Can patients with chocolate allergy eat cocoa butter? Cocoa and cocoa butter both come from the cocoa bean, I think. I've read that in general oils (like soybean oil) may be safely consumed by those with soy oil.


Allergic reactions to "chocolate" have been attributed to undeclared ingredients, including tree nut, peanut and cow milk. "Hidden allergens" such as insect parts have also been found to be present in chocolate. To date, I have not seen a case of true cocoa allergy. A PubMed search did not find any reports of specific allergy to chocolate or cocoa butter.

Jacqueline A. Pongracic, MD, FAAAAI


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