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An Allergy Story: Navigating the Restaurant Scene with a Food Allergy

Grilled Tri Tip Steak, Roasted Potato, Broccoli Rabe sans Pesto from Lock 50 on Water Street in Worcester, MA

When I mention that I’m a nutritionist to strangers, the top response revolves around sharing information about their diets; and lately, it’s sounded something like this: “That’s awesome, I don’t do gluten, soy, dairy, nuts, or refined sugar.” My immediate thought process turns to why – is it due to an allergy, intolerance, or preference? There is a big difference between all three, yet all are impacting today’s restaurant scene and will continue to shape it in the future.

Food allergy rates are on the rise with recent statistics from the Food Allergy Research and Education (FARE) finding that up to 15 million Americans (5.9 million of them being children) have a food allergy. These numbers account for the 50% increase in food allergens over the past three decades. The top 8 most common food allergies are milk, eggs, shellfish, fish, tree nuts, peanuts, soy, and wheat; with peanuts being the most common food allergen, especially in children. An allergy, which is an autoimmune response, can be a life or death situation. In contrast, intolerance is a reaction to food that creates non-life threatening symptoms — we can tolerate it, but we might not enjoy what comes when we eat it. At the very end of the spectrum is a dietary preference, meaning people choose to eat the way that they do.

Most people don’t appreciate the effect that food allergies have until they are personally affected by one. The idea of shedding light on how food allergens impact us not only mentally and physically, but all the way down to how it’s shaping the food industry, is highlighted in “The Peanut Problem” on Netflix’s documentary series Rotten. The episode explores food allergies on a scientific level; and how the rapid increase in food allergy cases takes a hit on the food industry, from farmer to chef. Take a farmer for instance – the rise in food allergies, such as peanuts or wheat, decreases the need for the crop, putting the harvest in question. Now for the chef – if a restaurant isn’t allergen friendly then it is closing its doors to people who have a food allergy, as they can’t eat at their restaurant.

How important is it for chefs and restaurants to be allergen friendly? Rotten contributor Chef Ming Tsai was one of the first chefs to develop an allergen-friendly environment in his restaurant using an extensive spreadsheet of ingredients, known as the Food Allergy Bible, in all dishes. He did this not only due to the demand from the public but also due to his son’s food allergies. Ming sees it as an investment that pays off, as customers who are able to eat at his restaurant go the extra mile to come back and recommend it to others.

Simjang's spicy seafood stew, which also features baby cuttlefish, and Florida rock shrimp. (Erb Photo for Mass Foodies)
Simjang’s spicy seafood stew, which also features baby cuttlefish, and Florida rock shrimp. (Erb Photo for Mass Foodies)

Chefs agree that the rise in allergies increases the need to incorporate an allergen-friendly environment in their restaurants. This starts with the menu planning and ends in efforts made in the kitchen for allergen safety. The safest restaurants to visit with an allergy will be ones that make their food from scratch. Ellen Benson, general manager of simjang, stresses the importance of taking allergies into account before approaching a menu item. She states that they “are always considering if that allergen can be avoided or not and if it has the possibility of cross-contaminating other products around it.” Another strategy that can be helpful to ensure customer safety and satisfaction is adding transparency about menu items and ingredients sourced, something that Armsby Abbey prides itself on doing.

Rotten continues to highlight how “food allergies have made the dinner table a high-risk environment, and it’s the chefs who have to navigate that minefield every day and night.” Yet before the chefs can do so, it’s up to the staff in the front of the house to be the main line of defense. The importance of staff awareness and education is crucial, which is echoed by local Central MA chefs. At Armsby Abbey, the staff is allergen certified through Serv Safe and are educated daily with pre-meal meetings. Additionally, they host classes throughout the year to promote awareness. At Lock 50, “Front of the house staff reports to the kitchen before placing any orders with potential food allergies. All chefs and cooks are aware of any potential common food allergies and take special care to keep them properly stored and to sanitize all equipment and hands after handling.”

A common issue that can make it even more difficult on the chef, restaurant, and those with food allergies is the diner who has a dietary preference yet states they have an allergy. Thinking about the extra time, effort, and money that goes into allergy safety and preparation, it can be extremely frustrating when a diner states they have an allergy when in reality they have a preference. An oft-expressed example is when someone requests something allergen-freer free, then orders something with that allergen and eats it (i.e. being “gluten-free” and then insisting on ordering a gluten-containing cookie for dessert.) This not only makes it confusing for the restaurant staff but also the general population. The consensus among restaurants, as explained by Executive Chef Tim Russo of Lock 50, is that it’s important to know the difference. He expressed that “if a guest has an allergy, much caution is taken by the staff to protect the safety of the guest. It is important for the guests to specify if they have allergies or if they just have dietary preferences.” To combat this, Benson states that at simjang “we often ask if it’s an intolerance, preference of allergy so we are able to approach them as serious as they are.”

