Tuesday, December 30, 2008

Should I have allergy shots for allergies to insect stings?

Introduction

This information will help you understand your choices, whether you share in the decision-making process or rely on your doctor's recommendation.

RELATED ARTICLES
Immunotherapy for allergies to insect stings
Allergies to Insect Stings - Treatment Overview
» MORE TREATMENT ARTICLES
Key points in making your decision

Your decision about having allergy shots (immunotherapy) for allergies to insect stings will involve several issues regarding your current health and the likelihood that you might develop severe reactions to stings in the future. If your child is allergic to insect stings, these same factors will affect the decision about having allergy shots. Consider the following when making your decision:

If you have been stung in the past and had a systemic (whole-body) allergic reaction to the sting, you have a high risk of having a similar reaction if stung again.
If you had an anaphylactic (life-threatening) reaction in the past, immunotherapy significantly reduces your risk of having another severe systemic reaction from 60% to 3%.1
You may not need allergy shots if you had a normal (localized) reaction or a large localized allergic reaction to an insect sting in the past. Only about 1% to 10% of people with localized reactions to insect stings progress to a more serious, systemic allergic reaction.2
If you have taken allergy tests that identified one or more sensitivities to insect stings, immunotherapy can prevent life-threatening reactions and also reduce anxiety associated with insect stings.
Allergy shots may not be safe for you if you have an impaired immune system or certain kinds of heart problems.
Allergy shots are uncomfortable and costly, may trigger anaphylaxis in some people, and usually take 3 to 5 years to complete.
Medical Information

What are allergies to insect stings?

An allergic reaction to a sting occurs when your body's immune system overreacts to substances called allergens in the venom of stinging insects such as bees, wasps, hornets, or fire ants.

What is a systemic allergic reaction?

Minor allergic reactions occur around the site of the sting (localized reaction) and can cause redness, swelling, fatigue, nausea, and a low fever. A more serious allergic reaction can spread throughout your entire body (systemic reaction) and cause symptoms such as itching, hives, and swelling of the tongue, throat, or other body parts. A life-threatening systemic allergic reaction called anaphylaxis can cause severe symptoms such as confusion, difficulty breathing, shock, and sometimes death.

What is immunotherapy for allergies to insect stings?

Standard immunotherapy is a series of allergy shots that can prevent or reduce the severity of symptoms during a systemic allergic reaction. Allergy shots are not needed if you have mild, local allergic reactions to insect stings.

Allergy shots work by introducing small amounts of insect venom into your body, making you less sensitive over time to the venom.

Once allergy tests have identified the insect(s) you are allergic to, you can begin immunotherapy. At first, you will receive weekly shots containing small doses of venom and allergens from the insect(s) that cause your allergies. After about 4 to 6 months of weekly shots, you will receive a maintenance dose every 4 weeks for another 4 to 6 months. Finally, you will continue getting monthly shots for 3 to 5 years, depending on the type of stings that cause your allergies; for example, fire ant allergies require longer treatment than other stinging insect allergies.

What is rush immunotherapy?

Accelerated or "rush" immunotherapy is done to rapidly increase your tolerance to an allergen. A series of shots is usually given every few hours on the same day or every few days. When the first injection is given, you must wait a period of time to see whether you have a reaction to the shot. If you do not, additional shots are given throughout the day. You (or your child) may have some anxiety about receiving the next injection; it may be helpful to bring a book or something to distract yourself while you wait for the next shot.

Maintenance is reached much more quickly with rush immunotherapy than standard immunotherapyusually in 1 to 8 days instead of several months. Rush immunotherapy may be given if you have severe or life-threatening allergic reactions to insect stings, are a long distance from any type of health care facility, have severe allergic asthma, or are about to travel.

What are the risks of immunotherapy for allergies to insect stings?

Allergy shots are safe for most people. The most common side effects are redness and warmth at the injection site. Some people may experience large local reactions that include itching, hives, or swelling of the skin near the injection site.

However, allergy shots can trigger a more serious systemic reaction, which may include difficulty breathing or swelling in the deep layers of the skin. On rare occasions, a person may have a life-threatening allergic reaction (anaphylaxis) to the shots. Because of this possibility, the shots are given in a health care facility or other setting where emergency care can be provided if needed.

Talk with your health professional if you have an autoimmune disease (such as lupus) or are taking medications for heart problems (such as beta-blockers); allergy shots may not be safe for you.

If you need more information, see the topic Allergies to Insect Stings.

Your Information

Your choices are:

Get allergy shots to reduce your sensitivity to insect stings and reduce the risk of a severe allergic reaction (anaphylaxis).
Do not get allergy shots, and use other measures such as avoiding stinging insects and carrying an allergy kit to deal with the risk of a severe allergic reaction. Allergy shots usually are recommended only for people who have previously had a systemic reaction.
The decision about whether you or your child should have allergy shots (immunotherapy) for insect sting allergies takes into account your personal feelings and the medical facts.

Deciding about allergy shots
Reasons to have allergy shots Reasons to not have allergy shots
You tested positive for sensitivity to allergens from the venom of one or more insects.
You had a moderate to severe systemic allergic reaction (anaphylaxis) to an insect sting.
You work outdoors and have had increasingly worse reactions to each insect sting.
You were stung only once by an insect, but you had a moderate to severe reaction.
You have systemic reactions to insect stings but cannot carry an allergy kit with you at all times.
You won't use an allergy kit (you are hesitant to give yourself an injection).
You want to feel less worried or anxious about being stung.
Are there other reasons you might want to have allergy shots?
You tested negative for sensitivity to allergens from the venom of insects.
Your allergic reaction to insect stings is local or is a large local reaction but not systemic.
You are younger than 16 and you had a mild skin reaction all over your body (systemic reaction) without any other symptoms.
You are more afraid of the shots than of your reaction to the insect stings and would rather carry an allergy kit with you.
You have an autoimmune disease (such as lupus) or are taking heart medications (such as beta-blockers or ACE inhibitors).
You attempted allergy shots previously, but the shots triggered a moderate to severe allergic reaction.
You do not want to dedicate the time to or pay the expense of having allergy shots.
Are there other reasons you might not want to have allergy shots?
These personal stories may help you make your decision.

Wise Health Decision

Use this worksheet to help you make your decision. After completing it, you should have a better idea of how you feel about having allergy shots. Discuss the worksheet with your doctor.

Circle the answer that best applies to you.

My allergic reactions to insect stings are usually mild. Yes No Unsure
My allergic reactions to insect stings affect my entire leg or arm or the area where I've been stung. Yes No Unsure
My allergic reactions to insect stings spread to areas other than where I have been stung (systemic reaction). Yes No Unsure
I've had hives, swelling in my face or feet, and difficulty breathing with previous insect stings. Yes No Unsure
I have an autoimmune disease (such as lupus or MS) or I'm taking medications for my heart (such as beta-blockers). Yes No Unsure
I was only stung once by a particular insect but had a pretty severe reaction (anaphylaxis). Yes No NA*
I work outdoors or am outdoors a large part of most days. Yes No NA
I am able to carry my allergy kit wherever I go. Yes No NA
I have explained to all of my coworkers (or my child's day care and school) how to help if I (or my child) have a severe allergic reaction to an insect sting. Yes No NA
*NA=Not applicable

Use the following space to list any other important concerns you have about this decision.

What is your overall impression?

Your answers in the above worksheet are meant to give you a general idea of where you stand on this decision. You may have one overriding reason to use or not use allergy shots for allergies to insect stings.

Check the box below that represents your overall impression about your decision.

Leaning toward having immunotherapy (allergy shots)
Leaning toward NOT having immunotherapy (allergy shots)
Return to the topics:

Allergic Reaction.
Allergies to Insect Stings.
References

Citations

Moffitt JE, et al. (2004). Stinging insect hypersensitivity: A practice parameter update. Journal of Allergy and Clinical Immunology, 114(4): 869886.

Golden DB (2003). Stinging insect allergy. In NF Adkinson Jr et al., eds., Middleton's Allergy Principles and Practice, 6th ed., vol. 2, pp. 14751486. Philadelphia: Mosby.

Credits

Author Caroline Rea, RN, BS, MS
Editor Maria G. Essig, MS, ELS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer William M. Green, MD
- Emergency Medicine
Specialist Medical Reviewer Harold S. Nelson, MD
- Allergy and Immunology
Last Updated January 22, 2008
Author:Caroline Rea, RN, BS, MS
Medical Review: William M. Green, MD - Emergency Medicine
Harold S. Nelson, MD - Allergy and Immunology
Last Updated: 01/22/2008
© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

ADDITIONAL INFORMATION

Should I take allergy shots (immunotherapy) for allergic rhinitis and allergic asthma?
Allergies to Insect Stings - Health Tools

Allergies to Insect Stings - Treatment Overview

Treatment Overview

Key treatment points

For normal reactions to insect stings, medical treatment is usually not needed. An ice pack or cold compress may reduce swelling and pain, along with taking a nonprescription pain reliever, such as acetaminophen.
If you have a large local reaction that spreads around the sting or affects an entire limb, taking an antihistamine can reduce your overall symptoms.
Systemic allergic reactions involve your whole body and are considered a medical emergency. If you have had a severe systemic reaction to an insect sting in the past, carry an allergy kit with you so that, when stung, you can immediately treat yourself with the antihistamine tablet and epinephrine injection from the kit. Always seek emergency care after an epinephrine injectionyour symptoms could reappear or become worse for several hours after the first epinephrine injection.
If your systemic reaction gets worse, you may develop anaphylaxis, which is a life-threatening response to the insect venom. Emergency medical attention is needed. Call 911 or seek immediate treatment in a hospital emergency room. Medicines will be given to reduce swelling, open your airway to help you breathe, and stabilize your blood pressure.
Allergies to insect stings are treated by avoiding the insects that cause the allergy, treating mild cases with medicines such as antihistamines, and understanding how and when to use an allergy kit for serious reactions.

