Wheat Allergy
Treatment & Desensitization
Wheat Allergy Desensitization in NYC, Manhattan, Upper East Side
At NY Food Allergy & Wellness, located on the Upper East Side of Manhattan, we specialize in diagnosing and treating wheat allergies. Led by Dr. Atul Shah, our expert team provides comprehensive and personalized care to help you manage and desensitize to your wheat allergy safely and effectively. Wheat allergies are increasingly common and can cause a variety of symptoms, necessitating accurate diagnosis and effective management.
Understanding Wheat Allergies
Wheat allergies occur when the immune system reacts abnormally to proteins found in wheat, such as albumin, gliadin, globulin, and gluten. This immune response can cause a range of allergic reactions from mild to severe. It’s important to differentiate between a wheat allergy, non-celiac gluten sensitivity (NCGS), and celiac disease, as each involves different immune responses and management strategies.
Symptoms and Diagnosis of Wheat Allergies
Symptoms of a wheat allergy can manifest in various ways and may include:
Skin Reactions: Hives, eczema, redness, swelling
Respiratory Issues: Sneezing, nasal congestion, asthma, wheezing
Gastrointestinal Problems: Diarrhea, stomach cramps, nausea, vomiting
Anaphylaxis: A severe, potentially life-threatening reaction that requires immediate medical attention
Food Allergy Testing for Wheat
At NY Food Allergy & Wellness, we are proud to offer the Basophil Activation Test (BAT), a cutting edge diagnostic tool for identifying food allergies. This advanced test measures the activation of basophils, a type of white blood cell, in response to allergens. The BAT provides highly accurate results and can detect allergic reactions that might not be identified through traditional testing methods.
We are the only certified lab in the region offering the Basophil Activation Test. Our certification ensures that we maintain the highest standards of accuracy and reliability in our testing procedures. By choosing NY Food Allergy & Wellness for your allergy testing needs, you can be confident that you are receiving the most advanced and reliable diagnostics available.
The Basophil Activation Test is particularly useful for patients who have complex allergy profiles or who have not found answers through conventional tests. It can also be used to monitor the effectiveness of ongoing allergy treatments, providing valuable insights for personalized care plans.
Key benefits of the Basophil Activation Test include:
High Accuracy: Detects allergic reactions that may not be visible through skin prick or blood tests.
Comprehensive Analysis: Measures the specific activation of basophils, providing detailed information about allergic responses.
Certified Lab: Conducted in our certified lab, ensuring the highest standards of testing quality and reliability.
If you suspect you have a food allergy and need precise and reliable testing, the Basophil Activation Test at NY Food Allergy & Wellness is an excellent choice. Contact us today to learn more about this innovative test and to schedule your appointment.
Oral Food Challenges are considered the gold standard for diagnosing food allergies. During an OFC, the patient consumes small amounts of the suspected allergen under strict medical supervision to observe any reactions. This method provides definitive results and is conducted with the utmost care and safety.
Skin prick tests are a quick and effective way to identify specific allergens. During the test, a small amount of allergen is placed on the skin, which is then gently pricked to allow the allergen to enter. Results are typically visible within 15–20 minutes, making it a fast and reliable option.
Needle free tests are ideal for children and needle phobic patients. Using advanced technology, these tests provide precise results without the discomfort associated with traditional testing methods.
Blood tests are highly accurate and comprehensive, suitable for all age groups. They measure the presence of specific IgE antibodies in the blood, which can indicate an allergy. This method is particularly useful for patients who cannot undergo skin testing.
IgE specific to peanut components are very helpful in accurate diagnosis of true peanut allergy compared to false positives due to underlying tree pollen allergy. Ara h 2 and Ara h 6 are considered components with potential for systemic reactions.
Managing Wheat Allergies in Daily Life
Managing a wheat allergy involves more than just avoiding wheat products. At NY Food Allergy & Wellness, we offer comprehensive guidance on:
Reading Food Labels: Learn to identify hidden wheat ingredients and understand precautionary statements (Food Allergy Research & Education).
Safe Cooking Alternatives: Use wheat-free flours such as rice, sorghum, soy, tapioca, or potato starch.
Dining Out: Tips for communicating your allergy to restaurant staff and choosing safe menu options.
Emergency Preparedness: Carry epinephrine auto-injectors and have an action plan for accidental exposure (American College of Allergy, Asthma & Immunology).
Avoiding wheat is crucial for managing your allergy. Common wheat-containing foods include:Breads, cakes, cookies, and other baked goods
Pasta, pizza, and cereals
Sauces, soups, and salad dressings
Wheat-based beverages like certain beers
Foods containing wheat flour and derivatives (Cleveland Clinic, ACAAI).
