Skincare Certified: A Derm’s Guide to Better Skin with Dr. Muneeb Shah Q&A
Can you share your advice for some chronic skin conditions?
There are many chronic conditions we treat in dermatology, like eczema and psoriasis. Seeking out effective treatment can improve most of these conditions. Here are my tips:
• Find a dermatologist who can guide you on the right path. I know it’s difficult in Canada to find a dermatologist. Speaking to my colleagues, wait times can be over six months but if you have the privilege, they can definitely prescribe treatments that will help.
• Stick to a skin routine. Whether it’s prescribed or a
routine you find for yourself doing your own research, a routine can add balance to your life and help you see real improvement. For example, with conditions like eczema, cleansing with a gentle fragrance-free cleanser, avoiding hot showers, and moisturizing within five minutes of cleansing while the skin is still damp can really help if done consistently.
• Stick to low-inflammatory foods. There’s not a lot of great research on how diet affects the skin, but we know that diets that are high in sugar can increase inflammation in conditions like acne and psoriasis. I always say what’s good for the heart is good for the skin. The Mediterranean diet is likely to be helpful. There’s even some evidence that intermittent fasting can be helpful for the skin.
• Find support groups with similar conditions. My patients with conditions like hidradenitis suppurativa and psoriasis find a lot of help in these support groups on Facebook and other platforms. It’s a way to share tips and to find resources to help you.
Learning About the World of Gut and Digestive Health with Abbey Sharp
As an RD, what advice do you have for Canadians struggling with chronic gut and digestive conditions like irritable bowel syndrome (IBS), gastroesophageal reflux disorder GERD, and ulcerative colitis?
You don’t need to suffer alone. A great dietitian who specializes in digestive health can be a key player in your health care journey. I myself have IBS, and working with a few of my colleagues who specialize in the area has given me so much more confidence over my body. We also know that the gut is intimately connected
to the brain and mental health, and of course when you’re struggling with a chronic digestive condition, it can be a vicious cycle. I strongly urge folks to invest in their mental health. A calm mind helps develop a calm gut.
Johnson's Top Tips on Using Diet to Live Well with Arthritis
What are some of the key messages you’d like to tell patients with inflammatory arthritis?
The three things I would ask people to take away after reading this are
the following:
• Be your own advocate: learn and get to know your body and your condition, ask the right questions, and figure out what you need for the best of your health.
• Small or big, there’s always something you can do to help yourself. If it feels overwhelming, break it down one day at a time.
• Be kind to you: have compassion and kindness for yourself, rest when you need to, say no when you need to, and take care of you.
Muneeb
Abbey Sharp Registered Dietitian & Founder, Abbey's Kitchen Inc.
How This Foundation Is Supporting Canadian Kidney Patients
Kidney disease can be a diagnosis for life. This chronic condition, often detected in its later stages, abruptly alters patients’ lives — physically, mentally, and financially. Whether newly diagnosed or long-term patients, individuals with chronic kidney disease face many challenges that impact their quality of life.
Annick Lim, now 47 years old, was a chronically sick baby, constantly battling various infections. After numerous doctor visits and countless tests, she was eventually diagnosed with kidney disease at only 18 months old. “I was so sick they thought I was being neglected at home,” she says.
Navigating new challenges
Lim’s kidney journey hasn’t been a smooth road. She found the abrupt transition from being a child patient to an adult patient particularly rough.
“When you turn 18, you're not on your parents' medical coverage anymore — you're on your own,” she says.
With limited income and a lack of medical coverage in her late teenage years, Lim found herself struggling to cover the cost of her medications. That’s when her social worker applied on her behalf for The Kidney Foundation’s short-term emergency financial assistance program, which helped her with some of the cost of medications.
“It had a huge impact on me, and 30 years later, I literally still get emotional about it,” she says.
At 23 years old, Lim received a
kidney transplant from her father, but the process was met with some obstacles. Her father was unemployed at the time and needed assistance to cover his out-of-pocket non-medical expenses for the transplant surgery. That’s when The Kidney Foundation stepped in again and took care of his travel expenses. “They do it all,” says Lim. “They lifted the burden in a massive way.”
