family grocery shopping and reading food labels.

How to Read Food Labels for Food Allergies, What “May Contain” Really Means

For most of my career, reading food labels felt routine. As a dietitian, I taught patients how to evaluate ingredient lists and nutrition panels, how to compare products, and how to interpret health claims. It was part of the job.

Then we entered the food allergy world when my children were diagnosed, and I realized how different label reading becomes when it is no longer only about choosing the healthiest option on the shelf, but also about choosing the safest one.

When your child has a food allergy, the ingredient list is not just information. It is protection. It requires patience, consistency, and a willingness to slow down, even when you are in a rush at the grocery store with a full cart and two kids asking for snacks.

If you are managing food allergies in your home, understanding how to read food labels properly is one of the most important skills you will develop. It is not complicated once you understand the framework, but it does require attention to detail and the habit of checking every single time you purchase a product.

What the FDA Requires on Food Labels

In the United States, the Food Allergen Labeling and Consumer Protection Act requires manufacturers to clearly identify the Top 9 major allergens on packaged foods. These include milk, egg, peanuts, tree nuts, soy, wheat, fish, shellfish, and sesame. Under federal law, these allergens must be clearly disclosed in plain language.

If a packaged product contains one of these allergens, it must be declared in plain language. This can appear either directly within the ingredient list or in a separate “Contains” statement below it.

For example:

Contains: Milk, Soy

That clarity is helpful, and it has made navigating grocery stores significantly safer for many families.

However, there are two important limitations to understand. First, this law applies only to the Top 9 allergens. If your allergy falls outside of that list, labeling requirements are different. Second, even with a “Contains” statement, you still need to read the entire ingredient list carefully.

Why Reading the Full Ingredient List Still Matters

It is easy to assume that if a product has been safe before, it will remain safe. I used to think that way too, especially with items we had purchased many times.

One afternoon, I handed my daughter a granola bar she had eaten without issue in the past. A few minutes after finishing it, I noticed a hive forming on her lip. My stomach dropped. I grabbed the box and scanned the ingredient list.

Chia seeds had been added.

Chia was not bolded. It was not in a “Contains” statement because it is not one of the Top 9 allergens. It was simply included quietly in the ingredient list. The formulation had changed, and I had not caught it before she ate it.

That moment reinforced something I now tell families regularly: ingredient lists change. This is something I see often when reviewing packaged products like protein bars and snack foods. Companies adjust suppliers, reformulate products, and introduce new ingredients without any announcement beyond the small print on the package.

If you did not read the ingredient list that day, you did not truly check the product. Even if it has been safe for years.

Understanding “Natural Flavors” and “Spices”

Ingredient list showing natural flavors on packaged food

Another area that often raises questions is the term “natural flavors” or “natural flavoring.” Many ingredient lists include this phrase, and it can feel vague.

Natural flavors can be derived from a wide range of sources, including fruits, vegetables, spices, herbs, and other plant or animal materials. If one of the Top 9 allergens is part of that natural flavor blend, it must be disclosed. That is required.

However, if the allergen is outside the Top 9, it may not be specifically named.

In our case, mustard is one of the allergens we navigate. Mustard is not part of the Top 9 in the United States. If mustard is included in a proprietary spice or natural flavor blend, the word “mustard” may not appear on the label.

Early on, I would call companies and ask, “What is in your natural flavoring?” That question rarely led to a clear answer. Companies often protect proprietary blends and will not disclose full ingredient breakdowns.

Over time, I learned to ask more specific questions. Instead of asking what is in the flavoring, I ask whether the flavoring contains a particular allergen. That simple shift often leads to a yes or no answer, which is what you truly need.

If I cannot get clarity, we choose a different product. It is not about being overly cautious. It is about managing risk thoughtfully.

What “May Contain” and Precautionary Labels Really Mean

Beyond the ingredient list, you may see precautionary statements such as:

May contain peanuts.
Processed in a facility that also processes tree nuts.
Manufactured on shared equipment with milk.

These statements are known as precautionary allergen labeling. It is important to understand that they are voluntary. Manufacturers are not required to include them.

When a company chooses to add one of these statements, it indicates that the allergen is present somewhere in the manufacturing environment and that cross contact is possible. The wording itself does not tell you the level of risk.

