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Careful selection of food with relatively low nickel concentration can bring a reduction in the total dietary intake of nickel per day. This can lead to fewer and shorter flares but may not completely eliminate all your symptoms.
To see if this will work, it is important that you follow this strictly for 1 to 3 months. If you do not see improvement after following this diet for 1 to 3 months, contact your dietitian and/or doctor.
As with all food sensitivities and allergies, it is recommended that you keep a food diary in order to track what works for you and what doesn’t work for you. To do this write down all foods and also make note of time and type of symptoms you get. Also make note of no reaction.
Things to keep in mind:
The amount of nickel in the soil and water used to grow the food can affect nickel content of foods.
Avoid or moderate canned foods. Processed and canned foods can add nickel via equipment used in manufacturing and leaching from the metallic can.
Run the water in your sink for a few minutes before using it to ingest. Tap water may contain nickel. Hot water can leach nickel from faucets into the water sitting overnight in the fixtures.
Avoid stainless steel cookware and utensils when cooking with acidic foods. Stainless steel cookware such as stainless steel can leach nickel into the food if cooking with acidic foods such as tomato, vinegar or lemon.
Consider vitamin C and/or iron supplementation with meals. Eating foods high in vitamin C and iron can reduce the absorption of ingested nickel. Avoid or moderate vitamin supplements/drinks containing nickel.
FRUIT Peaches, pears, bananas, blueberries, strawberries, blackberries are all considered to be low-nickel fruits. Any of these can be eaten fresh or cooked, but not canned. Raspberries, pineapple, figs, dates, and prunes should be avoided. Apples, tomatoes, oranges, grapefruit, and other citrus fruits are low in nickel content but can exacerbate allergy symptoms
VEGETABLE Recommended vegetables include: bell peppers, cucumbers, eggplant, and cruciferous greens (cabbage, cauliflower, bok choy). Avoid green leafy vegetables (spinach, kale, lettuce), bean sprouts and legumes, especially dried beans and lentils,peas, spinach, soy anything.
DAIRY All plain dairy products–milk, cream, cheese, butter, yogurt–are allowed. Avoid chocolate milk and raspberry or citrus yogurt.
GRAINS Refined wheat and most corn products are permitted on this diet. Pasta, white rice, cornflakes, cornmeal, and white breads are all low-nickel foods. Whole wheat and multigrain flours, however, are high in nickel content. Avoid wheat and oat bran, oatmeal, brown rice, and flower seeds (such as sunflower and sesame), whole wheat pasta, buckwheat, millet, muesli, multi grain breads, brown rice, wheat germ, oatmeal.
NUTS SEEDS SOY Avoid nuts, seeds, and soy.
ANIMAL PROTEIN Most kinds of animal protein are low in nickel content. Chicken, turkey, beef, and eggs are recommended. Shellfish, such as shrimp and oysters, and salmon are higher in nickel. Do not eat canned meats and fish, such as tuna.
BEVERAGES Alcoholic beverages, coffee, and tea (though not from urns or machines) are allowed, as are sodas, and juices from low-nickel fruits. Avoid apple and citrus juices and chocolate drinks.
AGGRAVATING FOODS Various food items and drinks can aggravate nickel dermatitis even though the nickel content of these foods may be low. These include beer, wine (in particular, red wine), herring, mackerel, tuna, tomato, onion, carrot, and certain fruits, in particular, apples and citrus fruits (juice). These vegetables can usually be tolerated when cooked.
SOURCES OF DIETARY NICKEL TO AVOID
All canned items
All nuts (walnuts, peanuts, almonds, hazelnuts, soy nuts)
All seeds (sunflower seeds, linseed)
Commercial salad dressings
Vitamins containing nickel
Chocolate and cocoa drinks, especially dark chocolate, chocolate milk and raspberry or citrus yogurt
Fiber Tablets Containing Wheat Bran
Figs Fresh and Dried
Legumes: Peas, Lentils, Peanut, Soy Beans and Chickpeas
Peas (Including Split Peas)
Red Kidney Beans
Shellfish (Shrimp, Oysters, Mussels)
Sweets Containing Chocolate
Tea from Dispensers that may be made with nickel
Vitamin/Mineral Supplements Containing Nickel
Wheat Bran Products (Whole Wheat Breads And Cereals)
FOODS LOW IN NICKEL CONTENT (GF= gluten free) Some may aggravate symptoms
1/2 & 1/2
Apple Pie (GF crust)
Apples and citrus fruits and their juices
Beer can aggravate symptoms
Cakes and biscuits not containing Buckwheat almonds or other nuts, cocoa,
Fish such as herring, mackerel and tuna can aggravate symptoms
Flour, white wheat
GF Mac n Cheese
GF ramen noodles
Meatloaf with GF binder
Millet or chocolate Muesli and other similar breakfast cereals
Onion small amount
Oranges can aggravate symptoms
Poultry, eggs and fish (except salmon)
Raw tomatoes, onions and carrots
Rice or corn cereals
Spinach small amount
Tomato small amount
Tuna in water (but NOT a can) can aggravate symptoms
Vanilla ice cream
Whole grain rye and wheat in moderation
Wine (especially red wine) can aggravate symptoms
Allergy Consultants, P.A. https://goo.gl/gZ6sh3
Penn State Nickel Diet https://goo.gl/kwD33P
Sharma AD. Relationship between nickel allergy and diet. Indian J Dermatol Venereol Leprol.