The Itch: Allergies, Asthma & Immunology

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There have been countless advances in controller therapies for asthma, but our go-to rescue inhaler, a quick-relief bronchodilator, hasn’t changed in decades.

In this episode of The Itch Review, we spotlight “As-Needed Albuterol–Budesonide in Mild Asthma” published in The New England Journal of Medicine, May 19, 2025. This article looks at the BATURA trial, which tested whether adding budesonide to albuterol rescue inhalers cuts exacerbations in adults whose mild asthma remains uncontrolled on occasional albuterol/short-acting beta agonist (SABA) therapy.

Could this combo inhaler really cut severe asthma attacks in people with mild disease?

What we cover in our episode about the BATURA trial:* Understanding asthma: In asthma, your airways both tighten up and get swollen. Treating both the tightness and the swelling right when you feel symptoms could stop a full-blown attack. * All-online trial: BATURA used telehealth to enroll 2,516 people with mild asthma from across the U.S. and ran the study until it saw a preset number of 172 serious attacks. * Big takeaways: The combo inhaler cut serious attacks by almost half, halved yearly flare-ups, and slashed steroid use by 63%. All without people needing to use their medication more often. * Why it ended early: An independent safety board reviewed the data mid-trial and concluded that the combo inhaler was so clearly better that it would’ve been unfair to continue giving anyone the old treatment. * What’s next: We still need studies on teens and children to ensure that these same benefits hold true for younger patients.

GET THE INFOGRAPHIC PDF HERE

The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores the latest allergy and immunology studies, breaking down complex research in conversations accessible to clinicians, patients, and caregivers. Each episode provides key insights from journal articles and includes a one-page infographic in the show notes for easy reference.

This podcast is made in partnership with The Allergy & Asthma Network.

Thanks to AstraZeneca for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Have you ever wondered whether fexofenadine (Allegra®) really doesn’t make you drowsy?

In this episode of The Itch Review, we dissect a July 2024 systematic review from Current Medical Research & Opinion, “Why fexofenadine is considered a truly non-sedating antihistamine with no brain penetration.”

This rigorous systematic review pools over 60 human studies from PET brain-scan trials and Proportional Impairment Ratio (PIR) tests to driving-simulator research and real-world quality-of-life surveys. It looks to answer one question: Does fexofendine ever sneak past the blood–brain barrier and slow you down like first-generation allergy meds?

This episode looks at the evolution of H1 antihistamines from first-generation drugs like diphenhydramine to today’s second-generation options (cetirizine, loratadine, and fexofenadine) to show how each interacts with the blood–brain barrier (BBB) and why that matters for sedation.

We highlight the review’s key studies:

PET Imaging: Measuring H1-receptor occupancy. Fexofenadine registers <1%, even at high doses
PIR Analyses: Proportional Impairment Ratio tests show virtually zero cognitive or motor impairment when taking fexofenadine
Driving & Aviator Trials: Side-by-side comparisons with diphenhydramine, alcohol, and fexofenadine

Finally, we dive into real-world outcomes on reaction times, work-and-school performance, pediatric safety, and even NASA’s approval for pilot use.

GET THE INFOGRAPHIC TO FOLLOW ALONG

The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores the latest allergy and immunology studies through 30-minute conversations that are accessible for everyone. This podcast aims to support busy clinicians, patients, and caregivers in staying updated on current research. Each episode provides valuable insights from key journal articles and includes a convenient one-page infographic in the show notes for easy reference.

This podcast is made in partnership with The Allergy & Asthma Network.

Thanks to Opella for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Stepping into young adulthood also means stepping up as the primary manager of your food allergies.

For teens and young adults with food allergies, early adulthood is an exciting but challenging shift. It’s the first time you’re the primary communicator, managing everything from dining halls to doctor’s appointments on your own. Add in new living spaces, new friends, and a growing social life, and there’s a lot to navigate.

Dr. Theresa Bingemann joins Kortney and Dr. Payel Gupta to unpack how food allergy management changes as you step into early adulthood. We cover self-advocacy skills, emergency preparedness, how to create allergy-friendly spaces in shared housing, and tips for navigating social life safely. Plus, we dive into practical advice for managing stress, staying emotionally healthy, and finding your footing in this new phase of life.

What we cover in our episode about managing food allergies in young adults:* Self-advocacy matters. Learn how to speak up about your allergies with confidence. * Planning ahead for emergencies. Practicing with an epinephrine device is not just for kids! Plus, knowing the available campus resources is key to feeling secure in your food allergy management. * Creating a safe living space. Tips for setting up allergy-friendly dorm rooms and kitchens with roommates. * Navigating social life. How to handle parties, dating, and dining out while staying safe. * Managing emotional well-being. Support strategies for handling anxiety, stress, and the transition to independence.

Episode 6 in our “Food Allergies: Ages & Stages” series

Across six episodes, we explore how food allergies show up and shift through different phases of life, from introducing solids in infancy to navigating school and adapting in adulthood. We’re here with evidence-based info, expert insights, and lived experience to guide you through it all.

Episode 110: Early Allergen Introduction
Episode 111: Food Allergy Basics for Newly Diagnosed Families
Episode 112: Managing Food Allergies in Babies and Toddlers
Episode 113: Managing Food Allergies in School-Age Children
Episode 114: Managing Food Allergies in Teens

AAAAI Ages & Stages PDFs

Food Allergy Stages: Young Adults (18–21 years)

Thanks to Genentech and Aquestive for sponsoring this episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Independence, risk-taking, and peer pressure. Welcome to the teenage years with food allergies!

Managing food allergies during the teen years poses new challenges. Tweens and teens are gaining independence, navigating social pressures, and taking more responsibility for their health. But this is also the stage where risky behavior peaks, and the risk for severe allergic reactions is highest. That’s why clear communication and trust matter more than ever.

In this episode of our Food Allergy Stages Series, Dr. Travis Miller joins Kortney and Dr. Payel Gupta to unpack how food allergy management changes from ages 12 to 18. We talk about empowering teens through shared decision-making, building trust between parents and teens, and developing essential life skills like label reading, restaurant communication, and self-advocacy. We also dive into difficult topics like bullying, alcohol, and mental health. Finally, we address why emotional support is just as important as carrying an epinephrine auto-injector.

What we cover in our episode about managing food allergies in teens:* Why trust matters. Teens are more likely to follow allergy routines when they feel heard and involved. * Empowering independence. From grocery shopping to reading labels, this is the age to start turning over the reins. * Talking about risky behavior. Alcohol and dating can put teens with food allergies at higher risk. * Bullying and boundaries. Learn how to spot signs of bullying and who can help your teen feel safe and supported. * Mental health and identity. Food allergies can affect confidence. We share ways to support emotional wellness and self-esteem.

Episode 5 in our “Food Allergies: Ages & Stages” series

Episode 110: Early Allergen Introduction
Episode 111: Food Allergy Basics for Newly Diagnosed Families
Episode 112: Managing Food Allergies in Babies and Toddlers
Episode 113: Managing Food Allergies in School-Age Children

Thanks to Genentech and Aquestive for sponsoring this episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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How do you help your child go from knowing they have a food allergy to actually managing it in everyday life?

This is the stage when everything starts to shift. Between the ages of 5 and 11, your child is learning how to describe symptoms, speak up at school, and navigate birthday parties. They’re also watching you closely and picking up how to talk about food allergies based on how you do it.

In this episode of our Food Allergy Stages & Stages Series, pediatric allergist and immunologist Dr. Dave Stukus joins Kortney and Dr. Payel Gupta to talk about how food allergy care changes in the early school years.

What we cover in our episode about managing food allergies in ages 5 to 11:* Build awareness early. Teach kids to name their allergens, recognize symptoms, and use simple words to describe how they feel. * Model safe behavior. Kids learn by watching you read labels, ask questions, and stay calm. * Normalize epinephrine. Practice with a trainer and talk about it openly so it feels familiar, not scary. * Prepare for real-life situations. From school to parties, give kids scripts and strategies to feel confident and included. * Support emotional wellness. Watch for signs of anxiety and help your child feel empowered, not afraid.

Episode 4 in our “Food Allergies: Ages & Stages” series

Episode 1: Early Allergen Introduction (Ep. 110)
Episode 2: Food Allergy Basics for Newly Diagnosed Families (Ep. 111)
Episode 3: Managing Food Allergies in Babies and Toddlers (Ep. 112)

Made in partnership with the Allergy & Asthma Network. Thanks to Genentech and Aquestive for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

Timestamps

01:42 Breaking down food allergy care by age group

02:58 What kids need to know about living with food allergies

04:47 Sharing allergy information without creating fear

06:40 Talking to children about symptoms

08:40 What to tell kids about epinephrine

11:04 Helping kids without passing on fear or anxiety

13:18 Mental health signs related to food allergies

16:04 Managing allergens in the home environment

19:50 The pros and cons of allergy tables at school

21:42 Communicating with schools and daycares

25:29 Preparing for parties and sleepovers

27:33 Final tips for parenting kids with food allergies (ages 5–11)

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How do you keep a baby or toddler safe with food allergies when they put everything in their mouths and can’t yet explain how they feel?

This stage of life is full of firsts, not just for your child, but for you as a parent managing food allergies. From introducing new foods to navigating daycare and watching for reactions in a child who can’t speak yet, there are countless moments you’ll need to manage. This episode focuses on building safe habits early, empowering caregivers, and showing how simple routines (like label reading or toy wiping) can make a big difference.

Allergist Dr. Basil Kahwash joins Kortney and Dr. Payel Gupta to explore how food allergy care evolves from infancy through preschool. They cover real-life, practical strategies from wiping toys and watching for symptoms to managing daycare risks and building early self-advocacy skills.

What we cover in our episode about managing food allergies in toddlers:* Why age matters. Babies, toddlers, and preschoolers each need different safety strategies. * What symptoms look like. Learn how reactions can show up in babies who can’t talk. * Introducing new foods. Why early introduction still matters even after a new food allergy diagnosis. * Daycare safety tips. How to prep caregivers and keep your child protected. * Building habits early. From label reading to toy wiping, young kids learn by watching you.

Episode 3 in our “Food Allergies: Ages & Stages” series

Episode 1: Early Allergen Introduction (Ep. 110)
Episode 2: Food Allergy Basics for Newly Diagnosed Families (Ep. 111)

Episodes to build a better food allergy foundation:

- Episode 59: What is Anaphylaxis and When to Use Epinephrine
- Episode 95: The Science Behind Allergic Reactions
- Episode. 97: The Nuances of Food Allergy Testing
- Episode 98: Food Allergy Treatment and Management

Made in partnership with The Allergy & Asthma Network.

Thanks to Genentech and Aquestive for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Just diagnosed with a food allergy and feeling lost? You’re not alone and don’t have to figure out food allergy life by yourself. We’re here to help you understand food allergy basics: what causes allergic reactions, how to recognize symptoms, and how to manage your allergy safely, every day.

This is the second episode in our Food Allergies: Ages & Stages, and it’s all about building a strong foundation after a new diagnosis. Whether it’s your child, your partner, or you who was recently diagnosed, Kortney and Dr. Payel Gupta walk through everything you need to know in those early days. From understanding how allergic reactions work to learning about life-saving tools like epinephrine, and new management options like OIT and omalizumab.

Dr. G explains what causes your immune system to misfire, how fast symptoms can appear, and why no two reactions are the same. We also dive into real-life strategies like carrying your epinephrine device, knowing when and how to use it, and navigating social situations. Plus, Kortney shares personal tips that have helped her live safely with food allergies for over 30 years.

What we cover in our episode about managing a new food allergy diagnosis* What just happened?! We explain what causes allergic reactions, including the roles of IgE, histamine, and mast cells. * Are all allergic reactions the same? Learn how quickly reactions can occur and why symptoms aren’t always predictable. * Why is epinephrine so important? When to use epinephrine, how to use it, and why antihistamines aren't enough. * New options to help manage food allergies. A look at treatments like OIT and omalizumab (Xolair) and why you still need to carry your epi. * Peace of mind with an action plan. What to include in a Food Allergy Action Plan and how to help others take your allergy seriously.

Episode 2 in our “Food Allergies: Ages & Stages” series

Episodes mentioned to help build your foundation:

Episode 59: What is Anaphylaxis and When to Use Epinephrine
Episode 95: The Science Behind Allergic Reactions
Episode 98: Food Allergy Treatment and Management
Ep. 110: Early Introduction of Allergenic Foods – Preventing Food Allergies Before They Start

Made in partnership with The Allergy & Asthma Network.

Thanks to Genentech and Aquestive for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Did you know you could potentially reduce your baby’s risk of developing food allergies by up to 80%?

That’s the power of early allergen introduction. Feeding a baby the top 9 allergens consistently starting between 4 to 6 months can make a life-changing difference.

We’re launching a brand-new series about food allergies at various stages of life. Whether you’re just starting solids, navigating a new diagnosis, or in a new stage of life, this series is here to support you with evidence-based tips and real talk. In this first episode, Kortney and Dr. Payel Gupta explore how to potentially prevent food allergies before they even develop.

Why do you want to know more about introducing allergens to baby?For years, parents were told to wait until toddlers were older before introducing allergenic foods. But groundbreaking research, including the LEAP, LEAP-On, and PETIT studies, turned that advice on its head.

We no longer wait to feed babies food allergens. Instead, early (around 4–6 months) and sustained exposure to top allergens like peanut and egg is recommended for all babies. In this episode, Dr. G and Kortney explain the studies, walk you through how to do it safely, and bust common myths that leave parents confused or anxious.

What we cover in our episode about early allergen introduction* Why guidelines changed: Learn how the LEAP & PETIT studies reshaped allergy prevention. * How to introduce the top 9 allergenic foods safely, including forms that are appropriate for infants. * What “sustained exposure” means and how often to serve allergens after that first taste.
How eczema increases allergy risk and what transcutaneous sensitization means. * What allergic signs to watch for: mild hives vs. serious allergic reactions and when to call the doctor.

More resources about food allergy prevention* USDA Updates Dietary Guidelines to Include Introduction of Food Allergens * Delaware Adopts Law Covering Early Introduction of Food Allergens * What is a food allergy? * American Academy of Pediatrics Early Feeding Guidelines * AAAAI / ACAAI handouts on introducing peanut & egg * FARE: How to Use Peanut Puffs Safely * Solid Starts: Peanut Butter Guide (Creative Ways to Serve) * PreventAllergies.org Recipe Library * Our infant anaphylaxis episode (with Dr. Mike)

Made in partnership with the Allergy & Asthma Network. Thanks to Genentech and Aquestive for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Have you wondered why having more drug options matters for chronic rhinosinusitis with nasal polyps?

In the inaugural episode of our new series, The Itch Review, co-hosts Kortney and Dr. Payel Gupta, along with special guest Dr. Michael Blaiss, unpack the journal article "Tezepelumab in Adults with Severe Chronic Rhinosinusitis with Nasal Polyps," published in the New England Journal of Medicine on March 1, 2025.

This article is about the Phase III WAYPOINT trial of tezepelumab. Already approved for severe asthma, this once-monthly biologic is now showing promise in chronic rhinosinusitis with nasal polyps (CRSwNP). Over 52 weeks, 408 patients were randomized to receive 210 mg of tezepelumab every four weeks or placebo. Researchers tracked nasal-polyp scores, congestion, sense of smell, and rates of rescue surgery.

In this episode, we provide a brief overview of what CRSwNP is, why inflammation drives polyp formation and how blocking TSLP fits into today’s biologics options. We’ll walk you through the WAYPOINT Phase III design, explain the primary and secondary endpoints, and translate the headline results into what they mean for real-world patients who’ve exhausted their treatment options.

➡️ Get the infographic here.

What we cover in our episode about treating chronic rhinosinusitis with nasal polyps with tezepelumab* CRSwNP basics & tezepelumab mechanism of action: How nasal polyps form and why targeting TSLP can reduce inflammation * WAYPOINT design: 52-week, placebo-controlled Phase III study in 408 patients * Primary endpoints: Mean change in nasal polyp score and nasal-congestion score * Secondary endpoints: Smell recovery, need for rescue surgery or systemic steroids, and quality-of-life measures * Why choice matters: Every CRSwNP patient responds differently, and having more treatment options means more chances to find the right fit

Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Ever wonder who’s working behind the scenes to improve allergy care nationwide?

In this episode, we sit down with Dr. James Tracy, the 2024-2025 president of the American College of Allergy, Asthma & Immunology (ACAAI), to explore how the College supports both patients and clinicians. Dr. Tracy shares how he got involved, what drives his leadership, and what’s ahead for the future of allergy and asthma care.

From workforce shortages to the promise of AI in medicine, this conversation takes you behind the curtain of the specialty. Plus, we dig into how patients and providers alike can make a difference through advocacy.

What we cover in our episode about ACAAI, leadership & allergy care

Dr. Tracy’s unique path to leadership: How his non-traditional journey from practicing in rural Nebraska to leading the ACAAI shaped his approach to advocacy and patient care.
Creating leadership opportunities: Why mentorship and involvement in ACAAI committees can open doors for clinicians, fellows-in-training, and future leaders in allergy and immunology.
Patient tools that make a difference: Free ACAAI resources that help patients better understand and manage their conditions.
The evolving role of the allergist: How allergists are uniquely trained to manage complex conditions and why that matters as technology, treatment options, and care delivery evolve.
Future-focused leadership at ACAAI: Dr. Tracy’s vision for tackling workforce shortages, embracing AI and gene editing, and keeping patient care at the center of innovation.

Resources:

Asthma Allergy Day on Capitol Hill
More information about advocacy
The American College of Allergy Asthma and Immunology Patient Resources
The American College of Allergy Asthma and Immunology Allergist Finder

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Ever wonder how culture and language barriers affect diagnosing chronic spontaneous urticaria (CSU) in Latinx patients?

In this episode, allergist Dr. Juanita Mora joins Kortney and Dr. Gupta to discuss chronic spontaneous urticaria (hives) and the unique challenges faced by the Latinx community. They highlight the importance of cultural competency in health care and the barriers that Latinx patients often encounter, such as language differences and access to specialists. They also discuss how Latinx patients are often not given all treatment options for hives, such as biologics.

Dr. Mora emphasizes the importance of having resources available in Spanish and encourages patients and families to advocate for their care. They explore practical tips on how technology, family support, and proper patient education can help overcome barriers, leading to better diagnosis, treatment, and improved quality of life for Hispanic patients managing CSU.

What we cover in our episode about chronic hives in the Latinx community:

Diagnosing hives in skin of color: How CSU symptoms can present differently on darker skin tones, making accurate diagnosis harder.
Overcoming barriers for Latinx patients: The specific hurdles the Latinx community faces like language barriers, limited access to Spanish-speaking allergists, and challenges obtaining advanced treatments such as biologics.
Role of family and community support: How involving family members and community leaders can improve CSU awareness, reduce stigma, and encourage patients to seek timely medical treatment.
Importance of Spanish-language patient education: Why accessible, culturally relevant education and resources in Spanish are essential for empowering Latinx patients to manage their CSU effectively.
Cultural beliefs and CSU diagnosis: How cultural perceptions around health and family influence the timing of diagnosis and willingness to seek medical care.

Resources Spanish

¿Qué es la urticaria crónica?
Urticaria Crónica - Dr. Antonio Olvera
Urticaria crónica espontánea/idiopática (erupción crónica)
Protocolo urticaria cronica

Resources English

Chronic Urticaria Management, Resources & Glossary of Terms
Chronic Hives: 10 Actions to Support Your Mental Health
Why Are My Hives Not Going Away?

Made in partnership with The Allergy & Asthma Network. Thanks to Novartis for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Have you ever wondered if steroids are the best choice for managing your eczema?

While both topical and oral steroids offer quick relief from severe eczema flares, understanding their long-term risks and safer alternatives can dramatically improve your quality of life.

In this episode, Dr. Mondana Ghias joins Kortney and Dr. Gupta to discuss the complex role of systemic corticosteroids in eczema management. They dive deep into the short-term relief that steroids provide for severe eczema symptoms and emphasize why steroids must be approached cautiously due to potential side effects and dependency risks.

Dr. Ghias also highlights the unique challenges of eczema care for individuals with skin of color, addressing differences in treatment response and the common issue of hypopigmentation caused by topical steroids.

What we cover in our episode about steroid use in eczema treatment:* Role of Systemic Steroids: When steroids are necessary and how they quickly manage severe eczema flares. * Risks and Side Effects: Understanding the serious long-term effects of systemic and topical steroids. * Steroid Withdrawal: Recognizing the signs of steroid withdrawal and strategies to manage rebound effects. * Challenges of Topical Steroids for Skin of Color: The unique risks of steroid use and managing hypopigmentation. * Alternatives to Steroids and Innovative Treatments: The rise of biologics and targeted therapies offering safer, long-term solutions. * The Importance of Specialist Care: Working with a dermatologist or allergist will help you find a sustainable long-term management plan.

Made in partnership with The Allergy & Asthma Network. Thanks to Sanofi and Regeneron for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Ever wonder if the “asthma shot” from the ER, or those go-to steroid pills for your asthma flares, might be doing more harm than good?

Dr. Dipa Sheth joins us to discuss the common pitfalls of relying too heavily on oral corticosteroids (OCS), also known as oral steroids. We unpack why these systemic medications should generally be reserved for short-term use. She also shares how improving asthma control can help you avoid frequent steroid use in the first place.

Although oral steroids can effectively treat asthma flare-ups in emergency settings, overuse poses significant risks, from adrenal insufficiency to osteoporosis. We dig into ways patients can proactively manage their asthma, reduce ER visits, and talk to healthcare providers about preventive treatments (like inhalers or biologics for asthma) that keep inflammation in check without the side effects of frequent steroid use.

Note: Although we discuss oral corticoid steroids, they can also be given as injections or via IV drip for asthma. We would also like to refer to them as systemic steroids as they impact the entire body, unlike inhaled steroids, which target the airways and lungs.

What we cover in our episode about oral steroid overuse* Understanding Oral Corticosteroids (OCS): Learn what these steroids (often called the “asthma shot” in the ER) are and how they can help with severe flare-ups. * Why Overusing Steroids Can Be Risky: Discover the potential long-term side effects of relying on systemic steroids (pills, injections, or IV), from adrenal insufficiency and osteoporosis to more frequent infections. * Short-Term Fix vs. Lasting Relief for Asthma Care: Learn how urgent care or ER visits may mask an under-managed condition and why seeing a specialist can improve asthma control. * Safer Alternatives to OCS: Explore inhaled corticosteroids, biologics, and other preventive treatments that target asthma at its source, reducing the need for frequent steroids. * Taking Control and Reducing ER Visits: Get practical strategies for working with your healthcare provider to minimize steroid use, prevent flare-ups, and break free from the cycle of repeated steroid courses.

This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Sanofi and Regeneron for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute for professional medical advice. If you have any medical concerns, always consult with your healthcare provider.

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What does "control" mean when managing allergic conditions, and how can you achieve it?

