Monthly Newsletters - 2016 / 2017 / 2018 Newsletters


Thanksgiving and Food Allergies

Thanksgiving is a joyous time for friends and family to get together to give thanks and to feast on good food. Are you hosting this year? What if one of your guests has a food allergy? Do not fear.  Planning in advance will help ensure everyone’s safety if you are creating the traditional Thanksgiving dinner.


Let the Halloween festivities begin!...

But safety first!

For many children, this time of year is about costumes and candy, but for some parents and children, Halloween festivities bring about food-anxiety and the need for added food scrutiny. From classroom holiday snacks to trick-or-treating candy, this is a time for parents and children with food allergies to be extra prepared. And being prepared means not only keeping your child safe, but also keeping them included in the holiday fun!


Poor Air Quality and Asthma

Recent fires in California are contributing to poor air quality, and recently we have seen an increase in asthma exacerbations. While allergies are a major trigger for asthma symptoms, poor air quality, as well as respiratory tract infections certainly can exacerbate symptoms as well. Let’s take a moment to review what asthma is, and how it affects children and adults.


Allergies and Asthma Can Be Harder to Control at School than at Home

You work hard to keep your child’s allergies and asthma under control. You clean to get rid of dust mites and pet dander, and you make sure your kids are taking the right medications at the right time. Then you send them off to school and your routine can fall apart, leaving your child with symptoms that aren’t controlled.


Don’t Let Food Allergies Spoil Your Summer Fun!

Summer brings people together to enjoy picnics and BBQ’s in the warm outdoor weather. It is now a common occurrence to attend a gathering where at least one person has a known food allergy. Currently in the U.S., it is estimated that 1 in 13 children has a food allergy. If you are hosting an event, it is a good idea to ask if anyone attending has a food allergy, so you can choose your menu accordingly and ensure there is something available for everyone to eat safely. Often times, adults with food allergies or those who have children with food allergies may prefer to bring their own meal so they can ensure it has been safely prepared. It is also worth noting that there is a significant difference between a food allergy and a food intolerance. While both may require that you change your menu, a food allergy can result in a life threatening reaction.


10 Tips for Travelers with Allergies

Summer vacations are coming soon, and for some, traveling means increased allergy symptoms. Dust mites in feather hotel bedding can trigger flare up in allergies, and pollen from outdoor trees, grasses, and weeds can put a damper on camping and hiking trips. Here are some tips for your upcoming travels to help ensure you feel your best and are able to enjoy your summer vacation:


Asthma, Allergies, Atopic Dermatitis…and Mental Health

A new study published in Frontiers of Psychiatry in April 2018 shows a link between allergic conditions and certain psychiatric disorders. This is the first study to find a connection between allergies and the overall risk of developing psychiatric disorders. The psychiatric conditions that were included in the study were depression, anxiety, dementia, bipolar disorder, eating disorders, sleep disorders, and psychotic disorders. The research was based in Taiwan, covering a 15 -year period, and used the Taiwan National Health Insurance Program database. The study enrolled a total of 186, 588 patients, including 46, 647 people with an allergic diseases, and 139,941 people without allergic diseases. Over the 15 year period, the research found that 10.8% of people with allergic diseases developed a psychiatric disorder, compared with 6.7% of those without an allergic disorder.  This translates to a 1.66-fold increased risk of developing psychiatric disorders for people with an allergic disease.


Help with the Springtime Eczema Flares

While many are suffering from hayfever during the Spring season, a number of people are also suffering from skin itchiness and rashes. In the U.S., approximately 31.6 million people (10.1%) have some form of eczema. Eczema is an itchy, red, inflamed skin rash that tends to occur on the inner part of the elbows, behind the knees, back of the hands, eyelids, and face, but can be present on other body areas. Eczema is more common in children, but can persist into adulthood, and for some, it may even start as an adult.


PEANUT ALLERGY TREATMENTS ARE ON THE HORIZON

Peanut allergy is one of the most common food allergies. Allergic reactions to peanut can be severe and potentially life threatening. Between 1997 and 2008, the number of children in the U.S. with peanut allergy more than tripled. The primary treatment for peanut allergy has been avoidance. Now, there are some promising treatment options on the horizon.


Spring Allergies Again! Stop This Annual Cycle With Allergy Immunotherapy

Spring is almost here! You can see the trees beginning to bloom and while it is beautiful, it brings with it very unpleasant symptoms for many people, year after year. While over-the-counter medications such as oral antihistamines and steroid based nasal sprays can help significantly lessen the severity of allergy symptoms, for many patients, even with regular use, these medications don’t give them adequate relief. In addition, many patients find themselves not wanting to take medications every year, and/or perhaps experience adverse side effects of these medications such as drowsiness or nosebleeds. We find that a number of patients hope for a more natural approach to their allergies, and immunotherapy may be just what they need to stop their annual Springtime allergies.


Weight Loss Improves Asthma Control

It’s a new year, and it’s time to make your new year’s resolutions! For many, losing weight and implementing healthier habits are top resolutions. The more common benefits of healthy weight loss are well known and for many people, weight loss helps to improve their asthma. Studies show that weight loss in obese individuals with physician-diagnosed asthma is associated with a 48%–100% remission of asthma symptoms and reduced use of asthma medication (Juel 2012).


