Latitude Food Allergy Care clinics are 100% focused on food allergy and offer comprehensive food allergy care including prevention, diagnosis, and treatment, for babies, children, and adults. Latitude has multiple clinics throughout the San Francisco Bay Area and New York City.
At Latitude, we offer personalized and comprehensive care for food allergic patients of all ages including:
At Latitude, our clinics are 100% focused on food allergy. Our board-certified allergists are all specially trained and deeply experienced in food allergy treatment and care. And our unique clinical model provides quick access for your patients to important testing and treatment options, including oral food challenges.
Yes. Most of the services we provide are covered by insurance and we are in-network with a wide variety of health insurance carriers and accept many different EPO and PPO plans.
In California, we are in-network with EPO and PPO plans from health insurance carriers including Aetna, Anthem Blue Cross, Blue Shield, CIGNA, Health Net, and UnitedHealthcare. We accept a limited number of ACA (ObamaCare) and Exchange plans, as well as the SutterSelect EPO/PPO plans. We are an in-network provider for Brown & Toland HMO and Children First Medical Group plans with referrals. Medicare plans are accepted at some locations.
In New York, we are in-network with select EPO and PPO plans from health insurance carriers including Aetna, Anthem Blue Cross, Empire Blue Cross, Blue Shield, CIGNA, Health Net, Oxford, and UnitedHealthcare.
Our insurance page includes the information that you may need to verify if our providers are in network with your specific plan. Please call (888) 528-1592 if you have specific insurance questions.
Oral immunotherapy (OIT) is 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 due to accidental exposures. Research over the last two decades supports the safety and efficacy of OIT for patients with single and multiple food allergies.
OIT is not a cure. It is a desensitization. In order to maintain desensitization, a patient needs to continue to eat the foods they have been desensitized to on a regular basis.
Research shows that OIT is approximately 85% effective when supervised by an expert care team who specialize in food allergy treatment. At Latitude, 92% of our OIT patients have successfully achieved maintenance. While there are a small number of clinical reasons a patient may need to stop therapy, those who do not complete the OIT process primarily pause treatment due to the time commitment or other lifestyle demands.
For more background on the long-term impact of oral immunotherapy, we recommend the following published studies and meta-analysis:
IgE-mediated food allergies can be treated with oral immunotherapy and multiple allergens can be treated together. Our allergists work with each patient to weigh the benefits and the burden of the treatment for each allergen. Below are results of clinical studies and relevant reviews for treatment of specific food allergens.
Peanut
Wheat
Cow’s Milk
Egg
Tree Nuts (Walnut, Pecan, Cashew, Pistachio, Hazelnut, Almond, Brazil Nut, Macadamia)
Fish & Shellfish
Sesame
Yes, we treat multiple food allergies at the same time. For more background on oral immunotherapy for multiple foods — with and without the use of anti-IgE Xolair (omalizumab) — we recommend the following published studies and meta-analysis:
Thousands of patients have safely completed oral immunotherapy around the world. We have specific protocols in place to increase safety in the 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:
It is possible to have an allergic reaction while going through OIT. Our goal is to have a patient progress through treatment at a very slow and safe pace to reduce the risk of reaction and minimize unpleasant side effects.
We have several specific protocols in place to increase safety in the office and at home:
We look forward to partnering with you on your patient’s care. While there are some underlying medical conditions that may preclude treatment, most patients can be treated with oral immunotherapy. We provide OIT for patients as young as 12 months old and adults. When we discuss the benefits and risks with a patient and their family, we address the following:
Please reach out to our clinical team at (888) 528-1592 if you have a question about a specific patient profile.
Yes, while our clinicians are focused on food allergy, we do take extra steps with each visit to ensure that asthma and other underlying allergic conditions are well-controlled. We encourage direct communication between our clinicians and the patient’s other providers to ensure these other conditions are monitored.
Xolair (omalizumab) is an anti-IgE monoclonal antibody by Genentech and Novartis that works by inhibiting the allergic reaction process. On February 16, 2024, it was approved by the FDA for the reduction of food allergic reactions, including anaphylaxis, in people with food allergies. It is also FDA approved for use in children over age 6 with asthma and in children over age 12 with chronic urticaria (hives). At Latitude, we offer Xolair in conjunction with OIT to increase safety for some patients. If our allergist prescribes this medication, our patient care team will work closely with the patient and their insurance plan to understand their coverage and any out-of-pocket costs before proceeding with treatment.
For more background on oral immunotherapy with anti-IgE Xolair (omalizumab), we recommend the following published studies and meta-analysis:
For more background on oral immunotherapy, we recommend the following published studies and meta-analysis:
Our clinicians will carefully review all food allergy treatment options with the patient to determine the best personalized plan for their family.
Early introduction of peanut and egg is recommended, by the American Academy of Pediatrics (AAP), between 4 to 6 months of age. There may also be potential benefit to early introduction of dairy and wheat before 12 months. Within that recommendation, it is important to accurately diagnose any suspected food allergy and take into account individuals who may be at higher risk of developing food allergies. Below is the current guidance from the AAP and NIAID, as well as a few of the pivotal studies, including the LEAP studies, that have dramatically shifted early introduction recommendations in the last few years:
We encourage pediatricians to refer infants when a food allergy is already suspected for accurate diagnosis. Infants with eczema and those at a higher risk of developing a food allergy can be referred to offer early introduction, in the interest of prevention.
Our aim is to partner with you to diagnose and care for your patients’ food allergies.
Patient profiles include:
Referrals can be sent directly via email to [email protected], by phone (888) 528-1592 or:
We are also happy to provide your office with literature to distribute to referred patients. Please contact us to receive those materials.
We can provide treatment for any clinically diagnosed (IgE-mediated) food allergy.
It is common for patients and even some healthcare providers to misdiagnose a food allergy. IgE-mediated food allergy can result in a life-threatening allergic reaction. On the other hand, a non-immune mediated adverse food reaction, while unpleasant, does not pose risk of anaphylaxis. When a non-immune mediated adverse food reaction is misdiagnosed as an IgE-mediated food allergy, a patient may unnecessarily restrict what they eat.
At Latitude, we take the necessary steps to accurately diagnose a food allergy to avoid unnecessary dietary limitations. This allows patients to bring some of their favorite foods back into their lives or to try new foods for the very first time.
Once a patient is referred to us, we follow up with them within one business day to schedule their initial appointment. Our goal is to have your referred patient seen for an initial appointment within a few weeks — if not sooner.
During the initial appointments, we will ensure that the patient has an accurate diagnosis and a personalized treatment plan, which we will share with the referring clinician.
For patients’ convenience, we offer telemedicine and in-person visits in our multiple Bay Area and New York City clinics.
Our clinicians and staff are available to come to your practice to meet you and provide tailored presentations on food allergy to your providers and staff. We are also happy to arrange a tour of our clinic and we welcome your questions at [email protected] or via our contact form.
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