When did your DC outgrow their CMPA?

[user2466]

Hi,

DD who just turned two not long ago, has CMPA and despite numerous attempts of the milk ladder she’s had no luck with it.

When did your DC outgrow it and is there anything you did?

Thanks

(Posting on AIBU for traffic)

My first outgrew about 18 months old. My 2nd now at 21 months can only tolerate small amounts but doesn’t do well with too much. I didn’t do the proper milk ladder with them though like the quarter of a biscuit etc

About 2 1/2. We did the milk ladder.

5 and 7 but they still can't drink milk, OK with most other dairy as long as not too much.

My nearly 5 yr old has just outgrown it this Christmas! Soooo happy!!

My 17 year old daughter didn’t make it to the bottom of the milk ladder sadly. Too late for her now.

Dr Adam Fox a the milk allergy dietician give good advice on instagram.

Just over 2

Rhank you.

If you didn’t use the milk ladder how did you do it?

10 months

Another here who couldn't tolerate even the bottom rung of the milk ladder - tried several times. Now 10.

We began the milk ladder at 2 and by three was fully on all kinds of milk including ice cream, drinking cows milk and cheese.

3.5 years old. A few weeks ago! She originally had over 20 allergies that I am aware of (she has a safe foods list), she's now grown out of 5 or 6. Still have 16 allergies (14 foods, 1 medicine, 1 environmental).
Take your time, don't panic. There is a good chance kids grow out of it, but not always. My son used to be allergic to egg, he didn't grow out of it until 4.

Both mine grew out of it around 2 years old. Although DD2 still absolutely hates dairy - still has coconut milk, soya yogurts and will only have sorbet, not ice cream. Only dairy will eat is cream cheese. So we don't truly know for her if fully grown out. However there is a strong link between cmpa and other intolerances, we had to take her off gluten to be able to introduce dairy successfully.

🎉🎉🎉🎉 to dr Adam Fox.

We started milk ladder early.
We started around 10/11m switching from alfamino to aptimal pepti by blending them switching fully (which he couldnt tolerate at 2m )
The malted milks corner-> 1/4 etc. Uo to a whole one.
Then loosely followed the ladder focising on consistent exposure.
he can now eat all pastry and can eat scrambled eggs with milk at 23m.

Its worth seeing a dietician /clinic team my friend wouldn't because blah blah and her 4 yo still has massive issues.

We saw dietician and was under allergist too. We first tried when DS was 1, he completed milk ladder when he was 8 but still can’t have loads of dairy.

They didn’t. Now an adult. Has other allergies and intolerances though.

Mine still can't drink milk at ages 19, 13 and 10 but they can have up to cheese on the milk ladder. Cream, ice cream and yogurt are okay occasionally but if they have dairy on two or more days in a row then they start to react. I think that's because their gut lining gets progressively damaged by repeated exposure to cows milk protein so their reactions get worse as time goes on.

Thank you. Do you keep exposing them to the state one despite the reaction? Is constant exposure damaging or will it help them learn to tolerate? The dietician at the hospital isn’t that helpful. She said to give her a grain of rice size for a few months to build tolerance as she couldn’t tolerate the corner

https://www.kingstonandrichmond.nhs.uk/patients-and-families/patient-leaflets/doing-milk-challenge-milk-ladder-home

I found this website useful. I was told that if DD failed one step to wait 3 months (tummy needs to heal) and then try again to confirm. If she passes step one and then fails step two, then she needs to eat step 1 three times a week, then try step 2 again after 3 months. Also if/when she passes a step or the whole ladder, she needs to have dairy in her diet 3 times a week for a year after (no one told me this initially until I demanded a dietician appointment!)

It's a minefield, some of the Facebook groups are great and have lots of helpful things on there. CMPA main group and allergy support group have been two of the best ones for me.

What symptoms does your child have when they react?

Is it a small rash on the mouth? Is it hives across the entire torso?

Those with children who can't tolerate dairy by age of 4/5 should be tested for coeliac disease we were told. Standard cmpa resolves by 2-3 years usually, but in coeliacs the immune system is on 'high alert' and initially presents as intolerances to other foods. Since my daughter eliminated gluten she has been able to tolerate dairy much better

My DS took part in an immunotherapy trial. Absolutely life changing.

You don’t grow out of allergies! You get more able to tolerate it as you become older but it still affects you and if you completely stop eating it for a few months you notice a big difference in how much better you feel and then if have some again after that you feel terrible - upset stomach/bloating/allergy shiners etc

Around 2.5

12. Was a highlight of 2025!

Almost 5. We did the 6 step milk ladder with breaks of 3 months if she failed a step.