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Answer to common questions.

Answers to Common Questions

About Allergies and Allergy Testing

Q: What is a trigger?
A: A trigger can be allergic or non-allergic, and is basically anything that causes you to have allergy-like symptoms. 

Q: What are common allergy symptoms?
A: Allergy symptoms affect your nose and lungs, which are part of your respiratory (breathing) system. Many times these symptoms are referred to as hay fever or sometimes just plain allergies. The most common nasal symptoms are congestion, sneezing, coughing, and itchy-watery eyes. The most common lung symptoms are coughing, wheezing, shortness of breath, and chest tightness. When you have one or more of these symptoms, allergic triggers can make your symptoms worse.

Q: What are common triggers?
A: Triggers come from many different sources. Common triggers include pet dander, pollen in the air, mold, pollution, smoke, grass, and trees even exercise can be a trigger.

Q: Can I be allergic to more than one thing?
A: Yes. Most people with allergies are allergic to more than one allergen. Their symptoms might appear only when they are exposed to two or more triggers at once.

Q: Can I guess my triggers based on my symptoms?
A: Not necessarily. Symptoms can be caused by many different allergic or non-allergic triggers. Using symptoms like congestion, sneezing, coughing, or wheezing to guess your triggers is not very helpful. There are many possible inhalant allergic triggers (indoor and outdoor, seasonal and perennial), so if you are allergic and you try to guess your allergic triggers, you might guess wrong. You also wont have the whole picture.

Q: If I have asthma, should I be checked for allergies?
A: Yes. Thats because if you have both conditions and the allergies go untreated, the combination could damage your delicate airways. Research shows that the majority of people with asthma (up to 60% of adults and up to 90% of children) also have allergies.1-3 Testing to identify your allergic triggers will help you and your healthcare provider better manage your symptoms.

Q: How can a simple blood test help me know if I have allergies?
A: If you have allergies, your body produces an antibody called IgE that is specific to your allergic triggers. The ImmunoCAP® test measures the amount of your IgE. Your healthcare provider can use your ImmunoCAP results to identify the specific allergic triggers that may be contributing to your symptoms. Your specific IgE test results are as personal and unique as your fingerprint. After you receive your test results, you should review them with your healthcare provider and create a tailored plan to help reduce your exposure to your specific allergic triggers.

Q: What are the benefits of having the ImmunoCAP allergy blood test?
A:
The test results will help you and your healthcare provider customize a treatment approach that’s right for you
Knowing your allergic triggers can help you take control and reduce your symptoms
Normal or negative results can help your healthcare provider rule out allergies in order to consider other possible triggers
A simple blood test requires only one blood sample
Q: Does reducing exposure to my allergic triggers help?
A: Yes. Reducing exposure to one or more of your allergic triggers can help reduce your symptoms and your need for medication.4 This can only be accomplished by working with your healthcare provider to learn your unique allergy profile.

References
1. Allen-Ramey F, Schoenwetter WF, Weiss TW, Westerman D, Majid N, Markson LE. Sensitization to common allergens in adults with asthma. J Am Board Fam Pract. 2005;18:434-439. 2. Milgrom H. Understanding allergic asthma [news release]. Milwaukee, WI: American Academy of Allergy, Asthma & Immunology; June18, 2003. 3. Høst A, Halken S. The role of allergy in childhood asthma. Allergy. 2000;55:600-608. 4. NIH. Guidelines for the Diagnosis and Management of Asthma, 2007. NIH publication 08-4051.

Take Action to Reduce Your Exposure

Now that you know your IgE, you can take steps to reduce your exposure to these inhaled allergic triggers—and help reduce or prevent your asthma and allergy symptoms. Although some people may be sensitive to a single allergen, most people with allergies are sensitive to more than one allergen. For such people, symptoms may appear only when they are exposed to two or more triggers at once. Reducing exposure to specific allergic triggers will help you reduce your overall allergen load—and your congestion, sneezing, coughing, wheezing, and other symptoms. In addition, experts believe that medical treatments are more effective when combined with reduced exposure to allergens.