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Allergies to Insect Stings - Home Treatment
Allergies to Insect Stings - Topic Overview
» MORE TREATMENT ARTICLES
Special care must be taken with children who have insect sting allergies. A child with a severe allergy may have life-threatening anaphylactic reactions to even tiny amounts of venom from the insect. Your child should always wear a medical alert bracelet and carry an allergy kit. Children at risk for severe allergic reactions should keep allergy kits at school or day care as well as at home. Make sure that all caregiverssuch as school administrators, teachers, friends, and coachesknow about the insect sting allergy, where the allergy kit is kept, and how and when to give the epinephrine injection. Also, make sure they have a plan to transport your child to the hospital. Older, mature children should be taught to give self-injections.

Immediate treatment for an allergic reaction to an insect sting depends on the type and severity of your symptoms.

Normal reaction to insect stings

For the normal reaction that most people have to a sting, medical treatment is usually not needed. An ice pack or a cold compress and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen may relieve some of the swelling and pain, nonprescription pain relievers such as acetaminophen (for example, Tylenol) may reduce pain, and oral antihistamines such as diphenhydramine (for example, Benadryl) can reduce itching.

Large localized allergic reaction

Treatment for large local allergic reactions usually consists of:

Cold compresses or ice packs, to reduce swelling and local pain.
Elevating the limb (if this is where the sting occurred), to reduce swelling.
Nonsteroidal anti-inflammatory drugs (NSAIDs), to reduce swelling and pain.
Nonprescription pain relievers such as acetaminophen, to reduce pain.
Antihistamines, which can reduce overall symptoms.
Anesthetic creams or ointments, which may reduce pain and itching.
Corticosteroids (such as prednisone), which can reduce swelling and pain. (The use of corticosteroids to treat local allergic reactions is controversial.)
Systemic allergic reactions

Systemic (whole-body) allergic reactions to a sting are considered a medical emergency. Immediate treatment is needed and may include:

An injection of epinephrine.
An antihistamine, which may be given along with the injection of epinephrine.
Oral or intravenous (IV) corticosteroids.
How do I give myself an epinephrine injection?
How do I give my child an epinephrine injection?
Treatment for anaphylaxisthe most severe systemic allergic reaction, one that can be life-threateningis designed to keep your airway open and relieve other breathing or heart problems that can occur, especially if there are signs of shock. In addition to epinephrine and an antihistamine, treatment for anaphylaxis may include:

Bronchodilators, to reduce breathing difficulties.
Corticosteroids (such as prednisone), to help decrease inflammation.
Intravenous (IV) fluids, to stabilize blood pressure.
If anaphylaxis is prolonged, medicines to stabilize blood pressure and other measures to help with breathingsuch as oxygen, intubation, and possibly a ventilatormay be needed.

If you had anaphylaxis, you will normally need to stay in the hospital for 8 to 12 hours before being released. Symptoms of anaphylaxis can recur after several hours, so you may need additional medicine or treatment.

Long-term treatment

If testing and examinations confirm that you are allergic to insect stings, long-term treatment usually includes:

Avoiding or preventing stinging insects. You can reduce your chances of being stung by avoiding areas where insects nest; wearing shoes, long sleeves, and long pants when you are outdoors; and not wearing perfume or scented lotions.
Carrying an allergy kit. The kit contains emergency medication, including antihistamine tablets and an epinephrine injection that you can immediately self-administer if you are stung. Talk with your doctor about how to store your kit and when and how to give yourself the injection.
Wearing a medical alert bracelet or medallion. At most pharmacies or on the Internet, you can purchase a medical alert bracelet or other jewelry that lists your insect sting allergies. Medical alert jewelry quickly alerts emergency response workers to your allergy. This helps them provide immediate and appropriate treatment.
How do I give myself an epinephrine injection?
How do I give my child an epinephrine injection?
If you have a history of systemic allergic reactions, you may consider treatment with a series of shots (immunotherapy) to reduce your sensitivity to the stinging insect's venom and lower your risk of a severe reaction. Immunotherapy is usually not needed for adults or children who have only a large local reaction to a sting. But anyone who experiences increasingly severe large local reactions with each new sting may want to consider immunotherapy. Talk with your doctor or allergy specialist to see whether immunotherapy is appropriate for you.

Should I have allergy shots (immunotherapy) for allergies to insect stings?
Author: Caroline Rea, RN, BS, MS
Medical Review: William M. Green, MD - Emergency Medicine
Harold S. Nelson, MD - Allergy and Immunology
Last Updated: 01/22/2008
© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

ADDITIONAL INFORMATION

Immunotherapy for allergies to insect stings
Should I have allergy shots for allergies to insect stings?

Should I take allergy shots (immunotherapy) for allergic rhinitis and allergic asthma?

Introduction

This information will help you understand your choices, whether you share in the decision-making process or rely on your doctor's recommendation.

RELATED ARTICLES
Allergy shots (immunotherapy) for allergic rhinitis
Allergic Rhinitis
» MORE TREATMENT ARTICLES
Key points in making your decision

There is no cure for allergic rhinitis or allergic asthma. Allergy shots may provide long-term relief of symptoms. Consider the following when making your decision:

Allergy shots will probably help you. They are effective for most people and can reduce symptoms if you are allergic to pollens, animal dander, dust mites, mold, or cockroaches.1 Allergy shots may prevent children with allergic rhinitis from getting asthma.1
You need to take allergy shots for 3 to 5 years.
You cannot be sure how long the shots will be effective after you stop getting them. For allergies to some grasses, shots have been effective for 3 or 4 years.1
Allergy shots work best when you are allergic to just a few allergens that are difficult to avoid.
If you have coronary artery disease, are using beta-blockers, are not able to communicate how the shots are working, are pregnant, or have an impaired immune system, allergy shots are not recommended.
Children may use allergy shots if they have persistent asthma made worse by allergens.
Children younger than 2 should not have allergy shots.
Children ages 3 to 4 may find it difficult to receive many shots over a long period of time. Talk with your doctor.
Your child's asthma needs to be well controlled before he or she gets allergy shots.
Medical Information

What are allergic rhinitis and allergic asthma?

Allergic rhinitis (often called hay fever) occurs when your immune system overreacts to particles in the air that you breatheyou are allergic to them. Your immune system attacks the particles, causing symptoms such as sneezing and a runny nose. The particles are called allergens, which simply means they can cause an allergic reaction.

Asthma is a long-lasting condition that results in difficulty breathing, wheezing, tightness in the chest, and coughing. When allergens such as pollens, dust mites, animal dander, cockroaches, and mold make your symptoms worse, it is known as allergic asthma.

What are the risks of allergic rhinitis and allergic asthma?

Allergic rhinitis can affect your health if you do not treat it. You may get complications such as sinus infections, plugged ears or ear infections, and sinusitis.

If you do not control allergic asthma, it increases your risk of complications from lung and airway infections, such as bronchitis and pneumonia.

What are allergy shots?

When you get allergy shots (immunotherapy), your allergist or doctor injects small doses of substances that you are allergic to (allergens) under your skin. This eventually decreases your reaction to the allergen and, over time, may reduce the symptoms of allergic rhinitis. Allergy shots are available for allergies to:

Pollen (ragweed, grasses, trees).
Dust mites and cockroaches.
Animal dander (dog and cat).
Mold (fungus).
For more specific information about getting allergy shots, see allergy shots for allergic rhinitis or allergy shots for asthma.

For more information, see the topic Allergic Rhinitis, Asthma in Teens and Adults, Asthma in Children, or Allergic Reaction.

Your Information

Your choices are:

Try to eliminate or avoid the allergen.
Continue to take medicine to control your allergy and/or asthma symptoms.
Get allergy shots in addition to taking medicine to control your symptoms.
The decision about whether to have allergy shots takes into account your personal feelings and the medical facts.

Deciding about allergy shots
Reasons to take allergy shots Reasons not to take allergy shots
Allergy shots are effective in treating allergic rhinitis and allergic asthma.1 The shots reduce symptoms in people who are allergic to pollens, animal dander, dust mites, mold, and cockroaches.1
Allergy shots may prevent the development of asthma in children with allergic rhinitis.1
You have tried medicine and have avoided allergens, and you still have severe symptoms.
You have tried medicine but can't deal with the side effects.
You want to treat the cause of your problem, not just the symptoms.
A life-threatening, whole-body reaction (anaphylaxis) to the shots, although rare, is possible.
If you have another medical condition, such as asthma or coronary artery disease (CAD), you are at increased risk for a severe reaction to the shots.
Experts do not know how long allergy shots are effective after you stop getting the shots. For allergies to some grasses, shots have been effective for 3 or 4 years.1
You may need to have shots for 3 to 5 years.
Allergy symptoms do not improve, or do not improve to the same degree, for everyone who uses allergy shots.
You are allergic to many different types of allergens.
Allergy shots are expensive.
You are pregnant.
You believe you can do more to avoid or eliminate allergens.
Your child with allergies is younger than 5.
Are there other reasons you might want to have allergy shots?
Are there other reasons you might not want to have allergy shots?
These personal stories may help you make your decision.

Wise Health Decision

Use this worksheet to help you make your decision. After completing it, you should have a better idea of how you feel about taking allergy shots. Discuss the worksheet with your doctor.

Circle the answer that best applies to you.

Other than my allergy, I am healthy.
Yes No Unsure
I have asthma, but it is under control.
Yes No Unsure
I am taking beta-blockers.
Yes No Unsure
I can do more to avoid or eliminate allergens.
Yes No Unsure
I am pregnant.
Yes No Unsure
I have tried avoiding allergens and using medicine, but nothing has helped.
Yes No Unsure
I understand that allergy shots do not work for everyone.
Yes No Unsure
I understand there is a risk of life-threatening anaphylaxis.
Yes No Unsure
My child with allergies is younger than 5.
Yes No NA*
My child has allergic rhinitis, and I want to reduce his or her risk of developing asthma.
Yes No Unsure
I understand I may need regular shots for 3 to 5 years.
Yes No Unsure
*NA = Not applicable

Use the following space to list any other important concerns you have about this decision.

What is your overall impression?

Your answers in the above worksheet are meant to give you a general idea of where you stand on this decision. You may have one overriding reason to take or not take allergy shots.