Managing Multiple Food Allergies
At NY Food Allergy & Wellness, our FATE™ (Food Allergy Tolerance Enhancement) Program specializes in managing multiple food allergies through comprehensive diagnostics and desensitization, helping patients achieve greater dietary freedom.
Diagnostic Approach
We begin with:
Detailed Patient History: Reviewing the patient’s medical history and symptoms.
Advanced Testing: Utilizing skin prick tests, blood tests, and the Basophil Activation Test to identify specific allergens and assess reaction severity.
Continuous Support
Regular Follow-ups: Monitoring progress and adjusting treatment plans.
Patient Education: Providing resources and training for effective management.
Support Groups: Facilitating patient support groups for shared experiences and strategies.
Personalized Treatment Plans
Our customized plans aim for food allergy desensitization and may include:
Oral Immunotherapy (OIT): Gradually introducing allergens to desensitize the immune system.
Sublingual Immunotherapy (SLIT): Administering allergens under the tongue to build tolerance.
Medications: Antihistamines can relieve mild symptoms, while epinephrine is used for severe reactions like anaphylaxis. Omalizumab (Xolair) injections can be considered to reduce the risk or reactions.
Dietary Management: Guidance on safe food choices and avoidance strategies.
Emergency Preparedness: Training on using epinephrine auto-injectors and creating action plans for accidental exposures.
Frequently Asked Questions
The increase in wheat allergies can be attributed to several factors:
Increased Wheat Consumption: Higher consumption of wheat products in modern diets.
Genetic Factors: A genetic predisposition to food allergies.
Environmental Factors: Changes in diet, hygiene, and exposure to allergens.
Food Processing Methods: Modern food processing techniques that alter wheat proteins, potentially increasing allergenicity
(Healthline).
Currently, avoidance is a general recommendation, but several treatments can help manage the condition:
Avoidance: The primary treatment involves avoiding wheat and wheat containing products.
Medications: Antihistamines can relieve mild symptoms, while epinephrine is used for severe reactions like anaphylaxis. FDA approved Omalizumab (Xolair) injections can be considered to reduce the risk or reactions. Read more.
Sublingual Immunotherapy (SLIT): This treatment gradually introduces small amounts of wheat to desensitize the immune system over time. It is a low dose treatment that requires drops under the tongue on a daily basis for some time.
Oral Immunotherapy (OIT): This treatment desensitizes the immune system and can help develop tolerance over time. At NYFA, we offer our patients to choose their goals, from “bite proof” level of protection to free eating.
Currently, there is no cure for wheat allergies. However, treatments like Oral Immunotherapy (OIT) and Sublingual Immunotherapy (SLIT) have shown promise in increasing tolerance to wheat proteins.
These therapies aim to desensitize the immune system, potentially allowing for safer consumption of wheat containing foods over time (American Academy of Allergy, Asthma & Immunology). Many of our wheat allergic patients at NYFA have reached free eating freedom through the FATE process.
Wheat allergies and gluten sensitivity (or celiac disease) are different conditions. A wheat allergy involves an overactive immune reaction to various proteins in wheat, not just gluten.
Gluten sensitivity specifically involves an adverse reaction to gluten, a protein found in wheat, barley, and rye. Wheat allergy can trigger anaphylaxis while gluten sensitivity can cause many symptoms but not an anaphylactic reaction. It is possible to be allergic to wheat proteins other than gluten.
NY Food Allergy & Wellness stands out as the premier destination for wheat allergy desensitization due to our:
Expertise: Led by Dr. Atul Shah, a specialist with extensive experience in treating wheat allergies.
Advanced Diagnostics: Utilizing state of the art diagnostic tools to accurately assess and tailor treatment plans.
Personalized Care: Offering customized treatment plans based on each patient’s specific needs.
Comprehensive Support: Providing ongoing education, support, and monitoring to ensure effective management of wheat allergies.
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Dr. Atul Shah, MD, FACAAI, FAAAAI, is the founder of NY Food Allergy & Wellness & a renowned allergist with over 20 years of experience. With more than 15,000 success stories across children, teens, & adults, Dr. Shah’s expertise knows no age limits. He holds dual fellowships & has been honored with prestigious awards, including America’s Top Physician. Dr. Shah is a leader in allergy care, offering personalized, life-changing treatments.
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New York City Location
110 East 60th St., Suite 708
New York, NY, 10022
Hours of Operation
Tuesday: 9am-5pm
Wednesday: 9am-5pm
Thursday: 9am-7pm
Friday: 9am-5pm
Saturday: 9am-2pm
Sunday/Monday: Closed




