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1-833-366-3255

Signed in as:

filler@godaddy.com

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  • Test Menu
    • Food Allergy
    • Environmental Allergy
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Webinars

Importance of Zonulin and Histamine-Jim LaValle Clinical R.Ph.,CCN.,MT.,N.D.

Why Test Annually for Food Allergies, Sensitivities and Intolerances-Jim LaValle Clinical R.Ph.,CCN.,MT.,N.D.

Understanding Food Allergies and Intolerance-Jim LaValle Clinical R.Ph.,CCN.,MT.,N.D.

Food Allergens and Weight Issues: Could your Food Allergies be the Root Cause of your Weight Gain? 

 

 

Should you get a Food Allergy Test? - LaValle Clinical R.Ph.,CCN.,MT.,N.D.

 

  

Clinical FAQs

Why Test Complement and IgG together?
Why should IgG and IgE be tested together?
What are the limitations of only testing Total IgG?
What is the difference between an allergy and a sensitivity?
Are IgG reactions the result or the cause of gut-based permeability?
Can food sensitivities be related to weight gain?
Can food sensitivities be related to other issues such as headaches, pain, or depression?

Why Test Complement and IgG together?

Complement plays a role in how inflammatory an IgG antibody is. Complement binds to IgG and creates a synergistic effect in terms of increasing inflammation. The combination of complement and IgG together can increase inflammation 1000 to 10,000-fold.


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Why should IgG and IgE be tested together?

IgE and IgG should be measured together because they each independently play a role in symptoms to foods. You can either have an allergy/IgE response, or a sensitivity IgG response and both are independent of the other and create inflammation in the body. 

What are the limitations of only testing Total IgG?

Only testing IgG, is a bit like knowing total cholesterol, but not knowing how much HDL/good or LDL/bad cholesterol you have. The reason for this is that different IgG antibodies do different things depending on their subtype. IgG4 decreases IgE or allergic reactions. IgGI-III increase inflammation 3-72 hours after exposure. Also, different subtypes are increased in certain pathologies. For example, while IgG4 is generally good, there are a handful of pathologies where it is of concern, such as auto-immune hypothyroidism and eosinophilic esophagitis. 


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What is the difference between an allergy and a sensitivity?

 An allergy is mediated by IgE antibodies and creates an immediate reaction. A sensitivity is created by IgG antibodies and create a delayed response. While these general traits hold true, there are also times when IgG can amplify IgE reactions, and also some examples of if there is a very high level of IgG, it can have more of an immediate reaction too. They create independent reactions but can also influence each other. IgG is most typically a delayed reaction, but if high enough titers are present, it too can react within a few hours. The interplay between parts of the immune system demonstrates why it is best to look at multiple antibodies together.  

Are IgG reactions the result or the cause of gut-based permeability?

IgG reactions are both the cause and the result of gut-based permeability. One way we develop IgG reactions is when the gut becomes more compromised or permeable. This allows for larger molecules than normal to “leak” through the gut. These larger molecules look antigenic to the immune system. T cells become sensitized and begin to make an immune response or produce antibodies. However, this is not the only way one can become sensitive to foods. Improper immune queuing in the GI tract, specifically in cells called the Peyer’s patches, can also cause this too. 

Once an IgG reaction begins, it increases production of histamine and inflammation. This inflammation continues to damage the gut, thereby contributing to permeability. The best way to reduce gut-based inflammation, is to remove offending foods and work on healing the gut. 

Can food sensitivities be related to weight gain?

Food sensitivities can be related to weight gain in that they will create more inflammation in the body. Inflammation will cause an increase in the hormone leptin, which in turn tells adipose tissue to store more fat. Inflammatory foods create and irritation that leads to weight gain.  

Can food sensitivities be related to other issues such as headaches, pain, or depression?

 Yes! While the beginning of the reaction to foods start in the gut, it does not have to necessarily create gut pain, or be contained in the GI tract. The inflammatory process that starts in the gut can spread and even be more symptomatic in places outside of the gut. Many conditions such as headaches, pain and even depression have a gut-based cause but manifest in other areas of the body.  

