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Select ServicesAllergy ShotsBiologicsEnvironmentalFood AllergyInsect AllergyMedicationsMethacholinePulmonary Function TestsSkin TestingSmoking Cessation

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  Allergy Shots

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  Allergy shots (also called subcutaneous immunotherapy, or SCIT) is one of the best treatments available for your allergies and asthma. It is one of the few disease-modifying therapies available in medicine and targets the underlying cause of various allergic conditions. SCIT offers the potential of improving asthma control, providing relief from allergy and sinus symptoms, and reducing the need for medicines in the future. In children, allergy shots are particularly helpful as they can reduce the risk of becoming more allergic or developing asthma later in life.

  WHAT ARE ALLERGY SHOTS?

  Allergy shots contain all-natural proteins from allergens found in the environment. Patients are first tested to determine what they are allergic to. Customized allergen extract vials are then produced for each patient based on these results which are injected underneath the skin.

  HOW DO ALLERGY SHOTS WORK?

  By giving increasing doses of allergen proteins in the body, our immune system starts to recognize and become tolerant to these substances. Once tolerance is achieved with a SCIT regimen, we don’t experience allergic inflammatory reactions when exposed to allergens in the environment. Ultimately, this leads to improved symptoms and less reliance on medications. Studies have shown a sustained effect of symptom relief for many years after the completion of a SCIT regimen.

  WHAT’S INVOLVED IN ALLERGY SHOTS?

  Regimens for allergy shots include two phases, the build-up phase and the maintenance phase. Allergy injection build-up is the process of gradual dose increases working up to the target or therapeutic dose. This allows the body time to get used to receiving something it is allergic to. Once the target dose has been achieved, this dose is maintained for a period of 3-5 years in most patients. It is during this maintenance phase that the immune system becomes tolerant and shifts from being allergic to becoming non-allergic. Although allergy shots are not a cure for allergies, it acts on the immune system to prevent the allergic response from even starting, as opposed to just treating symptoms once they occur. Each patient is different and both build-up and maintenance can be customized to meet individual needs.

  WHAT ARE THE RISKS OF ALLERGY SHOTS?

  Most reactions to shots are localized and appear as redness or swelling at the injection site. This typically occurs within a couple of hours of the injection and clears up soon afterwards. Systemic reactions are much less common and can range in severity. Most reactions are mild and include symptoms such as itching, sneezing, congestion, or hives. Rarely, a more serious systemic reaction (or anaphylaxis) can occur that may lead to coughing, wheezing, swelling of the throat, or dizziness. Most systemic reactions occur within the first 30 minutes of the injection, which is why it is important that injections are only administered in a medical facility where patients can be observed during this time.

  WHAT ARE THE BENEFITS OF ALLERGY SHOTS WITH ALLERGY PARTNERS?

  Allergy Partners is the nation’s largest Allergy and Immunology practice, which has allowed us to compile the largest database of SCIT patients in the world. We have worked closely with leading allergen extract manufacturers and the national guideline committee for immunotherapy to develop our state of the art immunotherapy program. At Allergy Partners, we strive to provide the safest and most effective care for our patients.

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  Biologics

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  What is a “biologic?”
  Biologics are injectable medications made from modified antibodies. The antibodies have been altered, and when given, improve control of certain types of allergic diseases. Although considered immune therapy, biologics do not affect the body’s response to infections. These medications are typically used when symptoms are not controlled with other prescribed treatments, and are currently approved for adults as well as children down to age 6 years

  Here are some of the biologics offered at Allergy Partner practices*:

  Xolair was one of the first antibody injections and was introduced in 2003. This antibody actually targets another antibody that is too high in allergic asthma patients (called IgE). It’s helpful for patients with asthma triggered by allergies as well as for those with nasal polyps and chronic hives.

  Fasenra is an antibody injection that targets allergy cells (called eosinophils) that are too high in many patients with severe asthma.

  Nucala targets the survival signal for eosinophils. This treatment can be helpful for asthma sufferers as well as for patients with other diseases of eosinophils – Hypereosinophilic Syndrome (HES) and Eosinophilic granulomatosis with polyangiitis (EGPA, or sometimes called Churg-Strauss Syndrome).

  Dupixent is an antibody injection that targets an intermediate signaling particle in the allergic reaction
  pathway which can lead to improvement in asthma, chronic sinus disease with nasal polyps and eczema
  patients as well.

  When biologics are administered in a medical or office setting, our practices are designed to make the
  process as easy as possible.