Diverse services and resource program
Many kidney patients encounter unplanned costs that leave them financially distressed. The Kidney Foundation has an emergency financial assistance program to alleviate the burden of chronic kidney disease. The Foundation also facilitates access to programs that financially support living organ donors to eliminate some barriers to organ donation.
who have had similar experiences to better cope with their condition. One-on-one and group peer support programs offered by The Kidney Foundation remain a crucial lifeline for many kidney patients.
“The power of knowing you’re not alone in this journey and learning from those who lived through similar experiences is tremendously powerful,” says Elizabeth Myles, National Executive Director of The Kidney Foundation. "In recent years, our online peer support programs have grown. Along with the more traditional in-person model we’ve had in place for years, this program has been able to reach more individuals than ever, especially those who live in rural areas.”
Making meaningful connections
For the past 15 years, Lim has been an active volunteer and fundraiser for the Kidney Walk, one of The Kidney Foundation’s key fundraising events. Although her goal was to raise awareness and funds for research and support programs, she found an additional unexpected outcome: lifelong friendships with others who understand the kidney disease journey. “I never would have envisioned who I'm friends with now,” says Lim. “We do volunteer work together. We grab coffee together. They’re my best friends.”
Like many other chronic conditions, kidney disease can be a long and lonely road with many mental health challenges, in addition to the financial burden. It’s crucial that patients find meaningful connections with others
Learning that you have kidney disease can be overwhelming, so it’s important to know that you’re not alone. The Kidney Foundation is here to help and support you at every step in your journey.
burden.
Annick Lim
To learn how The Kidney Foundation can help, visit kidney.ca/ support
This article was sponsored by The Kidney Foundation
ADr. Stefanie Tan Vice President, Research, Innovation & Programs
Research Shows Promise for Dementia Wandering
New first-of-its-kind research from MedicAlert shows promise for near-term breakthroughs on managing wandering for Canadians living with Alzheimer’s and other dementias.
s the result of a ground-breaking new research partnership between MedicAlert Foundation and the University of Waterloo, people living with dementia and their care partners may soon have the answer to the questions about dementia-related wandering as well as advanced tools that can help in managing one of the most challenging aspects of the disease.
According to the 2022 Landmark Study, nearly 11,000 Canadians are diagnosed with dementia every month. In six years, that number is forecast to increase to more than 15,500. Of those thousands of people, 60 per cent will go on to wander at some point in their disease progression.
“Among the most challenging aspects of caring for an individual living with dementia is wandering,” says Dr. Stefanie Tan, MedicAlert’s Associate Vice President of Research, Innovation and Programs. “While there is no cure for Alzheimer’s and other dementias, there has been very little focus on wandering behaviours. This creates enormous burdens on care partners as well as significant costs for
MedicAlert Foundation Canada
search and rescue operations.”
In 2012, MedicAlert, the national charity that manages one of the largest health information databases in Canada, took over the country’s National Wandering Registry from the RCMP at the police force’s request.
“Over the past decade, MedicAlert has evolved the registry to include data that can both help search and rescue teams, and inform vital wandering instance research,” says Dr. Tan. “Today, approximately 10 per cent of Canadians living with dementia are part of the Registry. While this is a significant number of people, we would encourage more care partners to consider registering their loved one with MedicAlert. The cost to do so is significantly less than the mental, social and system costs to deal with one or more wandering events.”
In fact, MedicAlert’s research shows that for every $1 invested in the National Wandering Registry and the Safe & Found program, the charity is able to return a phenomenal $9.03 of social impact.
What’s more, notes Dr. Tan, the MedicAlert/University of Waterloo Research study completed in Decem-
ber of 2022 uncovered that 90 per cent of people living with dementia who are registered with MedicAlert and wander are found with no apparent injuries or compromised health.
“MedicAlert’s current offering through the Safe & Found program is proven to be effective. But our latest research combined with advanced technologies is beginning to show that we are only just scratching the surface of what could be life-changing for people living with dementia and their families,” says Dr. Tan.
MedicAlert’s research and innovation can have a significant positive, and game changing impact on the way dementia-related wandering is managed. The charity’s vision can reduce the burden and worry shouldered by thousands of family and friends caring for loved ones who live with Alzheimer’s and other dementias. “It is important that we grow the National Wandering Registry and continue to research the highly complex area of wandering so that we can build predictive models that will help in the care and management of this set of diseases from a very practical perspective.”
Constantly Coughing from Mucus or COPD? Help Open and Clear your Lungs
COPD patients experience excess mucus and blocked airways, which negatively affects their lung health — but fortunately, there’s a specific device designed to help.
