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Food Allergy Treatment Comparison

Oral Immunotherapy (OIT)

Eating the allergenic foods in gradually increasing amounts

Advantages

-Can be used to treat multiple allergens simultaneously

-Can be effective in kids as young as 12 months old

-Can give larger maintenance doses (g) than SLIT/EPIT (mg)

-More effective than SLIT

Disdvantages

-Greatest side effects (although mostly mild)

-Not tolerated in 15%-20% of patients

-Potential for eosinophilic esophagitis (EoE)-predicted up to about 2.7%

-Requires long-term adherence

Oral Immunotherapy with Xolair

Eating the allergenic foods orally in gradually increasing amounts with addition of Xolair to accelerate the process

Advantages:

-Can be used to treat multiple allergens simultaneously

-Can give larger maintenance doses (g) than SLIT/EPIT (mg)

-More effective than SLIT

-Accelerates the process significantly

Disadvantages:

-Xolair is not currently approved by the US FDA for food allergy*

-May be cost-prohibitive for some

-Typically not used in children under 4 years old

Sublingual Immunotherapy (SLIT)

Placing allergen extract drops under the tongue in gradually increasing amounts

Advantages:

-Fewer side effects than OIT

-Not tolerated in 5% of subjects

Disadvantages:

-Only able to reach small maintenance doses 

-Typically only used for one allergen at a time

-Not as effective as OIT

-Requires long-term adherence

Epicutaneous Immunotherapy (EPIT)

Wearing a patch containing the food allergen on the skin

Advantages

-May have fewer side effects than SLIT and OIT

-May be safer in broader clinical settings

Disdvantages

-Only available in clinical trials; not available for public use yet

-Only used for one allergen at a time

-Only able to reach small maintenance doses 

-May only be as effective as SLIT, likely less than OIT

-May not be ideal in patients with atopic dermatitis

-May not be as effective in older kids/adults

Chinese food allergy herbal formula-2 (FAHF-2) 

Orally ingesting a compound of 9 different traditional Chinese herbs

Advantages:

-May have the fewest side effects

Disadvantages:

-May not work well when used alone (without adjunct therapy)

Probiotics

Supplementing the diet with beneficial bacteria

Advantages:

-May have the fewest side effects

-May be beneficial to reduce side effects when combined with OIT

Disdvantages:

-Not shown to work when used alone (without adjunct therapy)

Schedule a free phone consult to learn even more about treatment options. 

A complimentary 15 minute phone call is the first step to starting your food allergy treatment journey.
Phone Consult
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