Based on your unique IgE profile, we have tailored an Action Plan to target your specific inhaled allergic triggers. By reducing exposure to one or more of your triggers, you can begin to reduce the overall allergen load and ease your symptoms. One approach could be to focus on the triggers to which you are most allergic and then working down the list. Talk to your healthcare provider about where to start.

Grass pollens
Weed pollens
Tree pollens

Control pollens
Shower after working outside — wash hair, eyes, and eyelashes
Remove work clothes outdoors after working outside and carry them in a bag to the washing machine
Take allergy medicines 30 minutes before going outdoors
Stay indoors when pollen counts are high for pollens you are allergic to. Check reports for pollen count forecasts or log on to http://www.pollen.com/Pollen.com.asp to obtain updated pollen counts
Have someone else do your yard work, or wear a microfiber face mask when digging in the dirt
At home and when driving, keep windows closed and, when possible, use an air conditioner on recirculate
Use high-efficiency particulate air (HEPA) filters for furnace and vacuum cleaners
Try activities that take place away from allergy triggers — stay away from highways or industrial plants; exhaust and air pollution make symptoms worse
When exercising, breathe through your nose

Molds

Control molds
Identify and clean moldy areas with fungicide or bleach
If you have a basement or live in an area of high humidity, use a dehumidifier to reduce the humidity in your home
Avoid barns, greenhouses, sleeping bags, summer cottages, and walking through uncut fields
Avoid mowing grass, handling mulch or compost, raking leaves, or working with hay
Avoid using fans that draw in outside air; when possible, use an air conditioner on recirculate and keep windows and doors closed
Wash evaporative (“swamp”) coolers
Fix water leaks
Clean furnace filters, refrigerator, and dehumidifier (and clean drip pans with bleach)
Thoroughly dry clothes before storing

Dog dander – Cat dander

Control animal dander
If you own a furry pet, try to keep it outdoors or find it a new home
Confine the pet to a room with a polished floor and wipeable furniture
Restrict your furry pet from the bedroom and keep the animal off furniture
Use high-efficiency particulate air (HEPA) filters and vacuum cleaners
Wash your pet weekly in warm water and soap

Cockroach

Control cockroaches
Wash dishes, vacuum, keep food and garbage in closed containers, and take out garbage regularly
Don’t store paper bags, newspapers, or cardboard boxes in your home
Place bait traps, or call a professional exterminator to eliminate cockroaches
Seal plumbing openings, cracks, and crevices

What is a RAST Test ? What is a CAP-RAST Test?

What is a RAST test? 

A RAST (RadioAllergoSorbent Test) is a blood test done to look for allergies. This is a way to look for Immunoglobulin E (IgE), the allergic antibody. IgE is a protein in our body that attaches to food proteins to start an allergic reaction. In order to have an allergic reaction, you need to have IgE to the food in question. A RAST test looks for IgE in your blood. This test can’t tell you if you will react or how severely you will react, but tells you that you have IgE against the food. 

What is a CAP-RAST test? 

A CAP-FEIA (or Immunocap) RAST test is a specific type of RAST (see above). It is also a blood test. Immunocap is a brand name of a type of RAST test. This is the brand that was used in many of the research studies of food allergies. This test is different from generic RAST tests because it allows your doctor to measure exactly how much IgE is present to a specific food or allergen. It is more exact than a generic RAST. The information from this test, in addition to the skin prick test (SPT), is helpful to an allergist because it can be compared to known values and determine the chance you will have an allergic reaction to a food. This test CANNOT tell you how severe an allergic reaction will be if you accidentally eat a food to which you are allergic. 

Is there a difference between a RAST and CAP-RAST? 

Yes. A CAP-RAST or Immunocap is a brand or type of RAST. It is more specific and can be compared to charts to help determine if you or your child is at risk of an allergic reaction to a food. It is up to your doctor to decide which test is right for you and which test will provide the most information for your care. 

Natural anti histamine

The best way to reduce allergy symptome is to use Anti-Histamine herbs, regulate your Immune System & remove Toxin in your body!

