Asthma & Allergy Services in California, Washington & Oregon
Our clinics have the capabilities to provide a wide range of services. We offer traditional allergy testing (skin prick, intradermal, patch) and treatment (oral food challenges, allergy shots), as well as innovative treatments for food, environmental, and medication allergy desensitization. Our thoroughly researched protocols for oral immunotherapy (OIT), sublingual immunotherapy (SLIT), and ultrasound-guided immunotherapy (ILIT) allow us to desensitize to nearly anything. We treat numerous medical conditions including rhinitis, sinusitis, asthma, dermatitis and urticaria, just to name a few.
Columbia Asthma and Allergy Clinic offers customized allergy shots that significantly relieve or eliminate your allergy symptoms. We have multiple clinics in California, Washington, Oregon, and Idaho!
When environmental allergies make you miserable and you can’t get the relief you need from your usual medication, it’s time to consider allergy shots. The experienced doctors at Columbia Asthma & Allergy Clinic offer customized allergy shots that significantly relieve or eliminate your symptoms long term. To schedule an appointment, use the online booking feature or call one of the 12 locations throughout the Pacific Region, including Fremont, Oakland, Redwood City, Sunnyvale, San Mateo, and California; Clackamas and Gresham, Oregon; Bellevue, Fishers Landing, Longview, and Salmon Creek, Washington; and Eagle, Idaho.
Allergy Shots Q & A
How do allergy shots work?
Allergy shots, or subcutaneous immunotherapy, treat your allergies by targeting the immune system. Allergies begin when your immune system overreacts to a substance that’s normally harmless. The key to long-term allergy relief is to stop your immune system from treating that allergen like it’s a dangerous invader.
Each allergy shot contains a small dose of your custom allergens, just enough to slightly activate your immune system without causing a full allergic reaction. As you receive a series of allergy shots, each one delivers a slightly higher dose, allowing your immune system to develop a tolerance to your allergen.
Over time, allergy shots desensitize your immune system. As a result, your allergic reactions are either significantly diminished or, in some cases, eliminated.
Which allergies can be treated with allergy shots?
Allergy shots are available for many types of allergens, including:
- Dust mites
- Pet dander
- Tree pollen
- Grass pollen
- Insect venom
With such a broad range of allergens, allergy shots can relieve the symptoms of allergic rhinitis, atopic dermatitis, and eye allergies. Allergy shots can also help prevent asthma attacks, which are often triggered by airborne allergens.
How long will I need to get allergy shots?
Before you get allergy shots, your doctor at Columbia Asthma & Allergy Clinic runs allergy tests to identify your specific allergens. When your allergy shots begin, they’re delivered on a regular schedule that progresses through two stages:
During the buildup phase, you will come into the office at least once a week for an allergy shot, with slight increases in the dose each time. This phase typically lasts 6-7 months until your doctor at Columbia Asthma & Allergy Clinic determines your immune system is ready for the maintenance phase.
While you’re in the maintenance phase, your dose stays the same and the frequency of shots drops to one every month. Each patient responds to immunotherapy at their own pace, but you should notice a difference in symptoms by the time you reach the maintenance phase.
Most patients stay in the maintenance phase for 3-5 years. This may seem like a lengthy time, but it’s essential for long-lasting effectiveness.
If you’re not able to commit to allergy shots, you may consider other forms of immunotherapy including sublingual immunotherapy (SLIT) or ultrasound-guided lymph node injections.
To learn if you’re a good candidate for allergy shots, or learn more about our other types of immunotherapy, call Columbia Asthma & Allergy Clinic or schedule an appointment online.
If you are suffering from pollen allergy, mold allergy, pet allergy, or dust allergy, Intralymphatic Immunotherapy might be the best treatment option for you. Please call your nearest location today to find out if you are a good candidate for Intralymphatic Immunotherapy.
Intralymphatic immunotherapy is one of the most recent and exciting developments in allergy treatments. The doctors at Columbia Asthma & Allergy Clinic offer this cutting-edge treatment that delivers faster relief from your allergies than you’ll get from allergy shots and other types of immunotherapy. To learn if you’re a good candidate for intralymphatic immunotherapy, schedule an appointment online or call one of the offices throughout the Pacific Region, including Fremont, Oakland, Redwood City, Sunnyvale, San Mateo, California; Clackamas and Gresham, Oregon; Bellevue, Fishers Landing, Longview, and Salmon Creek, Washington; and Eagle, Idaho.
