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Finned fish can just as easily cause allergic reactions as shellfish. While the proteins in fish most often incite the immune system's reactions, fish gelatin (in the bones and skin of fish) can be responsible for allergic side effects as well. Avoiding seafood altogether might sound easy, but fish like anchovies are often hidden in foods like Worcestershire sauce and Caesar salad dressing. Another huge concern for those with fish allergies is the high chance for cross-contamination, especially in restaurants and other public places. But some good news — if you’re allergic to finned fish like flounder, bass, and trout, this doesn’t necessarily mean you are allergic to shellfish.

Substitute: Many people who are allergic to one fish are allergic to another, so doctors generally recommend avoiding it entirely. However, fresh fish is more likely to spur an allergic reaction. After discussing with your doctor, you may be free to enjoy canned tuna and salmon.

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