Skip to Content

Cow’s Milk Protein Allergy- Our Journey up the milk ladder – Stage 5

Inside: Our experience with the first stage of the milk ladder.

My youngest daughter was born with a milk allergy. Not that we knew it at the time – I just assumed all was well and began life with a newborn as any mum would.

For the first 2 weeks of her life all was well besides a complete inability to latch on, which we would later discover was down to tongue-tie.

If you are not sure whether you are dealing with a milk allergy then please head over to my Cows Milk Allergy Guide, where you can find more information to help you as you get to grips with everything. 

Did you miss part 2? Do you want to see the whole series

If you have been following the series, you will know that we started my daughter on the milk ladder and she successfully completed steps 1 to 4. We went from zero dairy in her diet to her being able to tolerate pan-fried milk in the form of pancakes.

Here is a reminder of the the milk ladder:

milk ladder 2015

Stage 5 of the milk ladder

We are now at stage 5 which is Shepherd’s Pie. An odd step in my mind but one that is deemed necessary by those who compiled the stages of the ladder.

Ingredients for Shepherds Pie

Makes 8 child sized portions

  • 650g of mince
  • 1 tbsp vegetable oil
  • 1 large onion
  • 600ml vegetable stock
  • 1/2 tsp mixed herbs
  • 1 tbsp tomato puree
  • 900g potatoes
  • 55g butter
  • 100mls milk
  • 40g grated cheese

– Now what makes this different to a normal shepherds pie is the specific amounts of dairy, those noted in bold. The method is the same as a standard recipe, browning the mince, frying the onion and adding in the tomato puree, stock and herbs.

– Boil the potatoes until they are ready to mash and this is when you add the butter and the milk. Mash them together to make a creamy mash.

– Transfer the mince mixture into an oven dish and then spread the mash on the top. Then finally sprinkle the grated cheese over the top and grill until the mash is golden.

If you are anxious about the amount of dairy then give your child a half portion of mash in the beginning and build it up. I also skipped the cheese on the first go as I was so nervous. Do what is best for you and build up as necessary.

How did she get on?

When I gave her a small portion for the first time I was so terrified that it would make her ill but she was fine- such a relief I can tell you!

We went super slow, leaving the cheese out at first so as to adjust to the milk and butter. Once she showed no ill effects I repeated the recipe but added in the cheese. Of course, it is melted so it changes the composition of the proteins a little.

The recipe makes 8 child-sized portions and we worked our way through those until we knew for sure she was ready for the next stage.

Head over to part 4 >>>

my sig 2016

Sidney

Tuesday 23rd of February 2021

Thank you for your blog. It’s really helping me understand the milk ladder and steps. I struggle with some steps as we are egg free so there isn’t much variety in our trial foods. We are currently on pancakes, he has been having them for over 2 weeks with no reaction! With the shepherds pie, did you give it to her daily? Going to make this on Saturday. Fingers crossed!

Sara P

Sunday 21st of March 2021

@Sidney, I would love to know the answer to this also... if so how did you keep it fresh? Did you freeze in portions and then serve or make it fresh every couple of days? 🤔🥳

Ali

Thursday 18th of July 2019

Hi, I notice this is an old thread, but wanted to share.

We’re doing the milk ladder with one of my b/g twins. He’s been diagnosed with CMPA & we’ve been advised by our paediatric consultant to spend 2 weeks on each step & if any reaction to go back a step for 4 weeks to get his little digestive system more tolerant.... so far so good. We’re now on step 5 - shepherds pie (aka mashed potato!). I have also done a batch of Dutchess potatoes (swirls piped in the oven) so they are ready to go at meals instead of having to cook 2 weeks of cottage pie, fish pie & shepherds pie but I used a bit less milk as they are cooked for less time in the oven.

Marian

Sunday 12th of August 2018

Hi there

I know this is an old thread but your advice and recipes have been so helpful. Thank you. My little boy is on the ladder and he’s just not liking the mince in the sheps pie, I assume it’s ok to just give him the mash separately?

Thank you

Marian

Katy

Sunday 12th of August 2018

Hi Marian! That is great he is working his way up. My little boy is at that ‘I hate all meat’ phase so I hear you! Yeh totally do it with the mash alone or add it to fish as a fish pie as an alternative ??

Becky Dyson

Friday 5th of January 2018

Hi I know this blog was written a while ago but I’m going through the milk ladder at the moment with my little girl. We are at the digestive biscuit stage. I was just wondering how long do you stay on each stage for? We haven’t been given any advice on the issue at all. She was given the hydrolysed formula as a baby but then when I requested to see a dietitian was told oh just do the milk ladder by the doctor. Thanks in advance x

Katy

Sunday 7th of January 2018

My dietician told me 3 days but honestly I felt that was too short! I spent more like a fortnight on each stage so I knew FOR SURE there was no backlash. Some stages I even stayed for a month (like the cheese stage) as I was paranoid! Go with your instinct and just think, better to go slowly and complete it than rush and have to take a break. Good luck!! xxx

A Moment with Franca

Friday 2nd of October 2015

Oh God it must have been very difficult to introduce new foods but it looks like she is doing very well. Love the photo of her happy face when she was eating chocolate!! The best day ever!! LOL :-) x #kidscorner

Katy

Wednesday 14th of October 2015

It was an anxious time but thankfully she is doing so well. x