Take me to SCFAI

Visit

During Food Challenge visits your child will come into the clinic for a monitored consumption of an allergen they have been sensitized to with previous dosing.

After each successful challenge, these foods will move from dosing into your child’s maintenance plan. We will also introduce new conditioning foods to your child during these visits, adding new allergens into your at-home dosing plan.

Each treatment plan requires a different number of visits to complete all Food Challenges. There will be a period of approximately 6-10 weeks between each visit for your child to complete their at-home dosing plan before the next challenge.

Challenge Visits

Visit Overview

LOCATION

Our Challenge Clinic is located at:

2704 E. Willow Street
Signal Hill, California
90755

You will visit this clinic for all of your Food Challenge visits, Tolerance visits, and your first Remission visit.

WHO WILL MY CHALLENGE BE WITH?
Our challenges are run by our Specialty Trained Nurse Practitioners and Physician Assistants in Food Allergy. Due to the our specialty niches within allergy, our providers complete a specialized curriculum, training, and certification here at SCFAI.
 
HOW LONG ARE MY VISITS?
Challenge visits are 60 minutes long. We can challenge a total of 3 foods safely. If your child is a slow eater or requires more time, please consider booking additional challenge days to complete these foods.
 
WHAT WILL MY CHALLENGE VISIT LOOK LIKE?
At the beginning of your visit your provider will review your progress, illnesses, and issues. Your provider will perform a physical exam to make sure you are ready for your visit. You will challenge foods you have been dosing at-home in higher amounts and introduce new foods while our providers monitor how your system responds. After your challenges and introduction are complete, your provider will review your plan for the next dosing cycle.
 
WHY DOES THERE NEED TO BE REPEAT LAB TESTING?
These tests will be compared to the same tests that were obtained before starting treatment so we can evaluate changes in your child’s immune system to see how it has responded to conditioning treatment in preparation for tolerance induction. The results will be analyzed to confirm the appropriate response of the immune system has occurred. TIP is based on mathematical data analytics, not guesswork. Tracking these changes over time ensures the safety of our patients. Adjustments to the treatment of anaphylactic food will be made based on these lab results.
 
HOW OFTEN WILL MY CHILD NEED REPEAT BLOOD TESTING?
Generally, patients have repeat labs and a full analysis completed every 1-2 years. Like other medical conditions, therapeutic monitoring is key to safety and successful treatment.
 
I HAVE QUESTIONS ABOUT LAB COSTS AND BILLING?
If you have questions about labs costs, please email billing@foundationlabs.org. If you have questions about TIP billing, please email billing@tpirc.org.

Product Sourcing

General Sourcing

Food manufacturing companies do sometimes change their labeling. It is always good practice to check the labels of the products you are using. As you move from challenge to challenge, your provider will give you instructions on which products/brands to source that the Food Scientists are using in our Food Lab. Some foods are more difficult to source, such as the milks or certain eggs that are seasonal. Your provider will give you your next set of products so you can better prepare future dosing needs. We recommend ordering some of these foods as soon as you can in case of shipping delays, since that can also mean a delay in your child’s treatment.

Gummy Dosing

Gummy Dosing

While you child is building on small milligram amounts of doses, they will be provided in gummy form until your child is ready to start larger doses.

WHAT IS TIP GELATINIZATION?
Gelatinization is the process of converting milligram dosing into gummy form. This process was developed specifically for our patients by our TIP specialized Food Laboratory Scientists.

 

WHY GELATINIZATION?
Safety is our top priority! Through the use of mathematics and predictive analytics, we use each child’s data to devise a treatment process that is specifically tailored to his or her immune system — down to the milligram of food protein for each dose throughout the program. As we expand, it is vital to the program that we continue to produce these doses with near-zero error and that we continue to automate the process in order to meet the growing demand as we increase access to more families. The gelatin process allows for accomplishing each of these objectives.

 

WHAT IS IN THE GUMMIES?
Aside from the specific nut proteins, which are sourced from organic companies and prepared to avoid cross-contamination, the gummies contain beef gelatin, sugar, food coloring, and safe preservatives (ingredients are consistent with those found in Jello brand gelatin found at grocery stores). These ingredients are used to differentiate each nut, give the doses, and extend the gummies’ shelf lives.

 

WHO WILL GET GUMMY DOSING?
Gummies are for all ages.
 
HOW LONG WILL I NEED GUMMY DOSING?
When dosing small milligram amounts, your child will be treated with gummies. Once your child successfully gets to large protein amounts, you will no longer dose with gummies and instead be measuring these proteins in teaspoon amounts.

 

GELATIN KEY PDF BUTTON
Our food scientists are hard at work developing new proteins and flavors to be utilized during TIP. The following are some of our current proteins:

  • Almond
  • Barley
  • Brazil nut
  • Cashew
  • Chestnut
  • Chia
  • Chickpea
  • Flaxseed
  • Hazelnut
  • Lentil
  • Macadamia
  • Mustard
  • Pea Protein
  • Pecan
  • Pine Nut
  • Pistachio
  • Pumpkin
  • Sesame
  • Sunflower
  • Rye
  • Walnut
  • Peanut

Take a look at all out proteins and their flavors by clicking on our Gelatin Key Information PDF below!
GELATIN/GUMMY INSTRUCTIONS:

Refrigeration is required for proper preservation of doses. Please keep gummies refrigerated until you are ready to dose that day. You may still give the gummies for dosing if they melt, as melting does not compromise the protein content in any way.

 

WHAT IS A GUMMY’S SHELF LIFE?

Regardless of food protein, each of our gummies has a post-production shelf life of 6 months when refrigerated. Refrigeration temperature must be kept between 30° F and 40° F. For take-home dosing, every gelatin dose has a printed expiration date that reflects this shelf life.

 

WHAT DO I DO IF MY DOSING LOOKS WRONG?
If something does not look right, please take photos and email one of our providers at TIPhelp@tpirc.org for guidance.

 

WHAT IF MY CHILD DOESN’T LIKE THE GUMMIES?
  • Melt them in the microwave (3 seconds) and mix them into applesauce or a smoothie
  • Melt or chop and mix them into a baked good (muffin) with similar flavor profiles
  • Melt and mix them into fruit juice and freeze into mini popsicles
  • Melt and mix them into 1-2 oz. of fruit juice to make it into a drink
  • Melt them down with chocolate and marshmallow and spread it on graham cracker for s’mores
  • Make pancakes and top them with melted gummy bear fruit compote
  • Melt and add them to syrup on French toast
  • Melt them into caramel dip for sliced apples
  • Mix them into jelly and fill doughnuts or muffin will gummy bear/jelly filling
  • Melt and mix them with your child’s favorite jam/jelly and spread it on toast
  • Melt them into a homemade cheese sauce and make mac & cheese or nachos
  • Melt them into marinara and make mini English muffin pizzas
  • Melt them into ketchup and dip chicken nuggets in the sauce