First, let’s see some of the best herbs that have Antihistamine action:

Histamine is a chemical, which is involved in our local immune response as well as regulating physiological function in the gut, acting as a neurotransmitter. During the time of seasonal allergies, the body’s immune system sees pollen as an invader. In an allergic reaction, our body produces histamine, as a defense mechanism. This inflammatory chemical attaches the cells in our body and causes irritation. It is the deficiency of this enzyme that triggers an allergic reaction as histamines gathers in the synapses.

An antihistamine serves to reduce or eliminate the effects brought on by histamine, a chemical mediator released during allergic reactions. Antihistamines are commonly used for allergic rhinitis, allergic conjunctivitis, contact dermatitis, urticaria (hives), angioedema and pruritus (atopic dermatitis, insect bites).

There are hundreds of plants used all over the world, which are used in herbal medicine as treatments for hystamine attacks. Here are some of the most accessible and reliable.

Basil (Ocimum sanctum) – this great herb has a history in helping prevent stomach cramps, gas as well as constipation. A poultice of Basil leaves can can work as an antihistamine to draw out insect, bee wasp, or snake venom. It helps alleviate acne, heal abrasions and speeds healing when used on cuts.

Chamomile (Matricaria chamomilla) – is rich in anti-histamine properties. The flowers can be crushed and used as a poultice for inflammatory swelling. Make a tea and drink 2-3 times a day. Chamomile can cause histaminic allergic reactions in some very sensitive people. If this occurs, simply discontinue.

Jewelweed (Impatiens aurea) – contains a compound called “Lawsone” that treats uticaria. Jewelweed is used as a natural remedy for poison ivy, poison oak, okra spines, stinging nettle and acne treatment. Jewelweed is also used for heat rash, ringworm and many other skin disorders, as well as bug bites and razor burn.

Papaya (Petroselinum crispum) – inhibits the secretion of histamine. Papaya juice can be taken internally as well as applied topically to diffuse a histamine attack.

Stinging Nettle (Urtica dioica) – The very same plant that will produce hives if its hairs inject their histamine into you can work to heal the problem. Some herbs whose pollen can cause symptoms of hay fever have been used as a way to reduce symptoms of hay fever, which is the homeopathic theory of “like cures like”. The most important of these are Goldenrod and Ragweed (Ambrosia ambrosioides) . Eyebright and Elder also have a reputation for use as hay fever remedies. However, an individual allergic to one of these plants should avoid them unless under the care of a doctor of natural medicine. Freeze-dried nettle leaf extract taken in capsule form will treat hives and allergies. The plant does not contain enough histamine to cause a problem when taken orally. Tea can be made from the leaves or cooked as greens. The stinging hairs lose their sting when the plant is cooked.

Echinacea (Echinacea purpurea) – Echinacea is a widely used herbal remedy for treatment of upper respiratory tract infections. This purple coneflower has shown to have antihistamine properties.

Fennel (Foeniculum vulgare) – In my Chinese herbal practice, fennel is used for indigestion, spasms in the digestive tract, as well as expelling phlegm from the lungs. Fennel is rich with the antioxidant flavonoid “Quercetin”. Quercetin is a strong natural antihistamine shown to be very helpful for allergies and histamine-related inflammation. Make as a tea and drink 2-3 times per day.

Ginger (Zingiber officinale) – another classic herb in the Chinese Materia Medica, ginger works well on allergic reactions such as hives and wheals. Slice up a ginger root boil it in eight cups of water for 30 minutes. Allow the herbs to steep for another 30 after you have boiled it. Drink 2 to 3 cups a day. You may add the tea to a hot bath and soak for 20 minutes. Dip a wash cloth in the tea once it is at room temperature and use as a compress.

Reishi (Ganoderma lucidum) – Hailed the “mushroom of immortality” , one of my favorite natural remedies is Reishi (Ling Zhi). Japanese researchers have found that reishi acts as an antihistamine, making it useful for treating allergies. “Lanostan”, a compound found in reishi, appears to control the release of transmitting chemicals in the body, thereby inhibiting the release of histamine. Since reishi also promotes the adrenal function and immune reaction, it has added effectiveness in controlling the body’s reaction to an allergen.

Thyme (Thymus vulgaris) – is a natural antihistamine, as well as having antiseptic properties to help purge infections. The essential oil has been shown to have antimicrobial activity against a host of different bacteria and fungi.

