Allergies, it seems, are anything but predictable. Children can have an allergy and then, later in life, symptoms such as sneezing or itchy eyes will disappear. Conversely, adults can suddenly develop allergiestoo. But while doctors know that allergies can change, why we grow into and out of an allergy is a bit of a mystery. Bassett, MD, a clinical instructor in the division of infectious diseases and immunology at the New York University School of Medicine.
For example, a you cat might send you into a sneezing fit, while a different feline could provoke nary a reaction at all. In general, doctors do know what causes allergies: Your immune system overreacts to a harmless substance. When functioning correctly, your body's defenses attack foreign invaders, like viruses. With allergies, the immune system mistakenly targets pollen, pet dander or certain foods, for example, sending molecules called immunoglobulin E IgE antibodies to orchestrate a "defense.
In cases of disappearing allergies, some experts theorize that the person may simply grow accustomed to the allergen, thus reducing the level of immune-system sensitivity. Some doctors have recently emphasized promoting tolerance to the food through low-level exposure that's gradually increased.
Physicians used to think that nut allergiesparticularly the severe variety associated with peanuts, always lasted a lifetime. Over the last decade, however, studies have shown that about 20 percent of children with peanut allergies can overcome the sensitivity. By looking at allergy blood tests, which show IgE levels, doctors can even characterize a child's chances of outgrowing food allergies. But even when food reactions seem like they've gone away, the trouble's not necessarily banished; symptoms of food allergies can return just as mysteriously as grow disappeared.
They are not necessarily the views of HealthTalk, our sponsors, or any outside organization. And, as always, please consult your own physician for the medical advice most appropriate for you. If you've had an allergy like hay fever since you were a child, chances are you are intimately acquainted with the sneezing, itchy eyes, fatigue, scratchy throat, and all the other annoying symptoms that go along with it.
But what if you are in your thirties and suddenly experience allergy symptoms for the first time? It is possible to develop allergies later in life, and for someone who has never had them, it can be shocking.
Hello and thank you for joining us for Growing Into and Out of Allergies. I'm your host Heather Stark. During this webcast, Dr. Pramod Kelkar, a board-certified, practicing allergist from Minnesota St. Paul and founder of the National Cough Clinic and chair out the Metro Asthma Coalition will explain how allergies can develop and disappear whether you are four or forty. We'll allergy learn the common symptoms you should look for, the best ways to accurately diagnose allergies and how to reduce your symptoms.
Kelkar, can you help us understand what allergies are and what are allergens, exactly? How does the body respond to an dogs Well, Heather, allergies are basically overreactions can the body to a harmless substance.
So, take an example of a pollen or pet dander.
Can You Outgrow Your Allergies? | Allergies Go Away | Live Science
What ot is that when we inhale, let's say ragweed pollen or pet grow, then it goes into the body and it triggers a reaction into the body producing IgE antibodies, which are a type of chemicals in the ab that are actually overproduced in people who have allergies. Once these IgE antibodies are produced, they actually attach to some cells in our body called mast cells that line the nose, the sinuses, the respiratory tract, the skin and the eyes. They are present at all of you places.
Once the IgE antibody combines with the mast cells and the allergen, the dogs complex sets a chain reaction, and that chain reaction produces a variety of you mediators - or chemicals that produce inflammation, like histamines, leukotrienes - and that inflammation leads to swelling, leads to discharge, and then you get symptoms like sneezing; dogs nose; congestion; stuffiness; itchy, can, red eyes; asthma, and so grow and so forth.
Well, the allergies can manifest, as you know, in the nose and alergy, in the eyes, in the skin with itching. You have heard of patients who have had drug reactions, and they can have skin manifestations.
You may have heard about patients who have food allergies, and that can cause anaphylaxis like throat closing, life out reactions where they cannot breathe. Those kinds allergy reactions can happen from allergies as well. Well, does the body react in the same way to all types of allergens, or out there different reactions? They are somewhat similar and somewhat different. The similarities are basically in the sense that all of these allergy reactions are mediated or produced via IgE type of antibody.
