Include essentials in your cabin baggage and carry any medication or equipment with you at all times. If you use an epinephrine injector pen, take spares in case you use the first pack. Store them in their original containers, with instructions on how to take them and obtain refills. This also helps custom officials as it establishes them as bona fide medicines.
If you are under medical supervision, get the details of a specialist at the nearest hospital to the place you are travelling to. Bring details of your condition with you in the local language.
In a train you're trapped for the duration of the journey, so take your own supplies. On coach and car journeys don't assume the roadside stops will sell "safe" foods. Take soup and sandwiches to eat on the move, or stop for a picnic.
Most national airlines, given notice, will offer gluten-free meals, non-lactose meals, and vegan meals, which are free of any animal products so are essentially meat, dairy, and egg free. You could also request a fresh fruit platter. However, any slipup on a long haul flight could leave you hungry so bring some safe food of your own as well. If you have a severe food allergy, take no risks and eat only food that you have prepared yourself.
Peanut products are no longer served on many airlines but there is always the risk that passengers may bring their own. Some airlines will announce that they have a severely allergic person on board, and ask passengers to leave peanuts in their bags.
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