Vitamin C is believed to be a natural antihistamine agent if used at high doses, around 3,000mg to 5,000mg a day.

Wild Oregano (Origanum vulgare) – aka Wild Marjoram, have at least seven different antihistaminic chemicals, therefore fights allergies as well as fungus and infection.

Search for new kinds of asthma attack relief are giving you sleepless nights? Are you always afraid of exposing yourself to various allergens and spoiling your plans? Do you always carry emergency asthma medicines anticipating an asthma attack? If so then read on as you will find this very interesting. A lemon can be of great use in asthma attack relief in a very noble way. Using Lemon as An Asthma Controlling Agent

Inclusion of lemon in your daily diet can play a major role in asthma attack relief for you. Begin with a two day fast in which only water and lemon juice will be your complete diet. To speed up the digestion process the lemon juice must be consumed with warm distilled water. This will also increase the energy gained from the drink and is the best way to consume the lemon. To protect your teeth enamel from the acidic nature of lemon juice you should carefully rinse your mouth after consumption of lemon juice. This is the beginning of you asthma attack relief with lemon.

After the first step of preparing your body system to accept lemon you should continue taking lemon every day before breakfast in the morning. The breakfast should be taken at least half-an-hour after to get the best possible asthma attack relief from the lemon juice you had. The difference here is that the lemon juice is to be taken with two teaspoons of ionic manganese. Manganese is known to have properties which lower the anxiety levels in people. Asthma is believed to be caused by anxiety and anger hence it makes sense to lower the anxiety levels thereby removing the chief cause of the ailment. This will help a great deal in having a permanent asthma attack relief. No wonder then that manganese is also popular by the name of love mineral.

After few days of the lemon juice manganese course add one teaspoon of chlorophyll to it. The colon is detoxified by the chlorophyll. As the blood flowing upwards from the colon take the toxins to the lungs which makes the lungs weak. The chlorophyll prevents it by removing the toxins and only pure blood goes to the lungs. This causes great asthma attack relief.

Permanent asthma attack relief can be gained by repeating the process daily for few months. Avoiding any kind of trigger during the course is very important as exposure may neutralize all positive effects the lemon therapy had on your body. The body will gain immunity to most allergens after the first month of the course providing it is done properly. This will give you a big relief for you have the confidence now of being in control of your asthma while you go about your daily activities.

What nutritional supplements should I take for asthma?

Foundation Supplements. There are three products from Natural Factors that I think are critical in supporting good health:

* MultiStart (age and gender specific multiple vitamin and mineral formulas). Follow label instructions.
* Enriching Greens – a great tasting “greens drink” containing highly concentrated “greens” like chlorella, spirulina, wheat grass juice, barley grass juice, etc., and herbal extracts. Take one serving (one tablespoon) in 8 ounces of water daily.
* RxOmega-3 Factors – A true pharmaceutical grade fish oil supplement. For asthma, take five capsules daily. This dosage will provide 2,000 mg of EPA and 1,000 mg of DHA.

Magnesium deficiency plays a major role in many cases of asthma. Magnesium deficiency makes the bronchial airways more prone to spasm. Take an additional 150 to 250 mg of magnesium three times per day. Magnesium bound to aspartate, citrate, and malate is preferred to magnesium bound to oxide because of better absorption.

Lung, Bronchial, and Sinus Health from Natural Factors is designed to provide key nutrients and herbal extracts for healthy airways. For example, it provides N-acetylcysteine (NAC) – a derivative of the naturally occurring amino acid cysteine. NAC directly splits the sulfur linkages of mucoproteins thereby reducing viscosity of bronchial and lung secretions. As a result it improves bronchial and lung function, reduces cough, and improves oxygen saturation in the blood. Adults and children over 12 years of age: One tablet three to four times daily. Children 6 to 12 years of age: One tablet up to three times daily. Not recommended for children under six years of age unless recommended by a physician.

Grape seed or pine bark extract contain flavonoids known as procyanidolic oligomers (PCOs) that exert exceptional antioxidant and free radical scavenging activity. Take 300 to 600 mg of PCOs daily if you have asthma.

Allergy drops mean an easier, healthier life
for allergy suffers.