When you have asthma, eczema, nasal polyps, or other conditions caused by type 2 inflammation, reaching a state of control can dramatically improve your quality of life. But what does "control" really mean? Is it the same as a cure? And what steps should you take if your current treatment isn't working?

In this episode, Dr. Payel Gupta and Kortney dive deep into the idea of control in the context of Type 2 inflammation. They explain that control doesn't mean you'll never experience symptoms again. Rather, it's about having fewer, milder flare-ups and the freedom to live your life more comfortably.

Dr. Gupta explains what control means for various conditions, why it matters, and how recognizing signs of poor control can protect against long-term complications. Kortney shares her own experience managing asthma and eczema with biologics, highlighting why symptom tracking and regular check-ins with your doctor are essential, even when you’re feeling good.

What we cover in our episode about achieving control over Type 2 inflammation:* Defining Control in Type 2 Inflammation: Learn what control actually looks like. Discover the difference between controlling symptoms and curing the condition entirely. * Why Achieving Control Matters: Find out why uncontrolled Type 2 inflammation can lead to worsening symptoms, frequent hospital visits, increased medication needs, and significantly impact your day-to-day life. * Managing Multiple Conditions and the Role of Specialists: Understand why having more than one Type 2 inflammatory condition can lead to a "domino effect," worsening overall health. Learn how specialists like allergists can help you manage multiple conditions effectively. * Treatment Options for Controlling Type 2 Inflammation: Get an overview of available treatments, including biologic therapies specifically designed to target underlying inflammation pathways. Understand the role these medications play in improving quality of life. * Practical Tips for Managing Symptoms at Home: Learn ways to reduce inflammation by identifying and minimizing triggers, allergy-proofing your environment, and adopting healthier lifestyle practices.

More episodes that will help you:

Ep. 101 What is Type 2 Inflammation
Ep. 98 Food Allergy Treatment and Management
Ep. 87 What biologic therapies are available for allergic conditions?
Ep. 85 Navigating Biologic Therapy – What You Need to Know
Ep. 78 Chronic Spontaneous Urticaria Treatments
Ep. 56 Biologic Therapies for Asthma

Made in partnership with The Allergy & Asthma Network. Thanks to Sanofi and Regeneron for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Can you slow down the atopic march and prevent kids from developing more allergic diseases?

Type 2 inflammation plays a central role in allergic diseases, which impact children from infancy through adulthood. From eczema and asthma to food allergies and allergic rhinitis, these conditions are all connected through an underlying immune response: Type 2 inflammation. But is there a way to prevent the progression of these diseases?

In this episode, Dr. Payel Gupta and Kortney are joined by Dr. Priya Bansal to explore how Type 2 inflammation manifests in children, the concept of the atopic march, and whether treatments like immunotherapy or biologics can alter the course of the diseases.

Many parents aren’t aware of the atopic march until their child starts developing multiple allergic conditions. Understanding how Type 2 inflammation progresses and when to intervene can be crucial in managing these diseases early. Dr. Bansal shares her expert insights on the best time to seek treatment and how biologics may help some children break the cycle of inflammation.

What we cover in our episode about type 2 inflammation in children* Understanding Type 2 Inflammation in Children: Understand type 2 inflammation’s role in conditions like eczema, asthma, allergic rhinitis, and food allergies. Learn why children with one allergic condition often develop others over time. * The Atopic March: Discover why some children with eczema go on to develop asthma and food allergies. Learn why early intervention can make a difference. * Immunotherapy and Biologics: Can They Change the Course of Disease? Understand how allergy shots, OIT, SLIT and biologics work, when they are recommended, and whether they can stop or slow down the atopic march in children. * When to See an Allergist & Parental Concerns About Treatment: Learn the signs that indicate your child may need an allergist evaluation. Plus, we address common concerns about aggressive treatment options, including steroids and biologics. * Managing Type 2 Conditions at Home & School: Practical tips for parents navigating food allergic diseases.

Made in partnership with The Allergy & Asthma Network. Thanks to Sanofi and Regeneron for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Why do conditions like asthma, nasal polyps, or eczema become more severe when they coexist?Kortney and Dr. Payel Gupta are joined by Dr. Michael Blaiss to explore the common thread linking multiple allergic and inflammatory diseases: Type 2 Inflammation. If you’ve ever wondered why certain conditions often appear together, this deep dive will help you connect the dots.

Type 2 Inflammation is a hot topic in immunology because it’s the engine that drives many allergic and inflammatory diseases. It’s also the key to modern treatment strategies, including targeted biologic therapies. Dr. Blaiss explains how clinicians recognize multiple Type 2-driven conditions in the same patient, why it is important to know the connection between multiple conditions and Type 2 inflammation, and the big-picture benefits of treating inflammation aggressively to prevent complications.

What We Cover in our Episode about The Diseases Related to Type 2 Inflammation* Conditions Related to Type 2 Inflammation: Explore how chronic rhinosinusitis with nasal polyps (CRSwNP), rhinitis, asthma, atopic dermatitis (eczema), prurigo nodularis, eosinophilic esophagitis (EoE), and food allergies can all share a common inflammatory pathway. * The Likelihood of Having Multiple Type 2 Conditions: How often do patients have more than one condition related to Type 2 Inflammation, and why is recognizing overlap a potential game-changer for diagnosis and treatment? * Treating the Root Inflammation vs. Individual Symptoms: Discover how clinicians decide whether to address each condition separately or tackle the underlying Type 2 inflammatory process affecting them all. * Markers & Personalized Medicine: Dr. Blaiss discusses whether potential tests, such as eosinophil counts or IgE levels, can confirm Type 2 inflammation. He also explains how knowing you have Type 2 Inflammation can help guide targeted therapy. * Prevention & Aggressive Intervention: Understand why it’s crucial to treat inflammation early to reduce the risk of developing multiple Type 2 conditions and how this proactive approach benefits long-term health.

Want to know more? Type 2 Inflammation Overview – Explains the role of Type 2 inflammation in conditions like asthma and nasal polyps.

This podcast is for informational purposes only and does not substitute for professional medical advice. If you have any medical concerns, always consult with your healthcare provider.

Produced in partnership with The Allergy & Asthma Network. Thanks to Sanofi and Regeneron for sponsoring today’s episode. While they support the show, all opinions are our own, and sponsorship doesn’t influence our content or editorial decisions. Any mention of brands is for informational purposes and not an endorsement.

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What do asthma, eczema, EoE, and nasal polyps have in common? They all stem from Type 2 inflammation!

Type 2 inflammation is a major cause of many allergic and inflammatory conditions, yet it remains widely misunderstood. In this first episode of our four-part series on Type 2 Inflammation, we discuss the basics, unpack its impact on the immune system, explain how it contributes to chronic inflammation in the body, and explain why it matters for treatment and management.

What we cover in our episode about Type 2 Inflammation* Understanding Inflammation: Inflammation is your body’s natural defence mechanism, but it can become problematic when it turns chronic. * Normal vs. Chronic Inflammation: Not all inflammation is bad! Learn the difference between the body’s normal immune response and long-term chronic inflammation. * What Sets Type 2 Inflammation Apart? Unlike other immune responses, Type 2 inflammation involves a specific pathway. * Key Players in Type 2 Inflammation: Th2 cells, cytokines (IL-4, IL-5, IL-13), IgE antibodies, and eosinophils. * Measuring Type 2 Inflammation: How blood tests can help determine if Type 2 inflammation is contributing to your symptoms.

Want to know more? Type 2 Inflammation Overview – Explains the role of Type 2 inflammation in conditions like asthma and nasal polyps.

This podcast is for informational purposes only and does not substitute for professional medical advice. If you have any medical concerns, always consult with your healthcare provider.

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We’re celebrating 100 episodes and six years of The Itch Podcast! In this special episode, Dr. Payel Gupta and Kortney reflect on their journey—sharing insights from their experiences as a doctor-patient duo. Dr. G talks about how the podcast has influenced her as a provider, while Kortney shares how it has literally changed her life.

We also introduce The Journal Club, a brand-new series in which we unpack the latest journal articles in our famous, easy-to-digest style.

What We Cover in This Episode:* Why Kortney decided to share her story about allergies, asthma, and eczema. * Why Dr. Gupta became an allergist and how her personal journey shaped her career. * The impact of patient advocacy—why Dr. G is passionate about empowering patients. * The Itch Podcast's partnership with Allergy & Asthma Network and how it’s raising awareness and education. * Lessons from six years of podcasting—what we’ve learned from our guests, experts, and YOU, our listeners. * Introducing The Journal Club—a new series unpacking medical research in a simple and relatable way.

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What would you do if your baby had a severe allergic reaction?

Recognizing and treating anaphylaxis in babies can be overwhelming, but knowing the right signs and symptoms can help you decide when to use epinephrine or distinguish it from a cold. Pediatric allergist Dr. Michael Pistiner joins us to discuss how to recognize anaphylaxis in infants, when to use epinephrine, and why early food introduction matters.

Understanding food allergies in infants, anaphylaxis symptoms, and emergency treatment is essential for parents and caregivers to act quickly and confidently. This episode will give you the confidence to respond in an emergency.

What We Cover in Our Episode on Infant Anaphylaxis* What is anaphylaxis, and how does it present differently in infants vs. older children? * How to differentiate an allergic reaction from common childhood illnesses. * Why early allergen introduction is crucial and * How over-testing can lead to unnecessary worry. * When to use epinephrine vs. antihistamines for treating reactions. * Parental fears about epinephrine and why it’s always the safest choice in an emergency. * When to call 911 after administering epinephrine. * Why carrying two epinephrine auto-injectors is essential for managing severe reactions.

More resources about infant anaphylaxis:

More from Dr. Pistiner about infant anaphylaxis
What is Epinephrine
More About Food Allergies
More About Anaphylaxis
Food Allergy Treatment & Management
Living with Food Allergies Guide
What Can You Do If You Can’t Afford Allergen-Free Foods?
What if I Can’t Afford My Allergy Medications?
Early Introduction Guidelines

This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Kaléo for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Is there a cure for food allergies? Unfortunately, not yet. However, exciting new treatments are emerging that offer hope and improved quality of life for those managing food allergies.

Dr. Maya N. Gharfeh joins us to explore innovative options for treating food allergies. In this episode, we cover comprehensive strategies ranging from traditional avoidance techniques to cutting-edge treatments like omalizumab (Xolair) and Oral Immunotherapy (OIT).

While these treatments are promising, they are not cures. Dr. Gharfeh shares valuable insights on integrating these options into your allergy management plan. She also discusses how to determine whether Xolair or OIT might be the right choice for you or your child. Despite advancements, avoidance remains the cornerstone of food allergy management and must still be practiced even while undergoing treatment.

What We Cover in the Episode about Food Allergy Treatment Options* Effective methods for food allergy avoidance * Deciphering packaged food labels and "may contain" statements * Understanding cross-contamination and cross-contact * Insights into Xolair and its role in food allergy treatment * An overview of Oral Immunotherapy (OIT) * Guidance on choosing between Xolair and OIT

GUIDE: Food Allergen Alternative Names on Labels

Produced in partnership with The Allergy & Asthma Network.

Thanks to Genetech for sponsoring today’s episode. While they support the show, all opinions are our own, and sponsorship doesn’t influence our content or editorial decisions. Any mention of brands is for informational purposes and not an endorsement.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Think diagnosing food allergies is as simple as running a test? Think again. Food allergy testing is a maze of gray areas, false positives, and, hopefully, a clear food allergy diagnosis.

Navigating food allergy testing can feel overwhelming, with skin pricks, blood tests, and conflicting advice. How do you determine which tests are truly useful? How can you avoid unnecessary dietary restrictions from false results?

In this episode, Dr. David Stukus, a board-certified allergist and immunologist, joins Dr. Gupta and Kortney to demystify the science of food allergy testing. From the importance of patient history to the latest diagnostic tools, Dr. Stukus provides clear guidance to help you make informed decisions while navigating food allergy testing.

What we cover in our episode about food allergy testing* The Crucial Role of History in Food Allergy Diagnosis: Dr. Stukus highlights why understanding a patient’s reaction history (symptoms, timing, and context) is critical for guiding effective testing decisions. * Choosing the Right Tests: We break down skin prick testing, blood tests like IgE and component testing, and innovations like epitope mapping. Dr. Stukus explains why IgG testing is untrustworthy and emphasizes oral food challenges as the gold standard for diagnosis. * False Positives and Negatives: Learn why expert interpretation of test results is crucial and how overtesting can lead to unnecessary restrictions and confusion. * When to See an Allergist: Practical advice on when to consult a specialist and what to expect during your visit for evidence-based care.

This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Genentech for sponsoring today’s episode.

About Our Guest

Dr. David R. Stukus is a renowned allergist and immunologist at Nationwide Children’s Hospital and a professor at Ohio State University College of Medicine. He is known for his dedication to patient education and myth-busting in allergy care and is a trusted expert in food, asthma, and environmental allergies.

Follow Dr. Stukus on Instagram: @allergykidsdoc

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Can a TikTok video from a doctor change how we understand health?

Have you ever scrolled through social media and found a doctor busting medical myths or sharing health advice? Platforms like Instagram and TikTok are transforming how we access health information and interact with medical professionals.

Dr. Zachary Rubin joins Dr. Gupta and Kortney to explore the evolving role of doctors on social media. From creating trustworthy content to balancing the risks and rewards of being a medical professional online, Dr. Rubin shares his journey and tips for using social platforms to educate and empower.

Whether you're a patient seeking reliable health information or a healthcare professional curious about sharing expertise, this episode dives deep into the intersection of social media and medicine.

What We Cover in Our Episode About Doctors on Social Media* Why Social Media Matters for Doctors: Dr. Rubin explains why having a presence online is vital for normalizing conditions like food allergies and providing access to reliable health education. * Navigating Risks and Rewards: Learn how doctors manage the challenges of creating content while maintaining professionalism and protecting themselves online. * Fighting Misinformation: We discuss how to responsibly call out misinformation and share accurate information to build trust. * Bridging Healthcare Gaps: Discover how platforms like Instagram and TikTok help patients without access to specialists find trustworthy medical advice. * Tips for Creating Reliable Medical Content: Dr. Rubin shares strategies for crafting engaging, accurate posts and curating a social media feed filled with credible health information.

Follow Dr. Rubin on Social Media:

Instagram:@rubin_allergy
YouTube: @rubin_allergy
TikTok: @rubin_allergy
Twitter: @rubin_allergy

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Have you ever wondered what happens inside your body during an allergic reaction?

From itchy eyes to anaphylaxis, the science behind allergies explains why some reactions are mild while others can be life-threatening. In this episode, we break it all down.

Dr. Payel Gupta and Kortney unpack the basics of food allergies, starting with what IgE antibodies are and how they play a role in allergic reactions. They explain what happens when your immune system encounters an allergen, breaking it down with our favorite pinata analogy. This deep dive into the immune system reveals why reactions can range from mild to life-threatening and explores the differences between food allergies, intolerances, and oral allergy syndrome.

If you're newly diagnosed or curious about the science behind allergies, this episode offers valuable insights to help you understand your body and stay safe.

What we cover in our episode about what happens in an allergic reaction* What is an allergic reaction? Discover how your immune system identifies allergens and triggers a response involving IgE antibodies, mast cells, and histamine. Confused? We use our pinata analogy to simplify it. * The role of histamine and inflammation. Learn how histamine is released during an allergic reaction, leading to inflammation and common symptoms. * Understanding food allergies vs. food intolerances. Explore the key differences, including symptoms, risks, and why terminology matters. * Oral allergy syndrome and environmental allergies. Understand why some allergies don’t lead to anaphylaxis and how cross-reactivity can cause symptoms. * Anaphylaxis and severe reactions. Explore why some reactions are life-threatening and how factors like exposure levels and health conditions can influence severity.

More resources about allergies:

A Complete Guide to Allergies
More About Food Allergies
More About Anaphylaxis
Food Allergy Treatment & Management
Living with food allergies guide
What Can You Do If You Can’t Afford Allergen-Free Foods?
What if I Can’t Afford My Allergy Medications?

This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Genetech for sponsoring today’s episode. While they support the show, all opinions are our own, and sponsorship doesn’t influence our content or editorial decisions. Any mention of brands is for informational purposes and not an endorsement.

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Exploring Neffy Nasal Spray: A Needle-Free Epinephrine Option

Managing anaphylaxis just became easier with Neffy, the FDA-approved nasal spray for epinephrine. This innovative, needle-free option is transforming emergency allergy care.

Dr. Autumn Burnette joins Dr. Payel Gupta and Kortney to discuss how Neffy works, who it’s best suited for, and its potential impact on anaphylaxis treatment. With her expertise in allergy and immunology, Dr. Burnette addresses common concerns about Neffy’s effectiveness, highlights its benefits, and shares practical details like cost, shelf life, and heat sensitivity.

What We Cover in our Episode About Neffy Nasal Spray Delivery System* A Game-Changer for Anaphylaxis: Discover how Neffy offers a needle-free option for delivering life-saving epinephrine during severe allergic reactions. * Patient Benefits of Neffy: Learn how its ease of use and accessibility can make anaphylaxis management less daunting for patients. * Addressing Skepticism About Neffy: Dr. Burnette explains how studies validate Neffy’s effectiveness and addresses questions about trusting a nasal spray for emergencies. * Practical Tips for Neffy Use: Get insights on cost, insurance coverage, shelf life, and whether Neffy works with nasal congestion or nose jobs! * Expanding Treatment Options: Explore why having more options like Neffy is exciting for patients and healthcare providers alike.

More resources about Anaphylaxis and Neffy:

Neffy: https://www.neffy.com/
Anaphylaxis: https://allergyasthmanetwork.org/anaphylaxis/
Epinephrine: https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/

Made in partnership with The Allergy & Asthma Network. Thanks to ARS Pharma for sponsoring today’s episode. While they support the show, all opinions are our own, and sponsorship doesn’t influence our content or editorial decisions. Any mention of brands is for informational purposes and not an endorsement.

This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Curious About Neffy, the New Nasal Epinephrine Spray?

We’re diving into everything you need to know about Neffy, the new FDA-approved nasal spray for epinephrine. This groundbreaking, needle-free option provides an easy way to manage anaphylaxis in emergencies.

Dr. Sakina Bajowala joins Dr. Gupta and Kortney to explore Neffy’s unique nasal delivery system, what distinguishes it from traditional auto-injectors, and the science behind its development. With her expertise in allergy and asthma care, Dr. Bajowala walks us through Neffy’s FDA approval journey, the technology that powers the nasal spray, and how it’s changing the landscape of allergy treatment.

What We Cover in Our Episode on Neffy Nasal Spray:* Why Neffy Nasal Spray is Unique: Dr. Bajowala explains why nasal epinephrine is an innovative choice for anaphylaxis treatment and when it may be preferable to injectables. * FDA Approval for Neffy: We discuss the rigorous testing behind Neffy’s FDA approval, including studies conducted with actual patients post-approval. * Intravail Technology in Neffy Nasal Spray: Learn about the advanced technology enabling rapid, effective absorption through the nasal passages for timely intervention. * Considerations for Using Neffy Nasal Spray: We explore practical aspects of Neffy’s use, from nasal congestion to potential side effects. * Neffy Dosing and Side Effects: Dr. Bajowala provides insights on dosing, including when a second dose may be recommended.

Helpful links:

Neffy: https://www.neffy.com/
Anaphylaxis: https://allergyasthmanetwork.org/anaphylaxis/
Epinephrine: https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/

This podcast is made in partnership with The Allergy & Asthma Network. Thanks to ARS Pharma for sponsoring today’s episode. While they support the show, all opinions are our own, and sponsorship doesn’t influence our content or editorial decisions. Any mention of brands is for informational purposes and not an endorsement.

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It's that time of year again—open enrollment is here! Don't worry, we're here to help you choose the best health insurance for you and your family.

Lacey Varnon from the National Association of Medication Access and Patient Advocacy (NAMAPA) is back with Dr. Gupta and Kortney to discuss everything you need to consider when selecting a health insurance plan. This episode is all about understanding health insurance during open enrollment, from picking the right type of plan to ensuring your coverage fits your specific needs.

We cover essential aspects of open enrollment health insurance, including networks, premiums, copayments, and long-term medication coverage, so you can feel confident you're choosing a plan that works for you.

What We Cover in Our Episode on Open Enrollment Health Insurance:* Key Factors to Consider: Lacey explains the importance of listing your doctors, diagnoses, and medications to ensure they're covered. * Understanding Premiums, Deductibles, and Networks: Gain insight into how these elements impact your out-of-pocket costs and access to care. * Plan Types – HMO, PPO, EPO, and POS: We break down each type of plan, including pros and cons, to help you decide which suits your healthcare needs. * Special Considerations for Pharmacy Benefits and Long-Term Medications: Lacey offers advice on accessing necessary medications through your health plan or alternative methods if they are not covered. * Navigating Open Enrollment with Family Needs in Mind: Tips on choosing a plan that considers your family member's medical needs and how you've used insurance in the past.

More resources about health insurance:

Health Insurance Coverage in the United States
Why was my prescription denied by insurance?
Health Insurance for Asthma and Allergies
Choosing the Right Health Insurance Plan
Navigating Insurance Denials and Filing Appeals
NAMAPA: National Association for Medication Access and Patient Advocacy
Medication Access Network

This episode is made in partnership with the Allergy & Asthma Network and in collaboration the National Association of Medication Access and Patient Advocacy (NAMAPA). We thank Amgen for sponsoring this episode.

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Discover Meka's journey with chronic hives in skin of color—a powerful story of resilience, self-advocacy, and building the right support system to get the care she deserves.

Emmeka, or "Meka," joins Dr. Gupta and Kortney to share her personal experience of living with chronic urticaria as a person with skin of color. Meka describes her journey from a lack of resources addressing hives on black skin to finding effective support and resources. She opens up about the long path to her diagnosis, the depth of her online research into chronic spontaneous urticaria (CSU), and the importance of finding knowledgeable, empathetic healthcare providers.

Meka’s optimism highlights how a proactive approach, a trusted care team, and a strong support network can make a difference in managing CSU.

What we cover in our episode about living with hives in black skin:* Identifying Hives on Darker Skin: Meka shares the challenge of finding accurate images of hives on darker skin tones, which can complicate the first steps of recognizing your condition and create feelings of isolation. * Advocating for Yourself in Healthcare: Meka provides strategies for effective self-advocacy during the diagnosis process, including tips for clear communication with healthcare providers. * Building a Support Network: Meka emphasizes the value of connecting with others who share similar experiences, including support groups and online communities. * Managing Symptoms & Minimizing Scars: Meka offers practical advice for managing CSU symptoms, reducing scarring, and strategies to avoid scratching.

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Chronic hives (urticaria) don’t look the same on everyone, and for people with skin of color, this can lead to confusion, misdiagnosis, and frustrating delays in treatment.