Check the box below that represents your overall impression about your decision.

Leaning toward taking allergy shots
Leaning toward NOT taking allergy shots
Return to the topics:

Allergic Reaction
Allergic Rhinitis
Asthma in Teens and Adults
Asthma in Children
Allergy Tests
References

Citations

Joint Task Force on Practice Parameters (2003). Allergen immunotherapy: A practice parameter. Annals of Allergy, Asthma, and Immunology, 90(1, Suppl 1): S1S40.

Credits

Author Debby Golonka, MPH
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Caroline S. Rhoads, MD
- Internal Medicine
Specialist Medical Reviewer Harold S. Nelson, MD
- Allergy and Immunology
Last Updated August 8, 2007
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Harold S. Nelson, MD - Allergy and Immunology
Last Updated: August 8, 2007
© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

ADDITIONAL INFORMATION

Allergic Reaction
Allergy Tests

Sinusitis - Cause

Cause

Sinusitis is most often the result of a viral infection that causes the mucous membrane lining the inside of the nose and the sinuses to become inflamed.

RELATED ARTICLES
Sinusitis - Topic Overview
Sinusitis - Treatment Overview
» MORE CAUSES ARTICLES
The mucous membrane swells when it becomes inflamed, blocking the drainage of fluid from the sinuses into the nose and throat.
Mucus and fluid build up inside the sinuses, causing pressure and pain.
Bacteria are more likely to grow in sinuses that are unable to drain properly. Bacterial infection in the sinuses often causes more inflammation and pain.
While colds usually trigger this process, any factor that causes the mucous membrane to become inflamed may lead to sinusitis. Many people with nasal allergies (allergic rhinitis), for instance, are likely to have recurring or long-term (chronic) sinus infections. Nasal polyps, foreign objects (usually in children), structural problems in the nose such as a deviated septum, and other conditions can also block the nasal passages, increasing the risk of developing sinusitis.

Fungal infections may also cause sinusitis. This is especially true in people with impaired immune systems. Fungal sinusitis tends to be chronic and more difficult to treat than bacterial sinusitis.

More information
Anatomy and physiology of the nasal cavity
Author: Amy Fackler, MA
Debby Golonka, MPH
Medical Review: Renée M. Crichlow, MD - Family Medicine
Martin Gabica, MD - Family Medicine
Kathleen Romito, MD - Family Medicine
Charles M. Myer, III, MD - Otolaryngology

Allergy Tests

Test Overview

Allergy testing involves having a skin or blood test to find out what substance, or allergen, may trigger an allergic response in a person. Skin tests are usually done because they are rapid, reliable, and generally less expensive than blood tests, but either type of test may be used.

RELATED ARTICLES
Preparing for Your Allergy Blood Test
» MORE SYMPTOMS ARTICLES
Skin tests

A small amount of a suspected allergen is placed on or below the skin to see if a reaction develops. There are three types of skin tests:

Skin prick test. This test is done by placing a drop of a solution containing a possible allergen on the skin, and a series of scratches or needle pricks allows the solution to enter the skin. If the skin develops a red, raised itchy area (called a wheal), it usually means that the person is allergic to that allergen. This is called a positive reaction.
Intradermal test. During this test, a small amount of the allergen solution is injected into the skin. An intradermal allergy test may be done when a substance does not cause a reaction in the skin prick test but is still suspected as an allergen for that person. The intradermal test is more sensitive than the skin prick test but is more often positive in people who do not have symptoms to that allergen (false-positive test results).
Skin patch test. For a skin patch test, the allergen solution is placed on a pad that is taped to the skin for 24 to 72 hours. This test is used to detect a skin allergy called contact dermatitis.
Blood test

Allergy blood tests look for substances in the blood called antibodies. Blood tests are not as sensitive as skin tests but are often used for people who are not able to have skin tests.

The most common type of blood test used is the enzyme-linked immunosorbent assay (ELISA, EIA). It measures the blood level of a type of antibody (called immunoglobulin E, or IgE) that the body may make in response to certain allergens. IgE levels are often higher in people who have allergies or asthma.

Other lab testing methods, such as radioallergosorbent testing (RAST) or an immunoassay capture test (ImmunoCAP, UniCAP, or Pharmacia CAP), may be used to provide more information.

Your allergy test results may show that allergy treatment is a choice for you. For more information, see:

Should I have allergy shots (immunotherapy) for allergic rhinitis and allergic asthma?
Health Tools

Health tools help you make wise health decisions or take action to improve your health.


Decision Points focus on key medical care decisions that are important to many health problems.
Should I take allergy shots (immunotherapy) for allergic rhinitis and allergic asthma?
Why It Is Done

Allergy testing is done to find out what substances (allergens) cause an allergic reaction.

Skin test

The skin prick test can also be done to:

Identify inhaled (airborne) allergens, such as tree, shrub, and weed pollens, molds, dust, feathers, and pet dander.
Identify likely food allergens (such as eggs, milk, peanuts, nuts, fish, soy, wheat, or shellfish).
Determine whether a person may be allergic to a medicine or insect venom.
Blood test

A blood test on a blood sample may be done instead of a skin prick test if a person:

Has hives or another skin condition, such as eczema, that makes it hard to see the results of skin testing.
Cannot stop taking a medicine, such as an antihistamine or tricyclic antidepressant, that may prevent or reduce a reaction to a substance even when a person is allergic to the substance.
Has had a severe allergic reaction (anaphylaxis).
Has had positive skin tests to many foods. Enzyme-linked immunosorbent assay (ELISA) can find out the foods that a person is most allergic to.
How To Prepare

Many medicines can affect the results of a skin test. Be sure to tell your health professional about all the nonprescription and prescription medicines you take. You may need to stop taking some medicines, such as some tricyclic antidepressants and antihistamines such as cetirizine (Zyrtec), fexofenadine (Allegra), and loratadine (Claritin) before you have an allergy skin test.

Talk to your health professional about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will show. To help you understand the importance of this test, fill out the medical test information form(What is a PDF document?).

How It Is Done

Skin tests

The health professional doing the skin prick or intradermal test will:

Clean the test site (usually on your back or arm) with alcohol.
Place drops of the possible allergens on your skin about 1 in. (2.5 cm) to 2 in. (5 cm) apart. This allows many substances to be tested at the same time.
Prick the skin under each drop with a needle. The needle passes through the drop and allows some of the allergen to penetrate your skin. For the intradermal test, a needle is used to inject the allergen solution deeper into the skin. See a picture of a skin prick allergy test.
Check the skin after 12 to 15 minutes for red, raised itchy areas called wheals. If a wheal forms, it means you are allergic to that allergen (this is called a positive reaction).
An alternative skin prick method uses a device with 5 to 10 points (heads), which are dipped into bottles that contain the allergen extract. This device is pressed against the skin of the forearm or back so that all heads are pressed into the skin at the same time.

If the skin prick test is negative, you may choose to have an intradermal skin test at a later visit. A skin prick test is usually done first because the intradermal test has a greater chance of causing a severe allergic reaction.

The skin prick test and the intradermal test usually take less than an hour each.

A skin patch test also uses small doses of the suspected allergen. For this test:

Doses of allergens are placed on patches that look like adhesive bandages.
The patches are then placed on the skin (usually on your back). This usually takes about 40 minutes, depending on how many patches are applied. See a picture of a skin patch allergy test.
You will wear the patches for 24 to 72 hours. Do not take a bath or shower or do any activities that could make you sweat excessively while you are wearing the patches. This could loosen the patches and cause them to fall off.
The patches will be removed by your health professional, and your skin will be checked for signs of an allergic reaction.
Blood test

The health professional drawing your blood will:

Wrap an elastic band around your upper arm to stop the flow of blood. This makes the veins below the band larger so it is easier to put a needle into the vein.
Clean the needle site with alcohol.
Put the needle into the vein. More than one needle stick may be needed.
Attach a tube to the needle to fill it with blood.
Remove the band from your arm when enough blood is collected.
Apply a gauze pad or cotton ball over the needle site as the needle is removed.
Apply pressure to the site and then a bandage.
The blood sample will be placed on specially treated paper and sent to a lab to determine whether antibodies to any of the allergens being tested are present. If specific antibodies are detected, it may mean you are allergic to a certain allergen.

How It Feels

Skin tests

With the skin prick test and the intradermal skin test, you may feel a slight pricking sensation when the skin beneath each sample is pricked or when the needle penetrates your skin.

If you have an allergic reaction from any of the skin tests, you may have some itching, tenderness, and swelling where the allergen solutions were placed on the skin. After the testing is done, cool cloths or a nonprescription steroid cream can be used to relieve the itching and swelling.

If you are having a skin patch test and you have severe itching or pain under any of the patches, remove the patches and call your health professional.

Blood test

You may feel nothing at all from the needle puncture, or you may feel a brief sting or pinch as the needle goes through the skin. Some people feel a stinging pain while the needle is in the vein. But many people do not feel any pain or have only minor discomfort after the needle is positioned in the vein.

Risks

Skin tests

The major risk with the skin prick test or the intradermal skin test is a severe allergic reaction called anaphylaxis. Symptoms of a severe allergic reaction include itching, wheezing, swelling of the face or entire body, difficulty breathing, and low blood pressure that can lead to shock. An anaphylactic reaction can be life-threatening and is a medical emergency. Emergency care is always needed for an anaphylactic reaction. But severe allergic reaction is rare, especially with the skin prick test.

If you are having a skin patch test and you have severe itching or pain under any of the patches, remove the patches and call your health professional.

Blood test

There is very little risk of a problem from having blood drawn from a vein.

You may develop a small bruise at the puncture site. You can reduce the risk of bruising by keeping pressure on the site for several minutes after the needle is withdrawn.
In rare cases, the vein may become inflamed after the blood sample is taken. This condition is called phlebitis and is usually treated with a warm compress applied several times daily.
Continued bleeding can be a problem for people with bleeding disorders. Aspirin, warfarin (Coumadin) and other blood-thinning medicines can also make bleeding more likely. If you have bleeding or clotting problems, or if you take blood-thinning medicine, tell your health professional before your blood is drawn.
Results

A skin or blood test can tell you what substance, or allergen, may trigger an allergic response.