Intralymphatic Immunotherapy Q & A
What is intralymphatic immunotherapy?
Intralymphatic immunotherapy (ILIT) is an innovative allergy treatment that injects your allergen directly into your lymph nodes. Like all types of immunotherapy, introducing the allergen allows your immune system to build tolerance so it eventually stops triggering allergic reactions.
However, ILIT has two important benefits over allergy shots and sublingual immunotherapy:
Allergy shots are administered at least once weekly at first, then they’re reduced to one shot a month for 3-5 years. With sublingual immunotherapy, daily home dosing is required and can continue for many years. By comparison, ILIT requires only three lymph node injections given 4 weeks apart.
Allergy shots and sublingual immunotherapy take years to provide optimal symptom relief and lasting results. Since the lymphatic system is responsible for triggering the immune response that causes an allergic reaction, delivering allergens directly into the lymph nodes quickly builds up immune system tolerance. Instead of waiting years, ILIT provides allergy relief in weeks.
What allergies are treated with intralymphatic immunotherapy?
The doctors at Columbia Asthma & Allergy Clinic may recommend ILIT to patients with allergies to:
- Dust mites
- Pet dander
These airborne allergens are the top causes of allergies, and they’re so widespread that they’re nearly impossible to avoid.
How is intralymphatic immunotherapy delivered?
Your doctor at Columbia Asthma & Allergy Clinic uses ultrasound imaging to see the lymph nodes and the needle as the allergen is injected. This type of ultrasound-guided technique ensures the shot is placed in the right location. It’s also important to know that lymph node injections are well tolerated; they’re comparable to getting a typical allergy shot.
Your three injections are spaced one month apart. Within a few months, your immunotherapy is finished and your allergies are significantly diminished, or in many cases, eliminated.
Intralymphatic immunotherapy is only offered at the Fremont, California, office.
Am I a good candidate for intralymphatic immunotherapy?
The only way to know if you’re a good candidate is to schedule a consultation. You talk with the allergy specialists at Columbia Asthma & Allergy Clinic about your symptoms and have an allergy test to verify your allergens. Based on all the information collected, they decide if lymph node injections are the best treatment for you.
If you need relief from allergy symptoms and you’d like to see if you’re a good candidate for intralymphatic immunotherapy, call Columbia Asthma & Allergy Clinic or schedule an appointment online.
Columbia Asthma & Allergy Clinic provides oral immunotherapy to effectively treat a variety of food allergies, such as peanut allergy, milk allergy, egg allergy, seafood allergy, and more. Please call your nearest location today or request an appointment online.
For years, there was just one treatment for food allergies: eliminate all traces of the food from your diet. Now that has changed. The exceptional doctors at Columbia Asthma & Allergy Clinic offer oral immunotherapy to effectively treat food allergies. To learn if you’re a good candidate for this innovative treatment, schedule an appointment online or call one of the 12 offices in four Pacific Region states: in Fremont, Oakland, Redwood City, Sunnyvale, San Mateo, California; Clackamas and Gresham, Oregon; Bellevue, Fishers Landing, Longview, and Salmon Creek, Washington; and Eagle, Idaho.
Oral Immunotherapy Q & A
What is oral immunotherapy?
Oral immunotherapy treats anaphylactic food allergies by reintroducing the food back into your diet in small, incremental amounts. With ongoing exposure to the allergen, your immune system becomes desensitized and stops triggering a significant allergic reaction every time you eat that food.
After completing oral immunotherapy, you can consume the food you were allergic to without fear of having an anaphylactic reaction.
What food allergies may improve with oral immunotherapy?
The oral immunotherapy program at Columbia Asthma & Allergy Clinic has helped hundreds of patients successfully deal with food allergies to:
- Tree nuts (i.e. cashew, walnut, almond)
- Seeds (i.e. sesame, sunflower, and mustard)
How does oral immunotherapy work?
To start oral immunotherapy, you consume a very small amount of the allergen in the clinic and then you continue to consume that amount of the allergen every day at home. The dose is slightly increased under medical supervision, and then you can continue consuming that precise amount at home.