Dr. Ama Alexis joins Dr. Gupta and Kortney to discuss the unique challenges of diagnosing and managing urticaria in skin of color. Chronic spontaneous urticaria (CSU) can be especially tricky to identify in patients with darker skin tones, where traditional medical resources and visual aids often fall short.

Dr. Alexis explains how CSU appears differently in skin of color, discussing the difficulty of capturing hives on black and brown skin and offering advice for photographing hives to share with your doctor.

Dr. Gupta and Dr. Alexis also delve into the lack of diversity in clinical research and medical literature, exploring how these gaps contribute to mistrust and delays in treatment for patients of color. We end with a discussion on whether patients have better outcomes with providers who reflect the patient’s background.

What we cover in our episode about chronic urticaria in skin of color:* Identifying CSU in Darker Skin Tones: Dr. Alexis shares insights on how hives appear on darker skin and gives tips for photographing hives accurately. * Limited Visual Resources for Skin of Color: We discuss how a lack of reliable images for darker skin often leads to confusion and feelings of isolation. * Provider Training and Diagnosis Delays: Dr. Alexis highlights how limited training in diagnosing skin conditions across all skin tones contributes to delays in care. * Collaborating on a Treatment Plan: Tips for patients on advocating for inclusive care, with guidance on both over-the-counter and prescription options. * Cultural Sensitivity in Healthcare: Dr. Alexis shares ways healthcare providers can foster shared decision-making to improve outcomes for patients of color.

More resources about chronic hives in skin of color:

Chronic Urticaria Management, Resources & Glossary of Terms
What is Chronic Urticaria
Chronic Hives: 10 Actions to Support Mental Health
Chronic Spontaneous Urticaria Series

This episode is produced in partnership with Allergy & Asthma Network, with special thanks to Genentech for sponsoring this episode.

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Are you frustrated by the health insurance approval process for medication?

Many patients may not know what their doctors are doing behind the scenes when dealing with health insurance, and many doctors may feel overwhelmed by this process. There is a silver lining! Tools exist to help patients and providers better navigate the complexities of health insurance.

Elizabeth Johnson joins Dr. G and Kortney to share her expertise on overcoming the hurdles of securing medication approvals. She explains the biggest challenges healthcare providers face when working with insurance companies. She offers practical tips to navigate the approval process more efficiently.

Together with Dr. G, they discuss the lack of health insurance education for providers and the burden this places on medical staff. They also explore available resources and tools for healthcare professionals and stress the importance of incorporating insurance education early in medical training.

What we cover in our episode about health insurance from the provider’s side:* Provider Challenges: Elizabeth explains the common hurdles doctors face in securing medication approvals, from paperwork to insurance denials. * Navigating Insurance Companies: We explore the complexities of insurance approvals, from prior authorizations to the importance of good note-taking. * NAMAPA Toolkit: Elizabeth introduces the NAMAPA toolkit, designed to assist healthcare providers in navigating all aspects of health insurance. * Insurance Education: We highlight the need for insurance education during med school, residency and fellowship. * Health Insurance Resources: Elizabeth shares strategies to ensure healthcare professionals have the tools to handle medication approvals and the resources available from pharmaceutical companies.

More resources:

Medication Access Coordinator Training From NAMAPA
Health Insurance Coverage in the United States
Why was my prescription denied by insurance?
Health Insurance for Asthma and Allergies
Choosing the Right Health Insurance Plan
Navigating Insurance Denials and Filing Appeals
NAMAPA: National Association for Medication Access and Patient Advocacy
Medication Access Network
MedicoCX

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Has your medication been denied? Now what?

Before patients can access medications—whether it’s inhalers or biologic therapies—they often have to jump through many hoops to get insurance approval. Navigating the world of health insurance approvals for medication can be overwhelming for both patients and providers. In this episode, we break down what to expect, what you can do, and how to advocate for yourself throughout the process.

Lacey Varnon from the National Association of Medication Access and Patient Advocacy (NAMAPA) joins Dr. G and Kortney to dive into the complex world of health insurance. Lacey shares insights into common reasons for medication denials, how to appeal them, and how patients and healthcare providers can work together for better outcomes.

What We Cover in Our Episode About Health Insurance Approvals for Medications:* Health Insurance Basics: Understanding essential terms like payer and formulary. * Navigating Insurance Approvals: Tips for a smoother process, understanding prior authorization, and common reasons for medication denials. * Teamwork Between Patients and Providers: How patients and doctors can collaborate to improve chances of approval and streamline the documentation process. * The Appeals Process: A step-by-step guide to appealing denials and ensuring access to necessary treatments. * Support Programs & Resources: Insights into sample programs, bridge programs, and tools to help patients through the approval process.

More resources about health insurance denials and appeals:

Health Insurance Coverage in the United States
Why was my prescription denied by insurance?
Health Insurance for Asthma and Allergies
Choosing the Right Health Insurance Plan
Navigating Insurance Denials and Filing Appeals
NAMAPA: National Association for Medication Access and Patient Advocacy
Medication Access Network

This episode is made in collaboration with the National Association of Medication Access and Patient Advocacy (NAMAPA). We thank Amgen for sponsoring this episode.

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Are you curious about how biologic medications are transforming the treatment of asthma, eczema, allergies, and more?

Dr. Perdita Permaul joins Dr. Gupta and Kortney to discuss the available biologic medications for allergic conditions. We walk through the eight biologics currently available for allergic diseases, explaining how these medications target different parts of the immune system to treat allergic conditions more effectively than traditional medications.

Dr. Permaul explains how biologics have evolved since 2003 and how they are changing the way allergic conditions are treated. She also explains why some of the biologics treat multiple diseases, whereas some are only approved for one.

What we cover in our episode about the available biologics for allergic conditions* How biologics work for allergic conditions: We unpack how biologic medications target specific parts of the immune system, reducing inflammation and improving the quality of life for patients with allergic diseases. * History and evolution of biologics: Dr. Permaul walks us through the timeline of biologics, starting with Xolair in 2003 and how these treatments have expanded to target other conditions over time. * Which biologics treat which conditions: From asthma and eczema to food allergies and nasal polyps, we break down which biologics are available and how they help patients with allergic conditions. * Future of biologics: Dr. Permaul discusses the potential of biologics to be used for more conditions in the future, including ongoing research into food allergy treatments.

Biologics Cheat Sheet

Below is a list of the 8 biologics discussed in this episode. We have briefly outlined their mechanism of action along with the approved conditions and ages the drug is available for presecription.

Omalizumab (Xolair)

Xolair works by binding to IgE to prevent allergic reactions. It has since been approved for chronic hives, nasal polyps, and food allergies.

Allergic asthma: 6+
Chronic idiopathic urticaria (hives: 12+
Chronic rhinosinusitis with nasal polyps (CRSwNP): 18+
Food allergies:1+

Mepolizumab (Nucala)

Targets and blocks interleukin-5 (IL-5) play a key role in the activation and priming of eosinophils, a type of white blood cell that causes inflammation in asthma.

Eosinophilic Asthma: 6+
CRSwNP: 18+
Eosinophilic Granulomatosis with Polyangiitis (EGPA): 18+
Hypereosinophilic Syndrome: ≥6 months

Reslizumab (Cinqair)

Targets and blocks interleukin-5 (IL-5).

Eosinophilic asthma: 18+

Benralizumab (Fasenra)

Binds to the IL-5 receptor, preventing eosinophils from growing and causing inflammation.

Eosinophilic asthma: 6+
Eosinophilic Granulomatosis with Polyangiitis (EGPA): 18+

Dupilumab (Dupixent)

Targets and blocks IL-4 and IL-13 to reduce inflammation

Asthma: 6+
Atopic Dermatitis: 6 months+
CRSwNP: 18+
Eosinophilic Esophagitis (EoE): 1+ (> 33 lbs)
Approved for prurigo nodularis (PN): 18+

Tezepelumab (Tezspire)

Blocks thymic stromal lymphopoietin (TSLP).

Asthma: 12+

Tralokinumab (Adbry, Adtralza)

Targets and neutralizes interleukin-13 (IL-13).

Atopic dermatitis: 12+

Lebrikizumab (Ebglyss)

Targets and neutralizes interleukin-13 (IL-13).

Atopic dermatitis: 12+ (> 40 lbs)

________

This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Sanofi-Regeneron for sponsoring today’s episode. While they support the show, all opinions are our own, and sponsorship doesn’t influence our content or editorial decisions. Any mention of brands is for informational purposes and not an endorsement.

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Do food allergies impact all communities in the same way?

Dr. Vivian Hernandez-Trujillo joins Dr. G and Kortney to discuss the impact of health disparities on allergy outcomes within the Hispanic and Latino communities. Dr. Hernandez-Trujillo highlights the challenges posed by immigration status, language barriers, and cultural factors that contribute to unequal access to healthcare. These disparities often lead to difficulties in managing conditions like food allergies and asthma.

Dr. Hernandez-Trujillo emphasizes the importance of having an advocate in the healthcare system. Dr. G and Dr. Henandez-Trujillo discuss how building a strong relationship with your doctor is key to better outcomes.

Dr. Hernandez-Trujillo also addresses how cultural beliefs and practices within the Hispanic community influence the understanding and management of food allergies and the need for healthcare providers to enhance their cultural competency.

What we cover in our episode about health disparities in the Hispanic and Latino Communities:* Health Disparities: Immigration status and language barriers significantly impact healthcare access and outcomes in the Hispanic community. * Role of an Advocate: Why it is important to have an advocate and maintain a strong relationship with your healthcare provider to navigate the healthcare system. * Challenges with Allergy Testing: What are the difficulties the Hispanic population faces with allergy testing, including issues related to insurance coverage? * Cultural Beliefs and Practices: How cultural beliefs and practices within the Hispanic community influence the understanding and management of food allergies. * Cultural Competency: How healthcare providers can enhance their cultural competency to better serve Hispanic patients.

About Our GuestDr. Vivian Hernandez-Trujillo is a board-certified allergist and immunologist at Nicklaus Children’s Hospital, where she specializes in treating allergies and immune conditions in children. Dr. Hernandez-Trujillo is deeply committed to addressing health disparities and improving healthcare access for underserved communities. She is actively involved in research and education, focusing on culturally competent care and advocating for patients within the Hispanic community. Her clinical interests include food allergies, asthma, and other allergic conditions.

More resources about XXX:

¿Qué es una alergia alimentaria?
GoogRx Espagñol
Serie de conferencias virtuales Unidos Hablemos

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Starting biologic therapy can be life-changing, but navigating the process isn’t always easy.

Dr. William Anderson joins Dr. Gupta and Kortney to break down the essential steps for starting biologic therapy, covering everything you need to know before beginning treatment. Biologics are at the forefront of managing chronic allergic diseases like asthma and eczema, offering targeted, personalized care that can improve patients’ quality of life. However, accessing these medications often requires navigating a maze of insurance approvals, prior authorizations, and specialty pharmacies.

We dive deep into the challenges patients face when starting biologics—understanding how to get coverage, managing co-pays, and coordinating with specialty pharmacies, all while handling the logistics of administering the medication. As someone who has just started a biologic herself, Kortney shares her own experience and reflects on how this episode provides the exact information she wished she’d had a few months ago.

What we cover in our episode about starting a biologic medication* Getting informed before starting biologic therapy: Dr. Anderson explains why reviewing your medication’s patient website is a great first step. These resources often include videos and important details about the treatment. * Navigating insurance and coverage: Insurance is often the biggest hurdle to starting biologics. Dr. Anderson highlights the role your doctor plays in this. Additionally, we discuss the importance of understanding your coverage, prior authorization, and working with specialty pharmacies to ensure you get the medication. * Administration and storage of biologics: Whether it’s self-injection or infusion at a clinic, we explain how biologics are administered. Dr. Anderson also provides tips on proper storage, including refrigeration and traveling with biologics. * Vaccines and biologics: Find out whether patients on biologic therapy should avoid live vaccines and how inactivated vaccines like the flu shot are generally safe to take. * Long-term planning for biologics: Learn about the regular follow-ups and monitoring that are part of managing biologic therapy. Dr. Anderson discusses the importance of staying on track with your doses and follow-up appointments to ensure your biologic works effectively.

About our biologics expert, Dr. William Anderson

Dr. William Anderson, is a board-certified pediatric allergist and immunologist at Children’s Hospital Colorado. With a focus on treating children with complex allergic conditions such as asthma, eczema, and food allergies, Dr. Anderson is known for his patient-centered approach. He has extensive experience in biologic therapies and is dedicated to improving the quality of life for patients through personalized care. Dr. Anderson also actively participates in clinical research, staying at the forefront of advances in allergy and immunology treatments.

More resources about biologic therapies and the conditions they treat:

A systematic review and expert Delphi Consensus recommendation on the use of vaccines in patients receiving dupilumab: A position paper of the American College of Allergy, Asthma and Immunology
Biologic Medications Overview
Understanding Asthma
Allergies Explained
Managing Food Allergies
Understanding Eczema
What if I Can’t Afford My Eczema Medication?
What if I Can’t Afford My Asthma Medication?

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Curious about what’s fact and what’s fiction when it comes to biologic medications?

We’re uncovering the truth behind the most pervasive myths about biologic medications with guest Dr. Cedric “Jamie” Rutland. Biologics are revolutionizing the treatment of allergic diseases like asthma and eczema, but misconceptions about their effectiveness, safety, and usage still persist. Dr. Rutland sets the record straight, debunking myths that may be clouding your understanding and decision-making process.

From whether biologics are a cure to concerns about long-term safety and side effects, this episode tackles the most common myths head-on. Dr. Rutland breaks down what biologic therapy truly offers, helping you make informed decisions about your treatment options.

What we cover in our episode about biologics facts* Are biologics a cure? Dr. Rutland explains that biologics help manage symptoms, but they are not a complete cure. * Biologics vs. traditional medications: We clarify how biologics differ from traditional medications in the way they target the immune system at a molecular level. * Do biologics have severe side effects? We dispel myths about severe side effects. * Long-term effectiveness of biologics: Dr. Rutland talks about how biologics maintain effectiveness over time for most patients. * Do you have to stay on biologics for life? Learn how long patients typically stay on biologic treatments and whether they are lifelong therapies. * When should biologics be considered? We address the myth that biologics are only for when all other treatments have failed and discuss when biologics should be introduced. * Can you stop other medications while on biologics? Dr. Rutland explains that biologics are often used alongside other medications, not as a replacement. * Who can use biologics? We debunk the myth that biologics are only for adults or that they can't be used if you have multiple health issues. * Biologics and cancer risk: A common concern, but Dr. Rutland explains the actual risks and dispels the misconception that biologics cause cancer. * Are biologics immunosuppressive? We discuss how biologics work on the immune system without broadly suppressing it like other treatments might. * Biologics in medical practice: Dr. Rutland talks about the role of doctors and financial incentives, explaining why doctors prescribe biologics and how they make treatment decisions. * Do biologics work immediately? Dr. Rutland sets the record straight on how long it typically takes for biologics to start working. * Biologics are not experimental: Biologics have been widely studied and are not experimental treatments. * Administration of biologics: We address the myth that biologics must be administered only in hospitals, explaining how patients can receive them at home or in clinics. * Biologics are not interchangeable: Dr. Rutland explains the importance of sticking with the biologic prescribed specifically for a patient's condition. * Prescribing biologics: While specialists typically prescribe biologics, we explore how general practitioners can also be involved in the process. * Lifestyle changes and biologics: We discuss the misconception that biologics eliminate the need for lifestyle changes. * Are biologics unnecessary for mild symptoms? Dr. Rutland explains that biologics are not only for severe symptoms but can also be considered for other cases.

More resources about biologic therapy and the conditions they treat:

https://biologicmeds.org/
https://allergyasthmanetwork.org/what-is-asthma/
https://allergyasthmanetwork.org/allergies/
https://allergyasthmanetwork.org/food-allergies/
https://allergyasthmanetwork.org/what-is-eczema/

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What are biologic medications, and how can they help people with allergic diseases?

We discuss biologic medications with Dr. Berger, a leading expert in biologic therapy for allergic diseases. Since the first biologic was introduced in 2003, these treatments have advanced significantly. By targeting the root causes of inflammation, biologics offer a more precise, personalized approach to treating conditions like asthma and eczema. Unlike traditional medications, biologics are a breakthrough, opening the door to tailored care that improves patients' long-term symptom control and quality of life.

Dr. Berger explains biologic medications, how they work at a molecular level, and how they impact the immune system. As Kortney recently started biologic therapy, we also get a firsthand account of patients' decision-making process and concerns when considering biologic treatments. These innovative therapies not only control symptoms but can transform the daily lives of people living with chronic allergic diseases, providing hope for better, long-term outcomes.

What we cover in this episode about the basics of biologic medications:* What is a biologic medication? Dr. Berger explains how biologic medications differ from traditional treatments by focusing on precision-based medicine, offering a revolutionary way to target specific aspects of the immune system. * How biologic therapies target molecular inflammation: Learn how biologic treatments act on specific inflammatory molecules, offering hope for better control and relief for patients with severe asthma, eczema, and more. * Do biologics suppress the immune system? We address common questions about biologic therapy, its effects on the immune system, and potential side effects. * The evolution of biologic treatments. A look at how biologic medicine has advanced since 2003 and its role in reshaping asthma therapy and other allergic disease treatments, providing exciting new options for patients. * Improving quality of life for allergic disease patients with biologics. We discuss how, for many, biologics have been life-changing. * Steps for patients considering biologic treatment. Dr. Berger offers practical advice for patients interested in discussing biologic therapy with their healthcare providers.

About our biologic medication expert - Dr. BergerDr. William E. Berger is a past Clinical Professor in the Department of Pediatrics at the University of California-Irvine and served as Medical Director of Southern California Research in Mission Viejo. He is a board-certified allergist and immunologist with a distinguished career, including roles as President of the American College of Allergy, Asthma & Immunology and as Medical Staff Allergist for the U.S. Olympic Swim Team. Dr. Berger has published over 200 peer-reviewed articles and authored books like Asthma for Dummies, focusing on allergy and asthma treatments. He is widely recognized as an expert in his field, frequently appearing on major media outlets like CNN and Good Morning America.

More resources about biologic therapy:

https://biologicmeds.org/
https://allergyasthmanetwork.org/what-is-asthma/
https://allergyasthmanetwork.org/allergies/
https://allergyasthmanetwork.org/food-allergies/
https://allergyasthmanetwork.org/what-is-eczema/

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There’s never been a better time to be a CSU patient, with cutting-edge therapies and revolutionary treatments just around the corner. As research accelerates, new and promising options that could significantly improve the quality of life for those living with Chronic Spontaneous Urticaria are coming to market.

In this episode, Dr. Matthew Zirwas joins us to discuss the latest advancements in treating CSU, offering invaluable insights into both current and emerging treatment options. With his extensive experience and patient-centred approach, Dr. Zirwas breaks down the complexities of CSU and highlights how these new therapies can make a real difference.

This podcast was made in partnership with Allergy & Asthma Network. We thank Novartis for sponsoring this podcast.

What We Cover in Our Episode About Emerging Chronic Spontaneous Urticaria Treatments:* How Dr. Zirwas explains CSU to his patients: Discover the patient-friendly explanations that help demystify CSU and empower patients to learn more about their disease. * When to start with a biologic: Learn about the decision-making process for initiating biologic therapies like Xolair (omalizumab) and when they are most appropriate. * The new medications coming to market: Get an overview of the latest advancements, including: + Dupixent (dupilumab): A biologic administered via injection that targets key pathways in the inflammatory response. + Remibrutinib: A BTK (Bruton tyrosine kinase) inhibitor available as a pill that blocks a crucial enzyme in mast cell activation. + Barzolvolimab: A promising biologic that targets the C KIT receptor on mast cells to reduce their number. * Shared decision-making with these medications: Explore strategies for choosing the most appropriate treatment in a rapidly evolving therapeutic landscape. * Research into the underlying cause of CSU: What’s happening on the research front to uncover the root causes of CSU.

About Our GuestDr. Matthew Zirwas, MD, is a board-certified dermatologist and a nationally recognized expert in allergy patch testing, psoriasis, and eczema. He founded the Bexley Dermatology Research Clinic, offering patients access to the latest treatment options before they are widely available. Dr. Zirwas also serves as a dermatologic advisor for several companies, including ALL Laundry Detergent and Cerave, and contributes to Women’s Health Magazine. Learn more about Dr. Zirwas.

More resources about chronic spontaneous urticaria:

Chronic Urticaria Management, Resources & Glossary of Terms: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/management-and-resources/
What is Chronic Urticaria: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/
More information about Omalizumab (Xolair): https://www.xolair.com/chronic-spontaneous-urticaria.html

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Did you know that the month of September sees a drastic rise in asthma attacks and hospitalizations?

Dr. G and Kortney delve into the challenges that asthmatics face during the fall season, also known as "peak week." Despite what the name suggests, asthma cases start to rise in the second week of September and continue into early October before returning to normal levels.

We begin by defining asthma and then explore why asthma attacks are more prevalent in September. We discuss the role of germs and viruses, indoor and outdoor allergens, and cold weather in exacerbating asthma symptoms. Dr. G also shares tips on how to lessen your exposure to these triggers. Additionally, we cover the importance of having an asthma action plan and the significance of well-controlled asthma.

Dr. G also discusses the financial aspects of asthma management and offers advice on how to discuss this with your doctor.

Listener survey: https://forms.gle/6Pb2PGq6nuVReasZ6

What we cover in our episode about the rise in September asthma attacks* Why September is Peak Asthma Season: Explore why asthma attacks increase in the fall and what you can do to prepare. * The Role of Germs and Viruses in Asthma: Understand how illnesses can trigger asthma and learn tips for staying healthy. * Indoor and Outdoor Allergens: Discover how common allergens like dust mites, pet dander, ragweed, and mold can affect asthma, and what you can do to limit exposure. * Preparing for Peak Week: Essential steps to take before asthma season hits, including scheduling doctor visits and creating an action plan. * Asthma Management Tips for Different Age Groups: Advice for school-aged children and elderly patients to ensure they receive the best care.

More resources about asthma peak week:

Asthma and Allergy Forecast: pollen and allergen count https://allergyasthmanetwork.org/weather/
10 Ways to Stay Healthy During the September Asthma Peak Week https://allergyasthmanetwork.org/news/10-ways-to-stay-healthy-during-september-asthma-peak/
Seasonal allergies: https://allergyasthmanetwork.org/news/seasonal-allergies/
Asthma attack: https://allergyasthmanetwork.org/what-is-asthma/asthma-attack/
What if I Can’t Afford My Asthma Medication? https://allergyasthmanetwork.org/what-is-asthma/what-if-i-cant-afford-my-asthma-medication/
Asthma Management and Control (2:2:1 Rule) https://allergyasthmanetwork.org/what-is-asthma/asthma-management-and-control/
AirQ https://www.airqscore.com/en/main-page.html
ACT Test https://www.asthmacontroltest.com/welcome/

We want to thank AstraZeneca for sponsoring this episode.

