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  • Key Takeaways for Managing Food Allergies Across the Lifespan (ft. Ruchi Gupta, MD, MPH)
    2026/06/05
    Dr. Ruchi Gupta, board-certified pediatrician and founding director of the Center for Food Allergy and Asthma Research (CFAAR), and PA Gary Falcetano joined forces on a Food Allergy Research and Education (FARE) webinar to discuss nuances and insights for managing food allergies across a patient’s life. In this episode we share some of the important questions that were asked about specific IgE blood testing, skin testing, component resolved diagnostics, oral food challenges, guideline updates, and common pitfalls. We also explore baked egg and baked milk tolerance, access and affordability barriers, and early peanut introduction in high-risk infants. Clinicians will leave with a clearer framework for interpreting results, selecting the right test, and applying diagnostics to improve management decisions. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/managing-food-allergies-across-the-lifespan-diagnostics.html?cid=0ct_3pc_05032024_9SGOV4
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    24 分
  • Food Allergy and EoE: Smarter Diagnosis for Better Care (ft. Anna Nowak-Wegrzyn, MD, PhD)
    2026/05/14
    Food allergy diagnosis is still too often driven by tests instead of history, leading to unnecessary restriction and missed opportunities for targeted care. In this episode, we invite Dr. Anna Nowak-Wegrzyn, a leading researcher in food allergy and Director of Pediatric Allergy and Immunology Division at NYU Grossman School of Medicine, to help unpack the core clinical challenge of distinguishing true food allergy from sensitization, and discuss practical approaches to history-directed testing, component-resolved diagnostics, baked milk and egg tolerance, oral immunotherapy, and eosinophilic esophagitis recognition in atopic patients. We also highlight how primary care can help identify higher-risk patients earlier, improve referral decisions, and support more precise management using evolving diagnostic tools. For clinicians caring for children and adults with allergy, this conversation offers actionable insights for diagnosis, risk stratification, and day-to-day management. References and resources: https://www.thermofisher.com/phadia/us/en/resources/immunocast/eoe-food-allergy-diagnostics-update.html?cid=0ct_3pc_05032024_9SGOV4
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    37 分
  • Asthma Disparities: Hidden Drivers and Practical Solutions for Clinicians
    2026/05/01
    Asthma affects over 26 million people in the U.S., yet outcomes can vary dramatically based on factors beyond disease severity. This episode explores the critical gap between diagnosis and optimal asthma control, focusing on how socioeconomic status, access to care, and environmental exposures shape patient outcomes. Through a mock case study, we examine disparities in healthcare access, allergist availability, and treatment adherence, alongside key topics such as epidemiology, risk stratification, environmental trigger identification, diagnostic testing and interpretation, and guideline-based management. The discussion highlights the role of allergic sensitization in asthma pathophysiology and emphasizes the importance of comprehensive specific IgE testing in identifying root causes. Clinicians will gain actionable strategies to improve diagnosis, implement cost-effective interventions, and optimize asthma management directly within primary care settings. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/asthma-management-disparities-ige-testing-primary-care.html?cid=0ct_3pc_05032024_9SGOV4
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    30 分
  • Golf, Pollen, and Performance: Managing Spring Allergies in Active Patients
    2026/04/09
    With 29 million golfers in the U.S. and an estimated 7.25 million affected by spring allergies, seasonal respiratory symptoms can meaningfully affect performance and daily function. This episode explores how tree and grass pollen exposure, overlapping sensitizations, and indoor allergens can combine to drive rhinitis, fatigue, sleep disruption, and reduced daytime performance. We discuss regional pollen patterns, why pine pollen is often less clinically important than oak and juniper, how to avoid assuming a single trigger is the cause, and how localized respiratory allergen profiles with specific IgE testing can help clarify sensitization. Practical counseling includes using specific IgE results to help inform exposure reduction and environmental control to help improve symptom control and guide management. References and resources: https://www.thermofisher.com/phadia/us/en/resources/immunocast/masters-golf-respiratory-allergies-pollen-management.html
