosed AGS, I was devastated to say the least.
Now the strange part… About a year later, I cooked some Wagyu ribeye steaks for some friends. They all commented that they were the best steaks they had ever had. I couldn’t resist, so I tried a couple of bites. They were right, it was amazing. I had no issues at all. Have you ever heard of AGS and Wagyu beef? Thanks again for your amazing website.
Hi Richard! Thanks for sharing your story and your kind words about the site. You know I’m not a doctor, but as a fellow alpha-gal, I think two things may be going on with you and Wagyu beef. First, your AGS may be in remission. Unlike other conditions, this is possible with AGS. In fact, my middle daughter is currently experiencing this. Second, I understand that not every alpha-gal reacts to every potential allergen every time. If it were me (especially based on your original reaction), I’d be VERY careful around all mammalian meats at all times. I know it stinks, and this Kansas City girl sure does miss burnt ends! Take good care of yourself! <3