Peanuts

Recommended window

6–12 months

Evidence

Smooth peanut butter or peanut paste from around 6 months (4–6 months for high-risk infants under specialist guidance). LEAP trial showed early introduction reduced peanut allergy by ~80%.

Sources

• ASCIA Infant Feeding & Allergy Prevention Guideline
• Addendum guidelines for the prevention of peanut allergy in the United States
• Randomized trial of peanut consumption in infants at risk for peanut allergy (LEAP)
• AAP / HealthyChildren — Feeding & Nutrition

Consensus

Strong consensus across major guidelines.

Notes

Never offer whole peanuts or thick blobs of peanut butter (choking hazard). Whole peanuts not before 3–5 years.