Allergy drops are:
Convenient
The once-daily, at-home treatment makes allergy drops convenient for patients. Allergy drops are portable and easy to use. Whether at home, at work, on vacation, or even in the car; the patient dispenses the drops instead of taking time out of his/her busy schedule to get an allergy shot. After starting allergy drops, many allergy sufferers discover they may need less medication over time to control their symptoms.

Safe and Effective
Allergy drops are safe and effective for most people. The drops usually begin working within months, often after only a few weeks, and may eliminate allergies within three years. Other conditions like allergic rhinitis and asthma, that may go hand-in-hand with allergies, may be alleviated as well. The antigens used by Embrace Pharmacy are preservative-free. This means less chemicals are introduced to the body in which there is a potential for allergic reaction.

Painless
Avoid the painful plunge of the needle and the aching pressure after the injection… For many, the fear of getting a shot borders on a serious phobia. Allergy drops may mean the end of avoiding medical care because of a fear of needles and the pain they cause.

Less Expensive
Allergy shots are painful not only to the body, but to the pocketbook as well. Allergy drops are generally less expensive for everyone: patients, employers, and insurers. The cost of weekly visits to the clinic for shots may be eliminated, and loss of workdays because of incapacitating allergy attacks may also be avoided.

Notice: Currently, antigens are labeled by the Federal Drug Administration (FDA) for use by injection. Using the same antigen by sublingual delivery is an OFF-LABEL use of the antigen and has NOT YET been approved by the FDA.

FAQ

FAQ

I am allergic to cats and dogs. If I take the allergy drops can I own a pet?

The answer is yes, but It is, of course, environmentally best to not have a pet in your home if you are allergic. However, many of my patients love their pets, and we help build up their immunity to their dander with allergy drops. The allergy drops enable someone with cat or dog allergy to be less symptomatic and require less medicine when living with their pet.

How do the allergy drops taste? Do I have to keep them in the refrigerator?

Most of the patients say that the allergy drops have a slightly sweet taste; this is because it contains glycerin. The allergy drops do not need to be refrigerated, but we do not recommend they be kept in a warm temperature such as a car in warmer months.

How often do I take the allergy drops? And for how long?

The allergy drops should be used daily. You can miss a few days without a problem, but if you miss more than a week or two you must contact our office to see if your dose has to be decreased. The allergy drops are taken for a year, if we see improvement, then we continue into the maintenance phase (the highest doses) for another two years to get long-lasting protection.

Why arent more doctors offering allergy drops instead of shots?

This is a complicated question. I have been prescribing the drops for over 10 years. I mention in my book, Dr. Dean Mitchells Allergy and Asthma Solution, that I have taken special training to learn this technique, long before it was widely available. Now courses are being offered by major medical societies to teach doctors the sublingual method, and this will surely see more doctors offering this method.

Do I get the allergy drops by a prescription from a pharmacy?

No, the allergy drops are considered a biological vaccine. We prepare the allergy drops in our office specifically tailored to your allergens-it is not a drug that has to be processed by the liver or kidney. It works through your immune system to build up protective antibodies.

Will I get an allergic reaction from taking the allergy drops?

This is unlikely. The special way of taking the allergy drops under the tongue, is that the sublingual area of the mouth has few or no cells which release histamine. It is very rare for someone to have a reaction. It is possible though, and we ask patients to notify us if they experience any itching in the mouth, a rash or trouble breathing.

Can I be treated for a food allergy with the allergy drops?

Not yet. Researchers are working diligently to try to make a safe oral immunotherapy, but it is not widely accepted or available at this time. Our office does offer the newest food allergy testing (ISAC) to determine if you have a dangerous food allergy.

Is there testing for chemical and mold allergy? Is there treatment?

We do offer special testing for chemical allergies that can cause skin rashes common in cosmetics, soaps, shampoos and possibly related to work. Unfortunately, there is no treatment for these type of allergies – just avoidance and safety precautions. For mold allergy, we have testing and treatment for certain molds with the drops.