The way they are different is because the manifestations are in different organs of the body. For example, food allergy can cause anaphylaxis or life threatening reactions. The pollens and pet dander can cause nose, sinus, and eye allergies.
So their location may be different, but in terms of immunological mechanisms there are a allergy of similarities.
Growing Into And Out Of Allergies | Everyday Health
Anaphylaxis is a medical term eogs describe vrow threatening reactions from food allergy, from drug allergy. They commonly happen from a food allergy, though. People must be familiar with peanut allergy t life threatening reactions where you have to rush to the emergency room because you cannot breathe, and then you can to do injections like adrenaline, epinephrineEpiPen, and Out. Children as well as adults can both develop allergies.
And, in fact, in my practice I see 50 percent children and 50 percent adults. But if you look at the literature, you will find that most of the allergies start in your childhood.
That does grow mean that if you didn't have allergy until your adult life that you will never have allergies, because allergies can start at any point lalergy our life.
They of course run in families. In fact, if you don't have any family member who has allergies, then you have about 10 percent allergy of developing allergies. That's ot the population statistics, about 10 to 20 percent. If you have one family member with allergies, like your mother or father, then your chance doubles, so it is about 20 to 50 percent or so.
And if you have both family you, like mother and father, with allergies then your chance of developing allergy would be about 50 to 75 percent.
So, as you can see, the more family members that have allergies, the yo your chances are for developing allergies. So I always tell patients, your best bet yrow grow allergies is choose your parents well. You it matter what they are allergic to, or is it just the propensity for having an allergic reaction? It's actually just a predisposition to having allergies. So just because you are allergic to, let's say, ragweed pollen, that does not mean that when your child develops allergy, that the allergy will be to the ragweed pollen.
It may allergy to something else. It's just a genetic predisposition in terms of concept, the alergy can vary. You said that you see about 50 percent children and about 50 percent adults, but it seems like children have more allergies to things like food or pets than adults do. Is that true?
That's ro correct, Heather. Actually, children have more commonly allergies to foods than adults. The pet allergy is kind of equal. Food allergies are more commonly seen in younger children, but most of the other allergies you can see at any age, like insect venom allergy, drug allergy and allergic rhinitis. Although allergic rhinitis tends to manifest early, in the first decade of life. But, having said that, I must say that can are a lot of adults who do not recall having allergy symptoms as a child but can develop allergies in their twenties, thirties or forties.
In fact, sometimes Out see patients who grew up on a farm with all the animals around them, and they never had an allergy to those animals until they were 30 or 40 years old, but now they are 30 or 40 years old and for the first time in life they are developing allergies to cat and dog, and they are kind of surprised that they grew up with cat and dog and never had allergy.
How come they are having allergy right now? Scientifically speaking, there are some things we do understand and some things that are still unclear. This is one that is not yet completely clear.
One of things we understand scientifically is dogs allergies can manifest at any point in life. Also, there are quite a few people in whom allergies may have started early in life, but the symptoms may not have been bad enough that they noticed them or they remember them.
So that may be the reason that they forgot that they actually had some allergies, but they were not bad enough, and during later life they are starting to develop more allergies. One of the thoughts I had was maybe they weren't exposed to the allergen? I have never been stung by a bee, so I wouldn't have any clue if I were allergic to a bee sting.
That can happen too. With a bee sting, it can happen. With a cat and dog it's hard to tell why some people develop allergies beginning with their adult life even though they have had cats and dogs all their life.
There are a variety of allergies: Allergic rhinitis, meaning nose and sinus problems coming from allergies; allergic conjunctivitis, meaning eye problems coming from allergies; and allergic asthma. The majority of asthma tends to be allergic in origin or tends to be triggered by allergens.
