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How to live safely abroad with a food allergy

Do you have milk, soy, or nut allergies and plan to live abroad? Managing food allergies in a new country can be tough, especially when you're unfamiliar with the local language, cuisine, or healthcare system. You’re not alone: according to the Food and Agriculture Organization (FAO), approximately 220 million people worldwide have food allergies, which is more than 10% of the general population, according to the World Health Organization (WHO). This practical guide outlines the key challenges expatriates with food allergies face. It offers essential advice to help you prepare before the move, manage your allergies in daily life overseas, and handle emergencies confidently.

The challenges of living with a food allergy abroad

Living with a food allergy overseas presents unique difficulties, especially when local awareness and safety measures fall short of what you're used to. Food allergies aren't widely recognized in many countries, and restaurant staff often lack the training to prevent cross-contamination or identify hidden allergens.

Food labeling laws can vary dramatically. In France, for example, restaurants are required to list allergens on menus. However, in countries like Japan, such regulations may be limited or nonexistent, making it harder to identify risky ingredients.

Allergic individuals must stay alert to common triggers such as milk, soy, tree nuts, peanuts, wheat, eggs, sesame, fish, and shellfish. This constant vigilance can lead to persistent anxiety, especially when the risk of accidental exposure carries the threat of serious reactions or hospitalization.

Beyond the physical risk, there's also a significant mental toll. The stress of navigating meals, asking questions in a foreign language, and planning around dietary restrictions can weigh heavily on expats managing allergies far from home.

Preparing for life abroad with a food allergy

Careful planning is essential if you're moving abroad with a food allergy. These key steps can help you stay safe and confident throughout the transition.

Get a medical check-up before departure

Book an appointment with your doctor well in advance. Use it to renew prescriptions, such as antihistamines or epinephrine auto-injectors, and ask whether your medications are available in your destination country. If not, discuss alternatives or arrange to bring enough supplies with you.


Research the host country

Understanding local food culture and allergy awareness can help you avoid surprises. Some cuisines use common allergens more frequently; for instance, soy is prevalent in many Asian dishes.

Also, investigate food labeling regulations. While EU countries, the United States, Canada, Australia, and New Zealand tend to be allergy-friendly, other regions may lack clear labeling or standardized protocols.

Carry a food allergy card

This card should list your allergens, related medical conditions, and emergency contact numbers. For clarity, include visual cues, such as a crossed-out image of the allergen.

Translate the card into English or the local language. For other languages, services like Equal Eats offer translated cards. Some mobile apps also help communicate your allergies in real-time.

Wear a medical alert bracelet

A medical ID bracelet provides crucial information during emergencies, especially if you're unconscious or unable to speak. This is particularly important for children and travelers without language fluency.

Know where to go in an emergency

Identify hospitals, clinics, and emergency numbers before you arrive. This information can reduce panic and improve response time if a reaction occurs.

While traveling

Inform your airline about your allergies ahead of time. Pack your own snacks, and consider bringing safe meals for the first few days abroad. This buffer gives you time to adjust without immediately having to navigate unfamiliar food options.

Daily life abroad with a food allergy

Living abroad with a food allergy is entirely possible with the proper habits.

Reading food labels is essential. Learn how to identify your allergens in the local language: these terms will be invaluable when dining out or shopping at markets. Be especially vigilant about hidden allergens, which can also be present in medications and vaccines.

Cooking at home is a reliable way to manage your diet, provided you know where to find safe, allergen-free ingredients.

If you’re moving with children, inform their schools and any after-school activity centers about their allergies. Ensure that staff are aware and know how to respond in case of an emergency.

Finally, consider joining an expat group or a food allergy support community. These networks can help you feel less isolated and provide practical tips and local resources.

What to do in case of an allergic reaction abroad


Even with careful planning, allergic reactions can still happen. Always keep your emergency medication, such as antihistamines or an epinephrine auto-injector, within reach. Make sure family members, friends, or colleagues know how to recognize the signs of a severe reaction and what steps to take.

Consider purchasing international health insurance that includes coverage for emergency treatment related to allergic reactions. This can ease the financial and logistical stress in a medical crisis.

Managing a food allergy while living abroad is entirely possible with the right preparation and support. Don’t let your condition stop you from pursuing your international goals.

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