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That's the current guidance in the US as well.

https://mana.md/peanut-allergies-may-affect-your-child/




and IIRC you need to maintain consistent exposure to the allergens throughout the first, idk, 18 months of life to have the best result. So don't just expose them once early on and stop.


Yes that's part of the advice in the Netherlands as well. Keep giving them things that can be common allergies.

My 4 year old's favourite food is shrimp and sushi... Not sure whether it's related to her eating those when she was a toddler, but it's fun to see the reactions in restaurants when you don't order the children's menu.


How have outcomes improved since the guidance?


There's very strong evidence of the success of this -- for babies with no indication of a peanut allergy, intentional exposure led to an ~85% reduction in allergies -- for those who had a positive allergy test before the study, they had a ~70% reduction in allergies by 5 years old.

> Among the 530 infants in the intention-to-treat population who initially had negative results on the skin-prick test, the prevalence of peanut allergy at 60 months of age was 13.7% in the avoidance group and 1.9% in the consumption group (P<0.001). Among the 98 participants in the intention-to-treat population who initially had positive test results, the prevalence of peanut allergy was 35.3% in the avoidance group and 10.6% in the consumption group (P=0.004). There was no significant between-group difference in the incidence of serious adverse events. Increases in levels of peanut-specific IgG4 antibody occurred predominantly in the consumption group; a greater percentage of participants in the avoidance group had elevated titers of peanut-specific IgE antibody. A larger wheal on the skin-prick test and a lower ratio of peanut-specific IgG4:IgE were associated with peanut allergy.

https://www.nejm.org/doi/full/10.1056/NEJMoa1414850




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