Is the cold weather wreaking havoc on your health?

We all know individuals who blame the weather for their achy joints, migraines and many other health woes.  Do you, too, wonder why your allergies feel worse after you have been outside in chilly weather? Most medical experts agree that weather can have profound effects on asthma and allergies.


Breastfeeding Linked to Decreased Risk for Childhood Asthma Exacerbations

Breastfeeding Linked to Decreased Risk for Childhood Asthma Exacerbations In a Pediatric Allergy and Immunology analysis of children with asthma, those who had been breastfed had a 45% lower risk of asthma exacerbations later in life compared with children who had not been breastfed. Investigators analyzed data from 960 children aged 4 to 12 years who were using regular asthma medication.


Lower vitamin D levels & dust mite sensitivity

Patients with severe atopic dermatitis (eczema) who have lower serum vitamin D levels have a higher risk of sensitivity to house dust mites which can aggravate their condition, a new study shows.


Back to School Immunizations

What if your child suffers from certain food allergies found in these vaccines?

As we approach the beginning of the school year and it is time to finalize registration for schools and day cares, it may be time to think about booster shots.


Sublingual tablet to treat dust mite allergy approved

Officials with the US FDA today approved Merck, Sharp & Dohme Corporation's Odactra, the first allergen tablet to be administered sublingually to treat house dust mite-induced nasal inflammation (allergic rhinitis), with or without eye inflammation, in adults aged 18 through 65.


Do Some Raw Fruits Or Veggies Give You A Tingly Mouth? It's called Oral Allergy Syndrome (OAS)

If you suffer from pollen allergies and you’ve experienced an itchy mouth or scratchy throat after eating certain raw fruits or vegetables and some tree nuts, you may have oral allergy syndrome.

Symptoms of oral allergy syndrome include an itchy mouth, scratchy throat, or swelling of the lips, mouth, tongue, and throat. The symptoms are usually confined to one area and do not normally progress beyond the mouth. Because the symptoms usually subside quickly once the fresh fruit or raw vegetable is swallowed or removed from the mouth, treatment is not usually necessary.


Are natural remedies effective? Can they be successfully used to complement other allergy & asthma treatments to help improve symptoms?

Some natural therapies may help to manage symptoms of allergy and asthma. For example-emotional stress can cause an asthma attack and some natural relaxation remedies like deep abdominal breathing and progressive muscle relaxation can help relieve stress. In addition, it is also thought that herbs and other natural dietary supplements can be used as complementary treatments for allergy & asthma. However, because there has been limited research on complementary and alternative treatments for allergy and asthma, the effectiveness and safety is often unknown.


Voluntary Worldwide Recall of EpiPen® Auto-Injector

If you think you may be impacted by this recall, please follow these instructions from Mylan:

Check the lot number on your carton or device to see if your EpiPen® Auto-Injector is affected by the recall.

If your EpiPen® Auto-Injector has been recalled, contact Stericycle at 877-650-3494 to obtain a voucher code for your free replacement product. Stericycle also will provide you with a pre-paid return package to ship the product back to Stericycle.


Choosing the right OTC (over-the-counter) allergy medicine

For many allergy sufferers, the allergy medicine aisle can be very daunting, especially given the numerous medications available claiming to relieve allergic symptoms. Because many allergy sufferers do not feel well, this experience is made even more difficult. Surprisingly enough, despite the known side effects associated with Benadryl, many people end up purchasing Benadryl simply because it is almost synonymous with “allergy relief”. However, in a report published in JAMA Internal Medicine, researchers offer compelling evidence of a link between long-term use of anticholinergic medications like Benadryl (diphenhydramine) and dementia.


Dr Engler and Brooke Leon, NP attended the annual meeting of the American College of Allergy, Asthma and Immunology (ACAAI)

Recently, both Dr Engler and Brooke Leon, NP attended the annual meeting of the American College of Allergy, Asthma and Immunology (ACAAI) which was held in San Francisco.

Some of the presentations most relevant to our patients included:


Don’t Let Allergies and Asthma Ruin the Holidays

We’d like to pass on some tips from the American College of Allergy, Asthma, and Immunology (ACAAI) and The Christmas Tree Association to help you steer clear of allergy and asthma symptoms during the holidays.


Addressing food allergies during the holidays: How to say No

It’s the season when we often find ourselves invited to festive gatherings with family, friends and colleagues. However, for those managing food allergies, the exciting invitations to family gatherings or company parties can quickly translate into a myriad of questions and risk assessment.


Join the Teal Pumpkin Project

Every child should be able to experience the joy and tradition of trick-or-treating on Halloween. But kids with food allergies are often left out of the fun, since so much candy is off limits.

FARE’s (Food Allergy Research & Education) Teal Pumpkin Project helps make sure all children will come home on Halloween night with something they can enjoy.


How to afford your epinephrine auto-injector

September 2016

With all of the media attention being given to the rising costs of EpiPen, we wanted to make sure our patients have all of the resources available to be able to afford their lifesaving injectable epinephrine.


