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Sanofi US Issues Voluntary Nationwide Recall of All Auvi‑Q® Due to Potential Inaccurate Dosage Delivery

Sanofi US is voluntarily recalling all Auvi‑Q®(epinephrine injection, USP). The recall involves all Auvi‑Q currently on the market and includes both the 0.15 mg and 0.3 mg strengths for hospitals, retailers and consumers. The products have been found to potentially have inaccurate dosage delivery, which may include failure to deliver drug.


Current Research on Peanut Allergy

Preventing Peanut Allergy through Early Consumption — Ready for Prime Time?
Rebecca S. Gruchalla, M.D., Ph.D., and Hugh A. Sampson, M.D.
N Engl J Med 2015; 372:875-877February 26, 2015 DOI: 10.1056/NEJMe1500186

A 2015 article in the New England Journal of Medicine discusses preventing peanut allergies in children  through early exposure.

In 2008, after reviewing the published literature, the AAP retracted its recommendation to avoid giving peanut products to youngsters, stating that there was insufficient evidence to call for early food avoidance.  Shortly thereafter, Du Toit et al.(6) noted that the prevalence of peanut allergy among Jewish children in London who were not given peanut-based products in the first year of life was 10 times as high as that among Jewish children in Israel who had consumed peanut-based products before their first birthday. In addition, subsequent studies that evaluated the early introduction of other allergenic foods, including egg and cow’s milk, showed that earlier introduction of egg and milk into an infant’s diet was associated with a decrease in the development of allergy.”

Since these statistics were only observational, additional controlled experiments were studied to determine the possibility of lack of early exposure that may be contributing to increased percentages of food based allergies of the past decade.


Cold weather affects Allergy Sufferers

Cold weather has arrived in Texas but with that also brings constant sniffling, nasal congestion, headaches, sleep disruption, red, puffy eyes, itchy throat, and even hives. The frequent cause of these symptoms – Ragweed. Severe ragweed allergy cases can lead to chronic sinus problems and even asthma attacks.

What causes these symptoms? In allergy sufferers, the bodys immune system responds to things in the environment that are actually harmless. Specific cells in the immune system respond to very small particles such as pollen from ragweed flowers. These specialized cells mistakenly see these particles as a threat and generate antibodies to the proteins found in these pollen grains. The body then reacts by flooding your blood stream with histamine. This histamine release is the reason we experience these annoying and often miserable allergy symptoms.

Like all allergies, ragweed allergy occurs when the bodys immune system mounts a vigorous response to a foreign substance that is actually harmless — in this case, tiny grains of pollen released by maturing ragweed flowers. Your immune system reacts to them as if they were a threat, says Nathanael S. Horne, MD, clinical assistant professor of medicine at New York Medical College in Valhalla and an allergy specialist in private practice in New York City. Specialized immune cells start churning out antibodies to proteins in the pollen. The ensuing cascade of biochemical reactions floods the bloodstream with histamine, a compound that causes all-too-familiar allergy symptoms. In addition to sneezing, sniffling, nasal congestion, and sleep disruption, ragweed allergy can cause red, puffy eyes, itchy throat, and even hives. Severe cases can lead to chronic sinus problems (sinusitis) and even asthma attacks.

Are you ready to be happy and hair – free?


Are you ready to be happy and hair-free?


How would it feel to finally get rid of unwanted hair virtually everywhere on your bodyback, arms, legs, underarms, bikini line, chest and face? No more shaving or waxingplucking or bleaching. Think about it. That would add some time and sanity to your life, right?


Maybe you have hesitated, because you dont really know what this laser hair removal stuff is all about. You may think it just sounds too sci-fi kind of like Star Wars your docs officeor just plain dangerous. Well, heres some helpful info. Laser hair-reduction technology is an FDA-cleared procedure thats effective for men and women of all skin types.


The laser light is attracted to the skin pigment known as melanin in the hair follicle; therefore, only the active follicles can be treated. The laser does not affect the dormant or resting follicles, because they do not contain melanin. So, heres how the laser process worksthe melanin in the hair follicle absorbs the laser light energy. When the absorbed light is converted into heat, the follicle cells overheat and become permanently disabled.


At any one time, 50% to 85% of your hair follicles are in the active phase, but only 25% to 30% of your hairs have enough of the pigment in their roots to absorb the laser beam which damages the hair root. So, only about 25% to 30 % of your hair roots are good targets for the laser beam at any given session. Thats why you need multiple visits. Follicle activation can also be impacted by a myriad of factorshormones, illness, medications and heredity.


During the procedure, each pulse of the laser covers an area approximately the size a quarter. We apply a cooling gel to help keep you comfortable during the process, and cold air blows across the treatment area to help with skin cooling and comfort, as well. This laser process is very fast. For example, the treatment time for small body takes 30 minutes or less.


So, with follicles stripped of their hair-growing powers, you are left with the perpetually silky, smooth, hairless skin you seek. Success!


Almost all patients need a minimum of six treatments to reach their hair-reduction objectives, but many will elect to have more treatmentseven 8 treatments or more. We recommend spacing treatment sessions every 4 to 8 weeks depending on your treatment plan. The number of treatments necessary depends on the area and is unique to each individual. All skin ethnicities can be treated.