  * Please check with your AP provider on which biologics they offer.

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  Environmental

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  Our homes, schools and workplaces contain causes of environmental allergies. These inhaled “causes” can include: dust, animal dander, feathers, mildew and mold spores.

  The best defense is to avoid the allergens that cause your symptoms. This is not always easy to do, especially if the problem is plant pollens, mold, or other substances in the air that are difficult to avoid. Your allergist can provide information that will help decrease your exposure and discuss treatment options that will help reduce your sensitivity to those allergens that affect you.

  Useful tips for the most common environmental triggers:

  Dust mites are tiny bugs that live in bedding, mattresses, upholstered furniture, and carpets. No matter how clean your house is, it’s impossible to completely get rid of dust mites. However, you can limit contact, especially in the bedroom, if you:

  • Put special dust-proof covers on pillows, mattresses and box springs. Remove and clean the covers frequently.
  • Limit the number of stuffed animals kept in bedrooms or put them in plastic containers.

  Grasses, trees and weeds produce pollens that travel through the air and are inhaled. They cause seasonal allergy symptoms and trigger asthma. Pollens from trees are higher in the spring, grasses in the summer and weeds in the fall. The beginning and end of each season may vary depending on weather conditions and where you live. If possible:

  • Keep windows closed during pollen season, especially during the day.
  • Stay inside during mid-day and afternoon hours when pollen counts are highest.
  • Take a shower, wash your hair, and change clothing after working or playing outdoors.
  • Allergic reactions to pets are caused by the animal’s dander. Short-haired pets are not any less likely to cause a reaction than long-haired animals.
  • Keep the pet outdoors or restrict it to a few rooms in the house. At the very least, keep the pet out of the bedroom.
  • Wash hands after petting.
  • Bathe your pet once a week to reduce dander.

  Molds are found in outdoor air and can enter your home any time you open a door or window. Any house can develop a mold problem with the right conditions. Molds like to grow on wallboard, wood, or fabrics, but they will grow any place. They thrive in damp basements and closets, bathrooms (especially showers), places where fresh food is stored, refrigerator drip trays, house plants, air conditioners, humidifiers, garbage pails, mattresses, and upholstered furniture.

  You can control mold in your home if you:

  • Clean bathrooms, kitchens, and basements regularly and keep them well aired.
  • Do not use humidifiers.

  Other irritants that may also trigger your symptoms:

  • Smoke – Avoid tobacco smoke and do not allow anyone to smoke in your home or car. If you smoke, try to quit. Do not use wood burning stoves or fireplaces.
  • Odors – Stay away from strong odors such as perfume, hair spray, paint, cooking exhaust, cleaning products and insecticides. Room air fresheners and electronic air cleaners also can trigger symptoms.
  • Cold air – Cover your nose and mouth with a scarf.
  • Colds and infections – Wash hands frequently.
  • Exhaust – If you have an attached garage, don’t start the car and let it run in there. Fumes can make their way into the home even when the garage door is open.
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  Food Allergy

  Testing & Treatment

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  Food allergies are due to an immune system reaction that occurs soon after eating a certain food. They affect about one in twenty Americans, with cases occurring at any age, but most commonly in babies and young children. While any food may cause an allergic reaction, eight types of food account for about 90 percent of food allergies: milk, egg, soy, wheat, peanuts, tree nuts, shellfish and fish.

  Symptoms

  Symptoms of a food allergy vary significantly from person to person, as does the amount of food needed to trigger an allergic reaction. While most food-related symptoms occur within two hours of ingestion, in some rare cases, the reaction may be delayed by four to six hours or even longer. Common symptoms of a food-related allergic reaction include: digestive problems, hives or swollen airways. The most severe allergic reactions may result in anaphylaxis, which can impair breathing, cause a dramatic drop in blood pressure, and affect heart rate to a fatal degree.

  Some patients may experience an itching and/or tingling feeling in their mouths after consuming certain fruits, which is referred to as pollen-food allergy syndrome or oral allergy syndrome. For example, patients allergic to birch pollen can have this reaction when eating an apple. In rare cases, pollen-food allergy syndrome can lead to anaphylaxis.

  Diagnosis

  The diagnosis of a food allergy generally requires a thorough medical history of the patient including what and how much you ate, how long it took for symptoms to develop, what symptoms you experienced and how long it lasted. Your doctor may order skin and/or blood tests in making a diagnosis. However, a “positive” result on any one test is not an absolute indication of a food allergy. Allergists rely on their experience to properly interpret the results of tests within the overall context of the patient’s medical history and properly diagnose a food allergy. If you suspect you have a food allergy, talk to your Allergy Partners physician to determine what method of diagnosis is most suitable.