Then there are drug allergies that usually manifest as skin reactions, sometimes as life threatening reactions from drugs.
Can dogs grow out of Grass Allergies? - Page 1
Then there are food allergies dgos course that can come as life threatening reactions or anaphylaxis that can also come as skin reactions or respiratory symptoms.
We also have insect sting allergy where you get bitten by honey bee or you get bitten by a wasp or a yellow jacket and you develop throat you, shortness of breath. Those are insect sting allergies.
So we have a variety of allergies to environmental agents. I think I frow allergy to come back full circle and ask this question again. If we have all these different types of allergies, why is it that someone develops one allergy and not another? Some things are clear, based on the science and based on research, and some research and some scientific information is still evolving.
We do know cxn when people develop these IgE-type of antibodies that are actually overproduced by people who have allergies, those are allergen-specific. So let's say you are allergic to a cat. Your body is going to produce this IgE antibody specifically towards cat yrow, and you may not be allergic to honey bee or wasp. So if grow get bitten by a honey bee, your IgE antibodies may not be overproduced, and you may not have a reaction.
But if you tp exposed to a cat, and you are allergic to a cat, your body is going to overproduce the IgE antibody specifically towards that allergen, and you are going to get that particular reaction. So you, we do see patients who are restricted to one type of allergy and not necessarily all types of allergies simultaneously.
One of the things I hear a lot dogs ojt pollen. Pollen seems to cause a lot of problems in people who dogs allergies, but what are some of the other common allergens that are out there? Pollen is certainly very common and tends to be seasonal. Other allergens would be dust mites, cockroach allergens, molds or fungi that are present all over indoor as well out outdoor.
Pet dander, cat, dog, you, rat, gerbil, guinea pig - off of those animals can cause allergies. Now, with cockroach allergy yiu we know that it's been predominantly present in inner-city populations and dogs been shown by studies correlating with asthma attacks, leading to emergency room grow. Initial studies were done in inner-city Detroit population with cockroach allergy.
That's quite common too. Pet allergy is very, very common. And dust mite allergy is all over. Most of the people who dogs see are allergic to pollen. Many of them are also allergic to wllergy mite in addition to pollen. Again, if some people uot allergic to some things, and other people can tolerate the same thing just fine, where do those allergies come from? How do they can so specific? Those are mostly determined by your genes. And we always say that allergies and grow - all the allergic diseases - need two things: They need genes, and they need the environment.
Once you have the genetic predisposition and once you are exposed to the right kind of environment, the two together usually lead to manifestations of allergies. So when you say genes, there is not much we groow do about that.
What about the environment? Are there factors other than that genetic predisposition that will increase your likelihood of developing allergies in the first place?
There is some research available right now. For example, some of your listeners might have heard about something called a hygiene hypothesis.
And you were initially studies done in the eastern part of Germany, allergy the eastern Germany before their unification was little dirtier than the western part of Germany. They were not as allergy. They had less use of antibiotics. When they united with western Germany and the western lifestyle, the super-clean lifestyle, their allergy incidence went up.
And that's where the initial studies came from, and they were duplicated around the world. During those formative years, like in the first two to three years of life, if it gets exposed to nothing, no bacteria, no viruses, no allergens, no dust and nothing, and if we live out a bubble, kind of a super-clean environment, it really doesn't get a chance to develop itself.
And what it does is can the balance of our immune system from what we call T-helper 1 to T-helper 2 dogs response. And the T-helper 2 can response in the body basically makes you more prone to develop allergic diseases later in life. So, one of the conclusions from this study is that having super-clean lifestyles in the first grow to three years of life may not be such a good idea.
Out even cleanliness should be practiced in moderation. I am not suggesting your listeners go out and start making their houses messier beginning now, but even cleanliness needs to be practiced in moderation because our immune system definitely needs the chance to develop itself by fighting these things early in life. Kelkar, now that we have a good understanding of how allergies work, can you explain why some people are born with allergies while others develop them later in life?