Skin tests

Skin tests work by exposing a person to suspected allergens and seeing if a reaction occurs. The results of the skin tests will be available immediately after testing is done.

Allergy skin tests
Normal (negative):

No raised red areas (called wheals) are created by the allergen.
Abnormal (positive):

A wheal created by the allergen is at least 1/8 inch (3 mm) larger than the reaction to the negative control. The larger the wheal, the more certain it is that the person is allergic to that specific allergen. See a picture of a positive patch test reaction.
Blood tests

Allergy blood tests look for substances in the blood called antibodies. Results of allergy blood tests are usually available in about 7 days.

Allergy blood tests
Normal (negative):

The levels of immunoglobulin E (IgE), a type of antibody, are the same as in a person who does not have allergies.
Abnormal (positive):

The levels of immunoglobulin E (IgE) antibodies for a particular allergen or group of allergens are 4 times the normal level.
What Affects the Test

Reasons you may not be able to have a skin test or why the results may not be helpful include:

Exercise that causes excessive sweating.
Getting a skin patch wet.
Taking medicines such as antihistamines or tricyclic antidepressants.
What To Think About

You may not need allergy testing if you have mild allergies that are easily controlled with medicine or lifestyle changes.
Skin tests:
Are the easiest and least expensive method for identifying allergies in most people.
Are more reliable than blood tests for identifying common inhaled (airborne) allergies, such as pollens, dust, mold, and pet dander.
Cannot tell whether a person is reacting to a certain food. Further testing (such as an elimination diet) may be needed to identify this.
Can be unpleasant for children and their parents.
May take as long as 3 to 4 hours.
Allergy blood tests:
Are less sensitive than skin tests. Therefore, it is possible for people to have a positive reaction to a skin test but have a negative reaction to a blood test.
Are not affected by antihistamines or tricyclic antidepressants, so people do not need to stop taking these medicines while being tested.
May be a good choice if you have very sensitive skin or a skin problem, such as eczema, that would make it hard to see whether you have a reaction to a skin test.
Will not cause an allergic reaction. They may be used if you have had a serious allergic reaction in the past.
Cost more than skin tests.
You may need to be tested for a latex allergy before having a major surgery if you have had frequent exposure to latex. Allergy blood tests are used for this. If you have a latex allergy, latex products should not be used during your surgery or recovery.
Other blood tests, such as fluoro-allergosorbent testing (FAST), multiple antigen simultaneous testing (MAST), and radioallergosorbent testing (RAST), are sometimes used to check for allergens.
References

Other Works Consulted

Chernecky CC, Berger BJ, eds. (2004). Laboratory Tests and Diagnostic Procedures, 4th ed. Philadelphia: Saunders.
Fischbach FT, Dunning MB III, eds. (2004). Manual of Laboratory and Diagnostic Tests, 7th ed. Philadelphia: Lippincott Williams and Wilkins.
Handbook of Diagnostic Tests (2003). 3rd ed. Philadelphia: Lippincott Williams and Wilkins.
Pagana KD, Pagana TJ (2006). Mosbys Manual of Diagnostic and Laboratory Tests, 3rd ed. St. Louis: Mosby.
Credits

Author Debby Golonka, MPH
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer Caroline S. Rhoads, MD
- Internal Medicine
Specialist Medical Reviewer Harold S. Nelson, MD
- Allergy and Immunology
Last Updated August 8, 2007
Author: Debby Golonka, MPH
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Harold S. Nelson, MD - Allergy and Immunology
Last Updated: 08/08/2007
© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

ADDITIONAL INFORMATION

Food Allergies - Exams and Tests
Drug Allergies - Exams and Tests

Aspirin allergy: What are the symptoms?

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100% of users found this article helpful.
Q:I think I may have an aspirin allergy. What are the symptoms?
A:
It's possible to have a sensitivity to aspirin. In fact, aspirin can cause a severe asthma attack  especially in people who have asthma or sinus problems. Reactions to aspirin are often related to the drug itself, however, rather than to an allergic or immunological response to the drug.

RELATED ARTICLES
Penicillin allergy
» MORE SYMPTOMS ARTICLES
Signs and symptoms of aspirin sensitivity  which usually occur within a few hours of taking the medication  range from mild to serious and may include:

Hives
Itchy skin
Runny nose
Swelling of the lips, tongue or face
Coughing, wheezing or shortness of breath
If you've had a reaction to aspirin, avoid all forms of aspirin. It's also best to avoid other nonsteroidal anti-inflammatory drugs (NSAIDs) as well, including ibuprofen (Advil, Motrin, others) and naproxen (Aleve, others). Keep in mind that aspirin and other NSAIDs are found in many over-the-counter medications  so check labels carefully.

If you think you might have an aspirin sensitivity, consult your doctor or allergist for advice. Rarely, aspirin can cause a life-threatening reaction.

Last Updated: 11/05/2008
© 1998-2008 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "Mayo Clinic Health Information," "Reliable information for a healthier life" and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research. Terms of use.

ADDITIONAL INFORMATION

Aspirin/ chlorpheniramine/ dextromethorphan/ phenylpropanolamine
Aspirin/ diphenhydramine/ phenylpropanolamine

Allergies to Insect Stings - Treatment Overview

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60% of users found this article helpful.
Treatment Overview

Key treatment points

For normal reactions to insect stings, medical treatment is usually not needed. An ice pack or cold compress may reduce swelling and pain, along with taking a nonprescription pain reliever, such as acetaminophen.
If you have a large local reaction that spreads around the sting or affects an entire limb, taking an antihistamine can reduce your overall symptoms.
Systemic allergic reactions involve your whole body and are considered a medical emergency. If you have had a severe systemic reaction to an insect sting in the past, carry an allergy kit with you so that, when stung, you can immediately treat yourself with the antihistamine tablet and epinephrine injection from the kit. Always seek emergency care after an epinephrine injectionyour symptoms could reappear or become worse for several hours after the first epinephrine injection.
If your systemic reaction gets worse, you may develop anaphylaxis, which is a life-threatening response to the insect venom. Emergency medical attention is needed. Call 911 or seek immediate treatment in a hospital emergency room. Medicines will be given to reduce swelling, open your airway to help you breathe, and stabilize your blood pressure.
Allergies to insect stings are treated by avoiding the insects that cause the allergy, treating mild cases with medicines such as antihistamines, and understanding how and when to use an allergy kit for serious reactions.

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Allergies to Insect Stings - Home Treatment
Allergies to Insect Stings - Topic Overview
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Special care must be taken with children who have insect sting allergies. A child with a severe allergy may have life-threatening anaphylactic reactions to even tiny amounts of venom from the insect. Your child should always wear a medical alert bracelet and carry an allergy kit. Children at risk for severe allergic reactions should keep allergy kits at school or day care as well as at home. Make sure that all caregiverssuch as school administrators, teachers, friends, and coachesknow about the insect sting allergy, where the allergy kit is kept, and how and when to give the epinephrine injection. Also, make sure they have a plan to transport your child to the hospital. Older, mature children should be taught to give self-injections.

Immediate treatment for an allergic reaction to an insect sting depends on the type and severity of your symptoms.

Normal reaction to insect stings

For the normal reaction that most people have to a sting, medical treatment is usually not needed. An ice pack or a cold compress and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen may relieve some of the swelling and pain, nonprescription pain relievers such as acetaminophen (for example, Tylenol) may reduce pain, and oral antihistamines such as diphenhydramine (for example, Benadryl) can reduce itching.

Large localized allergic reaction

Treatment for large local allergic reactions usually consists of:

Cold compresses or ice packs, to reduce swelling and local pain.
Elevating the limb (if this is where the sting occurred), to reduce swelling.
Nonsteroidal anti-inflammatory drugs (NSAIDs), to reduce swelling and pain.
Nonprescription pain relievers such as acetaminophen, to reduce pain.
Antihistamines, which can reduce overall symptoms.
Anesthetic creams or ointments, which may reduce pain and itching.
Corticosteroids (such as prednisone), which can reduce swelling and pain. (The use of corticosteroids to treat local allergic reactions is controversial.)
Systemic allergic reactions

Systemic (whole-body) allergic reactions to a sting are considered a medical emergency. Immediate treatment is needed and may include:

An injection of epinephrine.
An antihistamine, which may be given along with the injection of epinephrine.
Oral or intravenous (IV) corticosteroids.
How do I give myself an epinephrine injection?
How do I give my child an epinephrine injection?
Treatment for anaphylaxisthe most severe systemic allergic reaction, one that can be life-threateningis designed to keep your airway open and relieve other breathing or heart problems that can occur, especially if there are signs of shock. In addition to epinephrine and an antihistamine, treatment for anaphylaxis may include:

Bronchodilators, to reduce breathing difficulties.
Corticosteroids (such as prednisone), to help decrease inflammation.
Intravenous (IV) fluids, to stabilize blood pressure.
If anaphylaxis is prolonged, medicines to stabilize blood pressure and other measures to help with breathingsuch as oxygen, intubation, and possibly a ventilatormay be needed.

If you had anaphylaxis, you will normally need to stay in the hospital for 8 to 12 hours before being released. Symptoms of anaphylaxis can recur after several hours, so you may need additional medicine or treatment.

Long-term treatment

If testing and examinations confirm that you are allergic to insect stings, long-term treatment usually includes:

Avoiding or preventing stinging insects. You can reduce your chances of being stung by avoiding areas where insects nest; wearing shoes, long sleeves, and long pants when you are outdoors; and not wearing perfume or scented lotions.
Carrying an allergy kit. The kit contains emergency medication, including antihistamine tablets and an epinephrine injection that you can immediately self-administer if you are stung. Talk with your doctor about how to store your kit and when and how to give yourself the injection.
Wearing a medical alert bracelet or medallion. At most pharmacies or on the Internet, you can purchase a medical alert bracelet or other jewelry that lists your insect sting allergies. Medical alert jewelry quickly alerts emergency response workers to your allergy. This helps them provide immediate and appropriate treatment.
How do I give myself an epinephrine injection?
How do I give my child an epinephrine injection?
If you have a history of systemic allergic reactions, you may consider treatment with a series of shots (immunotherapy) to reduce your sensitivity to the stinging insect's venom and lower your risk of a severe reaction. Immunotherapy is usually not needed for adults or children who have only a large local reaction to a sting. But anyone who experiences increasingly severe large local reactions with each new sting may want to consider immunotherapy. Talk with your doctor or allergy specialist to see whether immunotherapy is appropriate for you.