Tania Amardeil
Over 1.6 million Canadians currently live with chronic obstructive pulmonary disease (COPD), and the lifetime risk of developing COPD is over one in four. Moreover, this number is expected to be widely underestimated, with as many as one million Canadians likely undiagnosed. Over time, hospitalizations for COPD have increased overall, from 83 hospitalizations per 100,000 people in 2006–2010 to 86 in 2011–2015. COPD is the fifth most common cause of disease death in Canada and the number one cause of hospital readmission — with a higher readmission rate than heart failure, angina, and other serious chronic diseases. It leaves some working-age people too sick to work and costs billions of dollars a year nationally in medical bills and lost productivity. Therefore, ways to manage the disease are desperately needed.
Understanding mucus in COPD In COPD patients, damaged lung airways become swollen and obstructed. COPD impacts mucus production and clearance, which has severe consequences. Mucus clearance is important because excess mucus
For the first time in 3 years I can breathe well. I feel I have been given a miracle.
— Linda, CA
can significantly impact airflow, ones ability to breathe, and their lung function and health, which can lead to respiratory infections, poorer quality of life, COPD flare-ups, and hospitalizations. A build-up of mucus can create an environment for bacterial growth and airway infection that adds to the burden of symptoms. In addition, difficulty clearing excess mucus can lead to increased cough, airway inflamma-
tion, and damage, causing a vicious cycle of excess mucus and symptoms.
A solution may be airway clearance therapy, which is a form of drug-free COPD disease management designed to help loosen and clear excess mucus from the airways of the lungs.
Understanding airway clearance therapy
One of the best methods of performing airway clearance therapy is through an apparatus called the AEROBIKA* Oscillating Positive Expiratory Pressure (OPEP) device. This easy-to-use device can help clear excess mucus in the airways and improve breathing. The AEROBIKA* device has an award-winning mechanism that creates pulses of pressure in the lungs when breathing into the device. These pulses of pressure can help open weak airways while also producing vibrations that thin and loosen mucus, naturally helping it to be cleared from the airways, which improves breathing.
Using this Candian designed and developed device may empower COPD patients to breathe better and live better by reducing exacerbations.
To learn more about MedicAlert’s work related to dementia wandering through its
This Health Store Is Helping People Live Life Healthy
Healthy Planet provides Canadians with what they need to thrive, including a variety of supplements and vitamins.
Cappellacci
Katherine
For almost 30 years, Healthy Planet has been one of Canada’s most popular retail chains for health supplements, food, sports nutrition, and beauty care. Their commitment to extraordinary customer service has remained a top priority — which is why they’re the go-to one-stop-shop for so many neighbourhoods.
Their selection truly sets them apart, as a customer you can find fair-priced items pertaining to a variety of health-related topics. From protein powder and unrefined probiotics to natural cosmetics and hygiene care, it’s the company’s goal to make top-quality products accessible to everyone.
Making healthy choices is the key to living a long, fulfilling life. Decisions around what to put in one’s body impacts overall wellness — as does regular physical fitness and keeping a proper balance of vitamins. It’s easy to get overwhelmed by the copious amounts of products that saturate today’s health market.
All in one place
opportunities via online-only sales. All stores have product specialists that help customers find solution-related items and host store-specific events. They also connect clients with naturopathic doctors, holistic nutritionists, and provide information about nutrition classes in the area.
free of dairy, gluten, GMO, and soy. These 200 mg magnesium pills are purely elemental and have a bis-glycinate form that makes them highly absorbent while also gentle on one’s bowels. Aside from replenishing optimal magnesium levels, these potent supplements may also help digestion, improve sleep, lower levels of stress and anxiety, and support cardiovascular health. Unfortunately, magnesium deficiencies can be common — aside from bone disease, a lack of magnesium can also lead to high blood pressure, migraine headaches, and chronic heart conditions.
Good for the heart
In recent years, prioritizing one’s mental and physical health has entered mainstream, popular culture. While it’s great that healthy living has become a normalized concept, it can be tricky to find resources that are truly beneficial and cost-efficient. With the objective to help customers “live life healthy,” Healthy Planet stands out amongst its competitors. They’ve built renowned relationships with brand partners and prioritize eco-friendly, sustainable choices. Their passion is to help people maintain healthy, active lifestyles which have garnered them respect and love within communities.
