AllerStep
๐Ÿ“– Jargon
๐ŸŽฎ

Interactive Sandbox Demo Mode

Test Data Only

You are exploring a simulated child profile managing CMPA, Wheat, and Egg allergies. Test logging custom doses or switching ladder steps below.

Child: "Sam (Demo Profile)"

UK GDPR Pseudonym

Born: 2023-08 • Managing 3 active diagnosed food allergies

COW MILK • Active Challenge (Step 1) WHEAT GLUTEN • Strict Avoidance EGG • Strict Avoidance
Export NHS Report
Active Challenge Protocol: COW MILK Step 1 Active

Step 1: Cookie / Biscuit

Amount: Start with 1/4 to 1/2 biscuit, build up to 1, then up to 3 biscuits daily. Extensively baked milk protein.

Progression:
Step 1
Co-Allergen Isolation Active: Foods containing active co-allergies (such as Wheat Gluten, Egg) are strictly BLOCKED. We have filtered safe challenge vehicles below.

Matched Safe Challenge Recipes

Gluten-Free & Egg-Free Baked Milk Biscuit

Ingredients: Rice flour, Buckwheat flour, Cow's milk powder, Vegetable oil, Sugar

โœ“ Isolated for Co-Allergens โœ“ Step 1 Protocol

Observation Timeline & Clinical Timers

Dual-phase tracking: Acute 2h IgE surveillance + 72h Non-IgE gut & skin checks

Dynamic Live Sync
Cow's Milk (CMPA) ยท Step 1: Gluten-Free & Egg-Free Baked Milk Biscuit
TOLERATED
Portion: 1/8 Biscuit (crumb dose) • Consumed: 2026-10-06 16:02
Immediate Window (0โ€“2h IgE): Acute Risk

โœ“ Tolerated: Nil immediate symptoms (2h window clear)

2h Clock: Calculating...
Delayed Window (2โ€“72h Non-IgE): Gut/Skin

โœ“ 72h Surveillance Complete: Stool normal, zero eczema flare

72h Surveillance: Calculating...
Day 1 (0โ€“24h) ...
Day 2 (24โ€“48h) ...
Day 3 (48โ€“72h) ...
Crucial Rule Can I give more food now? (NHS iMAP & BSACI Guidance)
๐Ÿ›‘ NO, DO NOT GIVE MORE FOOD TODAY OR OVER THE NEXT 3 DAYS.
Even if your child ate 2 biscuits with milk 2 hours ago and had zero acute symptoms, you must pause and wait until Day 3 ends. Delayed Non-IgE allergic reactions (such as vomiting, reflux, blood or mucus in loose stools, tummy aches, or eczema flares) do not happen immediately โ€” they take 24 to 72 hours (up to 3 full calendar days) to develop in the gut or skin. Giving more food before this 72h window completes causes dangerous confusion over which dose caused a reaction.
Earliest allowed next dose: Calculating... NHS iMAP Protocol
Cow's Milk (CMPA) ยท Step 1: Gluten-Free & Egg-Free Baked Milk Biscuit
UNDER OBSERVATION
Portion: 1/4 Biscuit • Consumed: 2026-10-10 14:47
Immediate Window (0โ€“2h IgE): Acute Risk

โณ In Observation: Immediate 0โ€“2h window active

2h Clock: Calculating...
โœ“ Nil symptoms = Cleared
Delayed Window (2โ€“72h Non-IgE): Gut/Skin

โณ Armed: Delayed 2โ€“72h surveillance window active

72h Surveillance: Calculating...
Day 1 (0โ€“24h) ...
Day 2 (24โ€“48h) ...
Day 3 (48โ€“72h) ...
Interim review (24-72h):
Crucial Rule Can I give more food now? (NHS iMAP & BSACI Guidance)
๐Ÿ›‘ NO, DO NOT GIVE MORE FOOD TODAY OR OVER THE NEXT 3 DAYS.
Even if your child ate 2 biscuits with milk 2 hours ago and had zero acute symptoms, you must pause and wait until Day 3 ends. Delayed Non-IgE allergic reactions (such as vomiting, reflux, blood or mucus in loose stools, tummy aches, or eczema flares) do not happen immediately โ€” they take 24 to 72 hours (up to 3 full calendar days) to develop in the gut or skin. Giving more food before this 72h window completes causes dangerous confusion over which dose caused a reaction.
Earliest allowed next dose: Calculating... NHS iMAP Protocol

iMAP Milk Ladder Steps

6 Protocol Steps
Step 1: Cookie / Biscuit
In Active Challenge (Day 1)
Active
Step 2: Muffin
Locked until Step 1 passes
Locked
Step 3: Pancake
Locked until Step 1 passes
Locked
Step 4: Cheese
Locked until Step 1 passes
Locked
Step 5: Yoghurt
Locked until Step 1 passes
Locked
Step 6: Pasteurised Milk / Suitable Infant Formula
Locked until Step 1 passes
Locked

๐Ÿšจ Reaction Action Plan

NHS / BSACI

If child exhibits breathing difficulty, throat tightness, or lip swelling, administer prescribed Adrenaline Auto-Injector and dial 999 immediately.

Panicking? Follow our calm 3-step guide: