PROF. ROSAN MEYER
Paediatric Dietitian
B.Diet, Post Grad Dipl Diet, M. Nutr, PhD
CONSULTATION SERVICES
Please see below further information on the different specialist individual consultations and group sessions.
Patient Consultations
The Step-by-Step Kidz Nutrition team specialises in paediatric food allergy, intolerances, growth faltering and feeding difficulties. Please see below further information on the different specialist individual consultations and group sessions.
Her team sees children from birth up to 16 years of age. As this practice provides a very specialist dietetic service, we only take children referred by paediatric specialist.
Please click read more for further information and how to be referred.
Food Allergies and Intolerances Clinics
All paediatric dietitians working with Rosan have additional specialist qualification to support children with IgE or/and non-IgE mediated food allergies. This includes single or multiple food allergies and dietitians in Rosan’s team have experience to also work with families with rare food allergies as well as oral allergy syndrome or pollen food syndrome.
Rosan and her team have been involved in the development of the milk/egg ladders since 2013 and are also at the forefront of food ladder supports for both IgE and non-IgE mediated food allergies. They have significant experience in both milk and egg ladders for IgE mediated allergies and are actively supporting research on this topic. The team can also see children with Food Protein Induced Enterocolitis Syndrome (FPIES) and they collaborate with several allergist who do oral immunotherapy.
The practice will also support children with coeliac disease with our paediatric specialist paediatric gastro dietitian, Natalie Yerlett.
It is thought that around 6 % of children in the UK have proven food allergies, but this figure may not reflect non-IgE mediated food allergies and certainly does not include children with food intolerances. Rosan and her team have been working with children with food allergies/intolerances for almost 30 years and have published numerous articles on nutritional adequacy, growth and feeding difficulties.
Rosan and her team work with specialists in food allergy, gastroenterology and dermatology, because appropriate allergy testing, elimination diet and food challenges are a critical part of the diagnostic process. In the field of food allergies/intolerances, it is essential that the right foods are eliminated, including hidden sources and that children are optimally managed (medically and nutritionally) and foods are replaced with nutritionally equivalent alternatives. However, what is equally important is that foods are not unnecessarily eliminated, which pose a nutritional risk as well. It is therefore so important to see a specialist allergy dietitian, that can help interpret results, knows alternative products and the nutritional contribution. Additionally, can guide, where appropriate the reintroduction of foods.
We are very happy to see children with food allergies/ intolerances but require a referral from a paediatric specialist to ensure that I have access to all of the test results and most importantly a colleague to feed back to, when further investigations are needed and also when a food challenge service is required.
Please see my contact details and referral criteria.
Other Paediatric Nutrition Related Clinics
Rosan is a specialist paediatric dietitian that has almost 30 year’s experience in supporting children with faltering growth and has sees children with neurodivergence and immune-mediated neuropsychiatric disorders, that have been referred by specialists.
In addition, the practice supports children with neurodivergence and immune-mediated neuropsychiatric disorders.
The practice will support children with food intolerances as well as coeliac disease with our paediatric specialist paediatric gastro dietitian, Natalie Yerlett.
Rosan also offered a joint virtual feeding clinic session, once per week together with Sandra Grosso, specialist speech and language therapist and collaborates with multiple psychologist to support parents and children with feeding difficulties, including ARFID.
The 1 hour virtual sessions are aimed at supporting parents of children that have difficulties eating or struggle to progress with complementary feeding. The consultation includes an observation of a mealtime (sent prior to the consultation or performed at the time of the consultation), nutritional and oral motor skill assessment and detailed advice on how to improve dietary intake and improve mealtimes.
Please note, that we do not offer an enteral tube weaning service.
Click on this link for more information on feeding difficulties support- click here
Please see my contact details for more information.
To read my latest publications please click here
Food Ladders clinics for IgE and Non-IgE mediated allergies
Rosan and Prof. Carina Venter are registered paediatric dietitians that have authored the iMAP milk ladder and together they have published multiple articles on non-IgE and IgE mediated ladders, including the establishing the allergenicity of milk and egg containing foods in the ladder. The paediatric dietitians’ working at Step by Step Kidz Nutrition are all highly specialised in managing ladders at home.
The practice supports children with non-IgE mediated allergies for milk, egg, soya and wheat ladders. Additionally, they have a bespoke service in collaboration with allergist from the Allergy Centre of Excellence and Prof. Helen Brough, paediatric allergist for milk and egg ladder for young children with IgE mediated milk and/or egg allergy.
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