Should I have allergy shots (immunotherapy) for allergies to insect stings?
Author: Caroline Rea, RN, BS, MS
Medical Review: William M. Green, MD - Emergency Medicine
Harold S. Nelson, MD - Allergy and Immunology

Drug Allergies - Exams and Tests

Exams and Tests

Your doctor will diagnose a drug allergy by asking you questions about the medicines you are or have recently been taking, your past health, and your symptoms (medical history) and by doing a physical exam. To find out which medicine is causing your allergic reaction, your doctor will consider:

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Food Allergies - Exams and Tests
Allergies to Insect Stings - Exams and Tests
» MORE OVERVIEW ARTICLES
Your medicine. Some medicines are more likely to cause an allergic reaction than others.
Whether you have a drug allergy or another adverse reaction to medication. You have more treatment options if you have an adverse reaction that does not involve the immune system.
How many medicines you are taking. If you take several medicines, the medicine you began taking most recently is often the cause.
Your doctor probably will ask you to stop taking the medicine that is most likely to be causing the reaction. If this does not help, your doctor may ask you to stop taking other medicines, until you can find which medicine is causing the allergic reaction.

If your doctor cannot find out which medicine is causing the reaction, he or she may suggest a skin test. In a skin test, your doctor will place a small amount of medicine on or under your skin to see if your body reacts to it. However, a skin test does not work for all medicines, and you risk having a severe reaction.

Skin tests can diagnose allergies to:

Penicillin, which is the most common cause of drug allergies.
Insulin.
Heterologous serum (used in the prevention or treatment of botulism, diphtheria, severe gangrene, organ transplant rejection, and snake and spider bites).
Streptokinase (used to dissolve blood clots).
Chymopapain (used for herniated discs).
Another way to find the cause of your allergic reaction is a medicine challenge. In a medicine challenge, you start by taking small doses of a medicine and slowly increase how much you take to see whether you have an allergic reaction. This challenge is usually done where emergency medical help is available and under the supervision of a health professional.

If you have medicine fever, serum sickness, or other complications, you may need more tests. These tests include a chest X-ray and blood tests to see how well your liver and kidneys are working.

Author: Caroline Rea, RN, BS, MS
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Harold S. Nelson, MD - Allergy and Immunology
Last Updated: 07/24/2007
© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

ADDITIONAL INFORMATION

Drug Allergies - Topic Overview
Drug Allergies - Symptoms

Immunotherapy for allergies to insect stings

Treatment Overview

Immunotherapy is a series of allergy shots given to reduce your sensitivity to allergens that cause an allergic reaction. Small doses of allergens are injected under the skin. Over time, allergy shots can decrease the severity of your reaction to allergens. To treat allergies to insect stings, very small amounts of the venom of the insect or insects are used. The treatment also is sometimes called venom immunotherapy (VIT).

RELATED ARTICLES
Should I have allergy shots for allergies to insect stings?
Allergies to Insect Stings - Treatment Overview
» MORE OVERVIEW ARTICLES
Immunotherapy is available to treat allergies to stings from:

Honeybees.
Yellow jackets.
Hornets.
Paper wasps.
Fire ants.
A solution of dilute saline containing a very small amount of the insect venom is injected under the skin. At first, you get one or more shots about once a week. The amount of allergen injected is slightly increased each time, unless you have a reaction to the shot.

After about 4 to 6 months of weekly shots, you are usually getting an optimal amount of allergen in the shotthis is called the maintenance dose. After you reach maintenance level, you get the same dose in shots every 4 weeks for another 4 to 6 months.

After the first year of shots, you will have maintenance shots every 6 to 8 weeks over the next 3 to 5 years.1

Depending on your situation, your doctor may recommend rush immunotherapy. Several shots are given over a period of days to weeks. This type of treatment can provide faster protection in the short term. But you will still need to have regular shots over the long term.

What To Expect After Treatment

Allergy shots are usually given in a doctor's office. It is normal to remain in the doctor's office for a short time after getting an allergy shot to be watched for possible serious reactions to the injected insect venom.

Redness and warmth at the shot site are common but go away after a short time.

Why It Is Done

Immunotherapy can prevent life-threatening reactions and also reduce anxiety associated with insect stings.

An allergic reaction that spreads far from the sting or that affects the entire body is called a systemic reaction. Systemic reactions are not common but can be life-threatening. Allergy shots are usually recommended if an adult or child has had a severe systemic reaction, especially anaphylaxis. Immunotherapy reduces the risk of another severe systemic reaction.

How Well It Works

Immunotherapy for insect stings significantly reduces your chances of having another severe systemic allergic reaction from 60% to less than 3%.1

It is not clear exactly how effective the protection against future stings is after the treatment has ended. In about 80% to 90% of cases, you will still be protected against systemic reactions even if tests show some remaining immune sensitivity.1

Risks

Allergy shots are safe if the shots are given correctly. The most common side effects are redness and warmth at the shot site. Some people may experience large local reactions that include itching, hives, or swelling of the skin near where you had the shot. More serious but less common side effects include systemic symptoms such as hives, itching, or difficulty breathing.

In rare cases, a person may have a severe allergic reaction (anaphylaxis) to the shots. Because of this possibility, the shots are given in a doctor's office or other setting where emergency care can be provided if needed.

Allergy shots should not be used if you:

Have certain heart conditions, especially unstable angina or a recent heart attack.
Are not expected to live for at least 5 more years.
Are not able to communicate about reactions to shots. Most doctors do not give allergy shots to children younger than age 5.
Have an impaired immune system due to a chronic disease (such as AIDS). Talk to your doctor first about whether allergy shots would be safe for you.
Are taking beta-blockers, such as propranolol (Inderal, for example) or timolol maleate (Timoptic or Blocadren, for example), which are often used to treat heart conditions, glaucoma, migraine headaches, and high blood pressure.
Are taking ACE inhibitors, such as captopril (Capoten, for example) or lisinopril (Prinivil, Zestril, or Zestoretic, for example), which are often prescribed for high blood pressure and a variety of heart conditions. Talk to your doctor first about the potential risks of immunotherapy.
What To Think About

People with multiple insect venom allergies may still be at risk for a severe systemic reaction if they are receiving allergy shots for only one type of insect venom.

Immunotherapy is generally not needed for adults or children who have only a large local reaction to a sting. But anyone who experiences increasingly severe large local reactions with each new sting may want to consider immunotherapy.

Allergy shots take 3 to 5 years to complete and are expensive. You have protection from insect sting allergies after you have had the series of initial shots and after you start your maintenance dose. This may take about 1 to 2 months for standard immunotherapy but only 1 to 8 days with rush immunotherapy.

For more information about what to consider if you are thinking about having immunotherapy, see:

Should I have allergy shots (immunotherapy) for allergies to insect stings?
Complete the special treatment information form (PDF)(What is a PDF document?) to help you understand this treatment.

References

Citations

Moffitt JE, et al. (2004). Stinging insect hypersensitivity: A practice parameter update. Journal of Allergy and Clinical Immunology, 114(4): 869886.

Credits

Author Caroline Rea, RN, BS, MS
Editor Maria G. Essig, MS, ELS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer William M. Green, MD
- Emergency Medicine
Specialist Medical Reviewer Harold S. Nelson, MD
- Allergy and Immunology
Last Updated January 22, 2008
Author:Caroline Rea, RN, BS, MS
Medical Review: William M. Green, MD - Emergency Medicine
Harold S. Nelson, MD - Allergy and Immunology
Last Updated: 01/22/2008
© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

ADDITIONAL INFORMATION

Allergies to Insect Stings - Topic Overview
Allergy shots (immunotherapy) for allergic rhinitis
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Should I have allergy shots for allergies to insect stings?

Introduction

This information will help you understand your choices, whether you share in the decision-making process or rely on your doctor's recommendation.

RELATED ARTICLES
Immunotherapy for allergies to insect stings
Allergies to Insect Stings - Treatment Overview
» MORE OVERVIEW ARTICLES
Key points in making your decision

Your decision about having allergy shots (immunotherapy) for allergies to insect stings will involve several issues regarding your current health and the likelihood that you might develop severe reactions to stings in the future. If your child is allergic to insect stings, these same factors will affect the decision about having allergy shots. Consider the following when making your decision:

If you have been stung in the past and had a systemic (whole-body) allergic reaction to the sting, you have a high risk of having a similar reaction if stung again.
If you had an anaphylactic (life-threatening) reaction in the past, immunotherapy significantly reduces your risk of having another severe systemic reaction from 60% to 3%.1
You may not need allergy shots if you had a normal (localized) reaction or a large localized allergic reaction to an insect sting in the past. Only about 1% to 10% of people with localized reactions to insect stings progress to a more serious, systemic allergic reaction.2
If you have taken allergy tests that identified one or more sensitivities to insect stings, immunotherapy can prevent life-threatening reactions and also reduce anxiety associated with insect stings.
Allergy shots may not be safe for you if you have an impaired immune system or certain kinds of heart problems.
Allergy shots are uncomfortable and costly, may trigger anaphylaxis in some people, and usually take 3 to 5 years to complete.
Medical Information

What are allergies to insect stings?

An allergic reaction to a sting occurs when your body's immune system overreacts to substances called allergens in the venom of stinging insects such as bees, wasps, hornets, or fire ants.

What is a systemic allergic reaction?

Minor allergic reactions occur around the site of the sting (localized reaction) and can cause redness, swelling, fatigue, nausea, and a low fever. A more serious allergic reaction can spread throughout your entire body (systemic reaction) and cause symptoms such as itching, hives, and swelling of the tongue, throat, or other body parts. A life-threatening systemic allergic reaction called anaphylaxis can cause severe symptoms such as confusion, difficulty breathing, shock, and sometimes death.

