Discover and read the best of Twitter Threads about #FOODALLERGY

Most recents (12)

I created this image to map out common emotions during the experience of receiving a #foodallergy diagnosis. These then lead to narratives that guide how we navigate this adjustment. The key is knowing we CAN alter these narratives to connect with ones that work better for us! Image
Thanks so much @maireadsherlock @TheZestfull and @bootsndiamonds for sharing this image, which translates common emotions and narratives of those managing a #foodallergy diagnosis into a tangible visual.
Thank you for sharing this image outlining common emotions and narratives from the allergy diagnosis experience, @lydiadietitian @parrlox @allergyaust!
Read 5 tweets
Looking forward to welcoming Dr. Kari Nadeau to our next #USUMEDSeminar!

Feel free to Join us as always.

ZOOM Webinar: usuhs.zoom.us/j/92051022987

@USUhealthsci
@pwhickey
Read 18 tweets
A thread of some of my thoughts reading through the guidance temporarily relaxing food labeling regulations...

You can read the whole thing for yourself here:

fda.gov/regulatory-inf…
Not a fan of the lack of options for public comment in advance. The guidance states: "[...] this guidance is being implemented without prior public comment because FDA has determined that prior public participation for this guidance is not feasible or appropriate [...]"
The guidance goes on to indicate it is just that, guidance, but it appears it could have very real effects on consumers if manufacturers take advantage of the options set forth in the guidance to make changes to formulations without changing packaging to reflect that.
Read 18 tweets
I had a pretty scary experience last night as a patient that I wanted to share. This story may hit home for #allergy #foodallergy #celiac friends and I hope will be enlightening for my #medtwitter #medstudenttwitter friends! 1/
So my family ordered takeout from a restaurant that I’ve eaten safely at dozens of times in the past. Unfortunately 2 bites into my food, I started to feel nauseous and my lips start tingling.

For anyone with food allergies, you know that’s the start of something bad. 2/
That uncomfortable feeling progressed into full blown anaphylaxis very quickly.

Ive made it 28 yrs, never had to use my EpiPen before & I made the huge mistake of not having it with me. I am INCREDIBLY thankful that my partner keeps one for me at all times just in case. 3/
Read 17 tweets
Anyone who uses IgE allergy tests should be able to predict results BEFORE testing is done...and communicate that to the patient

IgE tests are NOT 'positive' or 'negative'. Can only determine likelihood of allergy being present, determined by history. A #WednesdayWisdom thread⬇️
The most important concept for patients and medical providers to understand about IgE testing is the HUGE difference between sensitization and allergy.

Example: ~30% of people have detectable IgE to foods, but only 5-8% are actually allergic.

Rely on test alone = overdiagnosis
Skin prick testing introduces small amounts of allergen to the allergy cells in the skin.

If IgE towards allergen is present, the cells will open and release histamine = red, itchy bump.

Size of bump = likelihood of allergy being present.
Read 8 tweets
College students will soon move into their dorms or apartments to get ready for fall semester.

There are many challenges to independent living & teens w #asthma #foodallergy or other allergic conditions have to incorporate self management as well. Thread ⬇️ #WednesdayWisdom
A few things adolescents w #asthma #foodallergy need to learn how to manage:
- Communication
- Access to meds at all times
- Prescription refills
- Doctor appointments
- Environmental assessment/avoidance
- Recognition of symptoms
- Treatment if symptoms occur
- Risky situations
Adolescents living independently who have #asthma #foodallergy also must balance:
- Class/work schedules
- Sleep
- Exercise
- Diet
- Social interactions
- Normal expected risk taking behaviors (college = ⬆️ opportunities for sex, alcohol, and drugs)
Read 10 tweets
As #FoodAllergyAwarenessWeek winds down, it is important to discuss exciting recommendations about PREVENTION of #foodallergy. Wouldn't it be great if we could curb the rise? This thread will address interventions that may impact this (if adopted on a wide scale) ⬇️
Introducing allergenic foods such as peanut, egg, wheat, milk into a baby's diet early - beginning around 4-6 months AND keeping in the diet is:
-SAFE
-Beneficial
-In line with current recommendations from Allergy orgs and @AmerAcadPeds pediatrics.aappublications.org/content/143/4/…
Current U.S. guidelines recommend early introduction of safe forms of peanut to all infants beginning at 4-6 months (once they are tolerating solids).

