Just more than eleven years ago when he was two years old Sahil reacted to peanut butter residue.  More than the years, Sahil has tested optimistic to peanuts, soy  and a variety of tree nuts on blood tests &amp skin prick tests performed by a variety of allergists. He has reacted to peanut and soy following ingestion but as far as we knew he had never ever ingested tree nuts. However, in spite of the higher price of false positives for allergen certain blood tests and skin prick tests we have been told to stay away from all tree nuts. We now know the widespread practice of recommending blanket avoidance was incorrect.  We must have been supplied oral meals challenges to person tree nuts when he was two years old to figure out if there have been nuts he was not allergic to &amp incorporate these in his diet in order to avert allergies from creating.

Currently we began what must have been performed more than 10 years ago:  oral meals challenges to tree nuts.

https://www.aaaai.org/circumstances-and-treatment options/library/allergy-library/oral-meals-challenge

Currently : Almond

We arrived in Burlington this morning with a bag of Superb brand almonds for Sahil’s oral meals challenge.  Sahil was nervous &amp scared so was I.

His lung function, blood stress &amp temperature have been measured.

Then he was provided steadily rising amounts of almond about 20 minutes apart.  He had five doses in total : 1/8th, 1/two, 1, two and four almonds.  Sahil ate just more than 7 almonds more than the span of two hours.  He tolerated the doses he did not have any symptoms.  He passed the almond challenge!

Sahil will have to now continue to consume two to four almonds two to 3 occasions per week to make sure continued tolerance.  He will continue consuming two peanuts a day to keep tolerance to peanuts.  We will return in a month for Sahil to challenge one more tree nut.

Dr Mack also spoke with me about Jaya.  He encouraged slowing down the oral immunotherapy course of action for her due to the fact of her extreme reactions to low doses in July and in early November.  Jaya is to continue the each day dose of 1 mL of milk for the subsequent three months and then Dr Mack will let us know how to proceed.