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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This episode is a quick-fire round covering the misunderstood aspects of chronic spontaneous urticaria (CSU), a condition that perplexes many due to its spontaneous nature. With over 1.7 million people affected, it's more common than you might think and deserves a closer look. Despite its prevalence, many misconceptions persist about what causes CSU, its symptoms, and how it can be treated.

Kortney and Dr. Gupta tackle the myths and misconceptions around CSU. Unpacking its impacts on quality of life and the challenges those living with the condition face. They explore the realities of living with CSU, from the pervasive itch to the emotional toll it can take. Whether you're a patient, caregiver, or healthcare professional, this episode offers valuable insights into the realities of managing CSU.

This podcast was made in partnership with Allergy & Asthma Network. We thank Novartis for sponsoring this podcast.

The chronic spontaneous urticaria myths and misconceptions we cover in our episode* CSU is caused by allergies. * CSU is contagious. * CSU is a rare condition. * CSU is not a serious condition. * Stress is the main cause of CSU. * CSU only affects the skin. * CSU will go away quickly. * There isn’t any treatment for chronic hives. * Antihistamines are the only treatment for CSU. * Changing your diet will help CSU. * CSU can be cured. * Once CSU goes away, it will never come back again. * Men and women are equally affected by CSU. * You can always pinpoint the exact cause of hives in patients with CSU. * Autoimmune conditions are more common in people with CSU. * Scratching hives is harmless. * Once my hives are controlled, I need to be on the medication forever. * All hives look the same. * Only adults get CSU. * CSU hives are always accompanied by other allergic symptoms like swelling or difficulty breathing. * Having CSU doesn’t affect quality of life. * The itch in CSU is not a big deal. * Allergy testing will help me figure out why I have CSU.

More resources about chronic spontaneous urticaria:

Chronic Urticaria Management, Resources & Glossary of Terms: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/management-and-resources/
What is Chronic Urticaria: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/
More information about Omalizumab (Xolair): https://www.xolair.com/chronic-spontaneous-urticaria.html

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Imagine being so itchy that you’d consider cutting off your skin just for relief. That’s what it can be like living with chronic spontaneous urticaria.

We sit down with Heather, a patient living with chronic spontaneous urticaria, as she candidly shares her experiences from the initial diagnosis to navigating the complex landscape of treatments and mental health support. Her story sheds light on the day-to-day struggles and triumphs of managing CSU, offering hope and practical advice for those in similar situations.

Dr. G unpacks Heather's diagnosis and treatment journey, including antihistamines and Omalizumab. Dr. G also highlights the importance of managing mental health. Kortney shares her experience of itch and, with Heather, discusses the impact of chronic itching on quality of life and how to explain this to friends and family.

What we cover in our episode about living with chronic spontaneous urticaria* Heather's Journey with CSU: Heather shares her initial diagnosis and the rollercoaster of emotions and challenges that followed. * Anaphylaxis vs. CSU: Understanding the critical differences between these two conditions. * Finding the Right Treatment Plan: The journey to discovering effective medications like antihistamines and the injectable - Omalizumab (Xolair). * Mental Health Support: The importance of therapy and online resources in managing life with CSU. * Management strategies: Heather shares what works for her in managing exacerbating situations. * Advice for New Patients: Heather offers valuable advice for those beginning their CSU journey.

More resources about chronic spontaneous urticaria:

Chronic Urticaria Management, Resources & Glossary of Terms: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/management-and-resources/
What is Chronic Urticaria: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/
More information about Omalizumab (Xolair): https://www.xolair.com/chronic-spontaneous-urticaria.html
Episode Heather talks about where she learned to call her condition Lynda: https://www.itchpodcast.com/episodes/71-living-with-mastocytosis

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Yes, there are more options than antihistamines to treat chronic spontaneous urticaria. We dive into them!

Dr. Sheila Gogate joins us to discuss the chronic spontaneous urticaria (CSU) treatments currently available for patients. Dr. Shaila Gogate outlines the treatment journey for CSU with an emphasis on shared decision-making.

This episode emphasizes the importance of following treatment guidelines and adjusting medications as needed. We discuss the available treatments for urticaria, including antihistamines, omalizumab (Xolair for hives), and Cyclosporine. The episode also explores the journey of managing CSU symptoms through both medical and non-medical approaches.

What we cover in our episode about chronic spontaneous urticaria treatments* Treatment Path and Guidelines: Overview of doctors' steps to treat CSU. The importance of shared decision-making in the treatment plan. * Antihistamines: Role of oral antihistamines and H2 blockers in managing hives, dosing options, side effects, when to change medications, and how to choose the right antihistamine. * Advanced Treatments: If antihistamines fail, the following steps include omalizumab (Xolair) injections or Cyclosporine. An overview of both dosing options and side effects. * Emerging Therapies: Treatments like Remibrutinib and Dupilumab. * Quality of Life and Non-Medical Management: The Urticaria Activity Score (UAS7). Mental health screening for CSU patients and strategies like stress reduction and if special diets are effective.

About our guest, Dr. Shaila GogateDr. Shaila Gogate, board-certified by the American Board of Allergy & Immunology, has been with Colorado Allergy & Asthma Centers since 2014. She completed her medical education at Chicago Medical School, her residency at Washington University, and her fellowship at National Jewish Health in Denver. Dr. Gogate has served as an Assistant Professor at the University of Colorado, has extensive clinical research experience, and emphasizes strong patient-provider communication to develop effective treatment plans.

More resources about chronic spontaneous urticaria:

Chronic Urticaria Management, Resources & Glossary of Terms: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/management-and-resources/
What is Chronic Urticaria: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/
How Mast Cells Work Video_ mast cell video - explanation of mast cell (07:20): https://youtu.be/OF7tBIvMK_0?si=osJaIpTrivUP1Owr
Urticaria Activity Score (uas7): https://www.mdcalc.com/calc/10226/urticaria-activity-score-uas

More information about XOlair: https://www.xolair.com/chronic-spontaneous-urticaria.html

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How is the black community impacted by food allergies?

Dr. Carla Davis joins Dr. G and Kortney to discuss the impact of social determinants of health on food allergy outcomes within the Black community. Dr. Davis highlights historical factors like redlining and insurance disparities that exacerbate health disparities, resulting in higher prevalence rates of food allergies and multiple allergies among Black patients. These disparities often lead to increased emergency room visits and barriers to accessing allergen-free foods, compounded by socioeconomic challenges and food insecurity.

Dr. Davis also underscores how cultural differences significantly influence the management of food allergies within families, particularly during gatherings, and emphasizes the crucial role of media representation in raising awareness and promoting acceptance.

We discuss the critical need for increased Black representation in research trials, recognizing the challenges posed by longstanding mistrust in the medical community among Black patients.

Key Points Covered in This Episode:

Health Disparities: Social factors significantly impact food allergy outcomes in the Black community.
Limited Healthcare Access: Redlining and insurance disparities restrict healthcare access, worsening health outcomes.
Food Insecurity: Challenges in accessing allergen-free foods are heightened by food insecurities and food deserts.
Cultural Factors in Food Allergy Management: Cultural influences play a crucial role in managing food allergies within families.
Resources for Food Allergies: Essential support from food banks and allergy organizations for managing allergies and food insecurity.
Communication Tips for Patients: Practical advice for effective communication and advocacy with healthcare providers.
Historical Mistrust of the Medical Community: Historical discrimination contributes to mistrust in healthcare, affecting access and outcomes.

Helpful Resources

Health Disparities in Allergy, Asthma and Immunologic Diseases (New Webinar July 16, 2024): https://allergyasthmanetwork.org/webinars-updates/health-disparities-diseases/
Black People Like Me Virtual Conference Series 2024: https://allergyasthmanetwork.org/trusted-messengers-project/black-people-like-me-2024/
Food Allergy Resources: https://allergyasthmanetwork.org/allergies/
School Plans for Students with Food Allergies: https://allergyasthmanetwork.org/news/school-plans-students-food-allergies/

Food Equality Initiative - Food Allergy Friendly Food Bank Resource: https://www.foodequalityinitiative.org/

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How do you know if your hives are chronic spontaneous urticaria?

Join Kortney and Dr. Payel Gupta in the second episode of this chronic spontaneous urticaria (CSU) series as they delve into the diagnostic journey of CSU.

Have you wondered if the path to a chronic spontaneous urticaria diagnosis is long? CSU can feel like a very complex disease to diagnose due to the lack of identifiable triggers, but this episode breaks down the steps healthcare professionals take to diagnose CSU.

Dr. G clarifies how allergists' and dermatologists' roles differ in diagnosing CSU. The episode emphasizes the importance of a detailed medical history and the tests involved in ruling out other conditions. It also describes the journey of determining CSU from other skin and allergic reactions through meticulous evaluation and specific testing methods.

What we cover in our episode about diagnosing Chronic Spontaneous Urticaria:* Introduction to CSU Diagnosis: CSU has no identifiable triggers, making diagnosis a process of elimination. * Role of Specialists: Patients often start their diagnosis journey at urgent care, after which they consult allergists and dermatologists depending on the severity and symptoms of hives. * Detailed Medical History: Essential questions cover medications, infections, travel history, and other health changes to rule out underlying causes. * Physical Examination: Doctors check if hives are “blanchable” to differentiate from other conditions like vasculitis. * Ruling out other Conditions: This involves evaluating other conditions in which hives are a symptom, such as mast cell disease or various autoimmune diseases. * Necessary Tests: Doctor’s apprehension about doing a food allergy test unless necessary. Other tests include looking at blood count (CBC with differential) and inflammation (ESR or CRP).

More resources about chronic spontaneous urticaria:

Chronic Urticaria Management, Resources & Glossary of Terms:https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/management-and-resources/
What is Chronic Urticaria: https://allergyasthmanetwork.org/health-a-z/chronic-urticari

This episode is produced in partnership with Allergy & Asthma Network. We want to thank Novartis for sponsoring this episode.

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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Do you get hives and have no clue why? Then this episode is for you!

Join Kortney and Dr. Gupta as they unpack chronic spontaneous urticaria (CSU) in a six-part series. You may also have heard of this condition called chronic idiopathic urticaria or spontaneous urticaria.

In this first episode, Kortney and Dr. Gupta dive into the nitty gritty of chronic spontaneous urticaria. They define the medical term "urticaria," commonly known as hives, and discuss how CSU differs from other forms of urticaria. They dive into the symptoms, including the itchy and transient nature of hives, and emphasize that CSU can vary in appearance depending on skin tone.

What may seem complicated in chronic spontaneous urticaria is that there are no triggers. Instead, Dr. G walks us through the factors that may be culprits to CSU flares, such as stress and certain medications, and she highlights the impact of autoimmune conditions on CSU prevalence.

What we cover in our episode about chronic spontaneous urticaria:* Definition and symptoms of urticaria (hives) * Differences between chronic spontaneous urticaria (CSU) and chronic inducible urticaria (CINDU) * The definition of chronic spontaneous urticaria and its symptoms * The role of histamine in hives * The mechanisms of itch and why scratching feels so good * Factors that can exacerbate chronic spontaneous urticaria * Populations most affected by chronic spontaneous urticaria * The average duration of CSU symptoms * Is chronic spontaneous urticaria curable

More resources about chronic spontaneous urticaria:

Chronic Urticaria Management, Resources & Glossary of Terms: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/management-and-resources/
What is Chronic Urticaria: https://allergyasthmanetwork.org/health-a-z/chronic-urticaria/
Episode 39: urticaria what causes hives? https://www.itchpodcast.com/episodes/39-urticaria

This episode is produced in partnership with The Allergy & Asthma Network. We thank Novartis for sponsoring this episode and the series.

Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

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As temperatures rise and weather patterns become more unpredictable, the effects of climate change on respiratory health become even more noticeable.

Dr. Stephanie Lovinsky-Desir, an expert in respiratory health, joins Dr. G and Kortney to discuss how climate change exacerbates respiratory conditions like asthma, particularly affecting vulnerable populations.

The episode explores why we should consider the connection between climate change and asthma. Understanding the mechanisms behind it is crucial. Dr. Lovinsky-Desir explains how increased temperatures lead to higher levels of air pollution and create “heat islands" in urban areas. Heat islands are urban areas that are significantly warmer than their surrounding rural areas due to human activities. These islands intensify health risks by trapping heat and pollutants, worsening air quality and increasing respiratory distress.

Dr. Lovinsky-Desir and Dr. G share practical measures that are easy to implement and can significantly help us navigate poor air quality. These include wearing masks during high pollution and monitoring air quality through initiatives like the State of the Air Report or your weather app. She also highlights the role of organizations like the American Lung Association in providing resources and support for improving indoor air quality.

We hope this episode helps you better understand climate change's impact on air quality, the overall environment, and lung health. Hopefully, you can take meaningful steps towards a healthier future for all. If you are in doubt about the impacts of climate change, this episode is for you!

What we cover in our about climate change, air pollution and lung health* The relationship between air pollution, air quality and climate change * The impact of climate change on season allergies * The effect of air quality on lung health * The populations most impacted by poor air quality * Poor housing and its effects on lung health * Programs and resources help make housing healthier * What you can do to keep your lungs safe * How to explain to someone why they need to care about climate change and asthma

Helpful links

More about our sponsor, Chiesi: https://www.chiesiusa.com/
Pollen Report from Allergy Asthma Network: https://allergyasthmanetwork.org/weather/
State of the Air Report from The Lung Association: https://www.lung.org/research/sota
Tips to Manage Asthma and Allergies Caused by Climate Change: https://allergyasthmanetwork.org/news/climate-change-what-you-can/
Lifestyle Changes to Manage Asthma: https://allergyasthmanetwork.org/what-is-asthma/lifestyle-changes-to-manage-asthma/

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Have you ever searched for information on mast cell disease only to be overwhelmed by alarming topics like cancer and stem cell transplants? Then this episode is for you!

Our guest, Dr. Marina Kremyanskaya, joins hosts Dr. G and Kortney to provide insight into the progression of systemic mastocytosis and the available treatment options to improve quality of life and extend lifespan.

Dr. Kremyanskaya distinguishes between indolent and aggressive systemic mastocytosis, shedding light on warning signs indicating disease progression. She offers a detailed exploration of treatment approaches for aggressive mastocytosis, highlighting the evolving treatment plan and differing prognosis from indolent cases. Additionally, Dr. Kremyanskayaa delves into the concept of myeloid malignancy, providing insight into the more challenging aspects of advanced systemic mastocytosis progression.

We also dive into stem cell transplants as a potential cure for advanced systemic mastocytosis. Dr. Kremyanskaya explains why this option is not immediately pursued due to the complexity of the procedure and the risk of graft-versus-host disease (GvHD), a potential complication associated with stem cell transplants.

What we cover in this episode about advanced systemic mastocytosis:

Understanding indolent systemic mastocytosis
Signs indicating progression to advanced mastocytosis.
Treatment strategies for aggressive mastocytosis and associated prognosis.
Explanation of advanced systemic mastocytosis with or without hematologic malignancy.
Definition of myeloid malignancy.
Understanding the impact of advanced systemic mastocytosis on organs.
The effectiveness of early treatment in slowing down the progression.
The role of stem cell transplant in treating mastocytosis.
Stem cell transplant and associated risks
- Role of chemotherapy in stem cell transplant.
- Overview of graft-versus-host disease.
- Addressing whether stem cell transplant serves as a cure for mast cell disease.

Resources about mast cell disease:* Mast Cell Disease Overview: https://allergyasthmanetwork.org/health-a-z/mast-cell-diseases/ * What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/ * What is Epinephrine? https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/ * The Mast Cell Disease Society: https://tmsforacure.org/

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Why talk to a hematologist about mast cell disease and systemic mastocytosis treatment?

Dr. Douglas Tremblay, a leading hematologist, joins Dr. G and Kortney to discuss the role of a hematologist-oncologist in diagnosing and treating mastocytosis. We discuss bone marrow's vital role in diagnosing and treating systemic mastocytosis.

Dr. Tremblay discusses the latest KIT inhibitors, a promising group of medications, and explains the difference between indolent and advanced systemic mastocytosis. He clarifies how KIT inhibitors work and emphasizes the importance of managing side effects. Finally, Dr. Tremblay provides insights into the future of KIT inhibitor approval and explores the possibility of participating in a clinical trial for Bezulastinib.

What we cover in this episode about treating systemic mastocytosis:

What is a hematologist looking at with mast cell disease patients?
Mast cell diseases and the role of bone marrow
- Bone marrow biopsy for systemic mastocytosis
- What is a bone marrow biopsy?
- Information bone marrow biopsy provides for diagnosis
KIT mutation
KIT mutation testing in bone marrow and blood (digital droplet PCR)
Indolent Mastocytosis versus Advanced Mastocytosis
Current research for treating mast cell disease
How KIT inhibitors work
Do KIT inhibitors weaken the immune system?
KIT Inhibitors discussed in this episode:
- Avapritinib
- Bezulastinib
- Elenestinib
Are KIT inhibitors a cure for mast cell disease?
Determining the tolerance for side effects of medications when researching and adding new medicines for diseases
The meaning of ‘NIB’ in the medication names
The timeline for the new KIT inhibitors approval
The type of patient that can participate in the clinical trials for Bezulastinib

Resources about mast cell disease:* Dr. Tremblay: https://profiles.mountsinai.org/douglas-a-tremblay

+ Dr. Tremblay’s email: douglas.tremblay@mssm.edu

Mast Cell Disease Overview: https://allergyasthmanetwork.org/health-a-z/mast-cell-diseases/
What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/
What is Epinephrine? https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/
The Mast Cell Disease Society: https://tmsforacure.org/
Current studies enrolling patients: https://tmsforacure.org/clinical-trials/

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What is it like when an unpredictable disease like systemic mastocytosis forces you to change the trajectory of your life?

As we continue to unpack mast cell disease, Dr. G and Kortney wanted to get the patient's perspective on living with such a complex disease. Tammie joins the podcast to discuss her journey battling mastocytosis, a rare condition affecting mast cells in the body.

If you ever feel alone on your chronic health journey, know you aren’t! Tammie's resilience and wisdom serve as a beacon of hope. We hope this inspires you to approach your health journey with determination and a sense of community.

What we cover in this episode:

Tammie’s mastocytosis journey
The challenges of not getting a proper diagnosis
The pros and cons of being able to google medical conditions
What do to when a doctor does not want to take you on as a patient
How Tammie separates the disease from her life
How do you navigate work with a chronic disease?
Working with a mental health team
How do you ask your family/friends for help
Patient's relationship with their healthcare team
Pros and cons of an online community for chronic disease and the importance of a real-life community

Connect with Tammie online:

TikTok https://www.tiktok.com/@rachelllargentphillips
Instagram https://www.instagram.com/tammie_rachell/

Resources about mast cell disease:

Mast Cell Disease Overview: https://allergyasthmanetwork.org/health-a-z/mast-cell-diseases/
What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/
What is Epinephrine? https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/
The Mast Cell Disease Society: https://tmsforacure.org/

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Can a low-histamine diet help with mast cell disease? Why is stress a big trigger for mast cell disease?Dr. Milner joins us again to discuss two hot topics in managing mast cell disease. We start by demystifying the low histamine diet and sharing when appropriate. The answer may be different from what you expect or want to hear. We also talk about stress, a topic we are learning impacts so many chronic diseases, especially those related to mast cells. Stress can worsen symptoms, and in this episode, both doctors emphasize the importance of stress management techniques.

What we cover in this episode about low histamine diet and stress management

Why go on a low histamine diet?
What is histamine intolerance?
How well do low histamine diets work for mast cell disease?
The impact of stress on mast cell disease
Stresses impact on the gut
Stress management is integral in mast cell disease treatment

More resources about mast cell disease:

Mast Cell Disease Overview: https://allergyasthmanetwork.org/health-a-z/mast-cell-diseases/
What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/
What is Epinephrine?https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/
The Mast Cell Disease Society: https://tmsforacure.org/

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Where do you begin with mast cell disease treatment when there is such variation among patients?

Dr. Milner is back with us to discuss the difficulties in treating mast cell activation syndrome and mastocytosis. We will discuss the different approaches to treating mast cell disease and the medications used for mastocytosis treatment. Since no single treatment plan works for everyone, we will explore multiple strategies that can be helpful in managing this condition.

A note: when you hear MCAS mentioned, it stands for Mast Cell Activation Syndrome.

What we cover in our episode about treating mast cell diseases:* What are the steps taken to treat mast cell diseases? * Histamine blockers: antihistamines for mast cell disease and H2 blockers * Mast cell stabilizers: Cromolyn and Ketotifen * Xolair * Other medications that have been used but not recommended: aspirin, steroids, Singulair * Epinephrine and anaphylaxis * Tyrosine kinase inhibitors (TKI) for Mastocytosis: Avapritinib, Midostaurin * Safety concerns and side effects of Tyrosine kinase inhibitors * Multidisciplinary approach to managing mast cell disease

About our guest - Dr. Josh MilnerJoshua Milner, MD, is a renowned leader in discovering and understanding genetic diseases leading to allergic symptoms, including Hereditary Alpha Tryptasemia Syndrome, PLAID, PGM3 deficiency, ERBIN mutation, and others. With a background in biology from MIT and an MD with distinction in immunology from Albert Einstein College of Medicine, Dr. Milner has extensive experience in pediatrics and allergy and immunology, serving as chief of the Laboratory of Allergic Diseases at NIAID.

His vision is to leverage genetic variation to improve diagnosis and care for patients with allergic diseases through comprehensive genetic sequencing and functional studies, aiming for personalized medicine and interdisciplinary collaboration in pediatric allergy, immunology, and rheumatology.

More about Dr. Milner:

https://www.pediatrics.columbia.edu/profile/joshua-milner-md

More resources about mast cell disease:* Mast Cell Disease Overview: https://allergyasthmanetwork.org/health-a-z/mast-cell-diseases/ * What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/ * What is Epinephrine? https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/ * The Mast Cell Disease Society: https://tmsforacure.org/ * FDA Approves AYVAKIT® (avapritinib) as the First and Only Treatment for Indolent Systemic Mastocytosis: https://ir.blueprintmedicines.com/news-releases/news-release-details/fda-approves-ayvakitr-avapritinib-first-and-only-treatment

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Our episode on eyelash allergies was so interesting we had to bring you more from our favorite eye Doc, Dr. Luk. We delve into the fascinating world of eyelash health and hygiene, from the importance of cleanliness to the latest trends like eyelash serums and magnetic extensions. We discuss the importance of hygiene, eyelash serums, and magnetic eyelash extensions.

What we cover in this episode on how to clean eyelash extensions:* Eyegiene: why you need to clean your eyelashes * How to clean your eyelid margin * How often should you clean your eyelid margins * How to know if it is eczema or blepharitis * What to consider when using lash serums * Are magnetic eyelash extensions a better alternative to traditional eyelash extensions?

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Put on your detective hat because we will be diving into how to diagnose mast cell disease!