What is immunotherapy for allergies to insect stings?

Standard immunotherapy is a series of allergy shots that can prevent or reduce the severity of symptoms during a systemic allergic reaction. Allergy shots are not needed if you have mild, local allergic reactions to insect stings.

Allergy shots work by introducing small amounts of insect venom into your body, making you less sensitive over time to the venom.

Once allergy tests have identified the insect(s) you are allergic to, you can begin immunotherapy. At first, you will receive weekly shots containing small doses of venom and allergens from the insect(s) that cause your allergies. After about 4 to 6 months of weekly shots, you will receive a maintenance dose every 4 weeks for another 4 to 6 months. Finally, you will continue getting monthly shots for 3 to 5 years, depending on the type of stings that cause your allergies; for example, fire ant allergies require longer treatment than other stinging insect allergies.

What is rush immunotherapy?

Accelerated or "rush" immunotherapy is done to rapidly increase your tolerance to an allergen. A series of shots is usually given every few hours on the same day or every few days. When the first injection is given, you must wait a period of time to see whether you have a reaction to the shot. If you do not, additional shots are given throughout the day. You (or your child) may have some anxiety about receiving the next injection; it may be helpful to bring a book or something to distract yourself while you wait for the next shot.

Maintenance is reached much more quickly with rush immunotherapy than standard immunotherapyusually in 1 to 8 days instead of several months. Rush immunotherapy may be given if you have severe or life-threatening allergic reactions to insect stings, are a long distance from any type of health care facility, have severe allergic asthma, or are about to travel.

What are the risks of immunotherapy for allergies to insect stings?

Allergy shots are safe for most people. The most common side effects are redness and warmth at the injection site. Some people may experience large local reactions that include itching, hives, or swelling of the skin near the injection site.

However, allergy shots can trigger a more serious systemic reaction, which may include difficulty breathing or swelling in the deep layers of the skin. On rare occasions, a person may have a life-threatening allergic reaction (anaphylaxis) to the shots. Because of this possibility, the shots are given in a health care facility or other setting where emergency care can be provided if needed.

Talk with your health professional if you have an autoimmune disease (such as lupus) or are taking medications for heart problems (such as beta-blockers); allergy shots may not be safe for you.

If you need more information, see the topic Allergies to Insect Stings.

Your Information

Your choices are:

Get allergy shots to reduce your sensitivity to insect stings and reduce the risk of a severe allergic reaction (anaphylaxis).
Do not get allergy shots, and use other measures such as avoiding stinging insects and carrying an allergy kit to deal with the risk of a severe allergic reaction. Allergy shots usually are recommended only for people who have previously had a systemic reaction.
The decision about whether you or your child should have allergy shots (immunotherapy) for insect sting allergies takes into account your personal feelings and the medical facts.

Deciding about allergy shots
Reasons to have allergy shots Reasons to not have allergy shots
You tested positive for sensitivity to allergens from the venom of one or more insects.
You had a moderate to severe systemic allergic reaction (anaphylaxis) to an insect sting.
You work outdoors and have had increasingly worse reactions to each insect sting.
You were stung only once by an insect, but you had a moderate to severe reaction.
You have systemic reactions to insect stings but cannot carry an allergy kit with you at all times.
You won't use an allergy kit (you are hesitant to give yourself an injection).
You want to feel less worried or anxious about being stung.
Are there other reasons you might want to have allergy shots?
You tested negative for sensitivity to allergens from the venom of insects.
Your allergic reaction to insect stings is local or is a large local reaction but not systemic.
You are younger than 16 and you had a mild skin reaction all over your body (systemic reaction) without any other symptoms.
You are more afraid of the shots than of your reaction to the insect stings and would rather carry an allergy kit with you.
You have an autoimmune disease (such as lupus) or are taking heart medications (such as beta-blockers or ACE inhibitors).
You attempted allergy shots previously, but the shots triggered a moderate to severe allergic reaction.
You do not want to dedicate the time to or pay the expense of having allergy shots.
Are there other reasons you might not want to have allergy shots?
These personal stories may help you make your decision.

Wise Health Decision

Use this worksheet to help you make your decision. After completing it, you should have a better idea of how you feel about having allergy shots. Discuss the worksheet with your doctor.

Circle the answer that best applies to you.

My allergic reactions to insect stings are usually mild. Yes No Unsure
My allergic reactions to insect stings affect my entire leg or arm or the area where I've been stung. Yes No Unsure
My allergic reactions to insect stings spread to areas other than where I have been stung (systemic reaction). Yes No Unsure
I've had hives, swelling in my face or feet, and difficulty breathing with previous insect stings. Yes No Unsure
I have an autoimmune disease (such as lupus or MS) or I'm taking medications for my heart (such as beta-blockers). Yes No Unsure
I was only stung once by a particular insect but had a pretty severe reaction (anaphylaxis). Yes No NA*
I work outdoors or am outdoors a large part of most days. Yes No NA
I am able to carry my allergy kit wherever I go. Yes No NA
I have explained to all of my coworkers (or my child's day care and school) how to help if I (or my child) have a severe allergic reaction to an insect sting. Yes No NA
*NA=Not applicable

Use the following space to list any other important concerns you have about this decision.

What is your overall impression?

Your answers in the above worksheet are meant to give you a general idea of where you stand on this decision. You may have one overriding reason to use or not use allergy shots for allergies to insect stings.

Check the box below that represents your overall impression about your decision.

Leaning toward having immunotherapy (allergy shots)
Leaning toward NOT having immunotherapy (allergy shots)
Return to the topics:

Allergic Reaction.
Allergies to Insect Stings.

Allergy medications: Know your options

94% of users found this article helpful.
Monoamine oxidase inhibitors (MAOIs) were the first type of antidepressant in use, dating back to the 1950s.

RELATED ARTICLES
Allergy shots: Hope for long-term allergy relief
Food Allergies - Other Treatment
» MORE OVERVIEW ARTICLES
MAOIs approved to treat depression

Here are the MAOIs that have been specifically approved by the Food and Drug Administration to treat depression, with their generic or chemical names followed by available brand names in parentheses:

Phenelzine (Nardil)
Tranylcypromine (Parnate)
Isocarboxazid (Marplan)
Selegiline (Emsam)
Emsam is the first skin (transdermal) patch for depression. You apply a new Emsam patch to your torso, thigh or upper arm each day, allowing the medication to be absorbed into your bloodstream over a 24-hour period.

Some of these medications may also be used to treat conditions other than depression.

Suicidal feelings and MAOIs

In some cases, antidepressants may be associated with worsening symptoms of depression or suicidal thoughts or behavior, particularly early in treatment or when you change your dosage. Be sure to talk to your doctor about any changes in your symptoms. You may need more careful monitoring at the beginning of treatment or upon a change in treatment, or you may need to stop the medication if your symptoms worsen.

Why say no?

There are countless worthy requests out there just waiting to eat up your free time and increase your stress. It's easy to create stressful situations in your life if you don't turn down requests for your time and talents. 

If you don't, who will make costumes for the school play or coach your children's Little League team? The answer may not be simple, but you should still consider these reasons for making sure it's not you.

Saying no can be good for you. Saying no is not a selfish act. In fact, it may be the most beneficial thing that you can do for your family and your other commitments. When you say no, you'll be able to spend quality time on the things you've already said yes to.
Saying no can allow you to try new things. Just because you've always helped plan the company softball tournament doesn't mean that you have to keep doing it forever. Saying no will free up time to pursue other hobbies or interests.
Yes isn't always the best answer. If you're overcommitted and under a lot of stress, you've got a much better chance of becoming sick, tired or just plain crabby, which won't benefit you or anyone else.
It's important to recognize other people. Let those around you come through. Although others may not do things exactly the same way you would, you can learn an important lesson by allowing others to help while gaining yourself valuable free time.
When to say no

Sometimes it's tough to determine which activities deserve your time and attention. Use these strategies to evaluate obligations  and opportunities  that come your way.

Find yourself. Saying no helps you prioritize the things that are important to you. You'll gain time that you can commit to the things that you really want to do, such as leaving work at a reasonable hour to make time for a mind-clearing run at the end of the day. Examine your current obligations and overall priorities before making any new commitments. Ask yourself if the new commitment is important to you. If it's something that you feel strongly about, by all means do it.
Weigh the yes-to-stress ratio. Is the new activity that you're considering a short- or long-term commitment? Taking an afternoon to bake a batch of cookies for the school bake sale will take far less of your precious time than heading up the school fundraising committee for an entire year. If an activity is going to end up being another source of stress in your life  especially for the long term  take a pass.
Let go of guilt. If friends want to get together for an impromptu evening out on the town when you've already scheduled a quiet evening at home with your partner, it's okay to decline their offer. Do what you've set out to do and don't veer off that path because of feelings of guilt or obligation. It will only lead to additional stress in your life.
Keep your current commitments in check. If you have relatives coming over for dinner, don't go overboard. Order pizza or ask them to bring a dish to share.
Sleep on it. Are you tempted by a friend's invitation to volunteer at your old alma mater or join a weekly golf league? Take a day to think over the request and respond after you've been able to assess your current commitments as well as the new opportunity.

Allergy medications: Know your options

Monoamine oxidase inhibitors (MAOIs) were the first type of antidepressant in use, dating back to the 1950s.

RELATED ARTICLES
Allergy shots: Hope for long-term allergy relief
Food Allergies - Other Treatment
» MORE OVERVIEW ARTICLES
MAOIs approved to treat depression

Here are the MAOIs that have been specifically approved by the Food and Drug Administration to treat depression, with their generic or chemical names followed by available brand names in parentheses:

Phenelzine (Nardil)
Tranylcypromine (Parnate)
Isocarboxazid (Marplan)
Selegiline (Emsam)
Emsam is the first skin (transdermal) patch for depression. You apply a new Emsam patch to your torso, thigh or upper arm each day, allowing the medication to be absorbed into your bloodstream over a 24-hour period.

Some of these medications may also be used to treat conditions other than depression.

