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Tree Nuts and Seed Allergy Treatment
in San Mateo, CA

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Tree nut and seed allergies can pose serious health risks and significantly impact daily life, from avoiding common foods to managing accidental exposures. Patients often seek specialized care due to concerns about severe allergic reactions, difficulty reading and understanding labels, or anxiety around eating outside the home.

The Allergy & Asthma Clinic in San Mateo provides comprehensive evaluation, diagnosis, and personalized management plans to help individuals safely navigate these challenges. Our goal is to empower patients with the knowledge and tools to reduce risks while maintaining a balanced and confident lifestyle .

Table Of Contents
Understanding Allergic Reactions
Our Treatments for Tree Nut and Seed Allergy
What to Expect During Your Appointment
Candidates for Tree Nut and Seed Allergy Treatment
Benefits of Tree Nut and Seed Allergy Treatment
Cost of Allergy Treatment in the San Francisco Bay Area
Treat Your Food Allergies at the Allergy and Asthma Clinic
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Understanding
Allergic Reactions

Allergic reactions to tree nuts and seeds occur when the body’s immune system mistakenly identifies certain proteins found in these foods as harmful. This triggers a response that can produce a variety of symptoms, ranging from mild discomfort to more severe reactions. Common signs include:
  • Itching
  • Swelling
  • Hives
  • Digestive issues
  • Respiratory difficulties
The severity of an allergic reaction can depend on a range of factors, including the amount of allergen consumed, the individual’s sensitivity, and their overall health. Recognizing the early warning signs is crucial for effective management and timely treatment.

Our Treatments for Tree Nut and Seed Allergy

XOLAIR is an effective treatment for individuals with tree nut and seed allergies who experience persistent symptoms despite other management strategies. By targeting the immune system’s response to allergens, XOLAIR can help reduce allergic reactions and improve quality of life, making it a valuable option for patients seeking long-term relief.
For individuals at risk of severe reactions, having immediate access to epinephrine is crucial. Epinephrine nasal sprays and auto-injectors are essential tools for managing emergencies caused by accidental ingestion of tree nuts or seeds. These treatments act quickly to counteract the life-threatening effects of anaphylaxis, providing a vital safety net for those with severe allergies.
The most fundamental approach to managing tree nut and seed allergies is the strict avoidance of food allergens. This involves carefully monitoring food labels, planning meals around safe options, and adhering to necessary dietary restrictions to prevent accidental exposure. While it requires diligence, avoidance is a highly effective strategy for keeping allergic reactions at bay.
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What to Expect
During Your
Appointment

During your initial consultation, our allergy specialists will review your medical history, discuss your symptoms, and perform allergy tests, such as skin prick tests, to identify specific triggers. This step ensures an accurate diagnosis and allows our team to assess the severity of your tree nut or seed allergy, so we can recommend the safest and most effective treatment options for you.
We perform targeted allergy tests to identify specific sensitivities to tree nuts and seeds, using skin testing, blood work, or both.
After testing and any challenges, we create a personalized treatment plan. This plan focuses on managing symptoms, preventing reactions, and providing clear guidance on avoiding allergens. It may include medications, lifestyle recommendations, and strategies tailored to the severity of your allergy to help you stay safe and confident in daily life.
If appropriate, we may conduct a supervised food challenge to confirm or rule out specific allergies, always in a safe, controlled clinical setting.
Candidates for treatment typically include food-allergic patients who exhibit allergic reactions after consuming tree nuts or seeds. Both adults and children can be affected, with symptoms ranging from mild oral discomfort to severe systemic reactions. Age plays a significant role in the presentation and management of these allergies, as younger children may outgrow specific sensitivities, while adults are more likely to experience persistent reactions. Our specialists carefully assess dietary history, previous reactions, and potential cross-reactivity with other allergens.

Candidates for Tree Nut and Seed Allergy Treatment

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Benefits of Tree Nut
and Seed Allergy Treatment

  • Improved quality of life through avoidance of severe allergic reactions.
  • Increased awareness of dietary choices, leading to safer meal planning.
  • Reduced risk of accidental exposure by learning to read labels carefully.
  • Enhanced vigilance in social and school settings, promoting proactive safety habits.
  • Develop a customized food allergy action plan based on your specific allergic profile to allow you to identify and treat accidental exposure.