  Skin Test

  In this test, a tiny amount of liquid containing suspected food is placed on the skin of your arms or back. The skin is then pricked with a small sterile probe, allowing the liquid to seep under the skin. After about 20 minutes, a hive (a bump similar to a mosquito bite) may form and will be compared to the bump at the site of the control, where a liquid not containing any allergen is placed.

  Blood Test

  A blood test (commonly known as RAST or ImmunoCAP) detects the presence of allergen-specific antibodies known as immunoglobulin E (IgE) antibodies.Additionally, a relatively new test, called a “component test” can be ordered to gain more specific information and is mostly used for peanut allergies. Blood tests have been used extensively but often are not specifically based on patients’ detailed diet diary. When not properly utilized, the results of a blood test can be very confusing and may lead to unnecessary food restriction. Allergy Partners allergists use their experience to determine when a blood test may be helpful and to properly interpret the results of the blood test.

  Other Tests

  There are a number of non-standardized tests that are advertised as helping diagnose food allergy. These tests include allergen-specific IgG blood tests, antigen leukocyte cellular antibody tests, hair analysis, and applied kinesiology. Their use in the diagnosis of food allergy is not advised.

  Oral Food Challenge

  In an oral food challenge, small increment amounts of food are fed to the patient over a period of a few hours to determine if a reaction occurs. Due to the possibility of a severe reaction, it must be conducted under medical supervision by an experienced doctor and in a facility with emergency medication and equipment on hand. The gold standard for a food challenge is one that is double-blind and placebo-controlled, though it may still have very good diagnostic value when lacking these conditions.

  Conclusion

  Food allergies can be challenging and stressful, so knowing what you or your child is eating is an important first step. If you have doubts about a possible food allergy, err on the side of caution until you have a chance to speak with an Allergy Partners physician.

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  Insect Allergy

  Testing & Treatment

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  Stinging Insect Allergy Testing and Desensitization

  Severe stinging insect allergy affects over 9.5 million Americans including 3% of adults and up to 1% of children. There are 40-100 deaths in the US per year and that number has not changed in the past 30 years. An adult who has experienced anaphylaxis with a sting has a 60-70% chance of having a similar or more severe reaction with the next. Fortunately, venom immunotherapy is 95-98% effective in preventing such reactions and can be lifesaving therapy.

  Stinging Insects

  Stinging insects belong to the order Hymenoptera which include the family Apidae ( Honeybee, Sweatbee, and Bumblebee), the family Vespidae (Yellow Jackets, Yellow Hornets, White-faced Hornets, and Paper Wasps), and the family Formicida (the Fire Ant and Harvester Ant).

  Yellow jackets are the most frequent culprits in North America except along the Gulf coast where wasps are more common. Yellow jackets are scavengers and seek food at picnics and in trashcans, orchards, and dumpsters. They are highly aggressive and sting for no apparent reason especially in autumn while competing for limited food supplies. They tend to nest in the ground or in cracks in buildings or landscaping materials. Hornets are aerial nesters, often building in trees and bushes, and are sensitive to vibration and noise like lawn mowers.

  Paper wasps are found in the eaves or windows of houses and around decks. They have a narrow waist but can be a multitude of colors including black, brown, red, or striped. The Mediterranean wasp is now in the US and has black and yellow stripes, which commonly lead to it being mistaken for a yellow jacket.

  Honeybees are usually docile except for the Africanized hybrids which tend to swarm and be more aggressive. The venom, however, is the same. Most honeybee stings are seen in bee keepers or people who play outdoors without shoes or garden without gloves.

  Fire ants have a true sting apparatus but will bite to anchor to the skin and then pivot to deliver multiple stings. They entered the US through the Gulf in the 1940s but have been found as far north as Maryland. The sting results in a characteristic sterile pustule. In endemic areas like the Florida Gulf, over half of the population is stung every year.

  Reactions

  Sting reactions are classified as local or systemic, and the previous reaction history is the best determinate of future reactions. Prior history of other atopic disease and family history of bee sting allergy do not increase a person’s risk for anaphylaxis.

