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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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WooFood

WooFood Certification

WooFood CertificationWorcester is home to some of the most amazing restaurants and some of the area’s best-known chefs practice their trade right in our back yard…but sometimes all that gastronomical genius makes it difficult to make healthy choices when dining out.

WooFood Founders
WooFood founders Adam Chin, Mitch Li, and Matthew DeWolf with Flying Rhino owner Paul Barber (third from left).

It is a well-known fact that making healthier eating choices are imperative to preventing or treating diseases like diabetes, hypertension, high cholesterol and heart disease…but when presented the all-you-can-eat buffet, double chocolate red velvet cupcakes or the 24 oz rare prime rib, most of us simply cannot resist. Luckily for us, a newly formed organization promises to make it easier for us all to make better decisions when dining or ordering out in the city.

WooFood launched by UMass Medical Schools students Matthew DeWolf, Adam Chin and Mitch Li, in collaboration with the Centers for Disease Control and Prevention, is working with area restaurants to develop and offer healthier menu items and to make sure they are clearly stated on menus and by servers.

WooFood’s goal is to empower and promote restaurants that encourage more healthy choices to their customers by making simple changes. The WooFood philosophy does not restrict choice, instead it is set up to make the healthier choice easier for diners. Customers eating at a WooFood certified restaurant can expect to find at least three dishes that are not only WooFood certified, but also chef certified—there is no lack of flavor, creativity, or effort. Two of the three options typically are crafted for vegetarians, complete with proteins, and wholesome options for growing children. As WooFood doesn’t require restaurants to remove any ingredients, you can rest assured that each certified meal is nutritious and delicious.

In order to become “WooFood Certified” a restaurant must first meet a series of prerequisites including:

  • At least three WooFood certified dishes are available and easy to identify
  • Two or more vegetarian dishes meeting WooFood standards are available
  • One or more WooFood Approved Desserts is available (featuring fresh or frozen fruit)
  • Whole grain options are available for the vast majority of grain based items
  • No trans fats are used and instead healthful oils such as Canola or Olive oil are used with no more than 2 pats of butter per dish if butter is used for cooking
  • Unsweetened and low sugar beverages are available on the menu
  • Low or Nonfat Dairy are available and the default choice
  • Must have at least one WooFood Certified kids meal following the same standards

Once a restaurant meets these basic criteria, they can become “WooFood Certified” and begin to work toward “WooFood Silver” and “WooFood Gold” certifications. The WooFood program does not stop with a restaurant’s menu, the team offers training for wait staff members and advertising and networking opportunities for the owners.

The menu for the Flying Rhino is constantly reinventing itself for each season, those items WooFood certified are displayed with the Certification icon.

In addition to encouraging healthy eating, WooFood has developed a concept called “Dinner for Now, Tomorrow’s Chow” where wait staff offer a customer to “wrap up” half their meal before they begin eating so as to encourage the overall intake of less food.

Three local restaurants have become WooFood Certified including Flying Rhino, Nancy Chang and Wooberry Frozen Yogurt and more will be coming on-line in the very near future. Paul Barber, owner of Flying Rhino on Shrewsbury Street recently said, “Not only are we trying to do the right thing for our customer, we definitely see the value a WooFood certification brings our restaurant and will continue to work and grow with the organization.”

So look for the bright leaf logo indicating a restaurant is “WooFood Certified”…you’ll feel better about the choices you make when eating out.