Suicidal feelings and MAOIs

In some cases, antidepressants may be associated with worsening symptoms of depression or suicidal thoughts or behavior, particularly early in treatment or when you change your dosage. Be sure to talk to your doctor about any changes in your symptoms. You may need more careful monitoring at the beginning of treatment or upon a change in treatment, or you may need to stop the medication if your symptoms worsen.

Why say no?

There are countless worthy requests out there just waiting to eat up your free time and increase your stress. It's easy to create stressful situations in your life if you don't turn down requests for your time and talents. 

If you don't, who will make costumes for the school play or coach your children's Little League team? The answer may not be simple, but you should still consider these reasons for making sure it's not you.

Saying no can be good for you. Saying no is not a selfish act. In fact, it may be the most beneficial thing that you can do for your family and your other commitments. When you say no, you'll be able to spend quality time on the things you've already said yes to.
Saying no can allow you to try new things. Just because you've always helped plan the company softball tournament doesn't mean that you have to keep doing it forever. Saying no will free up time to pursue other hobbies or interests.
Yes isn't always the best answer. If you're overcommitted and under a lot of stress, you've got a much better chance of becoming sick, tired or just plain crabby, which won't benefit you or anyone else.
It's important to recognize other people. Let those around you come through. Although others may not do things exactly the same way you would, you can learn an important lesson by allowing others to help while gaining yourself valuable free time.
When to say no

Sometimes it's tough to determine which activities deserve your time and attention. Use these strategies to evaluate obligations  and opportunities  that come your way.

Find yourself. Saying no helps you prioritize the things that are important to you. You'll gain time that you can commit to the things that you really want to do, such as leaving work at a reasonable hour to make time for a mind-clearing run at the end of the day. Examine your current obligations and overall priorities before making any new commitments. Ask yourself if the new commitment is important to you. If it's something that you feel strongly about, by all means do it.
Weigh the yes-to-stress ratio. Is the new activity that you're considering a short- or long-term commitment? Taking an afternoon to bake a batch of cookies for the school bake sale will take far less of your precious time than heading up the school fundraising committee for an entire year. If an activity is going to end up being another source of stress in your life  especially for the long term  take a pass.
Let go of guilt. If friends want to get together for an impromptu evening out on the town when you've already scheduled a quiet evening at home with your partner, it's okay to decline their offer. Do what you've set out to do and don't veer off that path because of feelings of guilt or obligation. It will only lead to additional stress in your life.
Keep your current commitments in check. If you have relatives coming over for dinner, don't go overboard. Order pizza or ask them to bring a dish to share.
Sleep on it. Are you tempted by a friend's invitation to volunteer at your old alma mater or join a weekly golf league? Take a day to think over the request and respond after you've been able to assess your current commitments as well as the new opportunity.
Last Updated: 06/25/2007
© 1998-2008 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "Mayo Clinic Health Information," "Reliable information for a healthier life" and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research. Terms of use.

Tuesday, December 16, 2008

Tired of the Endless Loop of Yo-Yo Diets? Here is Why Your Last Diet Didn’t Work"Strip That Fat and End The Vicious C

Hey there frustrated dieter!

If you are like most, you are getting tired of endless dieting regimes with little or no results. The average person spends a great deal of time and money dieting throughout their lives, but for what? MOST DIETS SIMPLY DO NOT WORK!

This is not fair to you! You deserve to lose weight and we are about to reveal a diet that will lead you to the body, health, and happiness that you have be looking for.

You deserve to strip any unwanted fat from your body and look and feel the way you have always wanted. The name of our system is Strip That Fat, because that is exactly what happens when you use it. You can strip any unwanted fat from your body which will actually help your body and organs function better. It will also help you regain the healthy glow and that happiness back into your life. Less fat will give you more energy, a more clear mind, and actually increase happiness!

Before we go any further, we want to let you know that our goal is NOT to belittle you, rather guide and support your weight loss. If we get a little harsh along the way, please understand that your health is in our best interest. Sometimes it takes the harsh truth and the “facts” to get this through.

We want to help you. The reason Strip That Fat is the top dieting programs available online is because we are actually helping people like yourself lose weight. Fair enough?

Alright, let’s go…

Dieting Myth’s YOU Are STILL Falling For…

There are so many dieting myths and even more programs out there that give you inaccurate information on how to lose weight.

The Following DIETS DO NOT WORK and are PLAIN BAD FOR YOU!

Eating Low Carbs

You have probably tried low-carb, Atkins-style diets, or at least heard of them. These diets do not work. They are much too strict, not sustainable, and make your life miserable as your body does not function properly without carbs causing headaches, irritability and loss of sleep. Low carb diets will actually cause you to gain weight after the initial weight loss.

Low Fat Diets

You know all these so called “low fat” foods that are sold in your local supermarket? These foods are typically calorie ridden and will actually make you gain more weight! This is just one of the fallacies that we will uncover for you! Low fat foods DO NOT equal weight loss.

Starvation Diet

Your Body requires food to function. Losing weight the wrong way by not eating is actually worse for you than gaining weight. If you think that following diets that tell you to eat very little, drink only liquids, or something else that seems “crazy”, don’t do it. It will affect the way your brain functions and slow your metabolism down to a GRINDING HALT! You CANNOT lose weight and stay healthy by starving yourself of nutrition.

Following Pre-package Diet Programs

These foods are worse for you than foods you can make from your own home. Not only that, pre-packaged food diets (like Jenny Craig) can cost you up to $500 per month to maintain! That is more than most families spend on groceries in an entire month. How does this make sense?

Hollywood Diets

The only diet that seems popular in Hollywood is the one where the actors and actresses forget to eat. There are also the ridiculous “cookie” diets, secret potion “syrup and water’ diets... Let’s get real, these people are not like us and they do not need the nutrition that a normal person needs to maintain a healthy weight.

So, if all of these diets don't work, what does it take to strip unwanted fat from your body?

...And Why the Heck Are YOU Still Overweight?

Do YOU eat the wrong foods?
Do YOU sneak into McDonalds for a late night meal?
Do YOU eat during the wrong times of the day?
Do YOU eat empty calories while watching your favorite TV Show?
How about exercise, do YOU forget to walk your dog?

Notice that 4 of the items were related to food and only one was exercise. This is because diet is 80% of the battle, and exercise is only 20%. Most overweight people get enough exercise, but what they “eat” prevents them from getting that fit, healthy waistline!

The food you eat will either make you lose weight or gain weight. Conventional wisdom has always told us to eat our breakfast, lunch and dinner everyday, however there is more to it than this…and actually eating 3 big meals per day is not good for our body.

What if we told you that you could burn more calories and have a better metabolism simply by eating more often? How do 5 meals a day sound?

Well, this is the truth. If you eat smaller meals and eat the right foods, you can actually eat more and lose more weight! Sounds strange, but our bodies are very complex and if you understand your body, you can truly manipulate your metabolism for speedy and sustainable weight loss!

Are You Tired of Battling With Those Troublesome, Impossible-to-Get-Rid-Of FATS?

Fat loves to make its home in the worst possible places on your body. No one ever asked for fat to be stored in the gut, hips, lower back, or thighs!

The fortunate thing for you is that weight loss is possible in all of these areas. In fact, did you know that it is possible to lose up to 2lbs of fat every week? We're not talking about only 2 pounds when you step on the scale, we're talking about 100% FAT, and 2 pounds of it!

2 lbs OF THAT PURE BODY FAT GONE…FOREVER!



We don’t want to disgust you, but this is a real picture of what 2lbs of fat looks like. Wouldn’t it be nice to remove these yellow fat deposits from around your body?

There is a simple math equation we outline within the Strip That Fat guide that shows you how to drop this amount of weight (and ANYONE can do it).

So, get ready to send that stomach, thigh, hip fat & cellulite packing, because this fat will be moving out when you start with the STF Weight Loss package!


The World Has Become SICKLY Obese & at the Fastest Pace Ever!

You may not be obese, but you are likely part of the overweight category. 70% of the entire country of the United States of America is overweight…this is over 210,000,000 people (Yes, 210 Million). The rest of the world is fairly close, coming in at around 60% of people being overweight.

This number is only continuing to grow as people are not just eating more, but eating more of the wrong foods. People also are not exercising. When exercise is done, the wrong muscles are worked rather than targeting the muscles that will boost the bodies metabolism and literally strip away fat and cellulite.

Did you know that you can actually lose more weight simply by eating the right metabolism burning foods? There are even certain exercises that will make your body burn more calories while you are resting (and even sleeping)!

This is all possible and is just a few of the things we teach within Strip That Fat!

So, if this many people are overweight in the world, why isn’t everyone at least trying to lose weight?

Well, that is the problem. You, like most people have tried one, two (or maybe even more) diets before. Most diets simply do not work because they are burst diets. They help you lose a few pounds in a couple of weeks…and then BAM, the weight comes back on.

Most of the weight you lose on “burst” diets like this is water weight. Water is easily removed and easily reintroduced to the body…and you can fluctuate 10lbs in a couple of weeks just by losing some water weight! This is not sustainable and this is why the Strip That Fat system makes more sense. It is long term, helps you lose fat (instead of water) and is sustainable.

Here is a chart comparing weight loss achievements between “burst” diets and the Strip That Fat diet.



Most diets actually make you gain weight after your initial weight loss. These diets cannot be done over the course of several months like Strip That Fat and do not lead to nearly the same amount of weight loss.

With the Strip That Fat diet you can lose up to 2lbs of PURE FAT every week and you will be provided with solutions for both short term and long term weight loss!

Your Strip That Fat Body 2 Weeks From Now…

Two weeks isn’t much time at all, we know this, but you can experience big results in a short time with the STF Diet Generator. This creates diets on the fly and allows over 40,000 different diet combinations that you can choose from. You only have to eat the foods you like and you are not restricted as to how much you eat (like most diets).

Two weeks from now you can lose inches around your waist, look and feel better and drop up to 10lbs in overall weight. You will regain some of that glow and feel much more confident just after a couple short weeks.