IgE Serum Testing for Allergies vs Skin Prick

As quoted from Medscape:


“Specific IgE testing can be done through skin testing or blood testing. Testing should be based on the clinical scenario.”


In vitro tests assess antigen-specific IgE by testing the patient’s serum. Advantages to this method include the use of a single venipuncture that is not affected by medications. In vitro testing can be performed on patients with affected skin, such as dermatographism or atopic dermatitis. It is also a safer option if the patient is at risk for anaphylaxis. However, these tests are expensive compared with skin testing.


In this method, immunoassays measure interactions between antigens and antigen-specific antibodies. Immunoassays are often referred to as radioallergosorbent (RAST) testing, but that term is outdated because radiation is rarely used today. Current methods include enzyme-linked immunosorbent assay (ELISA), which uses antibodies linked to enzymes, as well as fluorescent enzyme immunoassays (FEIA) and chemiluminescent immunoassays, which use fluorescent generation with an enzyme.”


This method described on Medscape, the enzyme-linked immunosorbent assay or ELISA is the exact methodology performed by Infinite Labs. This is well established and routine. 


As stated by Dr. Portnoy, MD in the publication Appropriate Allergy Testing and Interpretation:

“For the primary care provider, in vitro tests have the advantage that they are readily available, they require a single venipuncture, the office staff do not need to be trained to perform them, there is no risk to the patient since directed exposure to the allergen is avoided, and the tests are not affected if the patient has taken an antihistamine.”

References

 

