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Help with understanding results

i got my blood results back, and all of the tree nuts were between 1.5-2.6. Does this mean I’m officially allergic to nuts? Do I need to avoid them completely or do I just go off of symptoms? 

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  • Melissa G

    Hi ALITTLE! Welcome to AAFA! 

    Did you have allergy testing done because you had a reaction? Here is some information on . It comes from our sister site, .

    Do you see your allergist again soon?

  • Alittle

    Thanks for welcoming me!

    Yes, I had a reaction to walnuts and pecans (mouth sores and itching) and almonds (sores, itching and some tongue swelling). I also have rash around my mouth and on my chest (which could be a topical allergy). That’s why my PCP sent me for testing. Skin tests showed positive for a ton of weeds, trees, grasses and small positive for some nuts-so she ordered the blood work. So does the blood work mean I have to eliminate them because my reactions could get worse and worse? I’m just confused. Haven’t heard from the doctor about a follow up yet. 

  • Melissa G

    Given your reaction and labs, eliminating them from your diet sounds like a wise choice until you can speak with your dr. Do you eat them a lot? Have you made an appt with a board certified allergist? How did you get the results?

    Here is some information on . When you meet with your PCP or allergist, make sure you get an 

  • Shea

    My nut allergies started mild like yours– mine started at age 13– I had no allergist or education at the time and would sometimes eat nuts knowing I was mildly allergic because I loved them so much– it was a bad idea– each reaction got worse and so I stopped doing that– mived from itchiness snd tummy ache to vomitting, hives. I avoided them better after that but had a few accidental ingestions in college that were worse with throat closing starting snd widespread hives. Then later in adulthood I finally had an allergist and carried epipen (which I definitely suggest) and then had a very bad anaphlaxis after accidental ingestion in an sauce at a restaurant and  needed to use epipen and call ambulance right away– throat closed fast– scariest thing in the world– had to go to the hospital in ambulance and thought I was going to die.

    My lesson: I wish I had started off with strict avoidance and carrying an epipen– you just dont want it to get worse– you never know when or how an allergy is going to turn, sone cases might be anaphlactic the second exposure– so once you start having reactions and testing positive, you dont want to mess with it outside an allergists office (the allergist can do food challenges in office at different times, but allergy to nuts is typically not lost after you have it). For me, I am allergic to all nuts (besides coconut which I have no reaction too and Im not sure if it is even a nut truly but Im not allergic to it)… But peanuts, pecans, pine nuts, walnuts, chestnuts, and the rest– I check labels and notify the restaurants, ask for allergy menus, never assume they will say in menu description if something has nuts in it. 

  • Alittle

    Melissa-The certified allergist did the testing but I haven’t heard back from her office yet. Our health system allows us to look up our lab work anytime, so that’s how I saw the results. 

    I had gastric bypass and have to eat very low carb, so nuts have been one of my staples including almond milk and almond flour etc., so I am REALLY hoping this is just an intolerance, not an allergy. Wishful hoping right 😂

    Shea-thank you for your reply. That sounds really scary! I’m really hoping that mine doesn’t head that way. Did your lab work look like mine? 

  • K8sMom2002

    Alittle,  

    Food allergy tests can have a high rate of false positives, so you're allowed some wishful hoping! They are most accurate when you've also had a history of reactions in the past. Since you've had a reaction to almonds, walnuts and pecans, then it's a good idea to see what your allergist has to say and to avoid for the time being.

    Like Shea has noted, sometimes allergic reactions can be mild, while others are more severe. You can't predict a future reaction based on a previous reaction.

    Could you ask your allergist for additional testing — component testing? There are different proteins in nuts and peanuts that people can be allergic to. Sometimes, like my daughter, the protein in the nut that you are allergic to usually creates only mild reactions and isn't related to . Sometimes, the protein you're allergic to creates more severe reactions.

    The gold standard for diagnosing a food allergy is to have an . 

    And not everyone with an allergy to one tree nut is allergic to all tree nuts or to peanuts. But you do have to watch out for cross-contamination and find tree nuts or peanuts that aren't processed in the same facility that your allergens are.

    In the meantime, what foods CAN you eat? Maybe we can help you brainstorm low-carb substitutes.

  • Melissa G

    That is a really tough situation to be in. Do you plan on calling the allergist after the New Year?

  • Shea

    My symptoms began like yours, (itchiness in the mouth/rash/ warm face) and progressively got worse for each food. But I did not have an allergist until years later and I havent even tested all of them since I already knew but sone were on the panel and I dont recall the numbers.

    I think almost all allergists will tell you once you start having reactions like yours to avoid the foods and to start carrying benadryl and epipen with you. But of course, talk to your allergist about it because they have more info and might want to do further tests.

    It does take tine to find replacements for foods. I like rice milk for stuff like cereal. And sunbutter (sunflower seed butter) is what I use in place of peanutbutter.