How do I introduce egg to reduce allergy risk?
Canadian guidelines recommend offering well-cooked egg (not raw) starting around 6 months of age, and not before 4 months, then keeping it in the diet regularly (a few times a week) once tolerated.
This applies to all infants, though the evidence and benefit are strongest for babies at higher risk of allergy, such as those with eczema or a family history of allergic disease.
Good
Based on multiple randomized controlled trials (e.g. PETIT, STEP, EAT) and a meta-analysis showing moderate-quality evidence, plus consistent Canadian Paediatric Society and CSACI practice guidelines.
What the evidence says
The Canadian Paediatric Society recommends introducing well-cooked egg to babies at around 6 months of age, but not before 4 months, once your baby is developmentally ready for solids. This applies to all infants, and is especially encouraged for babies at higher risk of allergy (a parent or sibling with an allergic condition, or the baby already has eczema). Use cooked forms only, such as hard-boiled, scrambled, or well-baked into other foods, since raw or lightly cooked egg is more likely to trigger a reaction.
HealthLink BC suggests starting with a small amount and watching for about 10 to 15 minutes for any signs of reaction before offering more. Once your baby has eaten egg without a problem, keep serving it regularly, ideally a few times a week, since stopping and starting again seems to raise the risk of developing an allergy rather than protecting against it. The supporting evidence comes from several randomized trials in infants, including a Japanese trial showing a large drop in egg allergy rates with early, regular egg intake, and a UK trial that found benefit for egg (though not overall for all six foods tested) when introduction started at 3 months versus 6 months.
Results have not been perfectly consistent across every trial, which is why guidelines describe the evidence as moderate rather than definitive, but the overall direction consistently favours earlier introduction over delay.
Sources
-
Guideline
Timing of introduction of allergenic solids for infants at high risk
Canadian Paediatric Society
Recommends egg introduction around 6 months, not before 4 months, in high-risk infants.
-
Guideline
Dietary exposures and allergy prevention in high-risk infants
Canadian Paediatric Society
Advises cooked egg early and ongoing regular ingestion to maintain tolerance.
-
Guideline
Reducing risk of food allergy in your baby
HealthLink BC
Practical Canadian guidance on introducing cooked egg at about 6 months.
-
Randomised trial
Can early introduction of egg prevent egg allergy in infants? A population-based study
PubMed (J Allergy Clin Immunol)
Cohort study linking cooked egg introduction at 4-6 months to lower allergy risk.
-
Systematic review
Early introduction is not enough: CSACI statement on ongoing regular ingestion
PubMed/CSACI
Notes RCT and observational evidence for egg and peanut early introduction.
-
Expert organisation
Food allergy prevention with early food introduction
PMC (Allergy Asthma Clin Immunol)
Summarizes meta-analysis showing moderate-quality evidence for early egg introduction.
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked August 2, 2026