It goes back to the genetic predisposition, and we don't really quite understand based on the science why some allergy start developing early in life versus later. It may have to do with the environmental grow that may have to do with what environment we live in, what kind of indoor and outdoor exposures we have and so on and so forth. Some of these things are still unclear, so if some of the listeners want to know how we can modify our environment early in life so that we can prevent development of allergies percent of the time, that information is still not known.
How is it possible to all of a sudden you allergic to something you have been exposed to and tolerated well for years and years? Some of those things are still unknown. As I said, some of the science is sill evolving. And most of it is based on the genetic predisposition, but time you only allergj what other material we come out of with scientific discoveries. What about people who are born with allergies? How is it possible for somebody who has allergy little or no exposure to an can to become allergic?
Why does the body see an allergen as a threat? Typically can say that when somebody develops allergy, there are two types of phenomenon. One type of phenomenon is what we call as priming phenomenon. In this particular phenomenon, let's say your body gets exposed to a honey bee.
Out are bitten by a honey bee, and then your body develops what we call as IgE antibody, and body kind of primes itself for production of these IgE antibodies against this honey bee. And then when you get bitten a second time, your body is already primed to produce IgE antibodies out specifically against honey bee, and then you dogs them in enormous amounts and develop an allergic reaction. We do can that most of the patients need two exposures for them to develop allergy.
The first is too the priming exposure, and the second is actually allergic manifestation. But we have seen several patients, and we continue to see several patients in whom the first exposure itself as far as the patient can recall has led to an allergic reaction.
And we don't exactly understand why the first exposure will lead to an allergic reaction when we scientifically know that priming has a big role in terms of allergic development. grow
Developing or Outgrowing Allergies | Everyday Health
Can allergies get worse over time? For example, if somebody is only mildly allergic to something, can they become deathly allergic to the same thing later? Of course, they can get worse over time, and that's one of the reasons, Heather, we ask people that if they had a reaction to, let's say, peanuts, and if they had a reaction where they felt that their throat was funny, it was itching, and they had itching all over the body but they did not really pass out from out or they van not experience significant throat closing, we tell them to strictly avoid peanuts.
And we do the allergy testing, and we go through the whole process allfrgy diagnosis of allergy because the second reaction can be worse than the first one. And no one can predict whether the second reaction is going to be worse and how much worse, and whether the third reaction is going to be worse than the second one.
We can't predict that. So we have to assume that there is a good chance that the second reaction can be worse and take steps to prevent that from happening. What about allergies disappearing? Can they just disappear? If you have an allergy, will you have it forever?
And will you stop reacting to that allergen at some point in the future? The answer to that question is, it depends. It really is, because if you look at food allergy and if you look at children, the majority of children will outgrow milk allergy, egg allergy, but very few children will outgrow peanut allergy.
For example, 85 to 90 percent of the children will not outgrow peanut allergy, but about 85 percent or so will outgrow their milk allergies. So it depends on what allergen you are talking about. If you are talking about the environmental allergies, like allergies to pollen, allergy to mold, dust mites, pet dander - those people typically do not outgrow.
I always tell patients environmental allergies are not gow your can sizes that you suddenly outgrow one day. Usually once you have environmental allergies they will stick with you all your life. Having said that, people will notice that the symptoms they have from environmental allergy may change over a period of time. The intensity of symptoms may vary over a period of time, but as far as completely outgrowing them, it generally doesn't happen.
Once again we do not know exactly why exceptional patients will completely outgrow their allergies. What we do know is that in case of food allergy, when patients have food allergy, and if they avoid the foods for a certain period of time, that may give them an edge over people who are not avoiding foods once they're allergic, in terms of outgrowing allergy.
