If you’ve ever felt alone navigating an FPIES diagnosis—or if you’re wondering what FPIES even is—this episode is for you.
I’m joined by Dr. Taylor Arnold, pediatric dietitian and mom of two children who had FPIES, and Dr. Manisha Relan, board-certified allergist and immunologist. Together, we break down what FPIES actually is, why it’s so often misdiagnosed, how it differs from typical food allergies, and what families can do to manage it confidently. Whether you're a parent seeking answers or a clinician wanting to deepen your understanding, I hope this conversation leaves you feeling more empowered, prepared, and less alone.
We discuss:
What FPIES is, how it differs from typical food allergies, and why diagnosis is often delayed.
Navigating food introductions, managing reactions, and reducing anxiety around FPIES.
Practical tips for daycare, social situations, and long-term support for children with FPIES.
To connect with Dr. Taylor Arnold follow her on Instagram @growing.intuitive.eaters, check out all her resources at https://msha.ke/growingintuitiveeaters
To connect with Dr. Manisha Relan follow her on Instagram @pedsallergymd, and check out all her resources at https://www.101beforeone.com/ and her new book: https://www.amazon.com/Baby-Leads-Way-Evidence-Based-Introducing/dp/1610027620
Additional Resources:
https://fpiesfoundation.org/
https://www.fpies.org/
https://kidswithfoodallergies.org/living-with-food-allergies/what-is-a-food-allergy/food-protein-induced-enterocolitis-syndrome-fpies/
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00:00 – Intro & Why This Matters
02:00 – Meet the Experts
03:05 – What FPIES Is and Isn’t
08:20 – Hallmark Symptoms & Why It’s Missed
10:10 – Personal Story: Misdiagnosis & Learning Curve
15:00 – Diagnosing FPIES
18:30 – What Causes FPIES?
20:00 – What Parents & Pediatricians Should Know
23:30 – Figuring Out Food Triggers
25:00 – Managing Feeding Anxiety After Diagnosis
29:00 – Preventing Nutritional Deficiencies
32:00 – Practical Tips for School, Daycare & Social Events
35:00 – Emotional Support for Parents
38:00 – Outgrowing FPIES & What Comes Next
42:00 – Final Takeaways & Encouragement
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