Can people with fish allergies eat tilapia?
Quick Answer
No
People with fish allergies should avoid eating tilapia. Fish allergies are usually specific to the proteins found in fish, and tilapia is no exception. Consuming tilapia can trigger an allergic reaction in individuals with fish allergies.

What Is It?
Fish allergy is an immune system reaction that occurs soon after eating fish. In some severe cases, even the vapors from cooking fish can trigger allergic reactions.
How to Tell
Symptoms of fish allergy can include hives, nausea, headache, anaphylaxis, and in severe cases, difficulty breathing.
Why It Can Be Risky
The risk of having an allergic reaction to fish, including tilapia, increases if other allergies are present. People with asthma are also at a higher risk.
- Cross-contamination: Fish proteins can be spread through cooking utensils or on surfaces where fish has been prepared.
- Inhalation: Some people can have an allergic reaction just by inhaling the vapors of cooking fish.
Safe Alternatives
For those with fish allergies, alternatives to tilapia can include chicken, turkey, or plant-based proteins like tofu or tempeh.