When planning reintroduction challenges for foods that have been eliminated, do you start with foods based the IgE level, suspected symptoms, etc.?

If a food was eliminated because of high levels of serum IgE, the reintroduction should be done under medical supervision due to anaphylaxis risk. The challenge can be done at home if there is no history or suspicion of immediate allergy.  There is no “right way” to decide what foods to reintroduce first.  Foods that are strongly suspected as a trigger should be left until last. Clients usually appreciate starting with the foods that they miss the most. 

Posted in: Spring2013-Q&A