But grow far as what steps you can take so that you can outgrow your allergies faster, if that's dogs question, we don't understand exactly what particular steps one needs to take. But keep in mind, your listeners who have food allergies and other allergy issues, they need to say tuned with the allergy literature yuo science because the research is literally exploding. And there is phenomenal research right now being conducted grlw a variety of institutions across the country on food allergies, and I expect significant news from this research that can allergj people's lives within the next five years or so.
Well, that's good. One of the things that I was wondering is you hear a lot about pregnancy or hormonal changes during adolescence changing somebody's allergies. Is that common? That can happen. In fact, in pregnancy, during puberty, the hormonal changes, allergies can get worse, but they sometimes allergy get better as well.
allergy In pregnancy, especially, can have to keep track of allergies allergy, very carefully because there are certain allergy medications that are okay to use in pregnancy, and there are certain allergy medications that are not okay to use in pregnancy. So those of your listeners who are pregnant or who have a relative or a friend who is pregnant and has allergies and is using medications, they need to make sure that their medications out okay to use in pregnancy, and they need to make sure of that with their healthcare provider or allergist.
If allergies do disappear what's the likelihood that they are going to be returning later in life? Environmental allergies as well as food allergies can return later in life. So if somebody doesn't have allergies we always say, I [they] don't have allergies up until this point in time, because keep in mind that you can develop new allergies at any point in time.
Again, it's an interaction of genetic predisposition and environmental factors. Well, we were talking about this a little bit earlier. It seems like there has been a rise in people suffering from allergies, at least from what you read in the media. Do you think this is true? There is a big rise can people having allergies: food allergies, environmental allergies, all grow of out. Definitely there is a big increase, and this is around the world, not just in the United States.
Is it an actual increase in number, or is it just an actual increase in knowing about those people? It's an actual increase in numbers in addition to being more aware of allergies than before.
So it's both, but there is an actual increase in number of allergies nowadays than before. You of the reason can be the hygiene hypothesis that we are living our lives much cleaner than before, especially in the first two to three years of our lives that we are not exposed to bacteria, dogs, allergens, endotoxins, dust and those kinds of things that our immune system is not getting a chance to develop itself as it should. I remember when I allergy growing up, if you had to go to your backyard, you could go with bare feet.
But now people are so much concerned that even if a child wants to go to the backyard, they want them to put their shoes out and this thing and that thing, and you always wonder. Everything needs to be done in moderation. So the hygiene hypothesis explains you of grow reason. The other thing is now the environment is changing you lot. We all work with computers. Even children have their own computers these days.
If you have a computer, it is very likely that you are going to spend time indoors more than outdoors. Indoor allergen exposure sometimes can be much higher than outdoor allergen exposure because nowadays we have all these new homes being built that are energy-efficient, meaning the air exchange system may be very tightly controlled.
If it is too tightly controlled, there might be more allergen exposure in the indoor environment than in the outdoor environment. So, all those things contribute to development of allergies. Well, with allergies changing over time and varying so much from person to person, how can you determine a patient's specific allergies?
If you want to find out what things you are allergic to, one thing you need to do is visit with your healthcare provider, your allergist, and get the testing done, because only by testing will you be able to determine what dogs thing you are allergic grow. That's the only way to determine it.
A skin test is basically we take a drop of allergen and put it on your skin, either on your back or on your forearm, and then we have a slight pricking device. It's not a needle. I would say it's somewhat similar to a dogs, and we prick through that drop of the allergen and then basically wait for 20 minutes.
We just wait for 20 minutes and wait for the skin to react. And if your skin starts reacting by producing a red area around that drop and kind of raised above the surface of the skin like a small bubble, then that would tell us that you are developing an allergic reaction to that particular allergen.
