Preparation for SLIT begins with a comprehensive medical evaluation that typically involves detailed allergy testing to identify specific sensitivities. Our doctors conduct a thorough assessment, which may include skin prick tests or blood work to precisely map the patient’s allergic profile and determine the most appropriate extracts. During the initial consultation, we review the individual’s complete medical history, current symptoms, and previous treatments to design a personalized immunotherapy approach. The customized allergy drops are formulated based on the testing results, creating a comprehensive plan for specific allergic triggers. Patients receive detailed instructions about dosage, administration, and potential initial side effects, ensuring they are fully prepared to begin their healing journey.
The incidence of significant reactions to allergy drops is very low. The most common side effects are mild itching or tingling of the mouth or tongue. Severe systemic responses to SLIT are extremely rare. With dosing adjustments, treatment usually proceeds as scheduled, without incidents or discomfort.
The extracts used in SLIT are the same FDA-approved substances utilized in injection immunotherapy. Allergy drops have not yet been officially cleared in their current form, but this should not cause concern. Off-label use of FDA-approved products is widespread in the United States. The classic example is the consumption of aspirin to prevent heart attacks, which occurred for years when the FDA had not yet approved this practice, even though it was widely known that such treatment was safe and effective. Another case is the use of seizure medications, which were proven and used off-label to prevent migraine headaches. There is frequently a long lag between finding a treatment effective and receiving an FDA approval to cure a specific medical condition.
“My experience at the clinic has been very positive. Front desk staff is attentive, the nurses are professional, Dr. Engler was precise with his evaluation and billing was accurate. Even with a constant wave of patients coming through the doors the staff provides professional and courteous service. Would definitely recommend to friends and family”
-Ray W
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. Read More
-Trevor C
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. Read More
-Christina L
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. Read More
-Sandi S.
Had 2 visits here and the recommendations worked to drastically reduce my seasonal allergies. The staff is friendly aNR professional and the office is very clean. They go the extra mile to prevent germ and virus spread.
-David G
Love all the help from Dr. Engler + all the friendly staff! It’s a pleasure receiving care here, and these shots have improved my allergies significantly. It can be 30 minutes wait time to receive your shots during peak hours though, so plan accordingly! :)
-Linda Q
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. Read More
-Tom B
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. Read More
-Johnathon T
“Wow! I'm going to age myself by saying that I haven't received customer care like this in decades! Finally a doctor and staff that are consistently welcoming and caring across the board.”
-Tee J
"I highly recommend coming here to see Dr. Andrew Engler (and shout-out to nurse Jessica) for allergies for experienced and high-quality care. This is one of the best-run doctor's office / clinic I've ever gone to and the people are so nice, patient, helpful (nurses, front desk, doctor). The allergy test was comprehensive (~80 allergens) and aftercare was great. They also had billing come talk to me to make sure I understood the pricing since it was a long-term treatment plan. Great experience."
-Jenny Li
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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.
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.