  Most local reactions are a late-phase IgE dependent reaction that is mild and develops 12-24 hours after the sting. They can be impressive and worrisome with the amount of swelling and can involve an entire limb. Lymphangitic, red streaks can occur. They usually resolve within 5-10 days and are not dangerous except for potential physical compression of the head, neck, tongue, or throat If stung in those areas. These reactions are usually treated with ice, pain control, and antihistamine but early use of steroids within the first hours after a sting can be helpful, especially to stings around the face, head, and neck. Infection is unusual in sting reactions except with yellow jackets. Lymphangitis that develops after 24-48 hours is usually related to the allergic process and not infection.

  Systemic reactions are almost all IgE mediated and cause anaphylaxis. Signs and symptoms of anaphylaxis may affect the skin (hives, angioedema, flushing, itching), the respiratory system (cough, wheeze, stridor, etc.), the circulatory system (dizziness, hypotension, loss of consciousness, etc.) and the GI tract (cramps, diarrhea, nausea, vomiting). The absence of skin symptoms is associated with more severe reactions. Systemic reactions may also be caused by underlying mast cell disorders in 1-2% of cases.

  Evaluation

  Clinical history is the best determinate of risk for future reactions and in deciding who would benefit from testing and therapy. One in five healthy adults has detectable IgE to venom, so testing people without a significant history of anaphylaxis is not recommended. Testing and, if testing is positive, immunotherapy is recommended for: (1)Any adult with more that local reaction including systemic cutaneous (skin) symptoms like hives, and (2) Any child with systemic symptoms not limited to skin only such as respiratory, cardiac, GI, etc. The following table shows relative risk of systemic reaction based on age and previous reaction. Children with only cutaneous symptoms only like hives are at no higher risk than anyone with a large local reaction and shots are not recommended.

  

  Testing is done with an intradermal method skin test with or without blood testing for specific IgE. Skin testing is usually positive for patients with a good history but can be negative especially in the first 4-6 weeks due to a refractory period of anergy. If skin testing is negative, often serum testing is performed, as 10% of patients with a negative skin test will have a positive serum specific IgE. If both are negative, skin testing is often repeated in 3-6 months and a serum tryptase should be checked to screen for mast cell disorders. Why not just do serum testing? Up to 20% of patients with a positive skin test and good history of anaphylaxis will have negative serum testing. Skin testing, therefore, is the initial test of choice in people who have had allergic reactions to stings.

  Treatment

  Treatment of large local reactions, especially around the head and neck, are often treated with a short burst of oral corticosteroid over 5 days. For adults with systemic symptoms and children with systemic symptoms other than skin only should be evaluated for immunotherapy. Venom immunotherapy (VIT) can be 95-100% effective in preventing future reactions to stings and have no higher incidence of adverse reactions than inhalant allergen immunotherapy regardless of the type of schedule is used to build up on therapy. VIT is usually given 1-2 times per week. Bee venom immunotherapy is usually built up over 17 injections and fire ants take longer at 28 or more injections. At Allergy Partners, we prefer a cluster build up which builds up more rapidly providing protection sooner. This involves 1-3 injections in 8 sessions over 4 weeks. Once at full maintenance dose, shots are continued monthly for 12-18 months and then every 4-6 weeks.

  Another concern in patients with anaphylaxis of any kind is the possible interference of other medications. Beta blockers are blood pressure medications that can increase risk for anaphylaxis by interfering with the effects of epinephrine. Selective beta 1 blockers have not been determined to have the same risk yet. Risk analysis shows that stopping Beta blockers in cardiovascular patients creates higher risk than not stopping them during VIT. The question of ACE inhibitors and the increase in risk for anaphylaxis has been less clear with studies showing increase and others showing no correlation with risk of anaphylaxis with their use. It is therefore important for venom allergic patients to review all of their medications with their Allergy Partners physician and notify him or her when any changes have been made.

  Summary

  The risk of repeat severe reactions to stinging insects can accurately be predicted and venom immunotherapy can be lifesaving for these individuals. Given the high risk of repeated severe reactions, adults with any systemic reaction other than localized should be assessed by an allergist and given the option of VIT. Children are at slightly lower risk but should also be evaluated for any reaction that is systemic and not isolated to the skin alone. Venom immunotherapy can lower risk from as high as 70% for future reactions to 2-5%.

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  Medications

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  Allergy Medication

  When you cannot avoid allergens, there are many medications that can help control allergy symptoms. Decongestants and antihistamines are the most common allergy medications. They help to reduce a stuffy nose, runny nose, sneezing and itching. Other medications work by preventing the release of the chemicals that cause allergic reactions. Nasal corticosteroids are effective in treating inflammation in your nose.