Dr. G and Kortney are joined by Dr. Josh Milner, one of the top experts in the field of mast cell disease, as they dive into the complexities of diagnosing mast cell disorders, focusing on cases of unexplained anaphylaxis and using this as our guide to understanding all of the tests that doctors do to figure out what is happening with your mast cells.

From histories to blood and urine tests to Darier's sign, bone marrow biopsies and more, we dig into the many tests needed for the detective work diagnosing mast cell disease. We learn that a nuanced approach is required to diagnose mast cell disorders and the importance of thorough evaluation to differentiate between potential causes.

This podcast was made in partnership with Allergy & Asthma Network. We thank Blueprint Medicines for sponsoring this podcast.

What we cover in our episode about diagnosing mast cell disease:* Unexplained anaphylaxis could be linked to mast cell disorders. * Diagnostic tools:

+ Blood tryptase test (fast but time-sensitive)
+ Urine metabolite tests (easier, longer window)
+ Skin rash assessment (urticaria pigmentosa)
+ Bone marrow biopsy (serious cases)

Symptoms: Sudden episodes, chronic issues like fatigue, depression.

More about Dr. Milner:

https://www.pediatrics.columbia.edu/profile/joshua-milner-md

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Have you ever wondered why your doctor puts their membership in their bios? Why is it relevant to a patient that your allergist is a member of the ACAAI?

This podcast is made possible through Allergy & Asthma Network’s partnership with the American College of Allergy, Asthma and Immunology.

Dr. G and Kortney had the special privilege of interviewing Dr. Gailen Marshall, the president of the American College of Allergy, Asthma, and Immunology (ACAAI). He explains what the ACAAI, also known as the College, does and why this matters to patients. We learn about the resources provided by the College, which offer patients invaluable support in managing their allergies. From accessing specialized care through the "Find an Allergist" tool to engaging with the ACAAI's educational materials and advocacy opportunities, patients are empowered to take control of their treatment journey.

We also dive into Dr. Gailen Marshall's work in psychoneuroimmunology, which sheds light on how both external and internal environments impact allergic reactions. We touch upon Dr. Marshall's Presidential Initiative, CAAPER, which bridges the gap between community and academic allergists, driving innovation in patient treatment. As allergy research continues to advance, Dr. Marshall's leadership underscores the importance of interdisciplinary collaboration and patient-centred care in navigating the complexities of allergic diseases.

What we cover in the episode

Dr. Marshall’s field of study: Psychoneuroimmunology
What does the American College of Allergy Asthma and Immunology (ACAAI) do?
How is the ACAAI relevant to patients?
How can a patient take advantage of the resources the ACAAI has?
How can patients be involved with the ACAAI?
Why should you see an allergist?
Dr. Marshall’s Presidential Initiative - Community and Academic Allergist Partnership in Education and Research (CAAPER)

About our guest, Dr. MarshallGailen D. Marshall, Jr. MD, PhD, FACP, is the president of the American College of Allergy, Asthma and Immunology and holds distinguished roles as Chair of Allergy and Immunology, Professor of Medicine and Pediatrics, Vice Chair for Research, Director of the Division of Clinical Immunology and Allergy, and Chief of the Laboratory of Behavioral Immunology Research at the University of Mississippi Medical Center in Jackson.

With a background in both Immunology and Medicine from the University of Texas Medical Branch in Galveston and extensive training at institutions like the University of Iowa and the University of Tennessee at Memphis, Dr. Marshall is renowned for his expertise in integrative approaches to managing inflammatory diseases. His research delves into the impact of psychological stress and environmental factors on immune responses, aiming to identify biomarkers for stress susceptibility.

With over 200 publications and active engagement as a speaker in regional, national, and international forums, Dr. Marshall also served as Editor-in-chief of the Annals of Allergy, Asthma and Immunology, showcasing his leadership in the field. Additionally, he plays a vital role in professional societies like the Southern Society for Clinical Investigation, where he serves as Secretary-Treasurer and contributes to various committees, highlighting his commitment to advancing clinical research and education.

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Have you ever considered whether your nasal congestion, IBS, brain fog, and hives are related?

This podcast was made in partnership with Allergy & Asthma Network. We thank Blueprint Medicines for sponsoring this podcast.

Dr. Anne Maitland joins us as we delve into the complex world of mast cell disease. From the confusing range of symptoms to the unpredictable nature of each person's experience, we unravel the mysteries that make mast cell disorders so uniquely difficult to tackle.

Dr. Maitland is an expert in allergy and immunology and sheds light on the diverse manifestations of mast cell dysfunction, from headaches and nasal congestion to gastrointestinal issues and skin reactions like hives.Dr. Maitland emphasizes the importance of recognizing mast cell dysfunction's impact across different organs for accurate diagnosis and management.

What we cover in our episode about mast cell disease:* Symptoms of mast cell disease * How to connect the dots of mast cell disease symptoms * What is a sign that your symptoms are related to mast cells * The job of mast cells and their scientific history * Is an anaphylactic reaction a mast cell disease? * What triggers mast cell disease? * Mast cell targetted medications and how this can hide your symptoms

About our guest - Dr. MaitlandDr. Maitland is a highly respected physician and a Fellow of the American College of Allergy, Asthma, and Immunology. She was named New York Times' Super Doctors in 2011 and one of America's Top 21 Women's Doctors by Lifescript.com in 2009. Dr. Maitland is actively involved in creating awareness of immune-mediated disorders and researches to enhance treatments for allergies, asthma, and recurrent infections. She specializes in allergic skin disorders, allergic rhinitis, drug allergies, food allergies/sensitivities, asthma, and recurrent infections.

Dr. Maitland holds an MD and PhD from the University of Pennsylvania and completed her residency in Internal Medicine at Brigham and Women's Hospital in Boston. She also pursued a Fellowship in Allergy and Immunology at Brigham and Women's Hospital and Mount Sinai Hospital in New York.

More about Dr. Maitland:

https://www.metrodora.co/anne-maitland
https://www.drannemaitland.net/dr-anne-maitland

More resources about mast cell disease:* Mast Cell Disease page: https://allergyasthmanetwork.org/health-a-z/mast-cell-diseases/ * What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/ * What is Epinephrine? https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/ * The Mast Cell Disease Society: https://tmsforacure.org/

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Are you allergic to your eyelash extensions?

Eyelash extensions have become increasingly popular in recent years, offering a way to achieve fuller, longer lashes without the hassle of applying mascara every day. However, some potential risks are associated with eyelash extensions, including allergic reactions.

Dr. Janice Luk joins Dr. G and Kortney to discuss eyelash extensions and what happens when things go wrong. We dive into eyelash extension allergies and contact dermatitis, what the reactions look like, how to treat the reactions best and why you need to take care of your biofilm.

No one wants to play with their vision or have an allergic reaction around the eye; this episode will help you better understand what could happen and how to prepare your lash extensions properly.

What we cover on eyelash extension allergies:* What are eyelash extensions? * How eyelash extensions differ from what you can do at home * What does the allergic reaction to eyelash extensions look like? * Contact dermatitis versus an IgE-mediated allergic reaction * What glues are being used, and what would cause the reaction? * Symptoms and treatment for a lash extension allergy * Why you don't want to use over-the-counter medication for your eyes * The importance of keeping a clean biofilm * Eyegiene * Traction alopecia caused by lash extensions * When should you seek medical attention for eyelash extension reactions * What is the difference between an ophthalmologist and an optometrist

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The basic science of mast cells is the first episode in our 6-part series exploring Mast cell diseases. To start the series, we explore the intricate workings of mast cells by diving into how they work and what happens when something is off balance.

Have you ever wondered what releases histamine and how this happens? Then this episode is for you!

What we cover in our episode about mast cell disease:* What are mast cells, and what do they do? * What are the different types of mast cell diseases?

+ Mastocytosis
+ Mast Cell Activation Syndrome
+ Hereditary Alpha-tryptasemia

The 7 types of mastocytosis
The cause of mast cell disease
- KIT gene mutation in Mastocytosis

We thank Blueprint Medicines for sponsoring this podcast.

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Fear and anxiety are very common when managing food allergies and anaphylaxis. It can come from the unknown, where the allergen can show up. It can also come from the way your allergies are discussed. How do you motivate patients to use their epinephrine without causing crippling anxiety?

Dr Golden joins us as we explore the delicate balance of doctors using fear to underscore the urgency of administering epinephrine during anaphylaxis. We discuss the crucial interplay between fear and anxiety, emphasizing the need for a sensitive approach to motivate patients to use their epinephrine without overwhelming those already grappling with anxiety.

We discuss the mind-body connection and the similarities between anxiety attacks and allergic reactions when talking about anxiety caused by the fear of having an anaphylactic reaction. Dr. Golden also provides more information about the risk and co-factors associated with severe anaphylaxis.

What we cover in this episode about anxiety related to anaphylaxis:

Balance of fear and anxiety to get patients to use Epinephrine
Mind-body connection around anxiety and anaphylaxis - anxiety attack’s similarity to a reaction
Environment allergies - why you do not need to carry an Epinephrine device
Risk factors and co-factors of severe reaction
Epinephrine option for severe asthma

Helpful links:

More about our guest Dr. David Golden
What is Anaphylaxis? https://allergyasthmanetwork.org/anaphylaxis/
What is Epinephrine? https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/
What is a Food Allergy? https://allergyasthmanetwork.org/food-allergies/
What If I Can’t Afford my Epinephrine Medication? https://allergyasthmanetwork.org/anaphylaxis/what-if-i-cant-afford-my-epinephrine/
Episode sponsored by https://aquestive.com/anaphylm/.

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Is a needle-free option for administering epinephrine coming out? Yes!

Dr. Golden joins us again in this episode to explore the new products in development for administering epinephrine.

What we cover in our episode about anaphylaxis and epinephrine:* The new types of ways to administer epinephrine:

+ Inhaler
+ Nose spray
+ Sublingual film

Why it has been challenging to find alternative ways to administer epinephrine other than an autoinjector.
How do we know the new forms of delivery will work?
How are companies proving that the new delivery method will work like the auto-injectors do?
How will studies be done to show the FDA that the new methods should be approved for patients to use?
Why do we need new ways to administer epinephrine?
Will there be hesitation to use the new forms of epinephrine delivery?
The importance of having doctors on board with these new forms of delivery.

More Resources about anaphylaxis and epinephrine:* More about our guest Dr. David Golden * More about Anaphylaxis: https://allergyasthmanetwork.org/anaphylaxis/ * More about Epinephrine: https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/ * What if I can’t afford my epinephrine? Learn more here: https://allergyasthmanetwork.org/anaphylaxis/what-if-i-cant-afford-my-epinephrine/

We want to thank Aquestive for sponsoring this episode.

Listen to episode 59 for more information on Anaphylaxis and Epinephrine

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Biologic medications are supposed to help you live your life as normally as possible, but still, one has to wonder, can you travel while taking biologic medicines?

After releasing the episode on biologics for asthma, Dr. G and Kortney decided to explore how to travel while on a biologic successfully. They unpack what considerations patients need to take when planning their trip.

What we cover in our episode about traveling while taking a biologic medication* Can you travel while on biologics, or can you only travel between doses? * Can you travel with biologics that need to be administered by IV? * Should patients get the green light from their doctor to travel? * Is it possible to travel out of state or internationally? * What should a patient consider when thinking about traveling

More about biologics, check out episode 56: https://www.itchpodcast.com/episodes/56-asthma-biologics

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Have you ever wondered if it's anaphylaxis or just a severe allergic reaction? And how do you know when to use epinephrine? Diagnosing anaphylaxis can be challenging, and in this episode, we dive into this topic with our guest, Dr. David Golden.

What we cover in this episode:

What is anaphylaxis
When to use an Epinephrine device?
How to determine if it is an allergic reaction or an anaphylactic reaction?
How safe is it to use Epinephrine?
- Why is epinephrine used to treat anaphylaxis?
- Does epinephrine always work to treat anaphylaxis? Why would it not work?
- What are the side effects of Epinephrine?
- Do you have to go to the hospital after using Epinephrine?
How does Epinephrine work?
Why antihistamines do not work to treat anaphylaxis or a severe asthma attack
Other treatments that are in the pipeline for anaphylaxis?
Epinephrine dosing - how to know the right dose for kids and adults.
When do you need a second dose of Epinephrine?
Carrying two epinephrine devices
Will the next anaphylactic reaction be worse?
Why should we encourage having stock Epinephrine in schools, on planes, etc?

Helpful links:

More about our guest Dr. David Golden
More about Anaphylaxis: https://allergyasthmanetwork.org/anaphylaxis/
More about Epinephrine:https://allergyasthmanetwork.org/anaphylaxis/what-is-epinephrine/
What if I can’t afford my epinephrine? Learn more here: https://allergyasthmanetwork.org/anaphylaxis/what-if-i-cant-afford-my-epinephrine/

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In the second episode of the Allergy, Asthma & Immunology Innovations Podcast Series, Dr. G and Kortney dive into the critical topic of controlled and uncontrolled asthma. They shed light on various aspects of asthma, including its types, severity levels, medications, and the importance of asthma action plans.

This episode is especially important to our hosts as asthma has personally impacted them.

What we cover about controlled asthma:* A quick review of asthma * Types and severity levels of asthma * Asthma can manifest in various forms, including:

+ Allergic asthma (triggered by allergens).
+ Non-allergic asthma (triggered by factors other than allergens).
+ Occupational asthma (caused by workplace exposure).
+ Exercise-induced asthma.
+ Cough-variant asthma (primarily chronic cough).
+ Aspirin-exacerbated respiratory disease (AERD).
+ Late-onset asthma (developing in adulthood).
+ Eosinophilic asthma (inflammation-related).
+ Asthma can be categorized as mild, moderate, or severe based on symptoms and lung function tests. Severity impacts treatment strategies.

Medications for asthma management
- Rescue or emergency medication (for mild asthma).
- Controller medication (for moderate to severe asthma). Controller medications include inhaled steroids, other medications, and biologics for severe cases.
- Assessing asthma control
- Asthma control is evaluated based on the "Rule of 2s". If you have two or more of the following, your asthma may not be controlled;
- Symptoms more than two days a week.
- Quick-relief medication usage more than two times a week.
- Nighttime awakenings due to asthma more than two times a month.
- Asthma exacerbations require oral steroids twice a year.
- What is good asthma control, and why is this important
- The long-term effects of uncontrolled asthma
- Asthma Peak Week.
- Creating an asthma action plan
- Working with healthcare providers and asthma coaches

Resources to help you with your asthma control:Asthma Management and Control: https://allergyasthmanetwork.org/what-is-asthma/asthma-management-and-control/

Asthma Action Plan: https://allergyasthmanetwork.org/what-is-asthma/asthma-action-plan/ This page is great because it has multiple types of Asthma Action Plans.

Infographic about asthma peak in September: https://allergyasthmanetwork.org/images/Asthma/September_Asthma_Peak_July2023v1.pdf

Asthma Coach: www. AsthmaCoach.org and https://allergyasthmanetwork.org/free-asthma-coach-program/.

Lifestyle Changes to Manage Asthma: https://allergyasthmanetwork.org/what-is-asthma/lifestyle-changes-to-manage-asthma/

Biologic medications: www.BiologicMeds.org

Type 2 Inflammation: eosasthma.org https://allergyasthmanetwork.org/news/when-asthma-more-than-asthma-type-inflammation/

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Itchy, watery eyes? It may be an allergy that only impacts your eyes!

Dr. Luk joins Dr. G and Kortney to discuss ocular allergies, which are allergic reactions that affect the eyes.

Ocular allergies are common and can cause significant discomfort and impaired vision. However, many people are unaware of the different types of ocular allergies, the treatments available, or the importance of prevention. If you always find yourself with itchy, red and watery eyes or around certain things, this episode is for you!

What we cover about ocular allergies:* The difference between an ophthalmologist and an optometrist * Ocular allergy - what is this, and how is it different from systemic allergies? * The different types of ocular allergies:

+ Seasonal allergic conjunctivitis
+ Perennial allergic conjunctivitis
+ Vernal keratoconjunctivitis
+ Atopic keratoconjunctivitis

Treatment options for ocular allergies
The dangers of rubbing your eyes and what to do instead
All you need to know about eye drops

More about ocular eye allergy expert: Dr. Janice LukDr. Janice Luk is a Toronto native who graduated with honors from the Doctor of Optometry and Bachelor of Science programs at the University of Waterloo. She is passionate about expanding her knowledge and bridging the gap between ocular aesthetics and dry eye disease. Janice communicates openly with her patients and volunteers with organizations like VOSH and Fighting Blindness Canada. She is an active member of multiple optometry associations.

Connect with her: https://www.instagram.com/ilukateyes/

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Part of the series: Allergy, Asthma & Immunology Innovations PodcastThis podcast was made in partnership with Allergy & Asthma Network, with funding support from AstraZeneca.

In this episode, we explore a new form of asthma treatment, Biologics. These innovative treatments offer targeted relief by addressing the underlying causes of asthma, leading to improved symptom control and a better quality of life. Dr. G and Kortney discuss the current biologics on the market for asthma treatment.

As this is a true deep dive, we have provided some more information about the Biologics discussed to help you build a better understanding. We have included images and graphs you can use when listening to the episode.

What we cover in this episode:

A background on how Biologic treatments work.
The Biologics available for asthma - discuss who is a candidate, how they each work, how they are taken and some side effects.
- Omalizumab (Xolair)
- Mepolizumab
- Reslizumab
- Benralizumab
- Dupilumab
- Tezepelumab

Helpful links:Images and graphs discussed in this episode: www.itchpodcast.com/episodes/56-asthma-biologics

A look at biologics in more depth: www.biologicmeds.org

More about type 2 inflammation: https://allergyasthmanetwork.org/news/when-asthma-more-than-asthma-type-inflammation/

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Breaking down the facts behind a bee sting allergy and more!

In this episode, we delve into the world of venom allergies, focusing on allergic reactions caused by flying insects and fire ants. Our hosts are joined by Dr. Farah Khan, who shares her valuable expertise, in explaining the underlying mechanisms of allergic reactions to venom allergies.

What we cover in this episode:* What types of insects can cause a venom allergy and lead to anaphylaxis; honey bees, bumble bees, wasps, hornets, yellow jackets and fire ants. * Why mosquitos are not a concern for anaphylaxis. * What a normal versus an allergic reaction to venom looks like.Local versus systemic reactions. What is the difference, and when do you need to worry that you will potentially have an anaphylaxic reaction. * When should you see a doctor regarding your insect bite. * Why testing is not straightforward for insect stings (venom allergy): insect sting allergies are rare, and we do not want to over-test. What happens after you have reacted a venom and how to work with your allergist. * Only test people who have had an allergic reaction to a sting. Types of tests that would be used once you have reacted to venom. * How to determine whether you are a candidate for immunotherapy. * Why allergist test for systemic mastocytosis when talking about venom allergies. * What to do when you get stung and the best medications to take. * How to best prepare yourself to avoid getting stung. * Advice to someone afraid of a stinging insect.

More information about this episode can be found here: www.itchpodcast.com/episodes/55-venom-allergy

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What is early allergen introduction for babies?

Are you still confused about when to feed your baby allergens? Over the past few decades, there has been quite a shift in thinking about the early introduction of food allergens for babies, so your confusion is wholly justified. Dr. G dives into this exact topic and talks to two professionals, Meenal Lele and Dr. Katie Marks-Cogan, in the field of early introduction. She explores why the guidelines for introducing allergens have changed and how to introduce allergens safely and consistently.

What we cover in this podcast about the early introduction of food allergens:What inspired Meenal and Katie to develop products to help parents with early allergen introduction?

What is early food introduction? Why are we no longer avoiding food allergens in babies?

What studies have shaped the protocol change around introducing allergens to babies? How does this impact 'high-risk' children?

The challenges for the studies and compliance hurdles parents faced.

Why do babies develop food allergies? What hypotheses point to the increase in food allergies in children over the past three decades?

The guidelines for early introduction of allergens. How to feed allergens to infants safely?

Why do you want to consider the early introduction of allergens with your babies?

The role of food allergies in a baby's eczema: if your baby has eczema, will they develop food allergies? When to see an allergist for your baby?

What is the best practice for diagnosing a baby's allergies, and why is testing not always appropriate? How to work with your medical team and rely on something other than online information.

Fundamental studies about the early introduction of allergens: The LEAP study, EAT study, PETIT study

Guest BiosMeenal Lele is the founder of Lil Mixins, an allergy prevention company for babies. With experience as a food allergy parent and clinical knowledge, she created the company to provide options for parents introducing allergenic foods to their babies. Meenal holds an engineering and business degree from the University of Pennsylvania. She is the author of The Baby and the Biome, a book exploring the connection between a child's microbiome and their health.

Dr. Katie Marks-Cogan, MD, FAAAAI, FACAAI, specializes in allergies, asthma, and sinus disease. She is the head allergist at Ready.Set.Food and provides top-notch care to both kids and adults at Clear Allergy in Downtown Culver City, CA. As a mom of two, Dr. Marks-Cogan was inspired to work with Ready.Set.Food. Originally from Cleveland, OH, she graduated with honors from the University of Maryland School of Medicine after earning a Bachelor of Science Degree in Physiology and Neurobiology from the University of Maryland College Park.

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Tips on how to make the best of your atopic dermatitis management and care plan.

Atopic dermatitis is not a diagnosis that you should go at alone. Your care team can consist of multiple health care professionals, from your GP to a nurse, a therapist, and even your pharmacist. Additionally, you should be an active member in creating your healthcare plan since you are the one who needs to follow through with it day in and day out.

In this final episode of our Atopic Dermatitis in Skin of Color series, Dr. G and Kortney talk to Tonya Winders, the president of Allergy Asthma Network, to discuss the nurse's role in AD management and shared decision-making. Tonya also shares her experiences of having a daughter with atopic dermatitis and the psychological toll the disease can have on patients.

What we cover in this episode:

Who can all be a part of your healthcare team
Telehealth for atopic dermatitis
Why decision aids are essential to use

Interview with Tonya Winters:

Nurses in an outpatient setting - understanding their role in patients with atopic dermatitis.
Nurse versus a nurse practitioner
Developing an atopic dermatitis plan - asking what your goals are.
Allergy and Asthma Network is working to help more nurses and physician assistants to become certified in managing atopic dermatitis.
Shared decision making - what is it, and how can you be sure you are practicing this with your healthcare team
How to talk to your doctor about your financial situation when making your treatment plan
Using shared decision aids to help with shared decision making and as a guide to talking with your care team.
The importance of addressing psychological health for people with atopic dermatitis

Helpful Links:

The role of the nurse in the care and management of patients with atopic dermatitis - Paper co-authored by Tonya: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00494-y

Shared Decision Making Aids: www.ithcpodcast.com

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You have been diagnosed with atopic dermatitis or you are experiencing an eczema flare, now what can you do to treat it?

In the fourth part of the series on atopic dermatitis in skin of color, Dr. G and Kortney discuss all medications available to treat AD, from topicals (creams) to oral medication and injections.

