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Food Sensitivities vs. Food Allergies: How to Know What’s Really Affecting You

Have you ever felt unwell after eating certain foods but couldn’t quite figure out why? Maybe you’ve noticed bloating, headaches, or fatigue after meals, and you’re left wondering if something in your diet is causing the issue. Many people experience these kinds of symptoms but aren’t sure whether they’re dealing with a food allergy, a food sensitivity, or something else entirely. The key to finding relief is understanding the difference between food sensitivities and food allergies—and knowing how to identify which one might be affecting you.


Let’s break down the distinctions between food allergies and sensitivities, how to spot the symptoms, and how these reactions can impact your overall health.    


AO. Wellness, Adriana Osipian—Functional Medicine
AO. Wellness, Adriana Osipian—Functional Medicine

What’s the Difference Between Food Sensitivities and Food Allergies? 


While both food sensitivities and allergies involve adverse reactions to certain foods, they are quite different in how they affect the body. The distinction lies in how your immune system responds.


Food Allergies

A food allergy is an immediate and often severe immune system response to a specific food. When you have a food allergy, your body mistakenly identifies a certain food as harmful and releases chemicals like histamine to defend against it. This causes an allergic reaction, which can range from mild to life-threatening. Common symptoms of food allergies include:


  • Swelling of the lips, tongue, or throatDifficulty breathing or wheezing

  • Hives or rashes

  • Abdominal pain, nausea, or vomiting

  • Anaphylaxis, a severe, life-threatening reaction that requires emergency care


Interestingly, food allergies can sometimes be triggered or exacerbated by emotional trauma or stressful experiences. For example, a traumatic event in your life might cause your immune system to associate certain foods with stress, leading to a heightened allergic reaction over time. This is one reason why managing emotional health can be important for those dealing with allergies.


Food Sensitivities

On the other hand, food sensitivities (also called food intolerances) are more subtle and often harder to detect. Instead of triggering an immediate immune response, food sensitivities usually result in a delayed reaction—anywhere from a few hours to a couple of days after eating the offending food. These reactions are not life-threatening, but they can cause chronic discomfort and contribute to ongoing health issues. Symptoms of food sensitivities might include:


  • Bloating, gas, or digestive discomfort

  • Headaches or migraines

  • Fatigue or brain fog

  • Skin issues like acne or rashes

  • Joint pain or stiffness


Unlike food allergies, sensitivities often involve the digestive system rather than the immune system. They can be triggered by stressful periods in your life, causing your body to become more reactive to certain foods. During high-stress times, your body’s defenses can weaken, and foods that you’ve eaten comfortably for years may suddenly cause irritation or discomfort. This means that stress management and emotional well-being play crucial roles in identifying and managing food sensitivities. 


 

How to Identify Food Sensitivities and Allergies


Identifying whether you’re dealing with a food sensitivity or an allergy can be challenging, especially since symptoms often overlap with other health issues. Here are some methods to help determine what might be going on.


Elimination Diet

An elimination diet is one of the most effective ways to identify food sensitivities. It involves removing certain foods (common culprits include gluten, dairy, eggs, soy, and sugar) from your diet for several weeks, then gradually reintroducing them one at a time. By monitoring your symptoms during the reintroduction phase, you can figure out which foods may be causing issues.

This process requires patience and attention to detail, but it can be incredibly helpful in uncovering hidden sensitivities.


Food Diary

Keeping a food diary can help you track what you eat and how you feel afterward. Record everything you consume, along with any symptoms you experience, and look for patterns. If you notice that certain symptoms appear consistently after eating particular foods, you may be dealing with a sensitivity or intolerance.


Allergy Testing

If you suspect a food allergy, it’s important to seek proper testing. A healthcare provider can conduct allergy tests, such as skin prick tests or blood tests, to identify specific allergens. These tests help determine if your immune system is involved in the reaction and whether you need to avoid the food completely.


Functional Lab Testing for Sensitivities

For those struggling with chronic symptoms that are difficult to link to specific foods, functional lab testing can offer deeper insights. Tests like IgG or IgA antibody testing can help detect delayed food sensitivities that aren’t always apparent through traditional testing. These tests measure how your body reacts to different foods, helping to uncover sensitivities that might otherwise go unnoticed.   


 

The Role of Stress and Emotional Health


One key factor that often gets overlooked when discussing food allergies and sensitivities is the role of stress and emotional well-being. High levels of stress can weaken your digestive system, increase inflammation, and exacerbate food sensitivities. Similarly, unresolved trauma or ongoing emotional distress can worsen food allergies, as your body’s stress response becomes closely linked to how it processes certain foods.


Re-establishing a balanced relationship with food isn’t just about eliminating triggers—it’s about addressing the root cause. Sometimes, that means working with a therapist or stress management expert to heal the emotional component behind food reactions. Techniques like mindfulness, meditation, or therapy can help reduce stress and lessen the intensity of food-related symptoms. 


 

AO. Wellness, Adriana Osipian



 
 
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