Let us know if you have questions about this or any of our other treatments. See you soon!

Too Much Vitamin D During Pregnancy Can Cause Food Allergies, Research Suggests

In cases where expectant mothers were found to have a low vitamin D level in the blood, the occurrence of food allergies among their two-year old children was rarer than in cases where expectant mothers had a high vitamin D blood level. In reverse, this means that a high vitamin D level in pregnant women is associated with a higher risk of their children to develop a food allergy during infancy. Furthermore, those children were found to have a high level of the specific immunoglobulin E to food allergens such as egg white, milk protein, wheat flour, peanuts or soy beans.

Apart from diet, the level of vitamin D is mainly affected by conditions such as season, exposure to the sun and the amount of time spent outdoors — these factors were also taken into account in the current risk analyses of vitamin D and food allergy. Even though the occurrence of food allergies is undoubtedly affected by many other factors than just the vitamin D level, it is still important to take this aspect into consideration. It is advisable for pregnant women not to take vitamin D supplements. and excess of vitamin D can increase the risk of children developing a food allergy in the first two years of their life.

Spring Time Allergies


Spring time is approaching, which primarily means that green and yellow dust will start to appear on your cars, windows, and start to take over in North Texas. Most species of tree pollen starts to emerge in February and can persist well into the summer. Allergy suffers should try to minimize their time outdoors during the day as the tree pollen counts are often higher and more potent while the sun is out. It is very important to determine which species of trees you may be allergic to, and this can be done with routine allergy skin testing.

If the trees are causing your sniffles and itchy, watery eyes stop your job as a lumberjack and come see us!!

Prevent Winter Dry Skin

Did you know that you should changeyourmoisturizing with the change of seasons? Thats ok. Most of us dont either.

In the winter you want to change to more of an “ointment” moisturizer that’s oil-based, rather than water-based, as the oil will create a protective layer on the skin that retains more moisture than a cream or lotion. (Hint: Many lotions labeled as “night creams” are oil-based.)

But be careful with what oils you choose. If you are a one lotion for face and body kinda consumer you can get in real trouble fast.

Many lotions areshea oil or butter which is not good for your face because it can clog facial pores. Even some havevegetableshorteningwhich literally just sits on your face creating pools of oil!

Try looking for ”nonclogging” oils, like avocado oil, mineral oil, primrose oil, or almond oil. Or evenlotions containing “humectants,” a class of substances (including glycerine, sorbitol, and alpha-hydroxy acids) that attract moisture to your skin.


Other Treatments

You should also NEVERindulgein a hot bath!A lukewarm bath with oatmeal or baking soda, can help relieve skin that is so dry it has become itchy.

Utilize a humidifier. This keeps the air from being dry and not only helps your skin but your allergies as well.

Your hands has much thinner skin so take special care.Wear gloves when you go outside; if you need to wear wool to keep your hands warm, slip on a thin cotton glove first, to avoid any irritation the wool might cause.

Unknown Side Effects of Allergy Medication

One of the primary reasons patients come to an allergist is due to the side effects from most allergy medications.

Its a little known fact that sleepiness is not the only side effect.

In fact loss of sex drive, increased appetite, altered tast and smell and anxiety areamongthe most common. Not to mention infertility for women and depression!

Treating your allergies is not just about medicating them but rather obtaining a higher quality of life.

The vast majority of thepopulationthat suffers from allergies have learned to take over the counter relief oriented drugs. This behavior is of coursedirectlyrelated to the amount of advertising and marketing from these same pharmacutical companies.

It is never a good idea to take ongoing pain or any symptom base relief drug as the “side effects” can and often do become closer to major effects over time.

Its for this reason that you should only use these sort of drugs to help you “manage” your discomfort until you are able to address your allergies with a professionally trained allergist who can regain control of your bodies reaction to these allergies.


Allergies and asthma are diseases that affect individuals of all ages, and their prevalence is comparable in all age groups. As age demographics in the United States and other countries shift to greater proportions and numbers of patients in the “elderly” categories, it is becoming increasingly important for clinicians to become aware of the impact of aging on a variety of diseases. Allergy and asthma are recognized as inflammatory disorders, and there are data demonstrating that age-related changes in immune function can have a significant impact on these disorders.

Occasionally allergies make their initial appearance in the elderly. Asthma is a clinical diagnosis that is characterized by airway inflammation in association with reversible airflow obstruction and bronchial hyperresponsiveness, and it has an estimated prevalence of 8 to 10% across all age groups.This article examines the available data regarding the interplay of the aging process with allergic disease and asthma and discusses the diagnosis and management of asthma in older patients.

It is estimated that the North America’s older population will increase by 75% between 2010 and 2030.In addition, it is known that the incidence of immediate (type 1) allergy is increasing worldwide.Despite this fact, there is a lack of research on the incidence and prevalence of allergic sensitization in the nonpediatric population.An interesting and related fact is that the majority of American board-certified allergists have pediatric training.

One study estimated the prevalence of atopic diseases to be more than 4% after the age of 60.

Consequently, it is important not to omit the differential diagnosis of allergy in older patients with symptoms such as conjunctivitis and rhinitis