  1. Mullin G, et.al. Testing for Food Reactions: The Good, the Bad, and the Ugly. Nutr in Clin Pract. 2010; 25(2):192-198.
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  3. Drisko J, et. al. Treating Irritable Bowel Syndrome with a Food Elimination Diet Followed by Food Challenge and Probiotics. J Amer Col Nutr.2006;25(6):514-522.
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  5. Mitchell N, et. al. Randomized Controlled Trial of Food Elimination Diet Based on IgG Antibodies for the Prevention of Migraine-Like Headaches. Nutr J. 2011 May;10:85.
  6. Alpay K, et. al. Diet Restriction in Migraine, Based on IgG Against Foods: A Clinical Double-Blind, Randomized, Cross-Over Trial. Cephalgia. 2010 Jul;30(7):829-37.
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  10. Coucke F. Food intolerance in patients with manifest autoimmunity. Observational study. Autoimmune Rev. 2018 Nov;17(11):1078-1080.
  11. Bentz S, et. al. Clinical relevance of IgG antibodies against food antigens in Crohn's disease: a double-blind cross-over diet intervention study. Digestion. 2010;81(4):252-64.
  12. Wilders-Truschnig M, et. al. IgG antibodies against food antigens are correlated with inflammation and intima media thickness in obese juveniles. Exp Clin Endocrinol Diabetes. 2008 Apr;116(4):241-5.
  13. Purohit V, Bode JC, Bode C, et al. Alcohol, intestinal bacterial growth, intestinal permeability to endotoxin, and medical consequences: summary of a symposium. Alcohol. 2008;42(5):349-361.
  14. Vanuytsel T, van Wanrooy S, Vanheel H, et al. Psychological stress and corticotropin-releasing hormone increase intestinal permeability in humans by a mast cell-dependent mechanism. Gut. 2014;63(8):1293-1299.
  15. Soderholm JD, Perdue MH. Stress and gastrointestinal tract. II. Stress and intestinal barrier function. Am J Physiology Gastro Liver Physiology. 2001;280(1):G7-g13.
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  19. Pediatric Allergy and ImmunologyVolume 19, Issue 4 Paediatric allergy diagnosis in primary care is improved by in vitro allergen‐specific IgE testing 
  20. Nutritional disorders resulting from food allergy in children Rosan Meyer Pediatric Allergy and Immunology Volume 29, Issue 7 25 July 2018
  21. Intestinal permeability in children with food allergy on specific elimination diets Kirsi M. Järvinen George N. KonstantinouMariecel Pilapil Marie‐Claire ArrietaSally Noone Hugh A. SampsonJon Meddings Anna Nowak‐Węgrzyn Pediatric Allergy and ImmunologyVolume 24, Issue 6: 02 August 2013
  22. The diagnosis of IgE‐mediated food allergy in childhood G. Du Toit A. Santos G. Roberts A. T. FoxP. Smith G. Lack Pediatric Allergy and ImmunologyVolume 20, Issue 4 26 May 2009
  23. Mast cells and complement system: Ancient interactions between components of innate immunity Daniel Elieh Ali Komi  Farzaneh Shafaghat Petri T. Kovanen  Seppo Meri First published: 23 May 2020 https://doi.org/10.1111/all.14413
  24.  CDC. Allergies. Centers for Disease Control and Prevention. Available at http://www.cdc.gov/healthcommunication/ToolsTemplates/EntertainmentEd/Tips/Allergies.html. February 2, 2011; Accessed: February 29, 2016.
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  29. Wood RA, Phipatanakul W, Hamilton RG, Eggleston PA. A comparison of skin prick tests, intradermal skin tests, and RASTs in the diagnosis of cat allergy. J Allergy Clin Immunol. 1999 May. 103(5 Pt 1):773-9. [Medline].
  30. Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol. 2001 May. 107(5):891-6. [Medline].
  31. Nolte H, DuBuske LM. Performance characteristics of a new automated enzyme immunoassay for the measurement of allergen-specific IgE. Summary of the probability outcomes comparing results of allergen skin testing to results obtained with the HYTEC system and CAP system. Ann Allergy Asthma Immunol. 1997 Jul. 79(1):27-34. [Medline].
  32. Liacouras CA, Furuta GT, Hirano I, Atkins D, Attwood SE, Bonis PA. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011 Jul. 128(1):3-20.e6; quiz 21-2. [Medline].
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  34. Beltrani VS, Beltrani VP. Contact dermatitis. Ann Allergy Asthma Immunol. 1997 Feb. 78(2):160-73; quiz 174-6. [Medline].
  35. Simons FE. Anaphylaxis. J Allergy Clin Immunol. 2010 Feb. 125(2 Suppl 2):S161-81. [Medline].
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  37. Sanz ML, Gamboa PM, Antepara I, Uasuf C, Vila L, Garcia-Aviles C. Flow cytometric basophil activation test by detection of CD63 expression in patients with immediate-type reactions to betalactam antibiotics. Clin Exp Allergy. 2002 Feb. 32(2):277-86. [Medline].
  38. Homburger HA, Mauer K, Sachs MI, O'Connell EJ, Jacob GL, Caron J. Serum IgG4 concentrations and allergen-specific IgG4 antibodies compared in adults and children with asthma and nonallergic subjects. J Allergy Clin Immunol. 1986 Mar. 77(3):427-34. [Medline].
  39. Beyer K, Teuber SS. Food allergy diagnostics: scientific and unproven procedures. Curr Opin Allergy Clin Immunol. 2005 Jun. 5(3):261-6. [Medline].
  40. Bernstein IL, Li JT, Bernstein DI, et al. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol. 2008 Mar. 100(3 Suppl 3):S1-148. [Medline]. 

Literature

Various Antibodies and Their Meanings (pdf)Download
Complement Family (pdf)Download
Emerging Role in Comprehensive Assessment (pdf)Download
Understanding Complement (pdf)Download
Weight Gain and Food Allergies (pdf)Download
Why Annual Food Allergy Testing (pdf)Download
Candida Diet_handout (pdf)Download
Histamine Diet_handout (pdf)Download
Mold Handout_handout (jpg)Download
Food Sensitivities and Mood Disorders (pdf)Download
FAST Issues in Pediatrics (pdf)Download
Food sensitivites Biotoxin 2021 (pdf)Download
FAST Headaches 2021 (pdf)Download
Mold-Candida Trifold (pdf)Download

Available Support Documents

Infinite Allergy Labs Records Request Form (pdf)Download
Letter of Medical Necessity Infinite (pdf)Download

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