  An allergist will work with you to determine which medicines are best for you and how often and how much of them you should take — while eliminating or minimizing any side effects.

  Asthma Medication

  There are many effective medicines to treat asthma. Most people with asthma need two kinds — Quick-relief medicines — taken at the first sign of any asthma symptoms for immediate relief:

  • Short-acting inhaled beta2-agonists
  • Anticholinergics

  Your doctor also may recommend you use these medicines before exercise for treatment of asthma. Quick-relief medicines can stop asthma symptoms, but they do not control airway inflammation that causes the symptoms. If you find that you need your quick-relief medicine to treat asthma symptoms more than twice a week, or two or more nights a month, then your asthma is not well controlled. Be sure to tell you doctor.

  Long-term control medicines — taken every day to prevent symptoms and attacks:

  • Antileukotrienes or leukotriene modifiers
  • Cromolyn sodium and nedocromil
  • Inhaled corticosteroids
  • Long-acting inhaled beta2-agonists (never taken alone)
  • Methylxanthines
  • Oral corticosteroids
  • Immunomodulators

  These medicines are taken every day even if you do not have symptoms. The most effective long-term control medicines reduce airway inflammation and help improve asthma control.

  Your doctor will work with you to find the right medicine, or combination of medicines, to manage your asthma, and will adjust the type and amount based on your symptoms and control. The goal of asthma treatment is to have you feel your best with the least amount of medicine.

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  Methacholine

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  A methacholine challenge test helps determine how your lungs are functioning. It is often used if a physical examination and spirometry test are inconclusive regarding a diagnosis of asthma. During a methacholine challenge, you inhale increasing amounts of methacholine aerosol mist. After each dose of methacholine, breathing tests will be performed to measure any resulting changes in your lung function.

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  Pulmonary Function Tests

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  Lung function tests (also called pulmonary function tests, or PFTs) check how well your lungs work. The tests determine how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

  Spirometry is the first and most commonly performed lung function test. It measures how much and how quickly you can move air out of your lungs. For this test, you breathe into a mouthpiece attached to a recording device (spirometer). The information collected by the spirometer may be printed out on a chart called a spirogram.

  Common lung function values measured with spirometry:

  • Forced vital capacity (FVC). This measures the amount of air you can exhale with force after you inhale as deeply as possible.
  • Forced expiratory volume (FEV). This measures the amount of air you can exhale with force in one breath. The amount of air you exhale may be measured at 1 second (FEV1), 2 seconds (FEV2), or 3 seconds (FEV3). FEV1 divided by FVC can also be determined.
  • Forced expiratory flow 25% to 75%. This measures the air flow halfway through an exhale.
  • Peak expiratory flow (PEF). This measures how much air you can exhale when you try your hardest. It is usually measured at the same time as your forced vital capacity (FVC).
  • Maximum voluntary ventilation (MVV). This measures the greatest amount of air you can breathe in and out during 1 minute.
  • Slow vital capacity (SVC). This measures the amount of air you can slowly exhale after you inhale as deeply as possible.
  • Total lung capacity (TLC). This measures the amount of air in your lungs after you inhale as deeply as possible.
  • Functional residual capacity (FRC). This measures the amount of air in your lungs at the end of a normal exhaled breath.
  • Residual volume (RV). This measures the amount of air in your lungs after you have exhaled completely. It can be done by breathing in helium or nitrogen gas and seeing how much is exhaled.
  • Expiratory reserve volume (ERV). This measures the difference between the amount of air in your lungs after a normal exhale (FRC) and the amount after you exhale with force (RV).
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  Skin Testing

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  What is Allergy Testing?

  When you are allergic, your body is reacting to a particular substance that should not normally bother you. These substances are called allergens. Typical allergens include pollens, dust mites, animal dander, foods, insect stings and even medicines. To determine which substances are triggering your symptoms, your allergist/immunologist will test your skin using tiny amounts of commonly troublesome allergens.

  Allergy testing is generally very safe and effective. Under the guidance of a trained Allergist-Immunologist, allergen skin test is considered the Gold Standard for the diagnosis of allergy.

  Who Should be Tested for Allergies?