Since the rise of food allergies, preferences, and health trends, we’ve started to see allergen-friendly alternatives that deliver great quality food; all the way down to items that you wouldn’t expect to taste as good as they do. Chefs are not using allergies as a restriction on their creative talents and menus. This is amazing, especially if you’ve felt like you’ve been missing out on your favorites due to an allergy. As Executive Chef Tim Russo explains, “no matter what the case may be, we always do our best to make sure our guests have plenty of enjoyable options on our menu without sacrificing their dietary needs or putting themselves at risk with an allergic reaction.” If you have a wheat allergy, you might think that restaurant classics like breads and pizza are off limits or that alternatives won’t measure up to the real thing; yet restaurants like The Boynton and The Rail Trail Flatbread Co. do an excellent job at creating alternatives attracting the gluten-free crowd. Other restaurants are highlighting efforts to ensure allergy safety by having designated allergen friendly spaces, such as having separate gluten-free fryers, which can be seen at restaurants like Maddi’s Cookery and Taphouse  and simjang. It’s admirable to see restaurants in Central Mass taking these steps into account all while not harming the integrity of the chefs’ creations.

So how can you go about navigating the restaurant scene if you have an allergy? My main tip involves doing research and asking questions. Your best bets will be to visit restaurants that cook meals from scratch due to flexibility — if you have an allergy they can easily remove that ingredient. When you get to your restaurant of choice, be transparent with the wait staff and explain your allergy, intolerance, or dietary restriction situation. What are your go- to restaurants that are allergen-friendly?

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Your Mid-Summer Food News Recap

Olive & Herb with whipped feta, evoo & herbs (BirchTree Bread Company)

A few of your favorite restaurants want you to try cooking at home this summer. No joke. Just ask Lynn Cheney of Lettuce Be Local whose unique spin on the CSA is changing the way Central Mass thinks about food. She has strategically selected three pickup locations at area restaurants in different neighborhoods of the city in order to foster ease and walkability for residents. Pickups can be made at deadhorse hill downtown, Lock 50 in the Canal District and simjang on Shrewsbury Street. Orders can be personalized based on each member’s needs from week to week and offers accessibility to Cheney’s wide network of farms, previously only available to chefs. The CSA does not include dairy and meat at this time.

Meet the Only Woman Worcester's Top Chefs Trust With Their Beef, Farmer Joan WalkerIf it’s meat you’re after, look no farther than Walker Farm. I should warn you that obtaining Joanie Walker’s beef can be as challenging as Elaine Benes ordering a cup of soup. Joanie only sells to chefs who will do justice to her herd of grass-fed Red Devon cattle known for their healthy, hearty, marbled meat. You’ve probably enjoyed the results of her love and labor at Armsby Abbey, deadhorse hill, or the International’s Fireplace Room. Joanie’s reputation is steadfast among local foodies for producing the highest quality beef in the region. I visited Walker Farm in New Braintree in order to fully appreciate Joanie’s patience and care for her cows. (Rest assured, I went home with a freezer full of meat.)

This month, the Worcester Foodies visited 110 Grill where they admired the “very cool outdoor patio and fire pit that was bustling on the beautiful summer evening we visited.” 110’s ambience was dubbed “casual elegance” by the group. Lindsay said, “Big windows along the front of the restaurant allow you to overlook some of downtown Worcester’s new sights. I can’t wait to spend and evening on the patio trying some options from the cocktail menu.” Stephanie added, “I was born and raised in Worcester and I really enjoy seeing my city grow and thrive.” The evening marked Worcester Foodies’ 86th consecutive monthly outing. They found a wide range of crowd pleasers from light and casual salads to comfort classics such as Meatloaf or Mac and Cheese and even all out NY Sirloin or Rib Eye Steak options.

Contributor Giselle Rivera-Flores continued her #SundayFunday series with trips to Boston’s Barking Crab and Worcester’s Hacienda Don Juan. Regarding the Barking Crab she wrote, “On any given day, the patio tables are lined with patrons enjoying the summer breeze and the distinct smell of the sea as they order signature items like the Crabby Coolers – a 32 oz drink of choice, usually with alcohol – or admire the King Platter – a 10lb lobster and mixed crab bowl as it is served to a nearby table.” Hacienda proved equally transportive on account of their corn loving dishes made with pupusas, tortillas, and tamales.

Mass Foodies welcomed a new writer this month. Dana Harrison, MS. Harrison is a nutritionist, educator, and fitness instructor with a simple approach to nutrition, health, and wellness. Harrison’s philosophy is, “Eat, move, love, and learn. It’s all a balancing act.” Her goal is to help others find their own balance through health and wellness with a concentration on nutrition education. She has amassed over 25,000 followers on Instagram with the handle @eats2know. Her inaugural article raised a toast to toast, getting personal with BirchTree. Harrison sees toast as a tool for portion control with a variety of nutrients and flavors.

Buck's Whiskey & Burger Bar on Green Street in Worcester, MAContributor Veronica Vann Jura visited Buck’s Whiskey & Burger Bar to scope out the atmosphere. She admired the original artwork by Tony Freitas, the narrow layout reminiscent of a ‘country-road,’ and even the tidy restrooms. The only thing missing from Buck’s was apparently the line dancing. There’s an idea for August…