Cost of Allergy
Treatment in the San Francisco Bay Area

The cost of allergy treatment in the San Francisco Bay Area can vary depending on the type and complexity of care required. For individuals seeking personalized guidance, we recommend scheduling a consultation at our medical office, where our healthcare provider can assess specific needs, discuss treatment options, and outline a care plan tailored to each patient’s situation.
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Treat Your Food
Allergies at the
Allergy and Asthma Clinic

At the Allergy and Asthma Clinic, we guide patients through every step of their treatment journey helping patients manage reactions with practical avoidance instructions, a customized food allergy action plan, including epineprine nasal sprays and auto-injectors, and, when medically appropriate, preventative Xolair injections
Our experienced doctors provide special attention to individual needs, helping patients manage reactions with XOLAIR, epinephrine sprays and auto-injectors, and practical avoidance instructions. We also emphasize maintaining a balanced diet while minimizing risks, ensuring both safety and nutritional well-being. By reviewing past allergic episodes, our team can tailor strategies that help prevent future reactions and support long-term health.
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Frequently Asked Questions (FAQs)

Treating allergies early is crucial because it helps prevent adverse reactions from becoming more severe over time. Untreated allergies can contribute to long-term health issues, including cardiovascular disease, and may worsen as the body is exposed to increasing amounts of the allergen. Early management improves safety and overall well-being.
Oral immunotherapy is sometimes considered, but XOLAIR is usually a better option for many patients due to safety and effectiveness. Clinical trials have shown that XOLAIR is safe for most patients. Oral immunotherapy requires a buildup phase with daily doses, which typically carries a higher risk of reactions than other treatments.
Yes, we provide comprehensive care for various food allergies, including peanut, tree nut, and other common allergens. Our approach includes personalized treatment plans, avoidance strategies, emergency preparedness, and ongoing monitoring to ensure safety and long-term management.
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Types of Asthma
Testing for Asthma
Asthma Treatments
Allergies

Food Allergies

Insect Allergies

Environmental Allergies

Skin allergies

Other CommonAllergies

Nose & Sinus Allergies

Allergies Testing
Allergic Treatments

Allergy Shots

Allergy Drops

Allergy Medications

Lifestyle Changes

First and foremost let me start by saying that these people did one hell of a job figuring out my sinus problems. When I first arrived there, I explained what was going on with me having excessive inflammation in the sinus…after they tested me, I found out that I was being exposed to dust mites which gave me a strong reaction. I followed the doctors guides lines in terms of cleaning my room and ever since, my sinus inflammation went away for good and now I have a healthy sinus. Thank you for everything.

- Johnathon T
Dr. Engler is great and his staff, both medical and administrative, are wonderful. Dr. Engler is competent, caring, and listens better than any doctor I’ve ever had, constantly and patiently asking if I have any more questions. The staff is great. The nurses are very friendly and helpful. The desk staff is the same. I have been going here over a year and have always received caring and competent treatment. I highly recommend them.
- Tom B
Hands down the best place to go for Allergies and Asthma. The staff is incredibly kind and caring and so professional and helpful. I’ve been going here for over 30 years and they have gone out of their way countless times to make sure that I was well-cared-for. The nurses are excellent and always make sure to ask how my family is doing not to mention that they give the most painless allergy shots around. They remember little details about me and always make sure to give me a lollipop for my son, even when he’s not with me. Brooke is a great diagnostician and listener and each time I have an appointment with her, I always leave feeling better. The same is true for Dr. Engler.

My 10 year old son also has allergies and asthma and the staff makes sure that he feels well taken care of and comfortable, despite his having Autism and ADHD. He actually looks forward to going there with me, whether it be for my allergy shots or even when he needed allergy skin testing. When you’re a patient at the Allergy and Asthma clinic, you are treated as if you are the only patient they have, even when the waiting room is full. Dr. Engler has hired truly excellent staff, from the front desk people to the nurses and medical assistants. If you have allergies and/or asthma and you live on the Peninsula or even in the city, I highly recommend that you visit the Allergy and Asthma Clinic. They are truly amazing and will make you feel so much better.

-Sandi S.
I had an amazing experience at this clinic. Dr. Engler and the staff were all extremely welcoming, warm, and thorough in their various lanes of work from the front desk to billing to the assistants to Dr. Engler himself.
One thing I wish I knew before coming in was that the food test covers 80 allergens, and the environmental test covers 80 allergens meaning if you want to do both you need to come two separate days. This is kind of a hassle but definitely worth it since you’ll be tested for 160 allergens whereas most clinics only test 80 total.
Through the tests I figured out what I was allergic to and was advised to use an over the counter medication which has drastically helped and eliminated the symptoms I was experiencing. Dr. Engler also covered all the things I needed to do to reduce my symptoms via my lifestyle which was super helpful with my symptom reduction as well. I’d highly recommend this clinic! Insurance covered the tests and visits. (I have anthem blue cross)
-Christina L
I’ve been a patient at The Allergy and Asthma Clinic for over 12 years, and I can’t speak highly enough of the care I’ve received. Growing up with severe pollen allergies, I’ve been on and off allergy shots for years, and this clinic has truly been a lifesaver for me.
From the moment you walk in, you’re treated like family. The staff is incredibly kind, caring, and genuinely invested in your well-being. I have never had a negative experience with anyone here; everyone is consistently friendly and supportive.
Dr. Engler is exceptional! He has a remarkable ability to quickly and effectively address any situation. His expertise and compassionate approach have made a significant difference in managing my allergies.
If you’re struggling with allergies or asthma, this is the place to go. I wholeheartedly recommend The Allergy and Asthma Clinic to anyone seeking top-notch care.
-Trevor C