Hazelnut Allergy
Treatment & Testing
Hazelnut Allergy Treatment in NYC, Manhattan, Upper East Side
Hazelnuts are a common tree nut allergen and can cause severe allergic reactions. Many patients with tree pollen allergy may show sensitization to hazelnut but not a true allergy to hazelnuts. Common tree nuts include almonds, walnuts, hazelnuts, pecans, cashews, pistachios, macadamia nuts, and brazil nuts. It's essential to differentiate tree nuts from peanuts, which are legumes, though cross-reactivity can occur. Dr. Atul Shah and his team at NY Food Allergy & Wellness provide expert hazelnut allergy diagnosis and treatment to keep patients safe and improve their quality of life.
Understanding Hazelnut Allergies
A hazelnut allergy triggers an immune response to the proteins in hazelnuts, and symptoms can range from mild itching to severe anaphylaxis. Hazelnut allergies often overlap with other tree pollen cross reactivity and other nut allergies, so comprehensive testing is important. Recognizing true allergy vs. oral allergy syndrome is absolutely essential for a proper treatment and successful end results. Our NYFA team prides for our expertise in this area.
Symptoms and Diagnosis of Hazelnut Allergies
Symptoms of hazelnut allergies may include:
Skin Reactions: Rashes, itching, hives
Respiratory Issues: Shortness of breath, wheezing, nasal congestion
Gastrointestinal Symptoms: Abdominal pain, nausea, vomiting
Anaphylaxis: A severe, potentially fatal reaction
Food Allergy
Testing for Hazelnuts
Source: Lincoln Diagnostics
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Skin prick tests are a quick and effective way to identify specific allergens. During the test, a small amount of allergen is placed on the skin, which is then gently pricked to allow the allergen to enter. Results are typically visible within 15-20 minutes, making it a fast and reliable option. Needle-free tests are ideal for children and needle-phobic patients. Using advanced technology, these tests provide precise results without the discomfort associated with traditional testing methods.
Allergy skin tests for pollen allergy can be helpful as well.
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Blood tests are highly accurate and comprehensive, suitable for all age groups. They measure the presence of specific IgE antibodies in the blood, which can indicate an allergy. This method is particularly useful for patients who cannot undergo skin testing.
IgE specific to hazelnut components are very helpful in accurate diagnosis of true hazelnut allergy compared to false positive due to underlying pollen allergy. We are experts in making these decisions.
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At NY Food Allergy & Wellness, we are proud to offer the Basophil Activation Test (BAT), a cutting-edge diagnostic tool for identifying food allergies. This advanced test measures the activation of basophils, a type of white blood cell, in response to allergens. The BAT provides highly accurate results and can detect allergic reactions that might not be identified through traditional testing methods.
We are the only certified lab in the region offering the Basophil Activation Test. Our certification ensures that we maintain the highest standards of accuracy and reliability in our testing procedures. By choosing NY Food Allergy & Wellness for your allergy testing needs, you can be confident that you are receiving the most advanced and reliable diagnostics available.
The Basophil Activation Test is particularly useful for patients who have complex allergy profiles or who have not found answers through conventional tests. It can also be used to monitor the effectiveness of ongoing allergy treatments, providing valuable insights for personalized care plans.
Key benefits of the Basophil Activation Test include:
High Accuracy: Detects allergic reactions that may not be visible through skin prick or blood tests.
Comprehensive Analysis: Measures the specific activation of basophils, providing detailed information about allergic responses.
Certified Lab: Conducted in our certified lab, ensuring the highest standards of testing quality and reliability.
If you suspect you have a food allergy and need precise and reliable testing, the Basophil Activation Test at NY Food Allergy & Wellness is an excellent choice. Contact us today to learn more about this innovative test and to schedule your appointment. -
Oral Food Challenges are considered the gold standard for diagnosing food allergies. During an OFC, the patient consumes small amounts of the suspected allergen under strict medical supervision to observe any reactions. This method provides definitive results and is conducted with the utmost care and safety.
