Medically reviewed by Aaron L Weigmann MD., MS Plastic Surgeon February 03, 2025| Written by Shahid Bashir

Soy Allergy 101: Foods to Eat and Foods to Avoid!

Soy allergy is a type of food allergy where your immune system abnormally reacts to proteins found in soy. The immune response causes stomach pain,hives, indigestion, and in severe cases, difficulty in breathing.

It’s most common in infants and young children, even though some may overcome it as they get older. Managing a soy allergy often means avoiding soy-based foods. Following a careful diet can help prevent allergic reactions and keep symptoms under control.

What Are the Symptoms of Soy Allergy?

The symptoms of soy allergy can range from mild to severe. These begin immediately after exposure to soy proteins present in soy-based products and include:

  • Stomach cramp
  • Indigestion
  • Diarrhea
  • Uncontrolled cough
  • Shortness of breath
  • Hives
  • Dizziness

In severe soy allergy, a person can experienceanaphylaxis which is a life-threatening allergic reaction that can affect breathing, blood pressure, and multiple organs in the body.

What Chemical Causes Soy Allergy?

Studies show that specific proteins in soy called Gly m 5 (β-conglycinin) and Gly m 6 (glycinin) are responsible for allergic reactions. These proteins trigger an immune response in people who are sensitive to soy. 

When someone with a soy allergy eats or comes into contact with soy, their immune system mistakes these proteins for harmful substances. This causes the body to release chemicals likehistamine which is responsible for initiating allergic reactions. 

These reactions result in symptoms such as itching, swelling, or difficulty breathing. For some people, even a tiny amount of soy protein can cause a reaction, and they should avoid any food containing soy.

Is Soy Allergy Common?

Soy allergy is relatively common and is among the top food allergies in the USA. The condition is prevalent in infants and children. Areport shows that about 0.4% of infants in the USA have a soy allergy, though many will outgrow it by age 10.

But some people remain allergic to soy throughout their lives. 

Soy allergy isless common in adults compared to infants and younger children. Since soy is widely used in many foods and products, people with this allergy must be careful when planning a diet to prevent the discomfort from allergic reactions.

Is it Normal to Develop a Soy Allergy Later in Life?

Yes, it is possible to develop a soy allergy later in life even if you were not allergic as a kid. 

But soy allergies are most frequent among children, and many outgrow them by adulthood. 

Adults can sometimes develop new food allergies, including soy, due tochanges in the immune system or increased exposure to allergens. 

So, if you experience allergic symptoms after eating soy-based products, it's important to consult a healthcare provider for the proper diagnosis and management of soy allergy.

How Do You Treat Soy Allergy?

As with the treatment for any allergy, you must avoid exposure to the trigger which is soy in this case. So, the main treatment for a soy allergy is to avoid soy and soy-based products. 

When buying food items, you must read the labels carefully, as many products contain soy. Look for terms like"soy protein", "soy lecithin", or "vegetable oil"that may include soy.

For a severe allergic reaction, as in anaphylaxis, the doctors use an epinephrine injection as thefirst line treatment to relieve the symptoms. Some people are advised to carry anepinephrine auto-injector, which they can use themselves when experiencing a severe allergic reaction.

What Foods to Avoid if You are Allergic to Soy?

If you are allergic to soy proteins, dietary changes are the only help you have. You can't correct the immune response against soy so you need to avoid consuming soy and soy-based products containing Gly 5 and Gly 6 like proteins. 

Here is a list of some foods to avoid that contain soy and can trigger an allergic reaction:

1. Soy Sauce

Soy sauce is a common ingredient in Asian cuisine and is used for flavoring and as a dipping sauce. It contains a high concentration of soy proteins which can trigger allergic reactions in those with a soy allergy. 

Soy sauce is also often hidden in marinades, dressings, and other sauces, so it's important to read labels carefully.

2. Tofu

Tofu, made from condensed soy milk, is a major source of soy protein. It's widely used in vegan and vegetarian dishes as a protein substitute, so those with soy allergies should avoid it completely. 

Eating tofu with a soy allergy can lead to symptoms ranging from mild stomach cramps to severe anaphylaxis. Many plant-based or dairy-free products often use tofu, so checking ingredient lists is essential to avoid any triggers to the allergy.

3. Edamame

Edamame are young soybeans often served as a snack, appetizer, or in salads. Since edamame are simply boiled soybeans, they contain all the proteins that can trigger a soy allergy. 

Since you eat edamame as a whole, it can quickly lead to allergic symptoms. Avoiding edamame and any snacks that include them is important for soy allergy management.

