Numerous studies have looked into maternal diet and early infant feeding patterns in the development of food allergy. Currently, there is a lack of sufficient evidence to support specific dietary recommendations in either the mother or child in regards to prevention of peanut and tree nut allergy.81 It has been observed that prevalence of peanut allergy in children of similar ancestry is lower in countries that introduce peanut at an earlier age.82 There has been recent attention to one particular study assessing efficacy of peanut consumption during infancy for preventing peanut allergy in high-risk infants. The Learning Early About Peanut (LEAP) enrolled over 600 infants who had increased risk of peanut allergy due to either severe eczema, egg allergy, or both.83 Participants were randomized to either consume or avoid peanuts and followed until 60 months of age. Of the 530 infants with negative initial skin prick to peanut, prevalence of peanut allergy at 60 months was reduced by 86% in the consumption group compared with the avoidance group. In the 98 children with initial positive skin prick testing to peanut, prevalence of peanut allergy was reduced by 70% in the consumption group compared with avoidance. These dramatic results may change the recommendations we have for infant feeding practices in the future and interim recommendations have already been released,84 but it is important to note that though this was a high-risk population, it excluded children who were already allergic to peanut. The current recommendation for all children allergic to peanut is to continue with strict dietary avoidance.