Elimination Diets & Food Reintroduction Flashcards
7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
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When introducing new foods during LEAP reintroduction, how many new foods should typically be introduced per challenge day?
Answer: One new food at a time to isolate reactions
Introducing one food at a time is essential so that any adverse reaction can be attributed unambiguously to that specific food.
What is the standard waiting period between introducing each new food during LEAP reintroduction?
Answer: 48–72 hours
A 48–72 hour window allows delayed mediator-release reactions, which may not appear for up to 72 hours, to be fully observed before the next challenge.
Which of the following responses following reintroduction of a food most strongly suggests a true sensitivity reaction?
Answer: Fatigue, bloating, headache, or return of the client's primary symptom within 48–72 hours
Recurrence of the client's characteristic symptoms—such as fatigue, GI upset, or headache—within 48–72 hours of challenge is the hallmark of a mediator-release sensitivity.
If a client reacts to a food during reintroduction, what is the appropriate immediate action?
Answer: Remove the reactive food, wait until symptoms resolve, then continue reintroduction with the next safe food
The reactive food is withdrawn and the client returns to confirmed safe foods until symptoms resolve, at which point reintroduction resumes with a different food.
What is the purpose of a 'rotation diet' in the later stages of the LEAP protocol?
Answer: To prevent re-sensitization by avoiding eating the same food more frequently than once every four days
A 4-day rotation diet reduces repetitive immune exposure to any single food, lowering the risk of developing new sensitivities to previously tolerated foods.
In LEAP reintroduction planning, which food category is generally introduced latest in the sequence?
Answer: Foods that tested as moderately or highly reactive on the MRT (yellow/red bands)
Foods with higher MRT reactivity scores are reserved for the final reintroduction phases, after the client has achieved stable tolerance to their safe foods.
How does cross-reactivity between foods affect LEAP reintroduction planning?
Answer: Foods from the same botanical or chemical family may need to be spaced apart, as a reaction to one may predict reactions to related foods
Shared proteins among food families (e.g., shrimp and crab) can cause cross-reactive mediator release, so a CLT should space related foods in the reintroduction schedule and monitor carefully.