4. Soy Milk

Soy milk is a popular dairy milk substitute for people who follow a vegan diet. Since it's made from soybeans, it contains the soy proteins that cause soy allergy reactions. 

People allergic to soy should also be careful with products made from or containing soy milk, like coffee creamers or certain dairy-free yogurts. The safer milk options for people who follow a vegan diet are almond, oat, and rice milk.

5. Textured Vegetable Protein (TVP)

Many vegans use a processed soy product called textured vegetable proteins (TVP) as a meat substitute. It's found in veggie burgers, plant-based meat alternatives, and some soups or stews.

Because it's concentrated in soy protein; even small amounts can cause reactions in people with soy allergies. Always check ingredient labels on meat substitutes, as many contain TVP or other soy-derived ingredients.

What Foods to Eat for Soy Allergy?

If you are allergic to soy proteins, you only need to avoid those foods containing these proteins. Besides that, you can eat anything healthy, such as fruits, vegetables, whole grains, and lean proteins, and it won’t trigger an allergic reaction or cause any symptoms.

Instead of discussing general foods and drinks that are soy-free, we will explore some alternate foods to soy-based products that you can eat if you are allergic to soy:

1) Coconut Aminos

Coconut aminos is a popular soy sauce alternative made from coconut sap. It has a similar salty, savory flavor to soy sauce but contains no soy, making it safe for people with soy allergies.

Coconut aminos can be used in stir-fries, marinades, and sauces, just like soy sauce. It's also gluten-free, making it a good option for those avoiding gluten too.

2) Almond Milk

Almond milk is a great alternative to soy milk for vegans who have soy allergy. Almond milk is made from ground almonds, is dairy-free, and works well in coffee, cereal, and smoothies.

Almond milk has a mild, nutty flavor and can be found in unsweetened or sweetened versions. It's also lower in calories than regular milk, making it a good option for people who are conscious about their calorie intake.

3) Chickpeas

Chickpeas are a good source of plant-based protein, making them a strong substitute for soy-based proteins like tofu. They can be used in salads, stews, or mashed into a spread like hummus.

Chickpeas are also high in fiber, which isbeneficial for digestive functioning and overall health. For people with soy allergies, chickpeas offer a safe and nutritious protein option.

4) Quinoa

Quinoa is a high-protein grain that can be a great alternative to foods like soy protein or textured vegetable protein (TVP). It's versatile and can be used in salads, as a side dish, or in soups. 

Quinoa is also gluten-free andcontains essential nutrients like magnesium, calcium, and iron. 

How Hard is it to Live a Vegan Lifestyle with Soy Intolerance?

Living a vegan lifestyle with a soy intolerance can be challenging since soy is a common source of plant-based protein and is found in many vegan products. Many common vegan foods, like tofu, tempeh, and soy milk, are soy-based, so finding alternative protein sources is essential. 

But one can follow an entirely soy-free vegan diet with little planning.

To ease this lifestyle, try incorporating alternative proteins like lentils, chickpeas, quinoa, and hemp seeds. Nuts, seeds, and non-soy plant-based milk options like almond, oat, or coconut milk can replace soy products. 

Reading labels carefully is also essential as soy can be hidden in processed foods. 

Note: If you are a vegan and allergic to soy, you can getOrganic Protein Powder byStartwitfiber.com to meet your daily protein requirements. This protein powder is plant-based and free from soy, making it an excellent protein source for you if you are a vegan and have a soy allergy.

Can I be Allergic to Soy milk But Not Soy?

Studies show that it’s possible to be allergic to soy milk or soy drinks but not to other forms of soy. In some cases, the immune system reacts specifically to processed soy products like soy milk because processing can change the proteins, sometimes making them more allergenic. 

On top of that, additives in soy milk could also trigger symptoms in sensitive individuals.

 However, it’s important to consult a healthcare professional to confirm whether you are allergic to soy in general or only to specific soy-based products, as this can affect how you manage your diet.

Conclusion

Soy allergy is a type of food allergy commonly found in infants and children. In soy allergy, the immune system mistakes soy proteins as harmful foreign bodies, causing allergic reactions. This may include mild symptoms like temporary cough or nausea. But it can be severe enough to cause anaphylaxis which requires immediate epinephrine injections. 

Eating a soy-free diet is the only way to avoid this condition. Since soy is a major component of a protein diet for vegans, they may find it challenging to meet their daily protein requirements with soy allergy. Fortunately, there are alternate options available, such asorganic protein powder to ease the lifestyle of vegans with this allergy.