Testing for peanut allergy should ONLY be considered for infants at high risk for allergy. Great info: niaid.nih.gov/sites/default/…
Read 12 tweets
I thought I'd start #FoodAllergyAwarenessWeek by describing how I (a board certified pediatric allergist) establish the diagnosis of #foodallergy.

This is a life altering diagnosis & it's important to get it right;unfortunately many are misdiagnosed. Follow this thread ⬇️ #FAAW
When I first meet a family with concern about #foodallergy, I introduce myself 😁 and ask "How can I help you today?". Then I let them talk...uninterrupted.

I then learn what concerns they have and gain insight into foods, symptoms, etc. #FoodAllergyAwarenessWeek
The clinical history is the MOST important test in diagnosing #foodallergy. I need to know:
What foods cause concern
Timing of symptom onset
Types of symptoms
Duration
Treatment?
Does it happen every time
#FoodAllergyAwarenessWeek
Read 15 tweets
1/ A new study by @BrighamGI & @MIT documents unlabeled gluten, lactose and other inactive ingredients in medication. "In a recent survey, 18% of manufacturers said their medications contain gluten." #celiac #medication #gluten wapo.st/2Jat3kk
2/ The study was led by Dr. Giovanni Traverso @BrighamGI, whose #celiac patient felt sicker after starting a new #drug, due to unlabeled #gluten. The national celiac community has lobbied for over a decade for mandatory labeling of gluten in drugs: celiaccommunity.org/2016/gluten-in…
3/ We hope @US_FDA takes notice and revisits its position that #gluten in drugs is rare and in too small amounts to require labeling. @FDAPatientinfo @FDA_Drug_Info This is our position on FDA's stalled and inadequate 2017 gluten in drugs proposal: celiaccommunity.org/2018/fda-comme…
Read 8 tweets
Shared today in my personal #foodallergy community group:
Food allergies are on the rise, but new science offers new solutions, by @SeattleMamaDoc babycenter.com/609_food-aller…?
"'Babies aren't born with food allergies, they develop them.' I hope things are so simple as this doctor says." - parent who shared the article. Quick thread on what I wrote back (first disclosing that I advise @BEFOREBrands)...
#Foodallergy parents likely remember this 2013 profile of Dr. Kari Nadeau of Stanford, which made a huge splash in our world: The Allergy Buster nyti.ms/VGhjpP
Read 7 tweets
I try to keep my Twitter all academic, but since food is a domain that affects me at most conferences etc, I'll do a thread on #foodallergy.
I'm allergic to a bunch of foods. At least peanuts are bad enough to literally kill me (I've been to the emergency room twice in my life because of accidental peanuts).
I've lived with this knowledge for 30 years now. I've read thousands of ingredient labels and have had to remember important keywords ('peanut', 'nut', 'traces of...') in many languages to navigate various parts of the world.
Read 14 tweets
We have one consumer report of a box of Van's GLUTEN-FREE Waffles (round) containing their Belgian Waffles (square & made of #WHEAT). The box was purchased in Northern California, expiration 8-22-18. We alerted @vansfoods #celiac #glutenfree #foodallergy @GFWatchdog @FDArecalls Image
According to the company website, Van's Belgian Waffles contain the following #allergens that Van's Gluten-Free Original Waffles do not: WHEAT, DAIRY, CORN. Both types are described as free of eggs and nuts.
The manufacturer @vansfoods will be looking into this and we will publish their reply or action. There has been no independent confirmation or recall. We are putting out this alert out of an abundance of caution for those with #celiac and #foodallergies
Read 4 tweets

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