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OIT vs. SLIT: A Parent's Guide to Modern Food Allergy Treatments

You've heard about peanut immunotherapy, but what is food immunotherapy, actually? How do treatments like Oral Immunotherapy (OIT) and Sublingual Immunotherapy (SLIT) work, and which one might be right for your family?

In this game-changing episode of Allergy Actually, your bestie allergist moms – Dr. Kara Wada, Dr. Amber Patterson, and Dr. Meagan Shepherd – break down the two leading cutting-edge treatments for food allergies. They compare OIT (eating tiny, controlled doses of the allergen) with SLIT (placing drops under the tongue) to help you understand these life-altering therapies.

Learn about the different goals of treatment—from achieving "bite safety" against accidental exposure to reintroducing a food completely into the diet. The doctors discuss the pros, cons, risks, time commitment, and what to expect from each approach, giving you the knowledge to have an informed conversation with your allergist.

In This Episode, You'll Learn:
The core concept of food immunotherapy: teaching the immune system to tolerate allergens.
A clear breakdown of OIT (Oral Immunotherapy) vs. SLIT (Sublingual Immunotherapy).
How to determine your family's goal: "bite safety" or full reintroduction?
Which treatment is more aggressive but potentially faster (OIT) vs. more gentle with a lower risk of reaction (SLIT).
What to expect during OIT, including the initial "escalation day" and subsequent up-dosing visits.
The importance of a personalized approach, considering the patient's history, test results, and personal goals.
Why these treatments require significant infrastructure and a strong doctor-patient partnership for safety and success.

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ABOUT HOSTS
KARA WADA, MD
Dr. Kara Wada is a quadruple board-certified physician in allergy, immunology, and lifestyle medicine, and founder of the Immune Confident Institute. As a Sjogren’s patient and life coach, she combines modern medicine with lifestyle and mindset practices to help patients harness their body's ability to heal.
Website → https://drkarawada.com/
LinkedIn →   / karawadamd  
Instagram →   / immuneconfidentmd  
Facebook →   / karawadamd  
Youtube →    / @drkarawada  
TikTok →   / immuneconfidentmd  

AMBER PATTERSON, MD
Dr. Amber Patterson is a world-renowned allergy and immunology expert pioneering the future of immunotherapy. As the U.S. ambassador for ILIT™ Protocol (a 3-injection allergy shot protocol), she is redefining allergy care through her practice, Auni Allergy®, and the groundbreaking Auni® ILIT™ Learning Network.
Website → https://auniallergy.com/
Instagram →   / auniallergy  
Instagram →   / amber_patterson_md  
Facebook →   / auniallergy  
Youtube →    / @auniallergy  

MEAGAN SHEPHERD, MD
Dr. Meagan Shepherd is a board-certified allergist and immunologist with nearly 15 years of experience specializing in advanced immunotherapy. She is known for her practical, evidence-based approach and her unique focus on "allergy-conscious living"—designing homes, habits, and lifestyles that improve her patients' quality of life.
Website → https://shepherdallergy.com/
LinkedIn →   / meagan-shepherd-md-02b7776a  
Instagram →   / shepherdallergy  
Facebook →   / shepherdallergy  

DISCLAIMER
The information in this podcast/video is for educational and informational purposes only and does not constitute medical advice. Food allergy treatment is highly individualized and must be done under the strict supervision of a board-certified allergist. Do not attempt these therapies at home.

CHAPTERS
00:00 Intro
00:46 What is Food Immunotherapy?
01:37 OIT vs. SLIT: The Key Differences
04:35 What's Your Goal? "Bite Safety" vs. Full Reintroduction
07:11 OIT: The "Aggressive" Approach (Higher Risk, Potentially Faster)
07:17 SLIT: The "Gentle" Approach (Lower Risk, Slower Pace)