2 Weeks from Today = The Start of a New YOU

Your Strip That Fat Body 1 Year From Now…

The sky is the limit. You will have learned all the weight loss secrets you need to know to enjoy long term and consistent weight loss. One year from now you will have lost a substantial amount of weight (50+ pounds) and achieved some goals that you never thought possible.

Can you imagine yourself at your ideal weight just a short year from now? It is possible as you will have access to all the dieting & exercise knowledge you need to know, including a Diet Generator that can be used over and over.

1 Year from Today = A New YOU

A few important things that you need to know about today’s date!

If you do not start this moment, you will continue gaining weight.
Today you will start losing weight…starting with your very next meal!
Today marks the day where you kiss fat goodbye and you say “HELLO” to a healthy new body and lifestyle
Today you will start stripping fat away from all the troublesome areas of your body. No more tummy fat, back fat, thigh fat or hip fat!
Today is the day you stop lying to your body and giving it a false sense of hope with your fad diets. It is time to use a diet that actually works and treat your body the way it has always wanted to be treated.
Losing weight has never been more possible. It is in your hands now, so do yourself a favor, join Strip That Fat and start losing those stubborn pounds right away.
Losing Weight Can be Fun!

WE have invented a revolutionary new diet system and eating program that will make you lose weight WITHOUT restricting your diet to “low fat” or “low carb” foods, rather eating the right calories.

You actually get to eat more and lose more with Strip that Fat!

You need to exercise, but most of you do enough exercise already to be losing weight, you just have not been told about the proper techniques (which we release in full details within this system).

Another cool thing is that we are going to teach you which exercise you can do to actually increase your metabolism, and increase the calories you burn while you are resting!

What if it was finally possible to notice results within the next 7 days!

That’s right, 7 days from now you will have lost inches and have started down your path to losing weight.

And, 14 days from now, you will look and feel different. Strip that Fat is going to shed pounds like no other diet you have been apart of or associated with.

This diet is going to allow you to start seeing results in mere days.

AND KEEP THE FRICKEN’ WEIGHT OFF!

We are tired of people coming to us saying that they have tried this diet and that diet only to gain every pound, inch and unhealthy lifestyle back into their life. It DOES NOT HAVE TO be this way.

With the Strip That Fat revolutionary diet system, we are going to show you some things that may truly surprise you and some things that the big money dieting companies probably don’t want us to release (just because we are telling people the truth).

We Are Going to Show You:

Why Eating Fat is actually good for you
Exactly Why Your Last Diet Didn’t Work
What to Eat and When to Eat for Maximum Weight Loss
How to Manipulate and Control Your Body to Become a Weight Loss Machine
How You Can Eat More and Lose More
How to Trick Your Body Into Being “Full”
Why We Recommend You Add Breakfast Back to Your Diet
How to Lose Weight While Eating Out
The “Secrets” About Water
4 Things That Will Help You Propel Your Weight Loss
Proper Portion Control
How to Teach Your Body to Burn More Calories
A Muscle That You Can Build to Blast Weight Loss
Why You Shouldn’t Eat Salad
How to Train Your Mind For Long Term Weight Loss
How to Drop Inches in the Next 7 Days
How to Drop 14lbs in 14 Days
Simple Steps to Removing Your Marshmallow Shape
The Evil 10 – 10 Foods You Need to “Dump”
The Power 10 – 10 Foods You Need to “Love”
Why “Biggest Loser’s” Lose Massive Amounts of Weight
You can lose weight, and the whole reason why are you on this site, is because you know you want to lose weight! You want to be slimmer, have a thinner waistline, and remove the extra fat deposits in your stomach. You want to feel and look better and live a healthier lifestyle don’t you?

That is where we come in with our helping hand, Strip That Fat dieting system, and our acclaimed Diet Generator.

A complete dummy could take what we show you and click a few buttons in our STF Diet Generator and lose weight. We are not calling you a dummy, just telling you that ANYONE can use this system to shed pounds, and shed these “cheeky” pounds for good.

Strip That Fat is going to let you in on the dieting techniques that work, and tell you to avoid dieting techniques that are both unhealthy and counterproductive. These are things that you really need to know if you want to lose weight!

How Much Weight Can You Lose With Strip That Fat?

Use our free weight loss calculator to see how much weight you can lose with the Strip That Fat system.

Calculate Your Weight Loss Potental using the Strip That Fat Weight Loss Program

Male Female
Enter Your Weight: Pounds
Enter Your Height: Feet Inches


Click Here to Join Strip That Fat and Start Losing Weight Today!

THE #1 REASON WHY PEOPLE FAIL AT LOSING WEIGHT!

PRO-CRAST-IN-ATION!

Yes, we all do it! People put dieting off. It is way too easy to wait until next week or tomorrow to start your diet. Don’t fall into this trap!

Don’t put things off. Don’t wait until tomorrow to start dieting. Don’t wait for it to get sunny outside or for a wedding invite to start losing weight. Don’t even wait 'tll later tonight to start (after you scarf down that Pizza!) Right NOW is just as good of a time as any and you could be starting this as quickly as your next snack or meal!

So here is exactly what you will get when you sign-up. You will get full access to the following systems:


(1) Strip That Fat Secret Dieting Guide

This guide downloads instantly to your computer. It contains all the information and dieting strategies you will ever need to lose as much weight as you want…and keep it off. This is the considered the “flagship” of the Strip That Fat program.


(2) STF Diet Generator

You choose the foods that you want to eat, plug it into the system and your diet will be created for you. This tool includes both a printable shopping list and a printable diet outline. You can create as many “completely unique” diets as you want with this amazing software!


(3) Future Updates

We improve and add new features to our diet and Diet Generator software all the time. We also offer bonuses (for those of you that like free gifts) every once in awhile as well. You get access to package updates when you purchase the Strip That Fat System!


So here is the deal, if you sign-up today we are going to give you a rockin’ deal!. We are going to give you 52% off our original price (usually $99), just because we think you deserve to finally lose the weight that you have always wanted to. The more people we can help, the better!

We have two options for you to choose from. You can either get our gold package which is really awesome as we have outlined below, or you can select our platinum package which includes a lot more for just a few extra bucks.




Gold Membership
52% Savings - Regular $99
Now $47



Gold Membership to Strip That Fat System
Strip That Fat Secret Dieting Guide
STF Personalized Diet Generator
60-Day Full Money Back Guarantee
Access to All Gold Package Updates
Click Here to Order the Gold Package


Platinum Membership
67% Savings - Regular $129
Now $57



Platinum Membership to Strip That Fat System
Strip That Fat Secret Dieting Guide
STF Personalized Diet Generator
60-Day Full Money Back Guarantee
Access to All Platinum Package Updates
EXTRA: Calworries Guide – A 2nd Foolproof Diet Program
EXTRA: Calorie Counting Worksheet
EXTRA:Living Life Healthy Guide - 30 Healthy Recipes
Click Here to Order the Platinum Package



Either way, you can’t lose, so please choose the program that you can afford. Please note that you will not be able to upgrade in the future, as this is a one-time offer for the Platinum upgrade.

Also, please note that this is only a ONE TIME CHARGE. This is the ONLY payment you will ever have to make for the Strip That Fat program (that is a good thing, more money in your wallet)!



Weight BE Gone 60-Day, No Questions Asked, Money Back GUARANTEE!

This diet will be your last diet you ever need! This is a pretty bold statement, but we are willing to back this up with an unconditional guarantee. If you do not lose pounds, inches and feel better about yourself after using the Strip that Fat Diet System, we really don’t want your money, nor do we deserve it.

We are so confident that our system works (and has for so many people), that we can afford to offer you our Iron-Clad, 60-Day Money Back Guarantee!

If you are not happy with your results, we will give you your money back. Plain and simple!

In saying this, we want to make you a deal. If and when you do lose weight, we want you to send in your success stories. You could be famous and we may put your testimonial on our web page (and send you $100, full details in the book)! Deal? OK!

Email your success stories at anytime to:

success@stripthatfat.com

We almost forgot! Here is what “STF” members are saying (sorry if there are a few spelling mistakes, these are directly from unedited emails we have received).

I want to just send a quick note and thank you guys. I have been struggling with depression for as long as I can remember. It has only been a few weeks but I have been able to lose some weight already and actually keep it off. I have been on countless amounts of meds and tried numerous types of diets, but nothing has helped me as much as the program at Strip That Fat has. You've changed my life!!

Lisa Knoll, Manchester, UK
Click Here to Join Strip That Fat

Dear STF Diet Team,

We almost forgot to send you a note about our success we have had with your program. I say WE because our whole family has taken part in the Strip That Fat diet program. We each created our own diet plans and have stuck to our guns. Our family (2 kids, 2 parents) has lost a combined weight of over 60 pounds in just over 5 weeks. Thanks a million!

The Grates Family, Tuscon, Arizona
Click Here to Join Strip That Fat

STF is the bomb. I can’t believe I have spent $1000’s on diet schemes over the years. I will never have to spend a dime on crap again now that I have your program.

Peace out.

Jacob Synall, Orange County, CA
Click Here to Join Strip That Fat

Thanks for not starving me. The last 4 diets I have been on have all told me to limit the amount of food that I eat, instead of telling me how to eat properly. Mail food programs have cost me a fortune and I am honestly glad I don’t have to eat another one of those disgusting protein bars again. Your diet is awesome and I have been losing weight (now up to 9lbs) consistently for the last 2 weeks.

Thanks for your support and for making weight loss possible. The STF program rocks!

Jenny Catelina, NY, NY
Click Here to Join Strip That Fat

Wow, 14lbs gone in just under 3 weeks. I feel better, look better and I have never received more comments about looking good in my life. I still have a sizeable amount of weight to lose, but I just wanted to thank you for opening my eyes to what a healthy lifestyle should look like and what to watch out for.

I haven’t really had to change my lifestyle around, but the small changes I have made have changed my lifestyle for the better. On to losing another 40lbs.

Take Care,

Thiago Assunção, Brazil

So Here Are the Package Details Again and Today’s Discounted Prices!



Gold Package - $99 now only $47
Platinum Package - $129 now only $57

Click Here to Order Strip That Fat Now!