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    23 分
  • Optimizing Allergy Care with Regional Respiratory Profiles
    2026/03/30
    A large 2024 study found that a comprehensive respiratory allergen profile captured more than 98% of seasonal sensitizations, highlighting a major challenge in respiratory allergy care: testing with single allergens can miss the full picture. In this episode, we explore the most optimized regional respiratory profiles and how they improve diagnostic yield, reduce duplicate testing, and help clinicians identify polysensitization across trees, weeds, molds, and indoor allergens. We also discuss how symptom patterns, geographic prevalence, cross-reactivity, and reflex testing with allergen components can sharpen interpretation and guide more personalized management. For primary care providers managing recurrent spring allergy symptoms, this episode offers practical insights into diagnostic strategy, exposure reduction, and when to consider referral for advanced care. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/regional-respiratory-profiles-spring-allergy-diagnostics.html?cid=0ct_3pc_05032024_9SGOV4
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    24 分
  • When Wheat Matters: Allergy, Celiac Disease, and Intolerances
    2026/03/12
    Wheat allergy, celiac disease, and non-specific gluten intolerance all share overlapping gastrointestinal symptoms that can confound primary care diagnosis. This episode addresses the core diagnostic challenge of distinguishing IgE-mediated wheat allergy (including ω-5 gliadin–associated wheat-dependent exercise-induced anaphylaxis) from celiac disease and non-celiac gluten intolerance. We cover epidemiology, clinical presentations and timing of IgE reactions, component-resolved diagnostics, serologic algorithms for celiac disease, when to refer for biopsy, and management implications including gluten-free diet counseling and emergency planning for anaphylaxis. Practical takeaways emphasize improving diagnostic yield in primary care, appropriate use of specific IgE testing, and when specialist referral is necessary. References and resources: https://www.thermofisher.com/phadia/us/en/resources/immunocast/wheat-allergy-celiac-differential-diagnosis.html?cid=0ct_3pc_05032024_9SGOV4
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    18 分
  • 50th Episode: Top Insights from Our Past Allergy Expert Guests
    2026/02/23
    Celebrate our 50th episode by diving in to hear some of our favorite insights from the many allergy experts we’ve welcomed to ImmunoCAST. In this episode, we’ve curated clinical clips from guests like Dr. Zachary Rubin, Dr. David Golden, Dr. Ruchi Gupta, and more. From the mental health impacts of food allergy to the relationship between allergies and intimacy, the nuances of venom allergy, and diagnostic strategies for alpha gal syndrome, we’re looking back at the valuable knowledge shared across 50 episodes of ImmunoCAST. References and resources: https://www.thermofisher.com/phadia/us/en/resources/immunocast/immunocast-expert-highlights-rhinitis-food-alpha-gal-venom.html?cid=0ct_3pc_05032024_9SGOV4
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    35 分
  • Adult Food Allergy in Primary Care: Practical Diagnosis, Pitfalls, and Management Strategies
    2026/02/05
    Nearly 11% of U.S. adults meet criteria for a convincing food allergy, yet most clinicians underestimate both the prevalence and unique challenges of adult-onset disease. This episode addresses the frequent misdiagnosis and clinical uncertainty surrounding new symptoms in adults by highlighting epidemiology, risk factors for delayed and severe reactions, high-yield history-taking, diagnostic pitfalls, and guideline-supported use of specific IgE and component-resolved diagnostics. Listeners will learn to distinguish allergy from intolerance, understand psychosocial burdens, apply evidence-based testing algorithms, and recognize when to refer for oral food challenge or advanced management. With practical insights into differential diagnosis, best practices for test interpretation, and strategies to streamline care in busy settings, this episode equips providers to close the adult allergy diagnosis gap and optimize patient safety. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/adult-onset-food-allergy-diagnosis-management.html?cid=0ct_3pc_05032024_9SGOV4
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    28 分