Nasal congestion is a condition in which the sinus cavities become inflamed, placing pressure on surrounding areas of the head and trapping mucus. This can lead to a sinus infection, according to MayoClinic.com. Excessive mucus and congestion are the result of the common cold, a sinus infection or allergies. Mucus is the excessive liquid produced in the sinuses that can lead to postnasal drip, a stuffy nose or a runny nose. Mild cases of mucus and congestion are sometimes treated with home remedies. Home remedies are intended to be used with a physician’s guidance, however.

Nasal Irrigation
Nasal irrigation is used to treat mucus and congestion, according to the University of Maryland’s Medical Center. Nasal irrigation is the use of a saline solution that is filtered throughout the sinus cavity, through various methods, that cleanses, moistens and removes excess mucus from the sinuses. The solution is used in the spray bottle that squirts into each nostril in the form of gentle mist or using a neti pot. A neti pot looks like a tea pot and is poured directly into one nostril, flowing through the sinuses and out the other nostril. A doctor should be consulted if pain or burning is experienced while using a neti pot.

Avoidance
If mucus and congestion are the result of allergies, avoid exposure to allergens, according to MayoClinic.com. For example, if someone is allergic to pollen, she should remain indoors during the spring to avoid excessive exposure to the allergen. Other common allergies that cause mucus production and congestion are dust mites, molds and pet dander. Talking to an allergist will help determine the specific triggers that are causing an allergic reaction.

Lifestyle Modification
The University of Maryland’s Medical Center states that increasing the humidity in the home can help alleviate nasal congestion and mucus. Dry air can cause the sinus cavity to become irritated and inflamed, trapping mucus and causing congestion. Drink plenty of fluids, including hot herbal teas and broth to thin mucus and cause it to drain more effectively, according to the American Academy of Otolaryngology. Remaining upright will help mucus drain properly..

Sinus mucus becomes troublesome if it gets sticky and thick. Thickened mucus can stop up your eustachian tubes — the tube between your ears and your nose — causing ear infection. In addition, it can also block up your sinuses, causing sinus infection and headaches. To avoid this, pay attention if your nose starts to get stuffy. Work quickly to ensure your mucus stays thin and moves easily through your system, avoiding the potential to create infection.

Step 1
Drink plenty of fluids. When you have a stuffy nose, add more fluid to your diet. Hot drinks especially act in two ways to help thin sinus mucus. They not only add fluid to your body, but they also steam your mouth and nose, helping keep the mucus hydrated.

Step 2
Use a humidifier. Increasing the water content of the air you breathe can help keep your sinus mucus thin and flowing. Make sure you use a cold air humidifier, as warm air humidifiers can cause burns if the water is spilled or you walk too close to the steam.

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Step 3
Spray saline into your nasal cavity. Saline can keep the nasal passages free-flowing by adding salted water to the mucus. The spray also helps wash out bacteria and viruses that may collect in your sinuses.

Step 4
Create a mini-steam room. Sit over a bowl of steaming water and breathe through your nose with a towel draped over your head. The inhaled steam thins the sinus mucus.

Step 5
Take a decongestant for no more than three days. While decongestants can temporarily dry up your mucus, they can also rebound and cause much heavier mucus discharge.

Tips and Warnings
Avoid antihistamines as they cause your mucus to dry up and thicken. If you take high blood pressure medication, avoid decongestants

ImmunoCap® Specific IgE Blood Test

What is the ImmunoCAP Specific IgE Blood Test?

A laboratory test to rule in or rule out atopy in patients with allergy-like symptoms. ImmunoCAP provides a clinically relevant means of confirming or excluding the presence of atopic disease in patients with upper respiratory disease. These allergy-like symptoms are very difficult to differentiate. ImmunoCAP will also accurately identify specific allergen sensitivities in patients with confirmed allergy.

What Does the Test Measure?

This in vitro quantitative assay measures allergen specific IgE in human serum. It is intended for in vitro diagnosis use as an aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings. ImmunoCAP assays can be performed on hundreds of allergens such as weeds, trees, pollens, mold, food, and animal dander.

What is the Role of this Test in Diagnosing and Managing Upper Respiratory Disease?