Today, the convenience of being able to purchase a variety of items in one store is major — their inventory includes goods for pets, infants, groceries, supplements, herbal products, bodybuilding powders, and beyond. Their online store is an information hub of articles, recipes, and more. It contains a massive database of all items that can be easily searched based on health and lifestyle needs or brand names.
Healthy Planet helps people stay vigilant and knowledgeable about their health. For example, they provide products that support good bone health, which is critical to overall wellness. Chronic bone conditions develop over time due to unhealthy habits and a lack of nutrients like calcium. Diseases like Osteoporosis, Osteopenia, and Osteonecrosis can develop when bone mass and mineral density decreases, or if there’s a disruption to bone blood flow. A significant way to support bone well-being is by maintaining adequate magnesium levels.
Making healthy choices is the key to living a long, fulfilling life.
Benefits of magnesium
Affordable, superb choices
Plus, the store’s prices are lower than other online or box retail shops, with many organic groceries, minerals, and sports nutrition supplements selling at close to wholesale prices. They also offer monthly discounts and saving
One of the most active minerals, magnesium contributes to over 800 chemical reactions in the body including energy production, metabolism, DNA synthesis, nerve function, heart rate regulation, muscle strength, and bone building. Healthy Planet offers a superb, vegan magnesium supplement that contains up to 20% more elemental magnesium and has no fillers.
CanPrev’s Magnesium Bis-glycinate 200 Gentle comes in packs of 60, 120, and 240 capsules that are
When it’s difficult for the heart to pump blood throughout the body, symptoms like fatigue, shortness of breath or trouble breathing, and swelling of feet, ankles, or abdomen may develop. Chronic heart issues like cardiac dysrhythmias, cardiac failure, and cardiomyopathy are caused by high blood pressure and increased cholesterol.
Aside from uncontrollable factors like age and family history, there are ways to lower the risk of heart disease — primarily by not smoking, exercising regularly, and making sure the body receives proper nutrients. To support blood sugar and cardiovascular health, nutritionists recommend a unique supplement that contains 100% berberine — a natural compound extracted from barberry roots that’s proven to improve blood sugar metabolism.
Natural Factors WellBetX Berberine 500mg vegetarian capsules are a natural option for balancing blood sugar levels. They may also promote insulin sensitivity, aid with weight management, and improve overall cardiovascular health by maintaining proper blood lipid levels.
Continue your health journey
These non-GMO capsules may be beneficial for those with prediabetes, type 2 diabetes, abnormal blood sugar levels, or insulin resistance. They can help to maintain healthy cholesterol and triglyceride levels. Due to antimicrobial activity, they’re also proven to improve acute diarrhea, small-intestinal bacterial overgrowth (SIBO), and parasitic infections. These supplements are just two of the hundreds of carefully selected products that Healthy Planet provides to its customers. As community pillars, they’re the go-to place for all health-related needs — and are truly helping people “live life healthy.”
article was sponsored by Healthy Planet
Ashten Buck Nutritionist, with a Specialization in Nutrition & Dietetics from Western University and teaches nutrition at the International College of Holistic Health (ICHH).
Effective Diabetes Management Is a Journey of Small Steps
When Yves was diagnosed with diabetes, he worried he wouldn’t live to meet his grandchildren — but thanks to great support, that’s changed.
Veronica Stephenson
Taking small, positive steps
At the age of 40, Yves R. was diagnosed with type 2 diabetes. By far the most common form of diabetes, type 2 is caused by several factors, but scientists think both lifestyle factors and genes play a role. A lack of exercise, poor dietary habits, and excess body fat are thought to contribute to an individual's likelihood of developing diabetes. Yves is a shift worker, and thus even more likely to develop type 2 diabetes, since an irregular sleep schedule can disrupt the body's ability to regulate blood sugar. Like many Canadians, diabetes snuck up on Yves — symptoms can take several years to appear, and for this busy family man, healthy lifestyle habits had long taken a backseat to the demands of his job.
Putting health on the backburner Yves was active as a younger man. His daughter Samsara credits him with her love of sports, recalling how he patiently and lovingly taught her every sport she knows. But as time went on and the financial pressure of having a family caught up to him, Yves gradually stopped taking care of his health. As Yves’ health worsened, his relationship with his family did too, as he became moody and withdrawn. In today’s increasingly busy world, maintaining a healthy lifestyle — getting regular exercise, eating healthy foods, and managing stress — can be a tall order, and Yves was certainly feeling the effects of his choices.