You’ll gradually reach a maintenance dose, which is a low dose that’s taken for an extended time. Maintenance dosing helps protect you from unexpected exposure to a large portion of your food allergen.
For example, if you have a peanut allergy but you can tolerate eating one peanut daily for at least six months, you should be able to tolerate exposure to seven peanuts.
Am I a good candidate for oral immunotherapy?
There are two types of food allergies: IgE-mediated and non-IgE mediated. If you have an IgE-mediated allergy, you experience a quick allergic reaction, typically developing hives, vomiting, and in severe cases, anaphylaxis, shortly after consuming the food responsible for your allergy.
If you have a non-IgE-mediated food allergy, symptoms can take hours to appear. This type of allergy typically causes problems like bloating, diarrhea, and nausea.
Oral immunotherapy is primarily used to treat IgE-mediated allergies. Because feedback about symptoms is essential for each patient’s safety during their oral immunotherapy treatment, candidates for oral immunotherapy should be at least 3 years old and able to communicate.
Oral immunotherapy is especially beneficial for patients who are at risk for an anaphylactic reaction. With this treatment, patients have a significantly lower chance of anaphylaxis, giving them more freedom to enjoy a variety of foods without fear.
To learn more about oral immunotherapy, call Columbia Asthma & Allergy Clinic or schedule an appointment online.
Sublingual immunotherapy is an effective treatment for allergies to dust mites, ragweed pollen, and grass pollen. To learn more about sublingual immunotherapy or to schedule an appointment, please call our nearest location in California, Washington, Oregon, or Idaho.
If you suffer from environmental allergies, yet you can’t stand the thought of allergy shots, the doctors at Columbia Asthma & Allergy Clinic offer an excellent option: sublingual immunotherapy. This allergy treatment is delivered under your tongue, and it’s available for many types of allergies including mild to moderate food allergies and environmental allergies. To learn more about sublingual immunotherapy, schedule an appointment online or call one of the 12 offices throughout the Pacific Region, including Fremont, Oakland, Redwood City, Sunnyvale, San Mateo, California; Clackamas and Gresham, Oregon; Bellevue, Fishers Landing, Longview, and Salmon Creek, Washington; and Eagle, Idaho.
Sublingual Immunotherapy Q & A
What is sublingual immunotherapy?
Sublingual immunotherapy is an allergy treatment delivered in the form of a tablet or fluid that’s placed under your tongue. The tissues under your tongue, the sublingual area, rapidly absorb the allergens directly into your bloodstream. Sublingual tablets are readily absorbed because they’re made to quickly dissolve and release the allergens.
How does sublingual immunotherapy treat allergies?
Allergies begin when your immune system labels a harmless substance as something that’s a danger to your health. Every time you encounter that allergen, the immune system sends out histamines and other chemicals that cause an allergic reaction.
Immunotherapy works by exposing your immune system to controlled doses of your allergens. Over time, the immune system becomes desensitized to the substance and stops releasing chemicals, significantly reducing or eliminating your allergy symptoms.
What types of allergies are treated with sublingual immunotherapy?
Sublingual immunotherapy tablets are currently available to treat allergies to dust mites, ragweed pollen, and grass pollen. The doctors at Columbia Asthma & Allergy Clinic can prescribe these commercially available tablets or can use their expertise to go a step further, mixing customized sublingual treatments in the office.
Using allergen extracts, the clinic formulates sublingual dropper bottles to treat numerous environmental and food allergies. They’ve treated hundreds of patients with individualized sublingual formulas, safely achieving improvement in their allergy symptoms.
How long will I have sublingual immunotherapy?
Unlike allergy shots, which are given in the office, you can take sublingual immunotherapy at home once you have increased your dose in-office. Sublingual therapies use smaller doses of allergens than allergy shots, making in-home treatment completely safe.
When you take sublingual immunotherapy, you take a dose every day. However, the length of time you stay on the therapy is based on the type of allergy being treated. When your sublingual therapy is formulated in the office, the dose and length of treatment are individualized based on your unique needs.
To learn more about sublingual immunotherapy, call Columbia Asthma & Allergy Clinic or schedule an appointment online.