Causes of nasal symptoms associated with upper respiratory disease (URD) can range from aspirin intolerance to pregnancy. The exact etiology of allergy-like symptoms is often difficult to determine definitively. The origin could be allergic, bacterial, viral, or pathological and is virtually impossible to establish with an empirical assessment alone. Compounding this, consumer awareness is at an all-time high. Patients often come in with a pre-determined self-diagnosis and request

 for therapy. History and physical are important, but further inquiry is often necessary to provide an evidence-based diagnosis and treatment regimen. ImmnoCAP Specific IgE blood test can definitively rule in or rule out atopic disease as the cause of or contributing factor to these symptoms.

Once a definitive diagnosis is reached, regardless of the presence or absence of atopy, appropriate treatment options can be employed. When atopy proves to be a factor in URD, avoidance is considered the primary therapeutic approach by all leading professional allergy associations. This test can identify the specific causative allergens.

How Does this Test Compare with Other Technologies?

The technology used in ImmunoCAP is a vast improvement over earlier blood allergy testing (RAST®). In fact, ImmunoCAP has recently been cleared by the FDA to provide quantitative measurement of IgE. This means ImmunoCAP can quantitatively and accurately determine if patients are allergic and exactly what they are allergic to. A recent study published in the Journal of Allergy and Clinical Immunology demonstrated that ImmunoCAP is the standard for accuracy and reliability for quantitative IgE testing.

The basis of the innovative ImmunoCAP technology is a cellulose polymer in a plastic reserve. This unique technology provides high binding capacity of clinically relevant allergen proteins, including those present in very low levels. This provides both accurate results and increased sensitivity, specificity, and reproducibility, equaling the most advanced in vitro allergy testing available today.

Why Should I Incorporate this Test in My Practice?

Your daily practice routinely includes patients who present with URD: rhinitis, sinusitis, and allergic rhinitis. The source of their symptoms may be viral, bacterial, or allergic, making definitive diagnosis an essential step in determining appropriate treatment. More than a nuisance, these conditions affect tens of millions of Americans, have a significant impact on quality of life, and result in billions of dollars in direct and indirect costs. Allergy awareness among the general population is at an all-time high, and patients and clinicians want to get to the cause of respiratory distress. Now more than ever, URD management is an important part of the primary care practice. ImmunoCAP provides quantitative evidence that clearly demonstrates the appropriateness and value of your patient’s treatment plan. The right treatment decisions, based on clinical evidence, mean appropriate use of antibiotics, antihistamines, and intranasal steroids, fewer repeat office visits, and fewer unnecessary referrals.

Who Should Be Tested?

Anyone presenting with nasal or other allergy-like symptoms is a candidate for specific IgE testing. However, ImmunoCAP Specific IgE blood test should be strongly considered for patients with

• recurrent or chronic URD, i.e., rhinitis, sinusitis, allergic-rhinitis

• unseasonal allergy-like symptoms

• seasonal or perennial allergy-like symptoms

• recurrent otitis media

• exogenous asthma and other conditions in which IgE mediation is suspected

The test can be run on patients of any age and regardless of skin condition. There is no need to stop current medications prior to drawing a blood sample.

What Are the Specimen Requirements?

The specimen requirements are 5mL serum in an 8.3mL SST tube; transport specimen at room temperature.

How Do I Order the Test?

While you can choose from hundreds of allergens, most patients presenting with nasal symptoms can be tested effectively with a regional Upper Respiratory Allergy Profile consisting of 13-18 of the most common inhalant allergens specific to that region, along with total IgE. This assures that each Regional Upper Respiratory Allergy Profile provides an accurate and convenient method of confirming or excluding atopy in patients with allergy-like symptoms based on their geographic region. For more information on how to order the ImmunoCAP IgE Specific blood test, including your regional Upper Respiratory Allergy Profile or individual allergens, please contact your local Quest Diagnostics Client Services representative or your local physician sales representative.

FAQ

Frequently Asked Questions About Allergies and MyAllergyTest (FAQ).

What are allergies?
What allergens are tested with MyAllergyTest?
Who should do MyAllergyTest?
Why is it important to know what I am allergic to?
How accurate is MyAllergyTest?
If my test results are negative, does that mean I am not allergic?
What can I do to make the blood collection easier?
Do I need to fast or collect my blood at a specific time of day?
Who can get my test results from the Internet?
I am a Physician, what are the CPT Insurance codes for this test?