  People of all ages with symptoms that suggest they have allergic disease can be tested. These symptoms include:

  Respiratory symptoms: Nasal congestion, runny nose, cough, wheezing, watery eyes, itchy eyes, nose, throat

  Skin symptoms: Eczema, hives, itchiness

  Abdominal symptoms: Abdominal pain and diarrhea after eating certain foods

  Severe life threatening reactions, or anaphylaxis: This typically occurs with ingestions of foods or medication or insect stings (i.e. bees, wasps, fire ants)

  Why is Allergy Testing Important?

  Allergy testing is vital in identifying which substances are causing your allergies, allowing you and your Allergy Partners allergist/immunologist to more effectively manage your symptoms.

  Treatment options can range anywhere from allergen avoidance (i.e. minimizing dust exposure) to allergen immunotherapy (i.e. allergy shots). Allergen immunotherapy helps your body to develop immunity or tolerance to allergens.

  What Types of Allergy Tests are Available?

  There are a few different types of allergy tests. These are the most common:

  Prick technique: A small amount of allergen is introduced into the skin by making a small puncture with a plastic applicator through a drop of the allergen extract.

  Intradermal technique: This test involves injecting a small amount of allergen under the skin with a very small syringe. This form of testing is done if the skin prick tests are negative.

  Blood (Immunocap) tests: This test involves drawing blood to determine if you have allergic, or IgE, antibodies. This type of test is usually only performed if you cannot stop medications that interfere with skin tests, or if you have a diffuse rash, such as eczema or psoriasis.

  The allergen extracts are manufactured commercially and are standardized according to the U.S. Food and Drug Administration (FDA) requirements.

  As with any medical test, the results should be interpreted carefully and be coupled with a person’s history and physical exam. Allergy Partners allergists/immunologists are uniquely trained experts in the interpretation of allergy tests.

  What Will Happen During Allergy Testing?

  During your test, allergic antibodies will activate skin cells, called mast cells. Mast cells release chemicals, such as histamine, that cause swelling and redness, only in the areas where the allergens have touched your skin. This process usually only takes 15 minutes. The hives usually resolve within 30 minutes to one hour.

  Is There Anything I Should Do Prior to Testing?

  There are some medications, such as antihistamines, that interfere with allergy testing. Your doctor will ask you to stop these medications for several days prior to testing. If you are unsure if a medication will interact with the test, you should contact your Allergy Partners physician for guidance.

  Is There Anything I Should Refrain From Doing after Testing?

  There are no real limitations to one’s activity after testing. However, if you take a sedating antihistamine, such as diphenhydramine, you should avoid drinking alcohol or driving, as recommended on the bottle.

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  Smoking Cessation

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  Smoking Cessation Seminar

  The smoking cessation seminar is designed to be an educational tool for those both contemplating smoking cessation and those ready to quit. The seminar lasts approximately 45 minutes and includes a presentation conducted by an Allergy Partners clinician. The presentation details many facts about smoking, reasons for quitting, health risk associated with smoking, the negative impact of smoking on your loved ones , the health and financial benefits of quitting, and strategies for quitting.

  Learning more about the impacts of smoking can be a strong motivational tool for many. This presentation is suited for individuals or a group. We encourage you to discuss your interest in quitting with loved ones who will help support your interest and ask them to attend this seminar with you. It is helpful for your family and friends to learn about the impacts of smoking and benefits of quitting, as they can be a good source of motivation during the quitting process.

  The smoking cessation seminar is available by appointment; please contact our office today for more information.

  One-on-One Smoking Cessation Counseling

  A one-on-one smoking cessation counseling appointment is focused on developing a quit strategy that is tailored to your specific needs. During this appointment, you will meet with an Allergy Partners clinician to discuss your medical history, past quit attempts, barriers to quitting, social supports, and other related factors so that together, a personalized quit plan can be developed.

  Research shows that combining smoking cessation counseling with appropriate medication is the most effective way to quit. Many insurance plans offer coverage for smoking cessation counseling. Contact our office today to make an appointment and begin your journey toward a smoke free future!

  • According to the American Lung Association, secondhand smoke is harmful to everyone, especially young children and children with asthma.
  • Secondhand smoke is a serious health hazard causing approximately 50,000 deaths per year.1
  • It can cause or exacerbate many adverse health effects, including lung cancer, respiratory infections, and asthma.1
  • Smoking and secondhand smoke exposure can cause sudden and severe asthma flares.1
  • Those who smoke, or is spend time around smokers, may have a lot of trouble keeping their asthma under control.
  • It’s best to keep your home and car smoke-free and avoid smoky public places in order to reduce the adverse effects of smoke and help control asthma.

  1 American Lung Association