Apple Allergy & Intolerance

The apple, known botanically as Malus Domestica, is a sweet fruit produced on trees. The apple can be consumed in raw, cooked or commonly juiced. It’s a popular ingredient in many recipes, especially desserts.

Preservation of apples and apple products include being canned, dried or frozen. Canned or frozen apples are usually used in baked goods such as pies or pastries. Apple juice either concentrated or fresh and cider are also very common methods of preservation and consumption.

There are two types of common apple allergies. Birch-apple syndrome (or birch-apple allergy) is common in northern Europe. It is usually found in people who are also allergic to birch tree pollen.

The allergic reactions are triggered by the protein in apples that are similar to birch pollen. Sufferers of this apple allergy are often affected by other fruit and vegetable allergies as well. This reaction will only occur when consuming the fruit raw, as the allergen is neutralized during the cooking process. The variety of apple, storage condition and age can alter the amount of allergen present.

Populations around the Mediterranean regions are reported to have reactions to apples due to their similarity to peaches. An apple allergy of this nature usually exhibits more severe symptoms, such as vomiting, abdominal pain and can be dangerous. One should also note that cooking does not break down the protein causing this particular reaction. Freshly harvested, over-ripe fruits are likely to have the highest levels of the protein that causes this reaction.

Apple allergy symptoms

Common symptoms include:

  • Abdominal cramps
  • Anaphylaxis (rare)Diarrhea
  • Narrowing of the throat
  • Nausea or vomiting
  • Rash or hives
  • Swelling of the face or lips
Apple Stats - Apple Intolerance

Identifying apple intolerance

Apple sensitivity (or intolerance) is where a person presents various digestive symptoms after the consumption of apple food products. Apple sensitivity can be uncomfortable and embarrassing for those suffering from it, despite being a less severe condition than an allergy. Often, people encounter digestive issues concerning the enzymes in apples, especially when eaten raw. Processed apple products appear to cause less adverse reactions to an individual’s digestion.

Apple intolerance symptoms

  • Bloating
  • Diarrhea
  • Gas
  • Tiredness

The nutritional value of apples

Apples are often referred to as the ‘nutritional powerhouse’ due to containing a wide variety of nutrients and antioxidants. They’re a valuable source of Vitamin C which is capable of blocking some free radical damage and boosting the immune system against infections or diseases. The humble apple also contains blood-boosting B vitamins, calcium, potassium and phosphorus while being a good source of dietary fibre.

photos - Apple Intolerance

How to replace nutrients when eliminating apples from your diet

It is essential to use alternative foods in your diet when undertaking either a short or long-term elimination diet so that you maintain nutrient balance.

Below are excellent examples or nutritional alternatives when eliminating apples:

B Vitamins

Oats, rye, buckwheat, brown rice, quinoa, brewer’s yeast, peanuts, mushrooms, soybeans, split peas, pecans, sunflower seeds, lentils, cashews, chickpeas, broccoli, hazelnuts, peppers

Vitamin C

Orange, grapefruit, kiwi fruit, mango, papaya, pineapple, strawberries, raspberries, blueberries, cranberries, broccoli, brussels sprouts, cauliflower, peppers, spinach, cabbage, turnip greens, leafy greens.


Dried apricots, salmon, mackerel, tuna, monkfish, white beans, lentils, kidney beans, avocado, butternut squash, spinach, mushrooms, bananas, potatoes


Brown rice, oats, rye, quinoa, chicken, turkey, pork, liver, sardines, scallops, salmon, mackerel, crab, milk, yoghurt, cottage cheese, sunflower seeds, pumpkin seeds, Brazil nuts, pine nuts, almonds, pistachios, cashews


Watercress, kale, broccoli, low-fat mozzarella, yoghurt, pak choi, tofu, sugar snap peas, almonds

Testing for apple allergy and intolerance

If you suspect that you have an intolerance or allergy to apples, there are steps you can take today to move forward. The following tests can help you diagnose your condition, so you can start making smart decisions about what foods you eat.

Blood Tests

TMA ALLERGY CHECK 2021 v2 Green (1)
  • WAS £29 NOW £23

    SAVE £6

    A rapid at-home indicator of Allergies (IgE) to use as a first step investigation.

TMA ALLERGY 35 TEST 2021 v2 Green
  • WAS £99 NOW £69

    SAVE £30

    Home-to-lab Allergy (IgE) test of 35 food and environmental triggers.

TMA INTOL TEST 2021 v2 Green
  • WAS £119 NOW £89

    SAVE £30

    Home-to-lab Intolerance (IgG4) test of 80 common food and drink triggers.

TMA ALLERGY TEST 2021 v2 Green
  • WAS £149 NOW £115

    SAVE £34

    A full screen of 70 combined Allergy (IgE) & Intolerance (IgG4) triggers.

Hair Tests


_TMA CORE 400 2021 v2 BLUE
  • WAS £45 NOW £25

    SAVE £20

    A first step to learning more about your sensitivities with this test.

  • WAS £79 NOW £35

    SAVE £44

    970+ item comprehensive sensitivity and health test report.

  • WAS £99 NOW £59

    SAVE £40

    Make savings for two people on our most comprehensive test.

  • WAS £165 NOW £99

    SAVE £66

    Our best saving package for four people on largest screening of items.