They also discuss how other strategies to treat AD that is more budget-conscious if your insurance does not cover certain medications.

What we cover in this atopic dermatitis in skin of color episode: - Topical steroids: what are they, how to use them and their side effects

Topical steroid withdrawal
Other topicals that do not contain steroids
Oral medication that may be prescribed for atopic dermatitis: oral steroids, antibiotics and antihistamines
Biologics: what are they and their side effects
Wet wrapping
Phototherapy

From Shiv

How to wet wrap and why she likes this form of treatment

Helpful atopic dermatitis in skin of color resources: Non-Steroidal Topicals

Calcineurin inhibitors - tacrolimus ointment (Protopic) and pimecrolimus cream (Elidel)
Phosphodiesterase 4 inhibitor - crisaborole (Eucrisa)
JAK inhibitors.

Bleach bath recipe from the American Academy of Allergy, Asthma and Immunology (AAAAI)

Add ¼ - ½ cup of common 5% household bleach to a bathtub full of water (40 gallons).
Soak your torso or just the affected part of your skin for about 10 minutes
Limit diluted bleach baths to no more than twice a week.

More information about AD in skin of color: https://eczemainskinofcolor.org/eczema-diagnosis-skin-of-color/

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Practical tips about skin care maintenance for atopic dermatitis

In the third part of our 5 part series in collaboration with the Allergy & Asthma Network on atopic dermatitis in skin of color we are talking all about taking care of your skin and how to make your living environment more atopic dermatitis friendly.

Dr. G and Kortney the importance of skin hydration; the best ways to moisturize and shower. They also share ways to ensure your living environment is optimized for good skin conditions, from cleaning products to carpets. Finally, they go over the psychological side of atopic dermatitis and how to maintain balance in the body and the mind.

What we cover in this atopic dermatitis in skin of color episode:

Understanding the importance of keeping atopic skin hydrated.

How to break the itch-scratch-rash cycle.

Skincare: bathing and moisturizing - the preferred types of cleansers and moisturizers to use.

How to make your living environment atopic dermatitis friendly.

Sleep hygiene for atopic dermatitis.

Managing stress to help control eczema - some things that can help you.

Strategies to stop scratching.

From Shiv

How moving helped her flares.

Seeking therapy was important to her mental health and skin healing.

Helpful atopic dermatitis in skin of color resources:

Resource for AD in skin of color: https://eczemainskinofcolor.org/eczema-diagnosis-skin-of-color/

Dr G and Kortney discuss yoga for asthma - many of the tips can also apply to atopic dermatitis:https://allergyasthmanetwork.org/news/does-yoga-benefit-asthma/

More eczema episodes: https://www.itchpodcast.com/eczema

Yoga for asthma podcast: https://www.itchpodcast.com/episodes/48-yoga-asthma

Meet Shiv on Instagram: https://www.instagram.com/shivaika/

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How do doctors diagnose atopic dermatitis in skin of color?

In the second part of our 5 part series in collaboration with the Allergy & Asthma Network on atopic dermatitis in skin of color we are talking about diagnosis!

Dr. G and Kortney discuss all of the tests involved in diagnosing atopic dermatitis (AD) in people with skin color. They also cover all of the skin conditions that are ruled out when a doctor is making a diagnosis and the importance of patient history in diagnosis.

What we cover in this episode:

• A quick overview of what AD looks like in skin of color

• Skin conditions that may look like atopic dermatitis and common misdiagnosis

• The symptoms doctors look for when diagnosing atopic dermatitis

• Explanations of the tests doctors use to diagnose atopic dermatitis- IgE blood test, component blood test, skin prick test, patch testing,and skin biopsy

• How to diagnose eczema in babies and the link to food allergies

• The other factors that doctors take into account when diagnosing AD - the importance of patient history

From Shiv:

• Shiv shares her experiences with being diagnosed with atopic dermatitis and her experiences with different doctors.

Helpful Links:

• Link to images of AD in skin of color: https://eczemainskinofcolor.org/image-library/

• “What is eczema” from Allergy & Asthma Network: https://allergyasthmanetwork.org/what-is-eczema/

• More about Shiv: https://www.instagram.com/shivaika/

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This is the first episode of our 5 part series in collaboration with the Allergy & Asthma Network about atopic dermatitis in skin of color.

In the first episode, we are going to talk about atopic dermatitis (AD) in people with skin of color. Atopic dermatitis affects everyone differently, which means it does not look the same on everyone or in every skin color. It is important to recognize this and to raise awareness on how AD impacts certain populations differently than others.

Along with Kortney, Dr. G will be sharing her expertise as an allergist and will be overviewing the basics of AD. Special guest Shiv Sewlal shares her personal experiences with atopic dermatitis.

What we cover in this episode

• Why are we doing a podcast series about atopic dermatitis (AD) in people with skin of color?

• What is atopic dermatitis?

• Is eczema the same thing as atopic dermatitis?

• What is the difference between child onset versus adult-onset atopic dermatitis? Can you develop AD as an adult?

• Why is atopic dermatitis more prominent in people with skin of color?

• How can housing impact your skin?

• Why air conditioning can be helpful for people with atopic dermatitis.

• Why is atopic dermatitis underdiagnosed in patients with skin of color?

• What are the symptoms of AD in different skin colors?

• What are triggers? How do these make atopic dermatitis worse?

• How does mental health impact atopic dermatitis?

• What is the itch-scratch cycle?

• Who should you see if you think you have atopic dermatitis?

From Shiv

• Shiv shares what her atopic dermatitis looks like

• Shiv and her mom’s experience with therapy to help with her skincare

Helpful Resources

• All our past atopic dermatitis episodes: https://www.itchpodcast.com/eczema

• More about Shiv: https://www.instagram.com/shivaika/

• "What is eczema" from Allergy & Asthma Network: https://allergyasthmanetwork.org/what-is-eczema/

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Can yoga help with asthma management and control?

We are releasing the ‘Yoga breathing exercises for asthma’ panel discussion that Dr. G and Kortney had in the late fall of 2021. This was one of 3 Living Well with Asthma Virtual Events organized by Allergy & Asthma Network and sponsored by GSK.

What we cover in this climate change episode: - The benefits of yoga for your breath, asthma and overall health.

How yoga gives you more body awareness that helps with asthma management.
How to choose which form of yoga to do.
When to use an albuterol inhaler before yoga.
How to prepare for your first yoga class and what to look for.
The difference between doing yoga at home vs doing yoga in a studio.

Q&A section:

Can yoga help with vocal chord dysfunction?
How about going to a studio during the pandemic?
Do you need to modify your yoga practice due to age?
Are there any medical conditions that would stop you from doing yoga?

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What are the impacts of climate change on human health?

Climate change is a large public health threat, it impacts all aspects of human health from physical to mental. Dr. Neelu Tummala joins us to discuss how we are seeing the direct effects of climate change on human health. She also shares ways that both patients and doctors can take action to help combat climate change.

The face of climate change is no longer the polar bear, it is your son, your grandma, your neighbour, and even you!

What we cover in this climate change episode: * How is climate change impacting our health? * Why are doctors are concerned about the increased length of pollen allergy season? * What can doctors and patients do to make a difference with climate change?

+ Understanding what changes the government can do such as the Build Back Better Act
+ Supporting local organizations
+ Energy efficiency home

Building awareness: if you are living with a condition that is affected by climate change and your environment - talk about it!
How climate change is impacting lower-income communities more than wealthy communities?
Dr. Tummala explains why you want to talk about climate change with your doctor
The importance of being aware of the air quality index
How much impact does an individual have versus a government or big company?
Plant-based diet - what if you love eating steak?
Is recycling actually worth it?

Helpful resources: More about Dr. Neelu Tammula

Dr. Neelu Tummala is a board-certified physician, surgeon, writer and climate advocate who has a special interest in education and advocacy concerning the health effects of climate change and environmental injustice.
She is on the Steering Committee for Virginia Clinicians for Climate Action and is a trained Climate Reality Leader. She has worked with the American Lung Association, Union of Concerned Scientists, The Medical Society Consortium on Climate and Health, and Environment Virginia as a volunteer activist and educator.
Follow Dr. Tummala on social media:
- https://www.instagram.com/neelutummala/
- https://www.linkedin.com/in/neelu-tummala-55600196/
- https://twitter.com/neelutummala

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How are headaches related to allergies?

If you have allergies or don’t have allergies, but you get your fair share of headaches and or migraines this episode is for you.

We are joined by Dr. Huma Sheikh a board-certified Neurologist-Headache and Vascular Disorder Specialist. She gives us the 101 on all things headaches and migraines and lays out the connection between headaches and allergies. If you say you have sinus headaches then you will be sorely surprised to learn that is not a medical condition.

What we cover in this importance of sleep episode

What are headaches?

What is the trigeminal nerve, why is it important in headaches?

What is homeostasis?

Primary and secondary headaches - when headaches are a symptom and when is a headache the main disease such as a migraine.

How are allergies and headaches linked?

The link between allergies and migraines?

What is a sinus headache?

Cross-over between allergies of the eyes and nose and headaches.

What is trigeminal neuralgia? How to differentiate it from allergies.

When should someone see a headache specialist?

Comorbidities and migraines.

How are migraines diagnosed?

Can certain foods and food intolerances cause headaches?

Can histamines cause headaches?

How are headaches and migraines treated?

NSAIDs - how do these medications work? What is an NSAID allergy?

How do you know that you need to see a doctor about your headaches?

ADDITIONAL INFO

Dr. Sheikh: @headachesnyc: https://www.instagram.com/headachesnyc/?hl=en

www.headachesnyc.com

NSAID list:

https://www.hopkinsmedicine.org/transplant/programs/kidney/living_donors/NSAIDs%20List%20to%20Avoid.pdf

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What is the importance of sleep? Why is it something we want to talk about on a podcast about asthma, allergies, and eczema?

Sleep is the center of health, so naturally, it would have an impact on asthma and environmental allergies. Dr. Carol joins us to discuss the importance of sleep from how it impacts your overall health, mood, productivity, hunger, and more! She unpacks what good sleep looks like, how to figure out if you are getting enough sleep, and of course how sleep impacts allergies and vice versa.

What we cover in this episode: - Why is sleep so important? - How much sleep do you need? - The pros and cons of napping. - What is more important sleep quality or quantity? - What does good quality sleep look like? - How do you know if you are getting enough sleep? - How do allergies impact sleep and vice versa? - How to get better sleep? - What is sleep hygiene? - Can air purifiers help you with your sleep quality? - How does special bedding, like dust mite covers, help people with environmental allergies? - Best practice for sheet care and mattress care for people with environmental allergies. - Do any allergy medications impact sleep? - Restless leg syndrome and how this can be impacted by allergy medication. - When should you go see a sleep specialist? Additional resources: - More about Dr. Carol: Telehealth: bhaisleephealth.com and follow her on Instagram: @bhaisleephealth

Epworth sleepiness scale: https://nasemso.org/wp-content/uploads/neuro-epworthsleepscale.pdf
Air purifier: https://breathesans.com- get a discount using Gupta50 to get $50 off
How to claim CME credits from this episode: https://www.adaptrack.com/welcome/the-itch-podcast

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Oral Immunotherapy, OIT, has been on a lot of food allergy minds lately, especially with the FDA approval of PALFORZIA (the peanut pill).

Dr. G and Kortney talk with Dr. Gharfeh is a double board-certified pediatric trained allergist/immunologist practicing in Oklahoma City. She has first-hand knowledge when it comes to OIT as she practices in clinic and has recently undergone OIT with her daughter.

What we cover in this episode on Oral Immunotherapy

The types of immunotherapy including OIT, SLIT, and epicutaneous.
The current research and status of OIT for the different allergens.
The status of peanut for OIT.
Unpack the advantages and disadvantages of Palforzia, the FDA-approved peanut pill.
Outline the process of OIT at the allergist office.
What happens is if you react during OIT.
How allergists ensure the protein in the doses are used for OIT.
The pros and cons of doing oral immunotherapy as a patient and as a family such as the time commitment and risks of OIT.
The reason why OIT is mostly targeted to under 18s.
The side effects of OIT.
Risk of developing EOE during OIT.
Current unknown of OIT - will the desensitization last? How long will the patient need to take the maintenance dose?
What should a patient think about when considering OIT
How many foods you can do at a time with OIT
Dr Gharfeh shares her personal experience doing OIT with her daughter

Additional resources on Oral Immunotherapy * Palforza: https://www.palforzia.com/ * Dr. Wasserman, the protocol Dr. Garfeh and her colleagues follow: https://www.allergypartners.com/northtexas/doctors/?providerid=796 * Dr. Maya N. Gharfeh's bio: https://oklahomaallergy.com/team/maya-gharfeh/ * Dr. Garfeh on Instagram @allergistmama and Twitter @Maya Gharfeh MD

How to claim CME credits from this episode: https://www.adaptrack.com/welcome/the-itch-podcast

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A bonus episode that digs into the possibility of being allergic to semen. We talk with Dr. Wright about human seminal plasma allergy (Hypersensitivity) - what is it and how common is it. Of course, you can't talk about intercourse without talking about kissing, so we also chat about how to safely kiss after your partner has consumed a food allergen.

This episode was sponsored by Allergy Insider.

What we cover in the episode - Can you be allergic to semen? - Can a food allergen be found in semen as it can in saliva? - What is the likelihood you could have a reaction via intercourse due to your partner eating an allergen? - What can you do if you have an allergy to semen? - How to test whether your allergy was from semen or something else? - What about kissing your partner if they have consumed a food allergen? More helpful resources: - Kissing, Sex and Food Allergies - how to talk to your partner about your allergy and getting intimate. https://thezestfull.com/kissing-sex-food-allergies/ - Getting intimate with eczema https://www.itchpodcast.com/post/intimacy-and-allergies - Episode with Amanda and Dan about dating and alcohol when you have food allergies. https://www.itchpodcast.com/post/episode-24 Intimacy for people with latex allergies (later in the post) https://www.itchpodcast.com/post/intimacy-and-allergies

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Time to tackle some common food allergy myths and listener questions.

Dr. Wright, a board-certified allergist and Medical Director at Thermo Fisher Scientific, joins Dr. G and Kortney to bust common misconceptions that circulate around food allergies as well as answer your questions.

What we cover in this episode: - The difference between food allergy and food intolerance.

How an allergist diagnoses a food intolerance.
What medication exists for people with intolerances and how they work.
How likely is it for your second child to develop a food allergy if their sibling does.
Should you get your child tested for an allergy before introducing an allergenic food?
If your child has eczema will they develop a food allergy?
If you are allergic to peanuts will you also be allergic to legumes?
If taking a food out of your diet will lead you to become sensitized to it and potentially develop an allergy to it?
Is it true that when your allergen appears on a may contain label, you have to 100% avoid eating it?
When it is appropriate to use Benadryl for an allergic reaction.
The importance of epinephrine auto-injectors.
Why you should not become complacent about having “little reactions”.
Can antihistamines mask anaphylaxis?
Will throwing up the food with an allergen in it lessen your chances of having a reaction?
Could you have an allergic reaction if you did not swallow the food with your allergen in it?

This episode was sponsored by Allergy Insider.

Additional Resources: Allergy Insider

Allergy Insider: https://www.thermofisher.com/diagnostic-education/patient/us/en/allergy.html?cid=0so_3pc_01062021_L5HBXE
Follow @allergyinsider on Instagram for more information on allergies: https://www.instagram.com/allergyinsider/
Follow Allergy Insider on Facebook: https://www.facebook.com/AllergyInsiderUS/
Follow Dr. Wright on Instagram: https://www.instagram.com/dr.wright_allergist/

More information about:

Food Allergy vs. Food Intolerance: https://www.thermofisher.com/diagnostic-education/patient/us/en/blog/food-allergy-vs-food-intolerance-blog.html?redirect=false&cid=0so_3pc_01062021_L5HBXE
How to read a label: https://www.thermofisher.com/diagnostic-education/patient/us/en/blog/how-to-read-a-food-label.html?redirect=false&cid=0so_3pc_01062021_L5HBXE
How to Prepare for a Food Allergy Emergency: https://www.thermofisher.com/diagnostic-education/patient/us/en/blog/how-to-prepare-for-a-food-allergy-emergency.html?redirect=false&cid=0so_3pc_01062021_L5HBXE

Relevant The Itch Episodes:

Ep. 22: Food Allergy Myth Busting - https://www.itchpodcast.com/post/episode-22
Ep. 42: What are cross-reactive allergens? - https://www.itchpodcast.com/post/cross-reactive-allergens
Ep. 2: The science behind an allergic reaction - https://www.itchpodcast.com/post/episode-2

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Do certain foods make your mouth itchy? We may have the reason why!

In this episode, Dr. G and Kortney are joined by Dr. Wright, a board-certified allergist and Medical Director at Thermo Fisher Scientific, as they demystify cross-reactivity in food allergies.

What we cover in this episode: - What is cross-reactivity? Cross-reactivity with pollen versus cross-reactivity between IgE mediated allergens.

What is oral allergy syndrome (OAS), and why do allergists prefer pollen food allergy syndrome?
The difference between OAS and true food allergies causing anaphylaxis.
How do you know it is an allergy due to pollen cross-reactivity (OAS)?
What are the symptoms of OAS?
How is oral allergy syndrome diagnosed?
Can you have anaphylaxis to foods that OAS causes?
Are there some fruits and vegetable varieties that are better for people to eat who have OAS?
When do people start to develop OAS?
Who would typically develop OAS?
The cross-reactive pollens and their cross-reactive foods.
The types of tests available for testing cross-reactive allergens: skin prick, blood test and component testing.
How to determine if a food is an allergen due to pollen cross-reactivity or IgE mediated.
Why would you consider getting component testing?
How component testing can help determine if you can tolerate baked eggs and baked milk.
How to determine if you are a candidate for an oral challenge.

This episode is sponsored by Allergy Insider.

Additional Resources: Allergy Insider

Follow @allergyinsider on Instagram for more information on allergies: https://www.instagram.com/allergyinsider/
Follow Allergy Insider on Facebook: https://www.facebook.com/AllergyInsiderUS/
Allergy Insider’s #ThatKid Campaign: https://www.thermofisher.com/diagnostic-education/patient/us/en/that-kid.html
Follow Dr. Kia Wright on Instagram: https://www.instagram.com/dr.wright_allergist/

More information about:

Understanding allergy cross-reactivity: https://www.thermofisher.com/diagnostic-education/patient/us/en/understanding-allergies/cross-reactivity.html
OAS (oral allergy syndrome): https://www.thermofisher.com/diagnostic-education/patient/us/en/allergy-symptoms/head-eyes-ears-nose-throat-heent-allergy-symptoms/oral-allergy-syndrome-oas.html
Component testing: In the US, component testing available: Milk, egg, peanuts, some tree nuts (hazelnuts, walnuts, Brazil nuts, cashew)
More information about allergy testing: https://www.thermofisher.com/diagnostic-education/patient/us/en/testing-for-allergy-triggers.html

Relevant The Itch Episodes:

Ep. 34: What are allergies of the eyes and nose (environmental allergies): https://www.itchpodcast.com/post/episode-34
Ep. 35: How to treat environmental allergies (allergies of the eyes and nose): https://www.itchpodcast.com/post/episode-35
Ep. 5: The types of food allergy testing & why they can be so hard to interpret: https://www.itchpodcast.com/post/episode-5

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Air quality and climate change’s impact on asthma and allergies

The quality of our environment has a direct impact on our health. As temperatures rise, pollen seasons grow longer and pollution worsens due to warmer air, which helps to form ground-level ozone, sometimes called smog.

Kenneth Mendez, President & CEO, Asthma & Allergy Foundation of America (AAFA), joins us to discuss air quality and climate change’s impact on asthma and allergies. We discuss all the factors that can impact air quality and how this impacts our health, focusing mainly on asthma and seasonal allergies. Kenneth also shares more information about the Allergy Capital Report put out annually by AAFA.

What we cover in this episode: * Impact of climate change and air pollution for seasonal allergies and asthma. * What are seasonal allergies? * Air quality: + Why people with environmental allergies and asthma should pay attention to it + Air quality index + Indoor air quality should not be ignored. * Climate change: + Warmer temperature’s impact pollen + Earlier pollen season, frost comes later * Covid-19 and asthma: + The outcomes are not worse + How to differentiate if it is Covid-19 or seasonal allergies (Hay Fever does not mean fever is a symptom) * Why talking to your doctor and getting your asthma under control is so important for your health * What mask-wearing can signal about your asthma * Signs of uncontrolled asthma * Allergy Capitals Report and Asthma Capitals Report made by AAFA + What are they measuring and why is this important? + Cities/urban environments are a good place to look at what the impacts of climate change will look like in the future for individuals with asthma and allergies * How to minimize your allergy symptoms

Additional resources: * AAFA Online community: aafa.org/join * AAFA’s 2021 Allergy Capitals™ report: allergycapitals.com * Healthy Home * Indoor Air Quality * Control Indoor Allergens * SYMPTOMS CHART: IS IT COVID-19, THE FLU, A COLD, ALLERGIES OR ASTHMA?

Follow AAFA:

Facebook: @AAFANational
Instagram: @aafanational
Twitter: @AAFANational

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Dr. G and Kortney chat with Dr. Manisha Relan about how food allergies are portrayed in the media both the bad and good sides. They briefly talk about the medical side of anaphylaxis before diving head first into breaking down some famous food allergy scenes.

Dr. Manisha Relan is a pediatric allergist and clinical immunologist at a private practice in central New York, where she sees both children and adults for all things allergy. She loves learning and teaching. During fellowship, she was in charge of anaphylaxis training via a simulation lab experience; in her practice she is passionate about women’s health, food allergies, rhinitis, and immunotherapy. She maintains a personal professional Instagram account @pedsallergymd where you can follow her for more.

What we cover in this episode: The 3 definitions of anaphylaxis.

How movies and TV shows help patients describe their allergic reactions.

How allergists use movies and TV shows to help understand what their patients have experienced.

Why media should ensure they are properly portraying food allergies.

The negative impacts of media using food allergies as a joke. How does this directly impact the food allergy community?

The misinformation being portrayed by the media when showing an allergic reaction.

Beyond humour, the other focus in media is harming people who have food allergies. How does this bullying impact people managing allergies?

Should kids sit at an allergy table?

What shows are doing it right?

The scenes discussed in this podcast episode: Adults Reacting Friends: https://www.youtube.com/watch?v=Ub3sE1ww6ac

Allergy: kiwi.
Ross is allergic to lobster, peanuts, kiwi. He eats a kiwi-lime pie thinking it was key-lime.
Symptoms: throat/tongue swelling
Treatment: goes to hospital

Hitch: https://www.youtube.com/watch?v=SdDPoFcBZEY

Allergy: seafood.
Symptoms: throat feels itchy (trying to scratch the throat), swelling.
Treatment: Running to a pharmacy, buying Benadryl is not an accurate way to treat it.

