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[quote=Anonymous][quote=Anonymous]Hi. I work in allergy and I'm grateful for the varied experiences discussed here. I hope I can provide a little later clarity where we're at now in the food allergy world.

~30% of peanut allergic babies/toddlers will outgrow their peanut allergy just based on their own immune system. If a child in this group was on OIT to help support that natural outgrowth and did outgrow it, they likely don't need to carry an epi device.

The window for outgrowth closes as the child gets older and quicker than most people would expect. Food avoidance in a child that would have outgrown the allergy often causes it to convert to persistent allergy (ie. lifelong).

Okay so once we're dealing with persistent allergy, that child should have an epi device available at all times (lots of great options here!). But yes, all forms of therapy- avoidance, OIT, Palforzia (form of OIT), and Xolair ALL still need for the child to have epi available. I know some you may understand something different from your allergist, but this is the standard of care.

OP perhaps what I'd like to impress is your child's immune system and their food allergy at 6 are not static, there is some elasticity. That means two things-- if you would consider OIT or Palforzia sooner is likely to be more successful. Second, the mild reactions up until now truly can't be counted on to stay the same. Epi and an anaphylaxis allergy plan should be part of you child's management. Please check in with your allergist if you have any questions about this.[/quote]

This so much, this is super helpful. Can you say more about the part about food avoidance causing it to convert to a persistent allergy? Are you just saying that by doing OIT, you can help them outgrow it possibly, but if you just stay with avoidance, then it could become persistent? Is 6 on the older side of when it will likely be effective?[/quote]

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