Many patients who are diagnosed as hazelnut allergy due to positive skin tests or blood tests have successully completed oral challenges with us at NYFA and eating hazelnuts freely. We have helped them avoid unnecessary commitment of prescribed OIT at some of the other food allergy institutions. If you are in doubt of your hazelnut allergy, the OFC may be the answer.
Source: Lincoln Diagnostics
The FATE™ Program
Food Allergy Tolerance Enhancement
PHASE 4
Sublingual or Oral
Immunotherapy
PHASE 3
Oral Food
Challenges
PHASE 5
Bite Proof to
FREE Eating
Understanding the FATE™ Program with Dr. Atul Shah
Dr. Atul Shah explains key components of the FATE™ program in a series of videos, including topics like "What is an Allergy?", "What is the Oral Food Challenge?", and "What is Oral Immunotherapy?". These videos provide essential insights into advanced food allergy treatments available in NYC, emphasizing the expertise of Dr. Shah and the comprehensive care offered at the Upper East Side clinic. This positions the clinic as a leading choice for anyone seeking a food allergist in NYC.
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BASOPHIL
ACTIVATION TEST
The Basophil Activation Test (BAT) is a blood test that measures the activation of basophils, a type of white blood cell, in response to specific allergens. This test is particularly useful in diagnosing food allergies.
Process: In BAT, basophils are isolated from a blood sample and exposed to potential allergens. If the patient is allergic to a specific substance, the basophils will activate, which is detected using flow cytometry.
Advantages: This test is highly sensitive and can help in cases where traditional skin or blood tests are inconclusive. It also poses minimal risk to the patient, as it is performed in vitro (outside the body).
NYAIRL & NYFA Connection: NYAIRL, associated with NY Food Allergy & Wellness (NYFA), is a leading research facility and the first and only laboratory in New York State with a CLIA-certified facility to offer BAT. This state-approved service places NYFA at the forefront of allergy research and treatment, ensuring highly accurate and risk-minimized diagnostic services for food allergies.
ORAL FOOD CHALLENGE
OFC is a medically supervised test to diagnose food allergies. It's considered the gold standard for allergy testing.
Process: During an OFC, the patient consumes gradually increasing amounts of the suspected allergenic food in a controlled setting. Medical staff monitor for any reaction.
Purpose: It's used to either confirm a food allergy diagnosis or to check if a patient has outgrown an allergy.
Safety: Given the risk of an allergic reaction, OFCs are always conducted in a clinical setting with emergency response capabilities.
SUBLINGUAL IMMUNOTHERAPY
SLIT is a form of immunotherapy where the patient is given small doses of an allergen under the tongue to boost tolerance to the substance and reduce symptoms.
Process: The treatment involves administering gradually increasing amounts of the allergen in liquid or tablet form under the tongue. The patient holds it there for a few minutes before swallowing.
Purpose: SLIT is primarily used for treating allergic rhinitis and asthma, and it's being explored for food allergies. It's a convenient alternative to allergy shots, as it can be self-administered at home.
Duration: Treatment typically spans over a few years, with the initial phase of dose escalation followed by a maintenance phase.
ORAL IMMUNOTHERAPY
OIT is a medical treatment for food allergies where the patient consumes small amounts of the allergenic food, with the amount gradually increased over time.
Process: The process begins with extremely low doses, followed by periodic and gradual increases, usually under strict medical supervision. This is continued until a maintenance dose is reached.
Objective: The goal of OIT is to desensitize the patient to the allergen, reducing the severity of reactions or helping them achieve tolerance.
Foods Treated: Commonly used for allergies to foods like peanuts, milk, eggs, and tree nuts.
