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  • "Flowers trigger seasonal allergies."

  • That's actually not true.

  • "If you have a hypoallergenic pet,

  • you won't have an allergic reaction."

  • Unfortunately, there is no such thing

  • as a hypoallergenic pet.

  • "You can outgrow your seasonal allergies."

  • So, there's no definite way

  • that you can outgrow your seasonal allergies.

  • My name is Dr. Wei Wei Li.

  • I am a board-certified adult and pediatric

  • allergy immunology specialist.

  • My name is Dr. Payel Gupta,

  • and I am also an adult and pediatric

  • triple-board-certified allergy,

  • asthma, and immunology doctor.

  • And today we'll be debunking myths about allergies.

  • "If you didn't have allergies as a kid,

  • you won't get them as an adult."

  • So, that's a myth.

  • You can actually develop allergies

  • at any point in your life.

  • Especially now, with people moving to different locations.

  • The change in climate, location,

  • or sometimes adopting a new pet

  • can increase your risk for developing allergies.

  • Right. So it's any new exposure, essentially,

  • can cause your system to start reacting

  • and develop an allergy.

  • I've also had it the reverse.

  • I've also had people who have lived

  • with cats and dogs while they were children,

  • and then they decide to get a cat or a dog as an adult,

  • and they're now allergic.

  • And so your immune system is constantly changing,

  • and so you can develop an allergy at any time.

  • "You should only take allergy medication

  • once you feel symptoms."

  • So, that is a myth.

  • So, if you wait until your symptoms

  • get super intense and super severe,

  • then it'll be that much harder

  • to get those symptoms under control.

  • So it's a good idea to start early.

  • Like, if you have pollen allergy in the spring,

  • I usually say have the patient start premedicating

  • with antihistamine, nasal spray, or eyedrops

  • before the season starts.

  • I usually recommend as soon as they start seeing

  • even a little bit of the pollen that they're allergic to.

  • Especially severe seasonal-allergy sufferers,

  • we have them take them even two weeks in advance,

  • just so they get used to taking them.

  • The timing sometime can change from year to year,

  • depending on the weather.

  • So you can use the timing from last year

  • to make approximate guess

  • to when you can start premedication.

  • Gupta: Tree allergies are mostly a springtime allergen,

  • grass allergies are for summer,

  • and weed allergies are in the fall.

  • So for people who have tree, grass, and weed,

  • normally it would've been maybe from, like,

  • April until September that they might have had symptoms.

  • But now we're seeing even as early as February, actually.

  • So February, and then the weed allergen

  • kind of ending as late as October, November.

  • And patients ask us, "Is it safe

  • to take the medication every day?"

  • I would say if you take the medication

  • according to how we recommend it,

  • it is safe and effective.

  • And it's important to know that

  • when you take your medication, such as a combination

  • of oral antihistamine and nasal spray,

  • together every day, it achieve a better efficacy

  • than taking it sporadically only when you have symptoms.

  • "Flowers trigger seasonal allergies."

  • That's actually not true.

  • Pollens from flowering plants

  • are not the main contributor to seasonal-allergy symptoms.

  • In order for pollen to cause allergic symptoms,

  • they need to meet three criteria.

  • They need to be small,

  • they need to be light,

  • and they need to be dry to be carried by wind.

  • Gupta: So the pollen in flowers is actually large,

  • and it's distributed by insects.

  • And so that pollen is not in the air,

  • which means that it doesn't get into our eyes and nose.

  • However, for tree pollen, weed pollen, and grass pollen,

  • because it's light

  • and because it travels in the air more easily,

  • then it can get into our eyes

  • and nose and airways more easily.

  • And because it travels at least around 50 miles,

  • that means it might not be a tree in your backyard,

  • it might be a tree somewhere far away

  • that you're reacting to.

  • But I do hear that.

  • Every year a patient come in saying that,

  • "This is the worst allergy symptom

  • that I have compared to the past."

  • So I think that has to do with a number of factors,

  • such as climate change,

  • and also planting particular type of tree

  • in certain location can increase the symptoms.

  • "Eating local honey can help cure seasonal allergies."

  • That is a myth because local honey

  • contains pollen collected by bees.

  • So those come from flowering plants.

  • We mentioned before, pollen from flowering plants

  • are not major contributor to seasonal allergies.

  • And also we don't have a lot of studies done

  • on the effectiveness of local honey.

  • So we cannot know for sure how effective they are

  • in treating or helping to cure

  • your seasonal-allergy symptoms.

  • But I love honey because I use that

  • to help with allergy symptoms

  • such as itchy, scratchy throat.

  • So I have no problem recommending using honey

  • as a way to soothe your throat, your symptoms.

  • But I would not say it can cure seasonal allergies.

  • She nailed it.

  • Hopefully I can do that every time.

  • "If you have a hypoallergenic pet,

  • you won't have an allergic reaction."

  • So, that's a myth.

  • So, unfortunately, there is no such thing

  • as a hypoallergenic pet.

  • A lot of breeders will claim to have hypoallergenic pets,

  • but unfortunately there is no

  • 100% animal without any dander.