Monster-in-Law: https://www.youtube.com/watch?v=MHpyl6uVPrw, https://www.youtube.com/watch?v=l8XC_Zee8XA

Allergy: almonds.
Symptoms: tongue swelling and lips.
Treatment: not shown

Peter Rabbit: https://www.youtube.com/watch?v=9VwWPnHZMrs

Allergy: blackberry
Symptoms: not really shown
Treatment: Has epipen on him, no hesitation to use it.

Kids/Teens Reacting Daniel Tiger: https://www.youtube.com/watch?v=ysEk_aLvGYg

Allergy: peach
Symptoms: itchy, hives - red bumps, tummy ache
Treatment: liquid medication

Arthur: https://www.youtube.com/watch?v=QZ5JB7z7nOk

Allergy: peanut
Symptoms: itchy
Treatment: adrenaline pen

Freaks and Geeks: https://www.youtube.com/watch?v=VE65VbUBGbI

Allergy: peanut
Symptoms: we just see him on a stretcher with an oxygen mask, coma
Treatment: called ambulance

Additional resources: * List of other scenes portraying allergic reactions from Everyday Allergen-Free * Opper, C. E. (2015). Food Allergy Framing in Entertainment Media: The Use of Humor and Its Influence on Health Thoughts and Behavior [Senior Honors Thesis, University of North Carolina at Chapel Hill]. Carolina Digital Repository.

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Urticaria, also known as hives can be triggered by many things. From the heat to water, to the spontaneous hive, these can be a burden for many patients. Knowing what triggers urticaria can help manage hives and lessen their impact on the quality of life. Hives may feel mysterious, but they don’t have to be.

Today Dr Patel, a double board-certified Allergist/Immunologist, joins us to discuss the causes of urticaria, how urticaria is diagnosed and how it is treated.

What we cover:

What is urticaria, more commonly known as hives.
What does urticaria look like? How do you know they are hives?
Who typically gets urticaria?
What are the causes of urticaria?
What is a rash? A hive is a kind of rash.
Chronic versus acute hives.
Types of urticaria:
Idiopathic urticaria (spontaneous urticaria)
Physical urticarias:
- Dermatographic
- Pressure urticaria
- Vibration urticaria
- Aquagenic urticaria
- Cholinergic urticaria (exercise)
- Cold urticaria
- Heat urticaria
- Solar urticaria
How stress impacts hives and allergic responses.
How is urticaria diagnosed?
Why you want to see an allergist about urticaria.
Ways to treat urticaria: Antihistamines, Xolair (omalizumab), Immunosuppressants, Topic medication, Oral steroids
Are urticaria and eczema linked?
Impact of having hives on daily life.

Useful Links: The two meditation apps Kortney highly recommends are Insight Timer and Waking Up.

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Dr. Lacey Robinson joins Kortney and Dr. G to discuss where we are at with understanding allergic reactions to the two mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna).

Dr. Robinson outlines the current theories on what may be causing these allergic reactions, who should get an allergy test before having the vaccine, and what the other symptoms that could appear like an allergic reaction to the vaccine are.

Important note about this episode, as things are changing rapidly in what we know about the COVID-19 vaccines: * This episode was recorded on January 21, 2021, released January 26, 2021 * Discussions about the COVID-19 vaccines refer to the Pfizer-BioNTech vaccine and Moderna vaccine, both mRNA vaccines.

What we cover in this episode: * How common are vaccine allergies? + Stat: 1.31 cases of reactions per 1 million doses given. + The CDC reviewed the Pfizer vaccine given in December 2020. They found 21 cases of confirmed anaphylaxis in 1.89 million does, which is 11.1 cases per 1 million does. Only 7 of the 21 had a history of anaphylaxis. * What are the symptoms that can be mistaken for an allergic reaction when receiving the COVID-19 vaccine? * What studies are in the pipeline to look at allergy to the COVID-19 vaccines, specifically mRNA vaccines. * Types of anaphylactic reaction: + IgE medicated reaction + Non-IgE mediated: Mast cell activation or compliment mediated anaphylaxis * Some symptoms that you can expect when getting the COVID-19 Vaccine: + Large local reaction + Tired + Muscles aches and pains + Headaches + Fever * Timing of an allergic reaction (true allergy) versus other typical symptoms coming from the vaccine. * What they suspect are the reasons that people are having an allergic reaction to the COVID-19 vaccine + Note mRNA vaccines do not contain any food allergies. + Polyethylene glycol (PEG) is the suspected allergen. PEG is a common ingredient in many medical products. A very rare allergy 4 cases per year. * Could you be reacting to the mRNA that you are making from the vaccine? * Who should consider getting an allergy test for the COVID-19 vaccine. * How are people being treated if they are having an allergic reaction to the COVID-19 vaccine? * If you had a reaction to the vaccine or you have a PEG allergy, what are the steps involved in evaluating if you can get the COVID-19 vaccine. * How allergist test PEG allergy. + What is the likelihood of a false negative test result?

Resources: * Allergic Living article Kortney quotes: https://www.allergicliving.com/2021/01/03/likely-more-than-one-cause-for-covid-19-vaccine-reactions/ * Our episode about understanding the COVID-19 Vaccines: https://www.itchpodcast.com/post/episode-37

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A mini popup episode for you!

MILK versus MYLK, what's the deal?

Amanda from the blog Everyday Allergen-Free joined Kortney to explore what spelling milk with an 'I' versus milk with a 'Y' means and how it can impact someone’s experience with that food.

This lead to a discussion about feeling left out when you have food allergies and whether getting an allergy-safe version of a classic food makes you feel included or different.

What we cover: * Inclusive language for those with food allergies. * When did the alternative spelling of MYLK show up? * How does speaking milk with a y help or hinder those with a dairy allergy? * Feeling left out/longing for what you can’t have, especially when you have food allergens in the house. * Does an allergy-safe version of a food make you feel included or different? * What terms can you use to talk about allergy-safe food replacements. * The attitude to have when trying to recreate foods that contain an allergen. * What does the ‘real’ version of a recipe mean for an allergy person? * The different trends in plant based milk.

Helpful links: * More about the language we use when talking about food allergies * Oatmilk recipe from Amanda's blog Everyday Allergen-Free * Our Instagram, @theitchpodcast, tell us how you think we should spell plant based milk

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Dr Purvi Parikh joins us to talk about the two available Covid-19 vaccines currently available. Dr Parikh and Dr G discuss the nitty-gritty of the two mRNA vaccines, the allergic reactions associated with them and more.

What we cover in this episode * Understanding herd immunity. * What are mRNA vaccines, how do they work and when did they first get developed. * Can people with food allergies get the Covid-19 Vaccine? * Could you be allergic to the protein that the mRNA is producing? * The side effects of the Pfizer Covid-19 Vaccine. * Why you should get the Covid-19 Vaccine. * Why the vaccine is in two does. * Differences and similarities with data for Moderna and Pfizer/Biotech vaccines. * What does the vaccine rollout look like? * What are the other vaccines being developed? * Why are people skeptical about vaccines? * Can pregnant and lactating women get vaccinated? * You can get the flu vaccine with an egg allergy.

Resources: * Article from Allergic Living about soy in PEG: https://www.allergicliving.com/2020/12/16/faq-on-allergy-concerns-and-the-mrna-covid-19-vaccine/ * Find more about Dr Parikh: FACEBOOK, INSTAGRAM

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Registered dietician Alida Iacobellis joins Dr. G and Kortney to discuss how intuitive eating, diet culture, and food anxiety impacts those managing food allergies. Alida uses intuitive eating as a tool to help her clients find food freedom and believes it can also work to help people with food allergies gain a positive relationship with food.

Alida is registered with the College of Dietitians of Ontario and holds membership with Dietitians of Canada. She also manages multiple food allergies, so she knows first hand how it feels to experience types of food fear surrounding allergens and anaphylaxis.

What we cover in this episode * The difference between a registered dietitian and a nutritionist * What is disordered eating and how to recognize it in yourself or others * How disordered eating and living with food allergies can cross paths * People with food allergies have an increased risk of developing eating disorders * The role of diet culture in disordered eating and how it also impacts those managing food allergies * Anxiety around food - the underlying factors behind disordered eating * Questions a doctor can ask to figure out if their patient may be experience disordered eating * How can people with food allergies develop a better relationship with food * Intuitive eating and how people with food allergies can adapt it * What are food rules - why it is important to identify them and where they came from * Thinking food will be a quick fix to our problems and how this is not always true * What are the determinants of health and the role food has * How to start your intuitive eating journey: food rules and listening to your body * What does respecting your body mean for people with food allergies? It is about eating everything you can and having a good variety in your diet to meet your needs * Emotional eating, turning to food to soothe or not eating at all due to anxiety * Meal planning for intuitive eating * Parent anxiety transferring to their child and how intuitive eating can help * How to help someone or yourself identify disordered eating and first steps to reclaiming food freedom

Helpful Resources: * Kortney’s her journey with disordered eating: Disordered eating hiding behind my food allergies * Intuitive eating resources for food allergies * The graph on the determinants of health * Dietician directory Websites: Dieticians of Canada, Health Profs * Intuitive Eating Website

More about Alida Iacobellis RD: website, Instagram @alida.iacobellis.rd

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Dr G and Kortney take another deep dive, this time exploring how to treat environmental allergies (allergies of the eyes and nose). A quick recap - when we talk about allergies of the eyes and nose, we are talking about allergic rhinitis and conjunctivitis. These are two forms of allergic responses that can be caused by things such as environmental allergens like pollen and grass, dust mites, and animal dander.

What we cover in this episode * Treatments for allergies of the eyes and nose: avoidance, natural methods, drug therapy and immunotherapy. * Types of drug therapy for treating allergies of the eyes and nose: antihistamines, nasal sprays, eye drops * If avoidance is not possible tips to create a safe space free from environmental allergies * Demystifying hypoallergenic pets * When to use and care for a Netti pot * Different types of nasal sprays: intern-nasal antihistamines, intern-nasal decongestants, intern-nasal steroids. * What to look out for and tips for using eye drops and artificial tears * Topical antihistamine for the eyes * Mast cell stabilizer eye drop & steroid eye drops * Is it possible to use one treatment to treat both allergies of the eyes and nose?

Additional Information & Links * Signs of allergies of the eyes and nose and they are diagnosed. * How to use nasal spray: https://www.youtube.com/watch?v=ICqBAN28Tgo

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A deep dive episode about allergic conjunctivitis and allergic rhinitis, also known as allergies of the eyes and nose respectively.

These are the two most common types of allergies affecting individuals. In the first part of our deep dive, Dr G goes into detail about the symptoms of the allergies of the eyes and nose, some things that may pose as them, and more. Part two will cover how to treat allergies of the eyes and nose.

What we cover in this episode * What are allergic conjunctivitis (eyes) and allergic rhinitis (nose)? * How common are allergies of the eyes and nose? * Can you develop symptoms at any age? * Signs and symptoms of allergies of the eyes and nose * What you should know about environmental allergies. * Environmental allergies, and the difference between seasonal and perennial allergies. * Why uncontrolled asthma can make allergies of the eyes or nose worse. * How allergies of the eyes and nose are diagnosed and the testing involved: patient history, skin prick, blood test, intradermal testing, and patch testing. * Other conditions that look like allergic rhinitis and conjunctivitis * Allergies of the eyes and nose in pregnancy * Nasal Polyps * Medications that can cause a runny nose/congestion. * Why you need to be cautious when using Afrin.

Additional Information & Links * Pollen count app to download: Klarify * American Lung Quit Smoking * What to know about skin testing * What are allergic shiners * What is the Allergic Salute

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A bonus 'mini' episode all about wearing a mask to help prevent catching and spreading COVID-19.

This is an excerpt focusing on face masks from episode #32 about COVID-19 and asthma with Melanie Carver of Allergy Asthma Foundation of America.

What we cover in this episode:

Best practices for handling a face mask
What to look for when buying or making a face mask
How to clean your face mask
Can you wear a face mask with asthma

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September is known as September Asthma Epidemic or Asthma Peak Week because of the increased hospitalizations due to asthma. Since we are entering the fall during the COVID-19 pandemic there are some additional preventative steps those with asthma should take this year.

Dr G and Kortney are joined by Melanie Carver, the chief mission officer of Asthma and Allergy Foundation of America. Melanie has been working on creating more resources surrounding COVID-19 and Asthma. She shares her expertise about the impacts of COVID-19 on asthmatics, schools, and wearing face masks.

What we cover in this episode: * Why September is a peak month for asthma * What you can do to help ensure you will not be negatively impacted by your asthma during September peak * How COVID-19 impacts those with asthma * Back to school: what are asthma triggers that kids are being exposed to and how you can address them * Back to school: what you need to know about preparing for being in the classroom * The symptoms of COVID-19 versus the symptoms of asthma * Does wearing a mask impact asthma * Tips on wearing a mask * What you can do to help protect yourself from COVID-19 this fall/winter (get a flu shot!)

Additional resources: * Full list of resources for COVID-19 from AAFA * Information about face masks * September asthma peak information * COVID-19 and Schools * How to use a spacer with your inhaler * Stay up to date with the latest COVID-19 news with AAFA

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How do you set up a 504 plan for food allergies and asthma?

Whether it is food allergies, asthma, ADHD or another disability, a 504 plan is an essential part of your child's school experience because it states in black and white why they need accommodations and what they are.

Kristin Osborne joins Kortney and Dr G as she outlines how to set up a 504 plan, what accommodations you can arrange for food allergies and asthma, what happens if your child's 504 plan is violated, and more! Kristin is a trained disability advocate and mom to three boys with multiple life-threatening food allergies, so you bet she knows all about what it takes for setting up a plan and navigating the federal school system.

What we cover in this episode: * What is a 504 plan and who can get one? * When can you start a 504 plan for your child? Preschool to high school. * Can you have a 504 plan if your child goes to private school? * How to qualify for a 504 plan: the eligibility meeting, the criteria, and who is involved in this process. * The types of accommodations food allergies and asthma can have in a 504 plan. * What would be considered a violation of the 504 plan? * The steps to take if the 504 plan has been violated. * The role of class parents in ensuring the 504 plan is respected. * When and how you should get your food allergy child involved in the 504 planning process. * What is your doctor’s role in setting up a 504 plan. * Could COVID impact your 504 plan? * Kristin’s honey and hot sauce method

Helpful Resources: * Kristin's website and how to get in touch with her: www.theprioritizedgroup.com * Sample Section 504 Plans for Managing Food Allergies from Kids with Food Allergies * SAMPLE ACCOMODATIONS FOR 504/IEP/IHP from FAACT * Section 504 and Written Management Plans from FARE * Megan explains what she has in her son's plan for food allergies and EOE from Allergy Awesomeness

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How do disparities (racial and economic) impact people with food allergies?

Dr. G and Kortney explore disparities in food allergies with Emily Brown, the founder of Food Equality Initiative. Emily shares her story of food allergies and food insecurity, and how this impacts so many Americans.

Emily started Food Equality Initiative (FEI) to ensure that no mom has to feel like she did when she first stepped into a food pantry and could not find any safe options for her family.

FEI’s mission: Improve health and end hunger in individuals diagnosed with food allergies and celiac disease through access to safe and healthy food, nutrition, education and advocacy.

What we covered on this episode:

Why Emily started Food Equality Initiative and her journey into becoming an allergy mom.
The role of family support in food allergy management.
Food disparities and food insecurity - what does this mean.
Why there is no shame in asking for help.
American food programmes: WIC, SNAP (supplemental nutrition program).
The struggles food allergy families may face at food banks and pantries.
How you can benefit from FEI or get involved.
Since avoidance of allergens is the only treatment, access to safe food is therefore also the treatment. Emily and FEI are working to make safe food covered by insurance.
Asthma and food allergy disparities - how they are linked.
Why doctors need to screen for food insecurity.

Helpful resources:

Emily’s open letter to the food allergy community
ForTheHealth: Ending food allergy healthcare disparities series hosted by FEI
Infographic of the impact of food allergies on a food budget

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Are there special precautions you need to take when pregnant with food allergies?

Chelsey Amer joins Dr G and Kortney to talk about her experience being pregnant with food allergies. As a Registered Dietitian Nutritionist Chelsey also shares information about proper nutrition during pregnancy for those with and without food allergies.

Dr G also shed some light on allergic reactions and what you need to know about taking allergy and asthma medications during pregnancy.

What we cover in this episode:

Chelsey's journey with food allergies, chronic lung disease and how she became a registered dietitian.
Can you use anti-histamines, epinephrine, topical steroids while pregnant?
Pregnancy and asthma, can you continue to use controller medications and does anything change with asthma during pregnancy?
Tips on how to eat a well-balanced diet during pregnancy and what that looks like.
The role of supplements during pregnancy: what to look for and what to take.
Is it ok to be a vegetarian while pregnant? Will your baby get all the nutrients they need to thrive?
Why omega 3 fatty acids should not be neglected during pregnancy.
What foods to avoid during pregnancy.
Should you avoid eating allergenic foods while pregnant if you are not allergic to them? If you have a child with food allergies, should avoid eating their allergens during pregnancy?
Can vitamin D help prevent allergic disease in babies?
Why you want to introduce allergenic food to your child early on.
Breastfeeding: what foods should be avoided, and when should you avoid allergenic foods while breastfeeding?
When should someone consider working with a registered dietitian?
What concerns Chelsey had about food allergies for herself and for her son.
How to safely introduce your food allergens to your baby, and what Chelsey has been doing with her son.
Sugar and gestational diabetes during pregnancy.

Helpful Resources: https://www.itchpodcast.com/post/episode-29

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What is the secret to feeling comfortable in your skin, especially when you have eczema?

Dr. Gupta and Kortney interview "skinfluencer" Alexis Smith, who shares her eczema journey on Instagram. Alexis has appeared on the cover of People Health Magazine, and Dove Beauty campaigns openly displaying her skin. Alexis shares how to feel comfortable in your skin, how to date, and wear makeup when you have eczema.

Dr. G goes into detail about patch testing for contact dermatitis, and how it is an integral part of eczema management.

What we cover in this episode: * The role Instagram played in her eczema journey and the doors that it has opened from collaborations to developing a community * How Alexis's family adapted to her diagnosis and the changes they had to make as a household * The emotional toll eczema puts on you * Alexis's story of not covering up her eczema and why is it important to know and remember that "people don't care" * Advice on how to be more comfortable in your one skin and gain confidence in your body * How to interact with people who comment on your skin and don't really understand it? * Navigating makeup with eczema * Tips for rocking your eczema routine * The testing used to help diagnose eczema * Dating with eczema * Mental health & resources for people who are feeling emotionally drained from their skin condition

Additional resources:https://www.itchpodcast.com/post/episode-28

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What can you do to avoid atopic eczema flares?

In part two of the atopic eczema series, Dr G and Kortney discuss treatments and management techniques. From oral steroids to bleach baths, get ready to learn about all the ways you can help maintain healthy skin and avoid flares.

What we cover in this episode: * What types of creams should you use to help maintain your skin * Medicated creams: steroid cream, non-steroidal creams: Protopic and Crisaborole * Sun exposure’s impact on your skin * Other atopic eczema therapies: Phototherapy, Oral steroids: the pros and the cons, Dupilumab - dupixent: use and side effects, and Antihistamines * Skin care for atopic eczema: soaps, bathing, moisturising * Bleach baths * General tips on how to avoid a flare. * Can eczema be cured?

More resources: Atopic Eczema Treatments

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What is the itch that rashes?

Dr G and Kortney are at it again; this time, they are doing a deep dive into atopic eczema. In part one, they go through all the terms associated with atopic eczema, what causes it, the symptoms, and the triggers. In part two, they will be covering treatments and maintenance.

What we cover in this episode: * Eczema and dermatitis * Atopic eczema/atopic dermatitis * Contact dermatitis * Neurodermatitis * What happens in the body to cause atopic eczema? * Why the skin barrier is essential in understanding atopic eczema and why you need to keep it moisturize * What does atopic eczema look like/how to recognize it. * How atopic eczema in effect different age groups. * What are the triggers of atopic dermatitis: weather, temperature, environmental allergens, food allergies, stress. * How to diagnose atopic eczema and why it is crucial to work with an allergist while diagnosing a baby, especially if they are being tested for food allergies. * How food allergies and eczema present in adults.

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Can you travel with food allergies? You bet! This is how!

In this episode, Kortney and Dr. G talk to Allie Bahn, a travel guru, who has been blogging about her adventures since 2008. Despite her allergies, Allie always finds various ways of exploring the world, while being conscious about her condition.

Travel has evolved for Allie from road trips with her family as a kid to solo adventures around the globe. Allie shares the steps she takes and her mindset around travelling with food allergies. There is no impossible destination as long as you are prepared.

What we cover in this episode: * How to make travelling with allergies possible - what you need to prepare in planning and your expectations. * How travelling with food allergies evolves as you get older * How to solo travel with allergies * Summer camps and student exchange: * How should parents and children have a conversation when deciding to participate in an exchange program and what is necessary to prepare for it. * How to know when a child is ready for travelling abroad * Are organizations more hesitant to allow kids with food allergies to participate in exchange programs? * What to do when preparing for first-time travel after food allergy diagnosis * How to build up confidence in travelling with allergies * How to prepare for travelling with allergies * How does Ally decide where to go next * Where should one be finding emergency services abroad * The resource www.allergytravels.com

List of resources: https://www.itchpodcast.com/post/episode-25

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Kissing, love, drinking, oh my! How does a young adult navigate this and more when they have food allergies?

Dr G and Kortney sat down with Amanda Orlando, the blogger behind Everyday Allergen-Free and author of the cookbook Everyone's Welcome and Dan Kelly from the podcast May Contain to talk about dating!

They set out to talk about navigating love life with food allergies, but the conversation morphed into alcohol, college and figuring out how social life in your late teen's early twenties. There is some fun stuff in this episode, and the guests reveal some personal details about first kisses and more!

What we cover in this episode:

How to bring up your food allergies with a date
It's normal not to know how to bring up your allergies
Always share your allergy with dates as early as possible
If someone doesn't consider your allergy when planning a date - then maybe they aren't right for you
How using humour can help when introducing your allergies-
Rules about kissing?
How parents can help make young adults who are vocal about their allergies.
Over 60% of teenagers feel embarrassed to speak about their allergies - how can we change this?
Things that you need to think about as you transition from living at home to living on your own in college.
How having close friends who know your allergies and situation can make a big difference.
Why you should teach your friends how to use your epi device.
The importance of building a new safety net at college.
How to navigate drinking safely
How alcohol might affect your reaction to foods.
Allowing your partner to have allergens or not?
Did you grow up in an allergen-free home or not?

Additional resources: https://www.itchpodcast.com/post/episode-24

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How do you know if you have an under reactive immune system?

Did you know Dr G is an allergist-immunologist. This episode explores the function of an immunologist, what they treat patients for and how they go about it. But to fully understand immunology, we first have to know more about the immune system and what can go wrong with it.