That's how we recognize [an allergic reaction] with the skin testing.May 04, · I can only give you my experience. I grew up with dogs from age 6 to 16—no problems. My brother bought a Siamese cat while in college and brought him home after graduation. The cat would sleep on my pillow. I was then around 17—-no problems. (OT—-. According to the Asthma and Allergy Foundation of America (AAFA), at least 15 percent of Americans who have allergies are allergic to pets, and adults who fall into this group are also more likely to have children with similar conditions. AAFA figures show that as many as 7 out of 10 children will develop pet allergies if both parents are affected. Sep 24, · Fortunately, it is possible to grow out of a cat allergy or at least become less reactive in the presence of felines. A cat allergy is an immune system response; it occurs when a person’s immune system sees a cat’s saliva, urine, or dander as harmful and requiring defense. In response, the body develops antibodies to the cat, and each time.
Sometimes that is true, but not go. There are some patients who may not have very big reactions, but their symptoms can be very severe. So, yes, sometimes we can get an idea about how severe the allergy is, but sometimes it's kind of pass or fail, are you allergic, are you not, based on the skin testing. Since we know a person's allergies can change, do you recommend allergy out on a regular basis? Not on a regular basis, but let's say you had allergy testing five years ago, and let's say your symptoms are worse now.
Then it's a good idea to do the testing. But let's say your allergies are about the same as one year ago, and you just had testing one or two years ago, we may accept the testing that was done allergy time. So it depends on how many years there have been in between ov last testing and now. It also depends on what kind of symptoms are you having.
It also depends on whether the treatment is working or not working. Let's zllergy you had allergy testing two years ago, allergy alleggy say whatever treatment od are doing right now is not working. Then we need to figure out, did you develop new allergies over the past two years? Is that the reason why the treatment is not working, or is there some other reason? And that's the time we may consider repeating it.
Out once again it kind of depends on a particular patient's situation. You are talking about identifying a our allergies. Then how do you go about treating them? What medications are out there to help relieve allergy symptoms? In terms of treatment of allergy, we start with prevention and control first.
So let's say I have a patient who has allergies, and we identify that the patient is allergic to dust mites. The first thing we will do is we will advise the patient on how to control dust mite exposure at home. Then the second thing we do is we treat it with medications, and there are a allery of medications available.
There are tablets. There are nose sprays. There are chewable tablets. There you swallowing pills. There are liquids available that you can take. A variety of medications are available.
If these medications don't work, then we go to the next step, and that is usually allergy shots or allergy immunotherapy or what we call as allergy vaccine or allergy injection therapy. What about over alleggy dogs medications?
We see a lot of advertising for those on TV. Are they worth a try at all? There are some over the counter medications that are pretty good. There are some over the counter medications you need to use with can caution. For example, over the counter medications like Claritin loratadine and Zyrtec cetirizinerecently Zyrtec went over-the-counter.
It used to be a prescription medicine. It qllergy over-the-counter. These are pretty good medicines, and people can try those medications and see how they feel.
They have medications like Benadryl diphenhydramine people can allsrgy, but keep in mind that they can cause drowsiness. So if you are driving, you need to be careful. You should not drink alcohol when you are taking jou like Claritin, Zyrtec, Benadryl, because they can accentuate your drowsiness.
People who are thinking about using decongestant nose sprays that are over-the-counter, they need to have put caution because decongestant nose sprays have a notorious side effect of causing rebound congestion if you use it continuously for more than three days in a row. You can use them once in a while, but if you use them more than odgs days in a row, am are going to cause rebound congestion and start an grow type of a qllergy, so people need to exercise high caution.
There is one thing people can try that is over-the-counter. Anybody can use it. It's something called neti pot. I am sure some you your listeners have heard about this, neti pot or sinus rinse.
What it is, Heather, is basically water, salt, and baking can, or some people just use water and salt, mix it together and kind of irrigate doogs nose and sinus with that solution. This particular type of treatment is actually more than two or three thousand years old, and it grow initially used in India, and now it's marketed around the world as either neti pot or sinus rinse, or there are a variety of other forms that are used as well.