Families often ask whether “processed in the same facility” is safer than “may contain.” The reality is that these phrases are not standardized in a way that reflects measurable risk. They simply communicate potential exposure.

When our daughter was first diagnosed, our allergist advised us to avoid products made in facilities that processed nuts. At that stage, we needed clear boundaries. Over time, as we learned more about specific manufacturers and their allergen control practices, we made individualized decisions based on the company’s protocols.

Some companies have rigorous allergen segregation systems and cleaning procedures. Others provide minimal information. If there is no precautionary statement at all, that does not automatically mean the product is free from cross contact risk. It simply means the company has not included that disclosure.

In those cases, contacting the manufacturer directly is often the only way to gather more information.

What Is Cross Contact?

Cross contact occurs when an allergen is unintentionally transferred from one product to another. This can happen through shared equipment, airborne particles, storage areas, or surfaces that have not been adequately cleaned.

Many manufacturers have allergen control plans in place, including dedicated lines, cleaning validation procedures, and production scheduling to minimize risk. Others may not have the same level of control.

Asking about allergen protocols is not unreasonable. It is part of informed decision-making when food allergies are involved.

How Food Labeling Changes Over Time

Bread ingredient list showing sesame flour after allergen labeling changes

One of the more challenging aspects of managing food allergies is that manufacturing practices are not static. Companies change suppliers. Ingredients are reformulated. Facilities expand or consolidate production lines. Production schedules shift. What feels consistent one year may look very different the next.

During the pandemic, many manufacturers adjusted sourcing due to supply chain disruptions. Products that had been safe for years were suddenly produced in different facilities or with modified ingredients. Families who had relied on certain brands found themselves back at square one, rereading labels that had not needed a second thought before.

Then came another major shift in the allergy world: sesame was officially added as the ninth top allergen in the United States in 2023.

For many families, this felt like a long overdue victory. Sesame allergies had been increasing, yet labeling had not consistently reflected that risk. The addition of sesame to the Top 9 meant clearer disclosure, stronger accountability, and more transparency. On paper, it was progress.

In practice, the transition was more complicated.

Once sesame became a required major allergen, manufacturers had to evaluate how they handled sesame in their facilities. Instead of investing in extensive cleaning protocols or segregated production lines, some companies made a different decision. They began intentionally adding small amounts of sesame flour to products that had previously not contained sesame.

From a manufacturing perspective, this simplified their process. If sesame was already an ingredient in the product, they no longer had to manage the same level of cross contact risk or implement additional allergen controls. The product would simply be labeled as containing sesame.

From a family perspective, especially for those managing sesame allergies, the impact was significant.

Bread was one of the categories most affected. Products that had long been safe suddenly listed sesame flour in the ingredient list. For many families, that meant rethinking school lunches almost overnight.

It was a moment that revealed something important about food labeling: regulations evolve, and manufacturers must respond in ways that make sense for their operations. That does not make companies careless or malicious. It reflects the realities of large-scale food production. Still, for families navigating food allergies, those decisions have real consequences.

This is another reason why label reading must remain a consistent habit. Regulatory wins can bring meaningful change, but they can also reshape the landscape in unexpected ways. A product that was safe for years may not remain safe after a labeling law shifts or a company adjusts its manufacturing approach.

The packaging may look identical. But the ingredient list is where the truth lives.

Reading labels every single time is not about fear. It is about adapting to a system that continues to evolve. It is about recognizing that food labeling is not fixed, and that staying informed requires ongoing attention.

The Bottom Line on Reading Food Labels

Reading food labels when you have food allergies requires more than a quick glance at bolded allergens. It requires understanding what the law covers, recognizing what is voluntary, and knowing when to contact a manufacturer for clarification.

It also requires accepting that products can change and that familiarity does not guarantee safety.

Over time, this process becomes second nature. You learn which companies are transparent. You learn how to phrase questions effectively. You learn which products consistently meet your standards.

Most importantly, you learn that diligence matters.

If you are navigating food allergies in your home, you are not being excessive by reading labels carefully. You are being responsible. The more informed you are about food labeling requirements and cross contact risks, the more confident you can feel in your decisions.

Managing food allergies is not about perfection. It is about awareness, consistency, and thoughtful evaluation of the foods you bring into your home.

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