What we cover in this episode:

A brief overview of the immune system
- What can go wrong with the immune system: Overreacting - allergies & autoimmune disease, Under reacting - immunodeficiency disorders
- What causes an immunodeficiency?
- The basics of how to recognize an immunodeficiency and diagnose it
- How immunodeficiencies are treated
- Types of immunodeficiencies
Difference between allergy, autoimmune disease and immunodeficiency
Listener question: How can someone have both an under reactive and overreactive immune system?

Resources:

https://primaryimmune.org/
https://www.aaaai.org/conditions-and-treatments/primary-immunodeficiency-disease

Episodes on allergies: * Ep.1: What is an allergist & when should you see one? * Ep. 2: The science behind an allergic reaction & why are allergies on the rise? * Ep. 3: Managing food allergies as an adult & tips on dining out and traveling with allergies * Ep. 5: The types of food allergy testing & why they can be so hard to interpret * Ep. 18: The questions that arise after a food allergy diagnosis: Part 1 - the medical questions * Ep. 19: The questions that arise after a food allergy diagnosis: Part 2 - Lifestyle changes

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What better way to start 2020 than to bust some food allergy myths?

We asked our listeners what food allergy statements they wonder are a myth. Dr G sheds some truth on common misconceptions that circulate the food allergy community.

The myths tackled in this episode: * Only kids are affected by food allergies * Each reaction is worse than the last * Exercise can make a reaction more severe * Aspirin and alcohol can also increase your chances of having an allergic reaction to food * The absence of a protein makes an item/ingredient completely safe * Peanut oil is safe for people with a peanut allergy. * People with milk allergy are fine with lactose-free food * Everyone grows out of their milk allergy * You can have an allergic reaction to airborne peanuts * You shouldn't worry about peanuts on planes * You can have an anaphylactic reaction by only touching food * You can't be allergic to corn or rice * You can't be anaphylactic to fruit or vegetable * Foods caused by oral allergy syndrome are not considered a true allergen * If you use your EpiPen, you have to call 911 and go to the hospital * If you use two adrenaline auto-injectors, they need to be administered in different thighs

End with this question: What would happen if you do epi to the neck or chest like in the movies

For more resources go to https://www.itchpodcast.com/post/episode-22

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How do you start giving your allergy kid more control in managing their food allergies?

Live from the Food Allergy Bloggers Conference! Dr. G and Kortney interview mom and daughter pair Gina and Jill as they share some of their presentation about self-advocating and the steps that a family can take in managing their food allergies or any other medical condition.

Gina Mennett Lee, M.Ed, works nationally and internationally as a food allergy consultant and educator through her business, FoodAllergyConsulting.com. Her daughter, Jill, has multiple food allergies and shares her life managing allergies on Instagram.

Learn how they developed a four-step plan that helped Gina lead the way and then slowly give up the reigns on managing Jill's allergies.

What we cover in this episode * The four steps that Gina used to help Jill start to self-advocate:Modelling, Small step advocacy, Supported advocacy, and Independent advocacy * Examples of how to use this process and how Gina has helped Jill become an independent food allergy teenager. * The hardship of giving your allergy kid more control and finding their independence.

Find the slides to Gina & Jill's presentation and more helpful links here: https://www.itchpodcast.com/post/episode-21

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How do you navigate life with food allergies when food plays such a significant role in so many cultures?

Dr. G and Kortney talk with Sharon Wong from Nut Free Wok. Sharon is in an allergy mom of two who blogs about recipes, cooking techniques, Asian ingredients, and food allergy related awareness and advocacy issues. She has made it her passion to share her Chinese heritage with her kids despite their food allergies.

This episode explores how culture and food are intertwined and how this can impact someone with food allergies. Sharon shares how she was able to communicate her needs with her family so her children could still participate and how you can share time and traditions by doing other activities that do not involve food.

Sharon and Kortney also share how they navigate their food allergies at family events by embracing inclusion for all.

What we cover in this episode * Why Sharon started her blog * Strategies on how to try foods from different cultures when you have food allergies * How food plays a role in culture and how this fits in when you have food allergies * Communicating your food allergies needs to the family around the holiday season, especially if this impacts family traditions * Creating inclusion around food at family gatherings * Managing potlucks when there may be food allergens present * Sharon's two steps on how you can start thinking about sharing food culture with your food allergy kids * Finding safe alternatives to make food similar to the original - you aren't missing out because it is about intention * Bonus how to make a stir fry

Additional resources: https://www.itchpodcast.com/post/episode-20

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You get home after receiving a food allergy diagnosis, look into your fridge, where do you even start?

In the second part of answering questions on what new food allergy suffers should know, we tackle the lifestyle side of a food allergy diagnosis.

Dr G and Kortney are joined by Stefanie Lowe to discuss grocery shopping, navigating labels, how to approach friends and family about your needs, how to find your comfort level and introducing new foods to your child.

Stephanie is a food allergy advocate, and community thought leader, she is a mother to three children, the oldest of which has multiple food allergies, FPIES, asthma, Celiac disease as well as all three managing environmental allergies. If you have ever seen a build light up teal for food allergy awareness, this is because of Stephanie. She is the founder of Turn It Teal, a global project committed to raising food allergy awareness by lighting buildings, monuments and bridges, predominately during Food Allergy Awareness Week.

The questions we answer in this episode

What are the first things you should do after receiving your food allergy diagnosis? What should you prioritize?
What do you do at home, with friends, family?
Should you remove all allergens from the house?
How do you figure out what the best plan of action is for you?
How do you seek support from your family when they don't understand the diagnosis and that it is something that comes with a lifestyle change?
How do you find a food allergy community?
What resources are available to me?
Will this impact us financially because of special foods?
How do you go about navigating labelling and reading packages?
When is the best time to introduce new foods?

Big Takeaways

Every family does things differently.
Always have epinephrine auto-injectors and an action plan.
Learning day by day - your allergy journey is made from building blocks of each with a more defined level of comfort.
Life with food allergies requires you to be aware and hypervigilant, it's best not to make it what you are all about.

ADDITIONAL RESOURCES: https://www.itchpodcast.com/post/episode-19

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You have been given a new food allergy diagnosis now what?

We asked what the most prominent questions people had after receiving their food allergy diagnosis and we answered them for you! In part ONE of 'the questions that arise after a food allergy diagnosis,' Dr G and Kortney answer the medical and science-based questions. In part TWO, they will be tackling the lifestyle side of a food allergy diagnosis.

The Questions Answered: * How do I know how severe the allergic reaction will be? * What symptoms to look for an allergic reaction, and how long do they take to show up? * What is anaphylaxis versus a 'normal' allergic reaction? * How to and when to use epinephrine? * What epinephrine auto-injectors are available, and how do you use them? * How does epinephrine work, and what should we know about it? * Why does my child have so many food allergies? * What is oral allergy syndrome? * Is there a chance of developing more food allergies? * What are the chances of outgrowing food allergies? * Should I be concerned about asthma and eczema?

For supporting information check out Episode 18 on our blog.

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Food allergy anxiety is taking a front seat in the FA community, how do you recognize if it is impacting you and your family?

Helping Dr G and Kortney discuss anxiety and mental health concerning food allergies is Lisa B. Rosenberg, M.Ed., MSW, LSW, CSSW. Lisa is a licensed child and family therapist, founder of Safe & Included, LLC, and co-founder of the Food Allergy Behavioral Health Association (FABHA),

In this episode, we learn about how Lisa was thrown into the world of food allergies, first as a 30-year-old and second with both her kids. Lisa shares her experience working in the school systems and how this led to more time spent working with clients on food allergy anxiety.

We go over the signs and symptoms of food allergy anxiety and how you can seek help.

What we cover in this episode: * Lisa’s allergy story and her path to becoming an allergy consultant. From teacher to a counsellor to an allergy advocate. * Food allergies in the school system: how schools are modelling exclusion for kids with food allergies and what the psycho-social impact is. How teachers and school psychologists can help recognize food allergy anxiety. * How do food allergies impact mental health * How anxiety starts after the food allergy diagnosis. * Helpful anxiety versus debilitating anxiety - how to recognize this and what strategies and skills you need to help manage it. * The signs of anxiety, and how to differentiate an anxiety attack versus a reaction * How anxiety impacts diet leading to disordered eating, restriction, and eliminating foods out of fear. * Should you keep allergens in the house? How does this help or hinder your child learn skills to navigate their allergens later in life * How to get help if you are concerned with your budget

Additional resources: https://www.itchpodcast.com/post/episode-17

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What do you do when your son dies from a food allergy?

Dr G and Kortney talk to Dina and Thomas Silvera who had to face that very question. After their son passed away from ingesting dairy, they made it their mission never to let another family go through what they did.

The Elijah-Alavi Foundation is an initiative designed to raise awareness on the severity of food allergies and anaphylaxis as well as the importance of education and training. Their goal is to bring training to daycares and communities and provide resources that cater to all socio-economic groups.

Dina and Thomas discuss the health disparities in asthma and allergies, and how bringing education to these groups needs to be done in a way that is respectful and culturally sensitive.

Health disparities refer to differences in the health status of different groups of people.

What we covered in this episode: * Why Thomas and Dina started the Elijah Alavi Foundation * What they want the foundation to be: the voice for infants and younger children who are underrepresented in the policies * How the foundation has changed the Silvera family and why Thomas is changing career paths * How they plan to provide hands-on training, protocols, risk reduction strategies and more after Elijah’s law passed in New York. * Why they want care takers and educators to take on the same role of a parent in allergy management and feel confident to act in a case of emergency * How to address health disparities and the foundation plans to bring training to these communities. * Why it is essential to have someone that reflects the community present when training is delivered. The need to remember the role culture plays when bringing education. * Webinar training versus hands-on training

Supporting information here: https://www.itchpodcast.com/post/episode-16

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Dr G and Kortney sit down live from Portland Maine to interview Dr Ruchi Gupta!

You may know her from the Netflix series Rotten, where she appears in the Peanut Problem episode. Or you may know her name from the article that came out in early 2019, Prevalence and Severity of Food Allergies Among US Adults, which stated that 1 in 10 adults have food allergies.

Dr Ruchi Gupta, has more than 15 years experience as a board-certified paediatrician and health researcher. She currently serves as the director of the Science and Outcomes of Allergy & Asthma Research Program (SOAAR), where she is actively involved in clinical, epidemiological, and community-based research.

What we cover in this episode: * Prevalence of food allergies in kids and adults. * What are the top allergens for kids and adults, how do those differ from adults * What are the common allergens that children tend to outgrown * Adult-onset food allergy: How did the recent study done by Dr. Ruchi Gupta figure out 1 in 10 adults have food allergies? * 20% of adults reported having an allergy - why we need to pay attention to that number and what it means. 1 in 5 adults are giving up food that negatively impacts them * Allergy testing: when should be testing done and what should be tested * Understanding allergy testing and the problem with allergy testing at this time * How to accurately diagnose an allergy * When it is appropriate to take a specific food out of your diet. * Allergies in teens - what is helping and hindering managing their food allergies and the role of peers and classmates * The importance of building a community, especially for college-bound teens. * What allergy kids and teens think the positives are of having food allergies

Supporting info: https://www.itchpodcast.com/post/episode-15

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How does a mom turn a food allergy diagnosis around to help empower herself and her children?

A new food allergy diagnosis can be overwhelming as a parent, but there is a lot of good that can come out of it. Many food allergy moms have turned a food allergy diagnosis into a new cooking passion, helping them make the transition from diagnosis to life much more manageable and empowering.

We talk to Shahla from My Berkley Kitchen about her journey with her daughter's diagnosis and the changes she made as a response.

What we cover in this episode: * Shahla's journey into becoming an allergy mom and fabulous cook * Why you don't want to restrict your diet if you don't have to and how to work with your allergist to expand your diet * When and how to try new foods * How to navigate foods that are 'cross-reactive' to your allergens * How to empower yourself and your kids in the kitchen by teaching them to cook and recreating foods that you can't have out at home * How to make food fun and take away any fear that food could bring * Tips on eating out: allergy cards and why to call ahead

Supporting information: https://www.itchpodcast.com/post/episode-14

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Do you know why mental health history is essential when deciding your controller medication?

Dr G shares her top tips on using inhalers and when it is appropriate to use a nebulizer. She also explains the side effects of certain controller medications and why doctors need to know more about you as a patient (even your mental health) when prescribing a controller medication. The decision of going on medication should be made with you in mind.

What we cover in this episode:

Inhaler tips: know that there are different brand names for the same medicine, using a spacer, how to remember to take your controller
The side effects of inhalers
What are nebulizers and when are they used (at home and the ER)
Montelukast is a leukotriene receptor antagonist. When it is prescribed and the side effects.
Why you want to disclose your mental health history with your allergist when decided what medication to go on.

Supporting information and a graphic of all asthma medications: https://www.itchpodcast.com/post/episode-13

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Did you know asthma medication encompasses more than just inhalers?

Asthma medications are a massive topic to cover! We will be covering them all in three episodes. The first part we discuss the types of inhaled medications, both for quick relief and controllers. Dr G breaks down how the medicines work in the body and why it is essential to know the function of each type of inhaler.

We also cover what medication you would be prescribed and how you would introduce it using step therapy.

What we cover in this episode: * Types of inhaled asthma medication: Inhalers: short-acting beta 2 agonist (SABA), long-acting beta 2 agonist (LABA), inhaled corticosteroids (ICS), combination LABA/ICS, and anticholinergic inhalers (tiotropium bromide) * How allergy shots can help with allergic asthma * How asthma medication work - are they receptor agonists or an antagonists * Step therapy

Supporting information: https://www.itchpodcast.com/post/episode-12

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What do you do when a family member passes away from an anaphylactic reaction?

Kortney interviews Joey Salmingo, the founder of FATE. Joey founded FATE after his sister Joanna passed away from eating a mochi ball made with cashew milk. Joey is making it his mission to advocate and educate on behalf of people with food allergies as he never wants another family to experience experience what he and his family had to go through in August 2018.

They talk about what drove Joey to start the initiative, how he spreads awareness and education through the FATE forums, and why we need to get the message out.

What we cover in this episode: * The reason Joey started FATE * What FATE does to educate those with food allergies * The importance of educating people who do NOT have food allergies * Why education for restaurants, schools, the airline industry, and even paramedics is important for people with food allergies to remain safe * Why restaurants need to hear about personal stories about how allergies impact people to understand why they need to take allergies seriously * Why the use of Epinephrine needs to be a part of basic first aid * What Joey is up to besides working on FATE

Supporting info: www.itchpodcast.com/blog/episode-11

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What are the different levels of severity and types of asthma?

Asthma is not a one size fits all diagnosis. The advances in medicine have given doctors the ability to pinpoint a patient's asthma severity level and the type of asthma they have. Knowing the severity level of a patient's asthma and what type or types they have is critical in finding the best treatment possible.

In part two of the three-part series on asthma, Dr G outlines the different classifications of asthma severity by going over all the aspects a doctor looks at when making a diagnosis. She also reviews the types of asthma.

Kortney chimes in with her real-life experiences of living with uncontrolled asthma, and how she worked to get it back on track with controller medication.

What we cover in this episode: * What is uncontrolled asthma and why is it dangerous * The classification of asthma severity: mild intermittent, mild persistent, moderate persistent, severe persistent * The types of asthma: allergic asthma, non allergic asthma, eosinophilic asthma, exercise induced asthma, cold induced asthma, cough variant asthma, occupational asthma * Nighttime symptoms of asthma * Thunderstorm's impact on asthma

Supporting info: www.itchpodcast.com/blog/episode-10

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How do you decide what online information about allergies and asthma to trust?

There is only so much a doctor can cover in an appointment, which means the vast majority of patients do lots of research on their own. Not only do patients want to know about the medical side of their new diagnosis, but they also want to know how it will impact their lives. With social media and forums, it is easy to find those everyday life answers, but not all information is correct or helpful.

Kortney and Dr G chat with Emma Amoscato the author of the book Living with Allergies: Practical Tips for All the Family to discuss how people living with allergies and asthma can vet the information they find online. They also talk about how to build a trusted community both online and off, why Kortney and Emma started their blogs and what role doctors have in helping patients navigate the online sphere from pseudo-science websites to Instagram.

What we cover in this episode: * How to determine whether a source is legitimate and what things to look out for when choosing your source of information * How to navigate social media * How to build a trustworthy online and offline community that is informed and provides a safe space for mental health: forums, meet-ups, and Facebook groups * Briefly discuss Emma's new book, touch upon gut biome, why the increase of food allergies, and feeling guilty about your child's allergies * Anxiety with allergies and asthma: when to experience it and when information can be helpful or harmful

Supporting info: www.itchpodcast.com/blog/episode-9

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The power of learning about asthma through comics! Kaboom! Pow! Inhale!

Dr Alex Thomas doesn't think educating patients about their conditions needs to be boring, instead, he thinks it should be an adventure! Dr Thomas talks to Dr G and Kortney about how he uses comics to help his patients understand their asthma and what tools doctors can learn to become better communicators.

Dr Thomas is a paediatric allergist and immunologist, and cartoonist. He is a co-founder of Booster Shot Media, a company that uses diverse forms of media to help teach patients about different health conditions.

What we cover in this episode: * Dr Alex Thomas's journey into creating comics about asthma and how he started his company, Booster Shot Media * How Dr Thomas works with medical students using comics to learn how to use different communication methods with patients * The methods doctors learn and practice to better educate their patients

Supporting information: www.itchpodcast.com/blog/episode-8

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How is asthma diagnosed?

Similar to many of the atopic diseases, asthma is not black and white. When it comes to diagnosing asthma, there are many factors including history, allergies, biology, and tests that are performed by your doctor (allergist, pulmonologist or primary care doctor).

Asthma is a massive topic, and we can't cover in it one episode, let alone take a deep dive. We will be breaking down asthma into three episodes covering all the essential aspects you need to know.

In the first part of our three-part series, we outline the symptoms and triggers of asthma as well as the tests that doctors perform to diagnose asthma. Dr G and Kortney also talk about differentiating an asthma attack and allergic reaction.

Part 2 of the series will be about the types of asthma and severity. Part 3 will cover the treatments available for asthma and what goes into an asthma action plan.

What we cover in this episode: * Dr G and Kortney briefly discuss their time advocating for patients with asthma and allergies on Capitol Hill * The anatomy of the lungs * Define asthma and outline its symptoms and triggers * How doctors diagnose asthma * The tests used to diagnose asthma * How an asthma attack can mask an allergic reaction

Supporting info: www.itchpodcast.com/blog/episode-7

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Managing life with 2 multiple allergy kids and EOE

Dr G and Kortney talk to Megan Egbert Lavin the blogger behind Allergy Awesomeness and author of An Allergy Mom's Lifesaving Instant Pot Cookbook.

Meg opens up about her journey as someone who knew nothing about allergies to having two sons with multiple allergies. On top of the food allergies, Meg's oldest son was diagnosed with EOE before the age of two. She also shares how she works with her husband to manage allergies in the home and how you can get your partner to take a more active role as a caregiver.

Not sure what EOE is? No worries, Dr G breaks it down.

What we cover in this episode: * Meg's journey from her son's first reaction to yoghurt to his EOE diagnosis * How to engage your partner when managing food allergies. * Whether to keep an allergy-free house or not * Cooking for multiple food allergies * What is EOE (Eosinophilic esophagitis)

Supporting info: www.itchpodcast.com/blog/episode-6

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Figuring out the art of allergy testing.

Allergy testing can feel overwhelming, scary, and not always black and white. Like most things that pertain to allergies, both food and environment, the answer is not always a straight path. So what do you need to know about allergy testing?

Dr G explains the types of allergy testing you can expect to undergo at the allergist office (skin prick, blood test and oral challenge). She also describes how an allergist uses the data from tests and patient history to help deduct what the allergen may be. Kortney chimes in with her own experience, since she has experienced it all from passing an oral challenge, to failing one, and many false negatives.

What we cover in this episode: * Types of allergy testing: skin prick, blood test, and oral challenge * Explain why allergy tests are a challenge to interpret * Why it is important to know what a false positive and false negative are in regards to allergy testing * The importance of patient history when it comes to interpreting allergy tests * The mind-body connection when undergoing an oral challenge * What happens in a double-blind oral challenge

Supporting info: www.itchpodcast.com/blog/episode-5

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An allergy mom takes action and writes a book about it! Kortney and Dr G interview Emma Amoscato the blogger behind The Free From Farmhouse and author of the book Living with 'Allergies: Practical Tips for All the Family'.

Emma shares her journey into becoming an allergy mom of two and her son's experiences with asthma. Emma also talks about how her son copes with severe asthma attacks and having multiple allergy testing done at a young age.

Plus, Dr G explains a little more about asthma and the treatments available.

What we cover in this episode: * Emma's journey into becoming an allergy and eczema mom * How Emma discovered her son's allergies and how she was prepared for her second child's allergies * A brief overview of asthma, pedantic asthma, and available treatments * How to help your children take ownership of their allergies and asthma

Supporting information: https://www.itchpodcast.com/blog/episode-4

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What is it like growing up with food allergies, asthma and eczema?

Time to get to know our co-host Kortney, aka allergy girl, a little better. Kortney opens up about her journey with allergies, asthma and eczema, and shares some tips on how to manage them, so they don't hold you back from living your fullest life.

What we cover in this episode: * Kortney's story and why she decided to start a blog about food allergies * What it is like living with food allergies, asthma and eczema as an adult * Tips on how to dine out with food allergies and how to use an allergy card (chef card) * How to travel with food allergies * The importance of defining boundaries when managing a health condition

Supporting information: https://www.itchpodcast.com/blog/episode-3

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Why have allergies increased so drastically in the last two decades?

This episode takes a more in-depth look at what causes an allergic reaction, breaking down the parts involved in a reaction, and what symptoms to look out for in an allergic reaction. Dr Gupta also explains some theories into why someone may develop allergies and why they are on the rise.

What we cover in this episode: * The symptoms of an allergic reaction * What happens during an allergic reaction * What the term IgE means and how it relates to allergies * The atopic march * Theories looking at the rise of allergies such as the hygiene theory

Supporting information: https://www.itchpodcast.com/blog/episode-2

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A new podcast about allergies, asthma, and immunology!

Why did an allergy girl and an allergist immunologist decide to team up and start a podcast? Listen on to find out why they want to spread awareness about allergies, asthma and immunology. Plus learn what an allergist does and why you should see one.

MORE INFO

Our website: https://www.itchpodcast.com
Instagram: https://www.instagram.com/theitchpodcast/
Allergy & Asthma Day Capitol Hill:http://www.allergyasthmanetwork.org/advocacy/allergy-asthma-day-capitol-hill/
Article "More than 1 in 10 US adults has a food allergy, study finds": https://edition.cnn.com/2019/01/04/health/adult-food-allergies-prevalence-study/index.html

The Itch: Allergies, Asthma & Immunology: Recent Episodes

The Itch: Allergies, Asthma & Immunology

ForTheHealth: Ending food allergy healthcare disparities series hosted by FEI