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Dr. Atul Shah: Changing Lives through Food Allergy Desensitization
Dr. Atul Shah is the esteemed founder of NY Food Allergy & Wellness near The Upper East Side of Manhattan, known for his exceptional work in treating food allergies. His expertise is recognized with prestigious accolades, such as the Patients’ Choice Award, Top M.D. Accolades, and America’s Top Physician. As an innovator, Dr. Shah has expanded access to food allergy care globally through the Global Food Initiative, using advanced technology.
Expanding the Horizons
of Food Allergy Care
From his medical beginnings in India to his establishment of New York Food Allergy & Wellness on Long Island, Dr. Shah’s career has been a journey of impact and innovation. In 2023, he expanded his practice to Park Sixty, NYC, setting a benchmark for food allergy care with the introduction of groundbreaking treatments and patient-centered services.
About Dr. Atul Shah: Testimonials
Dr. Atul Shah Interview with Donna Drake
Food Allergy Success Story: Cameron
Managing Hazelnut Allergies in Daily Life
Avoiding hazelnuts is essential for safety, as they are found in various foods, especially desserts and spreads.
Reading Food Labels: Hazelnuts may appear in products labeled as “mixed nuts” or as hidden ingredients in flavorings.
Identifying Hidden Sources: Common in chocolate spreads, cookies, and some cereals.
Dining Out: Inform staff about the allergy and avoid dishes that may contain nuts.
Emergency Preparedness: Carrying epinephrine is essential for those with severe hazelnut allergies.
Common Foods Containing Hazelnuts:
Nut spreads (e.g., Nutella)
Chocolates and pralines
Nut-based granola
Managing Multiple Food Allergies
Achieving food allergy freedom, especially with multiple food allergies, is challenging but possible with the right care. At NY Food Allergy & Wellness, we specialize in comprehensive management and treatment to help patients achieve food allergy desensitization.
Diagnostic Approach
We begin with:
Detailed Patient History: Reviewing the patient’s medical history and symptoms.
Advanced Testing: Utilizing skin prick tests, blood tests, and the Basophil Activation Test to identify specific allergens and assess reaction severity.
Personalized Treatment Plans
Our customized plans aim for food allergy desensitization and may include:
Oral Immunotherapy (OIT): Gradually introducing allergens to desensitize the immune system.
Sublingual Immunotherapy (SLIT): Administering allergens under the tongue to build tolerance.
Medications: Antihistamines can relieve mild symptoms, while epinephrine is used for severe reactions like anaphylaxis. Omalizumab (Xolair) injections can be considered to reduce the risk or reactions.
Dietary Management: Guidance on safe food choices and avoidance strategies.
Emergency Preparedness: Training on using epinephrine auto-injectors and creating action plans for accidental exposures.
Continuous Support
Regular Follow-ups: Monitoring progress and adjusting treatment plans.
Patient Education: Providing resources and training for effective management.
Support Groups: Facilitating patient support groups for shared experiences and strategies.
Why Choose
NYFA?
Personalized Treatment Plans:
NYFA offers individualized care with personalized OIT, SLIT, BAT, and OFC treatments, ensuring each patient's unique needs are met for effective food allergy desensitization.
15,000 Success Stories:
With over 15,000 success stories, NYFA demonstrates a track record of helping patients achieve "Food Allergy Freedom," showcasing a high level of expertise and reliability.
Innovative FATE™ Program:
Our exclusive Food Allergy Tolerance Enhancement (FATE™) program guides patients to new beginnings, blending cutting-edge treatments with a holistic approach to food allergy management.
Experienced Leadership:
Under the leadership of Dr. Atul Shah, an award winning pioneer in food allergy treatment, NYFA offers expertise and dedication to advancing allergy care.
State-of-the-Art Facilities:
Equipped with the latest technology and modern facilities, NYFA creates a safe, luxurious, and comfortable environment for top of the line food allergy treatments.
Community and Advocacy:
NYFA is deeply involved in the food allergy community, advocating for awareness and providing resources to empower patients in their journey towards desensitization.
