Early introduction of peanut products can reduce the risk of developing a peanut allergy. Following evidence‑based guidelines helps families introduce peanuts safely.

When and how to introduce

For most infants at low risk of allergy, health experts recommend introducing peanut‑containing foods around six months, after the baby has started a few other solids and can sit with support. High‑risk infants—those with severe eczema or egg allergy—should be evaluated by a health professional before introduction. Offer smooth peanut butter thinned with breast milk or formula, peanut powder mixed into puréed fruit or peanut puffs that dissolve easily. Never give whole peanuts or lumps of peanut butter due to choking risk. Start with small amounts and monitor for reactions for two hours[10].

Safety note

Discuss an emergency plan with your clinician before first tastes. If any signs of an allergic reaction occur—hives, swelling, vomiting or trouble breathing—seek emergency care immediately. High‑risk infants may need supervised introduction in a clinic. If the first introduction goes well, continue offering peanut‑containing foods regularly—about two to three times per week—to maintain tolerance.

Home steps versus clinic‑supported steps

Most families can introduce peanuts at home following general guidelines. High‑risk infants may need skin or blood tests first, followed by supervised feeding. Work with your pediatrician or allergist to develop a plan that considers your baby’s history. Delaying introduction does not prevent allergy and may increase risk; early and regular introduction is key.[10]

References: NIAID Addendum Guidelines for early peanut introduction; AAP HealthyChildren – Peanut allergy and early introduction; CPS – Guidance on introducing allergenic foods and allergy prevention.