Allergies and Asthma Can Be Harder to Control at School Than at Home

August 2016

You work hard to keep your child’s allergies and asthma under control. You clean to get rid of dust mites and pet dander, and you make sure your kids are taking the right medications at the right time. Then you send them off to school and your routine can fall apart, leaving your child with symptoms that aren’t controlled.


Dreaming of your summer vacation?

July 2016

Wondering how to keep asthma and allergies under control? Put some planning behind the dream.

Review your symptoms – how often are they occurring? How well are you sleeping at night? Are you having trouble exercising? If your allergies or asthma aren’t under control, talk about revising your treatment plan. The first step to being healthy on vacation is being healthy at home.


Summertime Fun in the Sun!

June 2016 - By Dr. Andrew Engler

Now that the summer sun is high in the sky, everyone knows they should use sunscreen as a first defense against the powerful rays that can cause sunburns and skin cancer.  But what if the very product meant to protect you is causing an allergic skin reaction?


Vitamin D During Pregnancy, Infancy Can Reduce Aeroallergen Sensitization

May 2016 - By Dr. Andrew Engler

Vitamin D supplements taken during pregnancy and infancy may help to reduce the high childhood allergy rate, a new study has claimed.


NEW STUDY CONFIRMS EATING PEANUT IN EARLY YEARS REDUCES THE RISK OF PEANUT ALLERGY, EVEN WITH LATER AVOIDANCE OF PEANUT

April 2016 - By Dr. Andrew Engler

Researchers from Kings College in London are reporting that infants who have been introduced to peanuts early in life are less likely to develop peanut allergies, even if they stop eating peanut around the age of five.


Allergy shots effective for baby boomers suffering from seasonal allergies

March 2016 - By Dr. Andrew Engler

In recent years we have seen an increase in the number of people suffering from allergies, including baby boomers, as a result of numerous factors, including climate changes. Because older people often have other chronic diseases, diagnosis and management of allergic rhinitis (hay fever) can be a challenge. A new study shows immunotherapy (allergy shots or drops) reduced symptoms by 55 percent after three years of therapy, and decreased the amount of medication needed for relief of symptoms by 64 percent.


Eat to Ease Your Allergies

February 2016 - By Dr. Andrew Engler

Although you usually can’t cure your allergies with a special diet, what you eat can make a difference in how you feel. Some foods can make your allergy symptoms better, and some can make them worse.


Allergies & El Nino

January 2016 - By Dr. Andrew Engler

As El Nino continues to wreak havoc on weather conditions throughout the United States, allergy sufferers may be in for a rough ride this winter and upcoming spring pollen season. Extremely wet winter conditions found in California have provided a fertile breeding ground for mold spores to proliferate, potentially intensifying allergy symptoms in many people


2015 Monthly Newsletters


New Year's Resolutions

January 2015 - By Dr. Andrew Engler

Are your allergies or asthma keeping you from achieving your New Year's Resolutions? In January, most of us make New Year's resolutions for self-improvement. Many of us will vow to lose weight, exercise more often, or get our finances under control. But why not also use this as an opportunity to take charge of your allergies so they do not prevent you from achieving your goals?


Together we can help control asthma.

May 2015 - By Dr. Andrew Engler

This World Asthma Day (May 5, 2015) and Asthma Awareness Month (May 2015) the National Asthma Education and Prevention Program (NAEPP) encourages you to discover how.


Bug bites, and rashes, and hives, OH MY!

July 2015 - By Dr. Andrew Engler

Most summertime rituals -- enjoying the great outdoors, visiting the beach, having campfires – are a lot of fun. The accompanying and mostly unavoidable bug bites and rashes, however, are not. The most common are mosquito bites. These are closely followed by insect stings from bees and wasps, allergic rashes and hives from plant life such as poison ivy and eczema flares from swimming in chlorinated pools. Fortunately, there are a number of steps you can take to prevent and treat these nuisances so you can enjoy all that summertime has to offer.


College Bound!

August 2015 - By Dr. Andrew Engler

Going away to college for the first time can be nerve-wracking, not only for the parents but also the student. In addition to the routine questions like: How will I find my way around? Will my classes be too hard? What will the other students be like? Students who suffer from allergies and asthma may also be asking: How can I keep my symptoms under control?


Asthma and the Flu

September 2015 - By Dr. Andrew Engler

The traditional start of flu season is only a few weeks away. Influenza (flu) can be more serious for people with allergies and asthma, even if their asthma is mild or their symptoms are well-controlled by medication. This is because people with asthma often have swollen and sensitive airways and influenza can cause further inflammation of the airways and lungs. Influenza infection in the lungs can trigger asthma attacks and a worsening of asthma symptoms. It also can lead to pneumonia and other acute respiratory diseases, which in turn can lead to serious complications.


New study confirms that Allergy Immunotherapy for Allergic Rhinitis helps to prevent Asthma

October 2015 - By Dr. Andrew Engler

Researchers in Dresden, Germany, have demonstrated that allergy immunotherapy (given as injections or sublingually) can significantly reduce the risk of developing asthma in patients with allergic rhinitis.