When he was diagnosed, Yves tried to lose weight, but his blood sugar continued to spike. He started losing feeling in his feet, a common but frightening diabetes symptom. High blood sugar can cause nerve damage, and left unchecked, nerve damage in the extremities can even lead to amputation. He couldn’t sleep through the night without getting up to go the bathroom, and even started suffering blurred vision, a sign that rapidly changing blood sugar levels were causing swelling in the eyes. Besides taking 40 units of insulin per day, Yves took the maximum dose of multiple medications, but still felt helpless watching his diabetes spiral out of control.
Many people try and fail to make lifestyle changes because they attempt to make big changes all at once. Drastic shifts can be exhausting, which is why physicians often recommend taking small steps and building on them over time. Trying a healthy recipe each week, parking your car a street away from your destination, switching white rice out for cauliflower rice, or even putting on music during your chores for a mini dance party are just a few ways to help manage diabetes.*
Small changes are effective over time, but it can take patience to see results, which can frustrate the best of us. Yves was worried he would have to “live like a monk” to manage his blood glucose. That’s why his doctor suggested he try the CONTOUR®NEXT ONE meter, an innovative blood glucose monitor from Ascensia Diabetes Care. Busy Yves needed something simple and reliable to keep track of his blood sugar, so he loved the meter’s col-
Every day, scientific advances, including innovative glucose monitoring technology, are helping decrease the toll that diabetes takes on the five million Canadians who live with it.
our-coded range indicator. With green, yellow, and red lights, it let him see, at a glance, whether his blood sugar was within a healthy range. Best of all, the Bluetooth-enabled monitor connected to the CONTOUR®DIABETES app on his phone, allowing him to keep track of small wins. The app monitors trends in blood sugar, making it easier to see when small lifestyle changes are having a positive effect.
Samsara, determined to see her father get healthy, played a huge role in helping keep Yves on track. Yves and Samsara started playing sports and going on walks together, rebuilding their relationship alongside Yves’ health. Yves had never tried boxing, but with Samsara’s encouragement, he learned to love the sport. Because his blood glucose monitor and the
CONTOUR®DIABETES app were so easy to use, Yves was able to keep careful track of his blood glucose throughout the process. And since every glucose reading automatically uploaded to the app, Yves could see small changes stacking up in real time.
When Yves first started using the CONTOUR®DIABETES app, his doctor asked him to consider what motivates him to improve his health. Having a clear “why” can make the process that much easier. If Samsara had children, he said, he wanted to be around to play with them — with both feet intact, no less. It wasn’t long before it looked like Yves would fulfill his wish.
The power of data and support It took a long series of small steps, but Yves’ health dramatically improved. Encouraged by the trends he saw on the CONTOUR®DIABETES app as his blood sugar slowly normalized, Yves kept himself motivated by celebrating small wins and leaning on his family. His systolic blood pressure dropped from 150 to 120, and his doctor decided to start weaning him off insulin — a step he never would have thought possible before he began his health journey in earnest. Gradually, Yves was able to completely stop using insulin, dropping from 40 to zero units per day. Today, Yves can sleep through the night without using the bathroom, and he’s no longer in danger of losing his feet to diabetic neuropathy.*
The most significant change, according to his family, has been Yves’ personality. The once-withdrawn family man started laughing and smiling again. His relationship with his daughter has never been stronger, and she can rest easy in the knowledge that her father will be there to help raise any potential grandchildren.
Yves’ story is inspiring, but it’s not miraculous. The small steps that led to his eventual withdrawal from insulin are realistic, attainable changes that can be made with good data and the right support.* Every day, scientific advances, including innovative glucose monitoring technology, are helping decrease the toll that diabetes takes on the five million Canadians who live with it.
Do You Have Allergies? Know Your Top Treatment Options
Spring is just around the corner, which means that so is allergy season. Many Canadians suffer from allergies year-round, and 20 to 40 percent suffer from allergic rhinitis (or hay fever), which is often seasonal. If you’re one of these people, you know how miserable allergies can make you feel. The desire to feel better is strong — but many don’t know where to start.
