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AVANT
ALLERGY


Spring Allergies and Climate Change
Is Climate Change Making Your Allergies Worse? If your seasonal allergies feel worse than they used to, you’re not imagining it. Climate change is affecting pollen seasons in ways that directly impact people with allergic rhinitis and asthma. What’s Changing? 1. Allergy season is starting earlier. Warmer spring temperatures cause trees to bloom sooner. Many patients now notice symptoms weeks earlier than they did in the past. 2. Allergy season is lasting longer. Fall is arriv
Sandra A. Ho, MD
Apr 41 min read


Proper Epinephrine Use: What Every Patient and Caregiver Should Know
Epinephrine is the first-line treatment for anaphylaxis . It works quickly, is very safe when used properly, and saves lives. Yet it remains underused in the community—often because of uncertainty about when or how to use it. Here ’s what I want my patients and families to clearly understand. 1. When Should Epinephrine Be Used? Epinephrine should be given at the first sign of suspected anaphylaxis —especially if there are: Breathing symptoms (shortness of breath, wheeze, re
Sandra A. Ho, MD
Mar 122 min read


Pros and Cons of Intralymphatic Immunotherapy (ILIT)
Flory S, Hviid- Vyff B, Šošić L, et al. How to hit the allergy target: A critical appraisal of intralymphatic immunotherapy with practical recommendations on ultrasound- guided injections. Allergy. 2024;00:1-13 Intralymphatic Immunotherapy (ILIT) is an emerging, fast-track alternative to traditional allergy shots. Instead of years of weekly injections, ILIT targets the immune system directly at its source: the lymph nodes. The Pros: Speed and Convenience Rapid Timeline : Whi
Sandra A. Ho, MD
Feb 211 min read


The Modern Allergy Roadmap
SCIT, SLIT, and the Rise of ILIT Goal: Introduce the three main types of immunotherapy and help patients understand their options. For decades, "allergy shots" meant a years-long commitment to the clinic. Today, the roadmap to relief has expanded. While Subcutaneous Immunotherapy (SCIT) remains the gold standard for many, Sublingual Immunotherapy (SLIT) offers needle-free daily tablets you can take at home. But the real game-changer in 2026 is Intralymphatic Immunotherapy
Sandra A. Ho, MD
Feb 102 min read
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