Q. What are allergies?
A. An allergy is the result of a person’s overactive immune system, reacting to usually harmless things. The substances that cause allergic reactions are known as allergens. Your body thinks the allergen is an invader and makes antibodies to attack it. People who have allergies have an antibody called Immunoglobulin E, or IgE. When allergens first contact the body of a person with allergies, allergen-specific IgE antibodies are produced. Each type of IgE has specific “radar” for one type of allergen only. That’s why some people are allergic to cats only (they have only the IgE antibodies specific to cat) and others seem to be allergic to everything. When a person with allergies comes in contact with an allergen, his or her body will show symptoms of an allergic reaction, such as swelling of tissues, sneezing, wheezing, coughing, a runny nose, itchy eyes, and other reactions. A person with antibodies to a specific allergen is commonly referred to as being “allergic” to that allergen

Q. What allergens are tested with MyAllergyTest?
A. Your blood sample will be tested for the following allergens: House dust Mite, Cat, Timothy Grass, Bermuda Grass, Mountain Cedar, Short Ragweed, Alternaria (mold), Milk, Egg White, and Wheat.

Q. Who should do MyAllergyTest?
A. Anyone wanting to know if they are “allergic” to the ten most common allergens should do MyAllergyTest. This test is made especially for you, the general public.

Q. Why is it important to know what I am allergic to?
A. To help you better manage your allergy symptoms, you must first know what is causing your allergy. For instance, you don’t have to get rid of your cat if you are allergic to milk, and you don’t need to avoid pollens all year if you have a seasonal allergy to ragweed. MyAllergyTest gives you more information. Once you know the specific allergens causing your symptoms, you can:
1. Avoid exposure to the allergens;
2. Contact your physician to get specific medical treatment.
An accurate allergy test, such as MyAllergyTest, is an important part of allergy diagnosis, when used together with advice from your Healthcare Provider.

Q. How accurate is MyAllergyTest?
A. MyAllergyTest is as accurate as other standard laboratory testing systems. The MyAllergyTest laboratory tests your blood with a Food and Drug Administration (FDA) cleared allergy testing method. Unlike tests that provide only a “Yes” or “No” answer, MyAllergyTest gives you a “CLASS” number which matches your level of allergic response. MyAllergyTest also gives you Immune Units per milliliter (IU/mL). Some doctors may use these test results to track the progress of allergy treatment.

Q. If my test results are negative, does that mean I am not allergic?
A. No. MyAllergyTest tests for 10 of the most common allergens. While a completely negative test result is strong evidence that you are not allergic to any of the most common allergens, it is possible that you will be allergic to a less common, or even rare, allergen.
In addition, many people with allergy-like symptoms may be suffering from Non-Allergic Rhinitis (NAR). For an informative article on NAR, go to:
http://msnbc.msn.com/id/3076814/ .  Also, you may wish to share the results of your MyAllergyTest with your physician and ask about the possibility that you may have Non-Allergic Rhinitis.

Q. What can I do to make the blood collection easier?
A. Try any or all of the following:
Wash your hands with warm water
Warm your hands by rubbing them together
Choose a finger that is warm and callus-free
Let the hand with the chosen finger hang at your side for at least 30 seconds
Press the Safety Lancet firmly against the tip of your chosen finger.
Do not pull your hand away when triggering the Safety Lancet.
If you like, or if you feel uneasy, someone else can help you stick your finger.

Q. Do I need to fast or collect my blood at a specific time of day?
A. No. You do not need to fast and you can test your blood any time of the day.
It is best to collect the blood sample before eating or several hours after a meal.
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Q. Who can get my test results from the internet?
A. Your test results are confidential. Access to test results requires the PIN that you attach to your Personal Identification Card and your email address. Only you can access your results with your PIN. If you’d like to make the results available on-line to your physician, you must give him or her your PIN and email address. Make sure you do not lose your PIN!

Q. I am a Physician, what are the CPT Insurance codes for this test?
A: 36416 Capillary Blood Collection. 86001 Allergy Test X 10 units – One for each of 10 allergens