Clinician Update: NIH Finally Recommends Early Peanut Introduction

The NIH now recommends that high-risk infants—those with severe eczema, egg allergy, or both—should be introduced to (age-appropriate) peanut-containing foods at 4-6 months of age, as long as they have already started solid food.

The change in advice comes largely from the results of the 2015 LEAP study showing an 81% reduction in peanut allergy among high risk children with earlier introduction.

They also strongly recommend peanut specific IgE measurement and/or skin prick testing before introduction. This flow-chart they provided aims to help with clinical decision-making.

You can read more about the new NIAID Guidelines in their Summary for Clinicians.

Author: Kara Fitzgerald, ND

https://www.drkarafitzgerald.com/

Kara Fitzgerald, ND, received her doctor of naturopathic medicine degree from the National University of Natural Medicine in Portland, Oregon. She completed the first Counsel on Naturopathic Medicine-accredited post-doctorate position in nutritional biochemistry and laboratory science at Metametrix Clinical Laboratory under the direction of Richard Lord, PhD. Her residency was completed at Progressive Medical Center, a large, integrative medical practice in Atlanta, Georgia. Dr. Fitzgerald is the lead author and editor of Case Studies in Integrative and Functional Medicine and is a contributing author to Laboratory Evaluations for Integrative and Functional Medicine and the Institute for Functional Medicine (IFM)’s Textbook for Functional Medicine. With the Helfgott Research Institute, Dr. Fitzgerald is actively engaged in clinical research on the DNA methylome using a diet and lifestyle intervention developed in her practice. The first publication from the study focuses on reversal of biological aging and was published 04-12-2021 in the journal Aging. She has published a consumer book titled Younger You as well as a companion cookbook, Better Broths and Healing Tonics and has an application-based Younger You Program, based on the study. Dr. Fitzgerald is on the faculty at IFM, is an IFM Certified Practitioner and lectures globally on functional medicine. She runs a Functional Nutrition Residency program, and maintains a podcast series, New Frontiers in Functional Medicine and an active blog on her website, www.drkarafitzgerald.com. Her clinical practice is in Sandy Hook, Connecticut. Additional publications

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I’ve had the opportunity to review Dr. Kara Fitzgerald’s blogs. She is a well-recognized leader of functional, integrative medicine. Her blogs effervesce with her enthusiasm for her subject matter and convey her genuine warmth and compassion for her patients. She writes in an engaging style while conveying significant and meaningful information about the varied topics she has covered. They are simply fun to read and easy to learn from her wealth of experience.

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I thoroughly enjoy reading your blog and recommend it to the medical students. It is interesting, informative and up to date as well as an excellent supplement to their text.

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Dr. Kara Fitzgerald’s writing style is clear, concise, well-translated from scientific gobbledygook to understandable every language. And most importantly, it’s accurate.

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Of the myriad blogs I receive in my inbox, Kara’s is one that I actually read! It’s funny, clinically relevant and smart.

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I am a regular reader of Dr Fitzgerald’s blog/newsletter. I read it because it is useful. Dr. Fitzgerald, stimulated by a recent article, looks into the bulk of the literature and synthesizes the relevant takeaways. Dr Fitzgerald is brilliant and always delivers clinical pearls.

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Wading through emails is not an ideal part of my day. For this reason, I’m very particular about who’s information I want coming into my inbox. When I see an email come in from Dr Fitzgerald, I stop what I am doing and I read it fully right then so I don’t miss it. Her content is always interesting, clinically relevant, cutting edge and many times entertaining as well. I only wish one thing: that she’d write more!

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I love reading Dr Fitzgerald newsletter! It is both funny and relevant and offers great info for my patients and colleagues.

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Dr. Kara Fitzgerald is a clear, brilliant, and insightful clinician. She always seems to unwrap the story of the patient so well, then identifies the pertinent imbalances and together with the patient initiates the therapeutic plan with successful treatment. She is rare in the education and clinical circles. I always learn from her blogs, conversations, case studies, and lectures. She is an outstanding educator and functional medicine physician.

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I am so happy to have found Dr. Fitzgerald, Romilly and Rhonda who all care about my well being. My life has changed for the better and I will continue whatever staff recommends so I can enjoy my family and feel great.

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Clinician Update: NIH Finally Recommends Early Peanut Introduction

Author: Kara Fitzgerald, ND

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