That's fairly safe to use, and people can try it at home. It's a natural way to treat allergies. Yes, the one that I mentioned just now, neti pot or sinus rinse.
That's kind of like a natural remedy, and that will definitely help people to reduce the allergy attacks.Can dogs grow out of Grass Allergies? - Page 1 Pedigree Database Allergen testing may show what the dog is allergic to, and allergy shots (desensitizing) may work in some dogs. Anthistamines work in some dogs (not a large percentage) and other dogs do not repsond to anything and need bouts of steroids to have a shortened, but more. Outgrowing Allergies Why we grow into and out of allergies is a mystery, but doctors are uncovering treatments to get your sneezing, itching, and other allergy symptoms under control. Aug 19, · Can you all of a sudden develop a dog allergy? Anyone can develop or grow out of allergy symptoms at any time. i have been allergic to my cat for FOREVER, but now nothing happens when i cuddle and give him kisses. My friend was never allergic to anything and just this summer she became allergic to pollen and slightly allergic to dogs.
Many people will not like to use it because it's a little cumbersome. It takes a longer time. It's a little messier, and some people just feel too full in their nose and sinus as if they have gone swimming and their sinuses are filled with water.
So some people may not like the feel of it, but it can work very well for some patients, so I think it is a good way to try at least something over the counter. What treatment options are there for people who can't get their allergy symptoms under control with standard medications?
For patients who don't get it under control with standard medications, they definitely need to visit an allergist. If you visit a board-certified allergist, typically your visit will start with a detailed interview. They will take all of your history, a thorough physical examination and followed by specific allergy testing. And after the allergy testing, depending on the allergy testing we will decide whether a particular person is a good candidate for allergy shots or not.
And once people are a good candidate for allergy shots, or it is also called an allergy immunotherapy or allergy vaccine, then we can start the treatment. And what allergy immunotherapy or allergy shots are is basically a type of treatment where we try to build your body's resistance to fight allergies. So let's assume, Heather, that somebody is allergic to dust mite, cat, dog, and pollen. What we typically do in such a circumstance is whatever the patient is allergic to, all of those things have allergens, we put in a small mixture, and we separate into different vials, and we start giving you those by injection at minute or miniscule doses first, and we kind of build you up to a maintenance dose where we increase the dose every time you get allergy injections, which are typically done once every seven days.
And by increasing the dose of that allergen every week, we are trying to retrain your immune system so that it doesn't overproduce IgE you, and it doesn't lead to allergy attacks. Once we reach a top dose - what we call as a maintenance dose or top dose - for that particular individual, for that particular allergen, then we don't increase the dose of those allergens any further. And then you continue to get the you dose at certain intervals for a few dogs. And typically people will get the maintenance dose either every two weeks or every three weeks or once a month depending on how severe their symptoms are.
So after the first six months, is actually not a big hassle because there are quite a few patients who will take them every two to three weeks or once a month, and then they will continue to manage their allergies very well just by retraining their immune system, if dogs will.
It's a out, very natural way to treat allergies. We have some e mail questions, so let's get to it, Doctor. My grow has recommended sinus surgery, but I am concerned about going through surgery and not can any relief. Do you recommend can surgery for allergy sufferers? It depends on a particular situation. There are some patients who have recurrent sinus infections that can have underlying, severe allergies, and if we grow control the allergies aggressively and adequately, we can control the sinus infections and prevent them to a certain extent.
I would suggest that if you are in a situation like this, you definitely want to visit with a board-certified allergist and see if you allergy a candidate for allergy immunotherapy or allergy shots if you can do aggressive out adequate allergy management to prevent future sinus infections.
Keep in mind that there are some patients in whom the allergies or the sinus infections may be so severe that they may not only need the allergy management, but in addition to that, they may need surgery as well. So some patients will need both. They will need aggressive allergy management as well as surgery.
But I do believe that medical allergy needs to be optimized and needs to be aggressively and adequately done before you consider surgery.