• -Natalie

Macadamia: Complete. Next Up: Pistachio

It's 2019, and I am excited to see what this year of treatment with the Tolerance Induction Program has to bring.

If you haven't yet read my 2018 year treatment summary, you can read it here. And if you are new to my blog and want to know more about what I'm allergic to and how my food allergies developed, read the about section here.

If you have been following along, I started dosing for macadamia nuts at the end of 2018 for a total of 6 weeks which came to an end just yesterday (January 22nd). At the office, I ate 14 grams of ground up macadamia nuts mixed in melted chocolate, and I then ran for 5 minutes to ensure that raising my heart rate and body temperature would not induce anaphylaxis.

After eating the 14 grams and running for 5 minutes, my vitals were stable and I was symptom free! That means, I am cleared for macadamia nuts, and will have to eat a daily maintenance dose of 4 macadamia nuts a day for now.

After I took a break for a few minutes to catch my breathe (I am very out of shape, need to start working out), it was time to take my first dose of pistachio nut! I ate 150mg of ground up pistachio - I tried to eat it plain but the taste freaked me out so I resorted once again to melted chocolate.

Zinah, my wonderful nurse practitioner running my challenges, had me wait for about 10-15 minutes to ensure I was symptom free.

Now, a typical appointment would end there; I would go home and begin dosing for pistachio for the next 6 weeks. But I had something else in mind.

If you have read my story, you know that I also have severe oral allergy syndrome to almost every fruit, vegetable, herb and spice. Some foods are much worse than others, specifically the vegetables and spices.

Due to being on SLIT for my environmental allergies, and to dosing many tree nuts, I am slowly able to handle more and more fruits. I specifically asked Dr. R if there was any chance I would be able to tolerate strawberries now, and to my surprise, he said yes!

So when I was finished with my pistachio introduction dose, Zinah was nice enough to let me eat strawberries in the office as well. I technically had the ok to try them at home, but after not eating them for 3 years, I was obviously anxious, so I opted for eating my first strawberry at the clinic.

It tasted AMAZING and was so refreshing! I had no symptoms, and although I'm still a bit anxious to eat strawberries, I am so relieved to know that I can tolerate them.

My office visit still didn't end there. As you know, dairy is something I have never been allergic to. In fact, I eat dairy daily, usually in the form of either milk or shredded mozzarella cheese. When I first started treatment years ago, I was told to avoid hard cheeses for now and stick with soft cheeses, such as mozzarella.

At this time, I was emotionally prepared to expand my dairy options. Of course, due to anxiety, I first got approval from Dr.R and then I brought the foods to the office!

I tried vanilla yogurt, goat cheese and Haagen-Dazs chocolate and strawberry ice cream. The vanilla yogurt kind of freaked me out because I felt like my mouth became a bit dry, and the strong taste of the goat cheese freaked me out at first. The cold ice cream also heightened my senses as I haven't eaten ice cream (or anything frozen) for years.

When I got home though, I ended up eating half of the pack of goat cheese and finishing almost all of the chocolate and strawberry ice creams! It's been three years since I have eaten ice cream, so I have a lot to make up for ;)

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