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Speaking of allergy, I am way allergic to cats and I

will be very happy when I no longer have a positive

skin test. I had asked my pulmo " So when can I get a

kitten? " His reply " Don't talk crazy talk. " No kitten.

So I would hazard that shellfish, peanuts etc will

still be out of the question. However you may no

longer risk life threatening anaphylaxis (dropping

dead) if you come into contact by mistake.

ps Not sure if shrimp is worth an epipen in the leg!

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The pulmonologist is right, No Kitten. It goes without saying, no shellfish or

peanuts. Xolair binds the IgE in your system. IgE is continually being built.

You are always allergic to the things you are allergic too. In the case of

peanuts or shellfish, Xolair will give you a little tolerance for an accidental

ingestion. It will NOT allow you to eat them on purpose.

Pat

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My understanding is that the goal of treatment regarding peanut allergy is to

reduce the risk of fatality from accidental ingestion of peanut, by raising

the threshold that is tolerable. This doesn't mean that you'll be able to chow

down on peanuts, and I assume the same would be true of other allergens as

well. The study that I read showed that people went from having anaphylaxis with

something like half a peanut to having a higher threshold of eight peanuts

before reaching the point of anaphylaxis. This does not mean that it would ever

be advisable or safe to sit down and eat a bag of peanuts. It's more that if

you ate something that happened to be cooked in peanut oil, you'd be more likely

to survive the meal.

Xolair is in clinical trials for peanut allergy. I have not seen any

reports on how the trials are going.

Basically the allergic process involves the IgE binding to the mast

cell regardless of the allergen. Theoretically, Xolair should prevent

food allergies as well as airborne....

Addy

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