Well-proven pillars in the therapy of food allergies

To date there is no causal treatment option for food allergies. Currently, specific immunotherapy as a possible therapeutic approach should only be conducted within clinical trials. Thus, the first and most important "treatment" option for patients with food allergies remains the strict avoidance of the food responsible for the allergy. Therefore, detailed and individual recommendations of a dietician experienced in food allergy are of prime importance. Nonetheless, despite taking great care accidental ingestion of the offending allergen is common. Therefore, patients with a risk of anaphylactic reactions should receive medication for self-treatment including self-injectable epinephrine which represents the second essential part of medical recommendations. In addition to practical instructions on self-treatment, this group of patients and their caregivers should be given the possibility to participate in an educational program for anaphylaxis. An anaphylaxis pass should be issued.