Understanding allergies
“What causes allergies is complex and multi-factorial,” says Dr. Jason K. Lee, a Toronto-based clinical immunologist and allergist. Genetic, epigenetic, and environmental interactions, including the microbiome, all factor in. “These things combine to cause your immune system to recognize things in the environment that should be left alone but the body’s immune system mistakenly identifies as harmful,” explains Dr. Lee.
Treatment options for allergies include non-pharmacologic therapy, pharmacotherapy, and immunotherapy. “Non-pharmacologic therapies essentially refer to environmental control: avoiding avoidable allergens and doing things to minimize expos-
1 2
Tania Amardeil
ure, such as using air filters at home or avoidance of pets if you’re allergic,” says Dr. Lee. “Pharmacotherapy is the use of drugs. We commonly use antihistamines, mast cell stabilizers,
With allergen immunotherapy (AIT), the idea is that exposure to an allergen in measured, small, and clinically studied doses which will eventually lead the body’s immune system to become anergic, which means to have a diminished response toward the allergen.
and intranasal steroids. With allergen immunotherapy (AIT), the idea is to give patients exposure to an allergen in measured, small, and clinically studied doses, which will eventually lead the body’s immune system to become anergic, which means to have a diminished response toward the allergen.”
A long-term treatment option
AIT is an attractive option as it can help
When you know you’re allergic to something (an allergen), it’s important to try and avoid it as best you can. Of course, that’s not always easy to do, especially if you’re not sure what’s causing your allergy.
Various medications — from nasal sprays to drops to pills — can help relieve allergy symptoms. Some are available over the counter, while others can be prescribed by your doctor. Common treatments for allergy symptoms include:
• Antihistamines: Antihistamines block histamine to help relieve allergy symptoms.
• Corticosteroids: Corticosteroid nasal sprays have an antiinflammatory effect that helps relieve allergy symptoms.
Leukotriene inhibitors: Leukotriene inhibitors help block leukotrienes from causing allergy symptoms.
with symptom control, reduce risk for complications of allergies, and lead to long-term medication use reduction.
“Once your body’s immune system no longer sees the allergen as something dangerous that it needs to attack and constantly clear, you’ll experience fewer symptoms if the AIT is successful,” says Dr. Lee. “As such, you may need less symptomatic medication and, in the best cases, no other allergy medication. AIT is a long-term treatment option that teaches the body’s immune system to leave harmless airborne allergens like tree pollen, dust mites, ragweed, and cat dander alone.”
Dr. Lee notes that AIT involves either subcutaneous immunotherapy (allergy shots) or sublingual immunotherapy (allergen tablets placed under the tongue). The sublingual form can be taken at home following the first dose under medical supervision, giving patients convenience and ease with fewer doctor visits required and no dose adjustment required to complete the treatment.
Although individual results may vary, Dr. Lee notes that, based on his experience over 14 years of practice, many of his patients benefit from AIT, in line with clinical and research data.
Desensitization
Allergy immunotherapy (AIT) may also be an option, and is used by many because it targets the source of allergies. AIT works by giving you repeated, small doses of an extract of the allergen that you’re allergic to. The idea here is that exposure to an allergen in measured, small, and clinically studied doses (enough to stimulate your immune system, but not enough to cause an all-out allergic reaction) will eventually lead the body’s immune system to become anergic — in other words, desensitized and immune to the allergen. What this means for patients is that over time, their immune system will become less sensitive to the allergen and will react to it less. As the immune system builds up a tolerance to the allergen, allergy symptoms fall to the wayside, allowing patients to breathe a sigh of relief.
AIT is not for everyone. Before getting AIT, it’s important to find out what you’re allergic to. Your doctor will likely refer you to an allergist who will do diagnostic tests to find out the cause of your allergies and determine whether AIT is right for you.
AIT comes in two forms:
1. Allergy shots, also referred to as hyposensitization therapy and subcutaneous allergen immunotherapy
• Can be used for variety of allergies, including pollen, pet dander, and dust mites
• Require going to the doctor as often as once per week
2. Allergy immunotherapy tablets
• Can be taken at home, sublingually, after the first dose, which is taken under your doctor’s supervision
• Target a single allergen that your doctor thinks is the main cause of your symptoms
• Take away inconvenience of multiple visits to the doctor’s office to get injections
Working with your allergy specialist is the best way to find out what works for you, from allergy avoidance to AIT.