Upper East Side Location:
Award Winning Food Allergist in NYC
NYC Location
110 East 60th St.
Suite 708
New York, NY, 10022
Hours of Operation
Tuesday: 9am-5pm
Wednesday: 9am-5pm
Thursday: 9am-7pm
Friday: 9am-5pm
Saturday: 9am-2pm
Sunday/Monday: Closed
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We proudly serve the following locations in NYC:
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Frequently Asked Questions
What are the symptoms of hazelnut allergy?
Symptoms of hazelnut allergy include skin reactions such as rashes, itching, and hives; respiratory symptoms like shortness of breath, nasal congestion, and wheezing; gastrointestinal symptoms such as abdominal pain and nausea; and in severe cases, anaphylaxis, which requires urgent medical intervention.
What foods to avoid if you are allergic to hazelnuts?
Avoid foods containing hazelnuts, including Nutella, pralines, and mixed nut blends. Hazelnut flavoring is also common in chocolate spreads and desserts. Carefully read labels for any tree nut derivatives. (Source: Food Allergy Research & Education)
How common is hazelnut allergy?
Hazelnut allergy is common among tree nut allergies and is frequently seen in individuals with broader nut sensitivities. It’s particularly common in regions where hazelnuts are commonly consumed. (Source: American College of Allergy, Asthma & Immunology). Based on our experience at NYFA, we recommend checking for tree pollen allergy based on patinet’s history. Many “hazelnut allergic” patients are sensitized to hazelnut protein due to pollen allergies and do not have a true hazelnut allergy.
What foods are high in hazelnuts?
Foods high in hazelnuts include hazelnut spreads like Nutella, chocolates with nuts, and pralines. Hazelnuts may also be present in nut-based granolas and baked goods. (Source: Food Allergy Research & Education)
What foods is hazelnut hidden in?
Hazelnuts can be hidden in chocolate, bakery products, and foods made in facilities that handle multiple types of nuts. Look for terms like “natural flavors,” which can sometimes indicate nut derivatives. (Source: American Academy of Pediatrics)
What is the Best Treatment for Hazelnut Allergies?
An accurate diagnosis of hazelnut allergy is essential before any treatment. The tree pollen allergic individuals require treatment for pollen allergy and not for hazelnut! Those with true hazelnut allergy, knowing other tree nut allergies is necessary to mazimize the benefit of the treatment options. The best treatment for hazelnut allergies involves avoidance, preparation for emergencies, and desensitization therapies like OIT and SLIT. NY Food Allergy & Wellness provides individualized desensitization options as part of the FATE™ Program, offering safe and structured hazelnut exposure therapy to improve tolerance and minimize reactions.
How Successful is Hazelnut Allergy Treatment?
Desensitization therapies for hazelnut allergies, particularly OIT and SLIT, have shown high success rates in reducing allergic reactions. At NY Food Allergy & Wellness, our FATE™ Program has helped numerous patients achieve increased tolerance, enabling them to live more confidently despite their hazelnut allergy. Those with multiple tree nut allergies, we combine multiple tree nuts as SLIT and OIT and design the most efficient management plan.
Why Choose NY Food Allergy & Wellness for Hazelnut Allergy Treatment?
Choose NY Food Allergy & Wellness for hazelnut allergy treatment because of our:
Specialized Expertise: Dr. Atul Shah is a recognized authority in the treatment of food allergies, including Hazelnuts.
Advanced Therapies: Utilizing the latest treatment options like Sublingual Immunotherapy (SLIT), Oral Immunotherapy (OIT) and Biologics (Omalizumab - Xolair) to manage Hazelnut allergies.
Comprehensive Care Approach: Individualized care plans and ongoing support for effective allergy management.
Cutting-Edge Facilities: Our clinic is equipped with state-of-the-art diagnostic equipment to deliver accurate and comprehensive testing.
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