  • Li: The pet dander is

  • the microscopic flecks of skin that the pet shed.

  • So the same protein can be also found in their saliva.

  • So it's not the fur,

  • but rather the shedding of the skin, with their saliva.

  • It's important to know that even hairless dog can shed,

  • and that will contain some degree of allergens.

  • And so there might be certain breeds

  • that people are less allergic to,

  • and that's all person-dependent.

  • So, for example, I have a cat allergy,

  • but there's certain cats that I do totally fine around,

  • and then there's other cats that

  • as soon as I walk into someone's home

  • and they have that cat, I'll start reacting.

  • And so it is not just by touching

  • or rubbing your face against the cat.

  • The dander is airborne,

  • so that can get into your eyes and nose

  • and into your airways

  • and start causing that IgE antibody to react

  • and produce that histamine, which causes the symptoms.

  • Frequent vacuuming is super important.

  • Also air purifiers.

  • And so for somebody that really wants a pet,

  • or, you know, usually it happens the other way around,

  • is that they've already gotten a pet

  • and they're not willing to get rid of it.

  • For those patients, then we usually do attempt

  • to do allergy immunotherapy

  • and see how well we can control their allergy symptoms.

  • We don't have a test to test

  • for particular breeds. Li: We wish we had.

  • Yeah, we wish we did, because if we did

  • we would have a huge, long line out the door

  • of people wanting to get tested for particular breeds

  • that they might be able to have in their home.

  • "Allergy shots don't work."

  • So, allergy shots are immunotherapy,

  • and allergy shots actually have a lot of data behind them,

  • and they've been used for years and years.

  • And we know that they do reduce the,

  • not only the symptoms that people experience,

  • but also the medications that people are on.

  • And then there's also the

  • allergy sublingual immunotherapy tablets

  • that are FDA approved.

  • So there's two different options,

  • and I just always like to mention that,

  • because some people are scared of shots.

  • I think there is this myth,

  • because people will misunderstand

  • allergy shots as medication.

  • Allergy shots are not medications.

  • They don't provide immediate symptomatic relief.

  • But see them as a way

  • to naturally desensitize your allergens

  • and to naturally develop tolerance.

  • You will still have to take your allergy medication,

  • such as antihistamine or nasal spray,

  • at the beginning of allergy shots

  • to help you manage your allergy symptoms.

  • But over the long term, allergy shots do work

  • to achieve that natural tolerance.

  • "You can outgrow your seasonal allergies."

  • That is not true,

  • because with your immune system changing,

  • sometimes your symptom can get better or worse over time.

  • So there's no definite way

  • that you can outgrow your seasonal allergies.

  • Sometimes people might have moved

  • from the West Coast to the East Coast,

  • and all of a sudden they don't have

  • those seasonal symptoms that they used to.

  • So they might say that,

  • "Oh, I outgrew my seasonal allergies,"

  • but it's really that they moved

  • and that they're not exposed to the same pollens

  • that they were when they were younger.

  • The most frequent symptoms that we see

  • are symptoms of the eyes.

  • For example, itchy, watery eyes.

  • The nose can get congested.

  • You can have a runny nose, itchy nose.

  • You can have a sore throat from postnasal drip.

  • And you can also have coughing, wheezing,

  • shortness of breath if you have allergic asthma.

  • Currently the closest cure we have for seasonal allergies

  • is called allergy immunotherapy.

  • I think the important thing to remember with immunotherapy

  • is that you have to be ready and committed for it.

  • For allergy shots, you will need to go

  • into the allergist's office weekly

  • for six to nine months,

  • and then it goes to monthly.

  • And we would say that you should continue your therapy

  • for at least three to five years for it to be effective.

  • And then for the sublingual immunotherapy tablets,

  • it depends on which tablet you're going to start.

  • For dust mite immunotherapy tablets, for example,

  • you have to take it daily.

  • And we would also recommend that you take them daily

  • for at least three to five years

  • in order to get the full benefit from them.

  • "You can cure your allergies."

  • So, we can't cure environmental

  • or food allergies at this time.

  • We've come pretty close to environmental allergies,

  • but the reason is, is that we haven't figured out

  • how to definitively change the immune system's reaction

  • to environmental allergens or to food allergens.

  • Our environment doesn't stay the same all the time.

  • So with new exposure in our environment,

  • our immune system is constantly adapting

  • to the new triggers in the environment.

  • So we can develop new allergies

  • even if we "cure" the old allergies.

  • That's why I don't like to use the word "cure,"

  • because you can always develop new allergy symptoms

  • after going through immunotherapy.

  • Gupta: So, once we have the allergy test results,

  • we always want to see, what are your exposures?

  • And knowledge is power.

  • So once you know what your triggers are,

  • there's a lot of things you can do

  • besides taking medications.

  • There are behavioral modifications.

  • We always provide to our patient education.

  • What to do when you are allergic to a certain pollen,

  • what to do during pollen season,

  • or what to do with pet dander, dust mite.

  • We can help you to manage your allergies.

"Flowers trigger seasonal allergies."

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