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what is oral immunotherapy

What is Oral Immunotherapy (OIT)?

Oral Immunotherapy (OIT) — a process that regularly exposes the patient to increasing amounts of the foods they are allergic to, with the goal of desensitizing the body and protecting against anaphylaxis secondary to accidental exposures.

For more background on oral immunotherapy with and without the anti-IgE Xolair (omalizumab), we recommend the following published studies and meta-analysis:

What is Oral Immunotherapy (OIT)?

Oral Immunotherapy (OIT) — a process that regularly exposes the patient to increasing amounts of the foods they are allergic to, with the goal of desensitizing the body and protecting against anaphylaxis secondary to accidental exposures.

Do you have a program fee for oral immunotherapy treatment?

Yes, we have a fee for services not covered by insurance. Please call us for more details. 

Do you offer Xolair in conjunction with OIT?

Xolair (omalizumab) is an anti-IgE monoclonal antibody that works by inhibiting the allergic reaction process. It is FDA approved for use in asthma in children over age 6 and chronic urticaria in children over age 12. At Latitude, we offer Xolair in conjunction with OIT to increase safety for some patients. Xolair has been granted Breakthrough Therapy Designation for the prevention of severe allergic reactions to food allergy by the FDA, but this is currently an off label usage and is often not covered by insurance. 

For more background on oral immunotherapy with anti-IgE Xolair (omalizumab), we recommend the following published studies and meta-analysis:

Do you treat multiple allergens simultaneously?

Yes, we treat multiple foods that a patient is allergic to at the same time.

For more background on oral immunotherapy with and without the anti-IgE Xolair (omalizumab) for multiple foods, we recommend the following published studies and meta-analysis:

Is OIT safe?

Thousands of patients have safely completed oral immunotherapy around the world. We have specific protocols in place to increase safety in office and at home during OIT, but it is possible to have an allergic reaction while going through OIT.

For more information about the risks and benefits of OIT, we recommend the following published studies and meta-analysis:

Is OIT a cure?

OIT is not a cure. It is a desensitization. In order to maintain desensitization, a patient will continue to eat the foods they have been desensitized to on a regular basis.

For more background on the long-term impact of oral immunotherapy with and without the anti-IgE Xolair (omalizumab), we recommend the following published studies and meta-analysis:

How is Latitude different from a traditional allergist’s office?

At Latitude, our clinics are 100% focused on food allergy.

  • We are the only allergy clinics affiliated with UCSF Benioff Children’s Physicians, a world-class network.
  • Clinical Team —  trained in food allergy treatment & care, providing 24/7 access for patients.
  • Patient Care Coordinators (PCC) — parents with personal experience with food allergies and OIT, to support patients and their families.
  • Food Challenge Availability — our clinical model enables us to offer quicker access to food challenges.
  • Clinical Space offers unique communal space that allows for a more comfortable experience and provides the opportunity to connect with families and build life-changing relationships.
  • Food Allergy Treatment — we currently offer Oral Immunotherapy (OIT) for single and multiple foods, with and without the use of Xolair (omalizumab). We offer treatment for all allergic levels including the most severe.  
  • Latitude welcomes patients with other allergic disorders, such as asthma and eczema, and we will treat those concomitant disorders within the context of comprehensive food allergy care. However, patients with asthma and environmental allergies can continue their care for those chronic conditions with their current allergist, or will be referred to a general allergist. 
  • We accept in-network insurance with a wide variety of insurance carriers including Aetna, Anthem Blue Cross, Blue Shield, CIGNA, Health Net, United Healthcare.

What we do

At Latitude, we offer personalized and comprehensive care for food allergic patients and their families including:

  • Prevention
    • Early food introduction for infants (based on AAP Addendum, NIAID, BSACI and ASCIA Guidelines)
  • Accurate and clear diagnosis using the following:
    • patient food allergy history
    • skin testing
    • blood testing
    • food challenges (only to be done if a false positive is suspected).
  • Oral Immunotherapy (OIT), if appropriate, to desensitize patients to the foods they are allergic to using evidence-based protocols proven at Stanford University, UCSF, Baylor and other research institutions.
  • On-going care to support families who may not yet be interested in treatment but desire food-allergy-focused care to help them manage and understand the status of their allergies — allowing them to stay informed of current research and treatment options.
  • Long-term care for patients who have received treatment in clinical trials.
  • Four convenient locations around the San Francisco Bay Area.

How are you different from my current allergist?

At Latitude, we are 100% focused on food allergy.

  • Clinical Team —  trained in food allergy treatment & care, providing 24/7 access for food allergy patients.
  • Patient Care Coordinators (PCC) — parents with personal experience with food allergies and OIT, to support patients and their families.
  • We are the only allergy clinic affiliated with UCSF Benioff Children’s Physicians, a world-class network. 
  • We accept in-network insurance with a wide variety of insurance carriers including Aetna, Anthem Blue Cross, Blue Shield, CIGNA, Health Net, United Healthcare.
  • Food Challenge Availability — Our clinical model enables us to offer quicker access to food challenges.
  • Food Allergy Treatment — we currently offer Oral Immunotherapy (OIT) for single and multiple foods, with and without the use of Xolair (omalizumab). We offer treatment for all allergic levels including the most severe. We can begin OIT in children as young as 12 months old.  
  • Clinical Space offers unique communal space that allows for a more comfortable experience and provides the opportunity to connect with families and build life-changing relationships.
  • We will partner with your general allergist for maintenance of ongoing conditions like asthma and environmental allergies that fall outside of food allergy care. 
  • Founded by food allergy families for food allergy families. Learn more about the story of Latitude here. 

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