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A TREAT for Allergy Sufferers
Attention allergy sufferers! There¡¯s a new treat-
ment that holds promise to stop the sniffling
and sneezing. The ¡®Transdermal Relief: Evaluat-
ing Allergy Topicals¡¯ study, or TREAT, is a 3 year
trial that evaluates using a topical cream as a
method of immunotherapy for seasonal aller-
gies. Here¡¯s the punchline... If you qualify, you
can get 3 years of allergy treatment at no direct
cost.
Immunotherapy (IT) is recognized as the most
curative treatment for allergies. By exposing the
immune system to slowly increasing concentra-
tions of an allergen it will eventually stabilize
and regain control of the portion that is hy-
persensitive to the allergen. The exact mecha-
nisms of how IT works are not fully understood,
but they involve shifting a patient¡¯s immune
response from a predominantly ¡®allergic¡¯ T-
lymphocyte (TH2) response to a ¡®non-allergic¡¯
T-lymphocyte (TH1) response.
IT started in the early 1900s and was based
on the idea of the vaccine against infectious
agents. Along those lines, the first IT efforts,
started as injections into the skin, were found to
be very effective and thus remain the standard
method of delivery. Even in those early years
there was also interest in other routes of admin-
istration, such as oral, bronchial and nasal, but
these methods were never adopted due to cost,
mixed success and side effects.
Subcutaneous immunotherapy (SCIT) is the
common technique here in the US, which
requires having to go the doctor¡¯s office for
weekly injections - a procedure that is expen-
sive, time consuming and also dangerous.
In 1986 The British Committee for the Safety
of Medications reported several deaths caused
by SCIT, and raised serious concerns about the
safety and the risk/benefit ratio of SCIT. About
the same time cheaper and more effective
drugs, such as anti-histamines and inhaled ste-
roids, were becoming widely available. Amidst
this backdrop, the interest in non-injected im-
munotherapy increased.
Sublingual immuno-
therapy (SLIT) involves
taking ¡®allergy drops¡¯
under the tongue
where the allergens are
absorbed in the oral
mucosa. This has been
a welcome alternative
to allergy shots. Our
clinical experience with
SLIT has been excellent
with patients using find-
ing allergy relief during
the first few months.
Enter yet another op-
tion for immunotherapy,
a topical cream deliv-
ery method. This is the
same concept as allergy
shots or drops, just a
different way to expose
the body to the aller-
gens. It is possible
2015 March
Pg 6 - The Sunshine Express
Health & Nurturing
Vitality
by Sandy Lauzon
Bounia was a Foodie!
I wonder how many people have the privilege
of experiencing someone like Bounia. I wonder
if others allow the past to remind them how
wonderful it is to have a past. I wonder if others
take the time to ferret the possible lessons from
the past and how they may have influenced the
present.
My parents had very different experiences
growing into adulthood. Mom was raised by
her grandparents who emigrated from Canada
and settled in a small Rhode Island town.
French Canadian cuisine is very different from
Ukrainian cuisine. Granmere¡¯s (grandmother)
kitchen was filled with apples and home grown
vegetables kept in the root cellar, preserves of
green tomatoes and relishes, and meat was
chicken. She had a pantry drawer filled with
spices, the aroma of which I can still bring to
memory. Meals were simple, wholesome and
filling. Pepere (grandfather) always had some
hard candy under wraps that he would dole out
one piece at a time. Weekday breakfast was
always the same - home made bread toasted
on the flat grate of the stove that served as the
cooking and heating source. It was slathered
with hand churned butter to keep it from stick-
ing on the burner, and then buttered again and
spread with homemade jelly. Tea was served for
the adults, and milk for children. Sunday, after
church, doughnuts from Belisle¡¯s Bakery was a
special treat.
Dad was raised by parents emigrated from
Ukraine. His mom (Bounia) cooked for a Jew-
ish family as a young girl in the Ukraine as well
as cooking with her mother for the family at
home. Bounia had a double sense of cuisine.
Sugar was not part of Bounia¡¯s pantry. She had
a barrel of ¡°capusta¡± (cabbage) in the cellar,
as well as home grown vegetables, smoked
ham and kielbasa from her smoke house. Soft
boiled eggs and home made bread were served
for breakfast, along with coffee for one and all.
Sunday, after church, doughnuts from Belisle¡¯s
Bakery was a special treat. Belisle¡¯s Bakery met
the Sunday needs of Irish, Italian, French, Pol-
ish - oh you understand.
These different backgrounds along with food
choices have stuck with me all these many
years. I doesn¡¯t matter to me how the food is
prepared and seasoned, it is the home grown
vegetables, simple proteins, wholesome ingre-
dients that I raised my children on and con-
tinue to enjoy myself. Both households served
spinach. Enjoy this spinach recipe from Bounia¡¯s
kitchen:
Spinach Sichenyky
2 cups cooked spinach
1 Tbsp. grated onion
2 Tbsp. butter for onion
1 egg, slightly beaten
1 Tbsp. thick cream
1 cup soft bread crumbs
Salt and pepper to taste
more Bread crumbs to dip
1 other egg, slightly beaten
2 Tbsp. water
Butter for pan frying
the topical therapy may work even better than
the shots or drops and this is what the TREAT
study is hoping to find out.
The protocol for application to TREAT is simple.
After a short medical history, an application is
submitted to determine if you qualify for the
study. If you are enrolled we perform skin testing
in the office to determine what you are allergic
to. Then you start applying the topical cream
daily and report monthly on your progress. It¡¯s as
simple as that.
Just like other types of immunotherapy, the topi-
cal cream contains very dilute concentrations of
the allergens that are involved. Over time the
concentration is increased until an effective dose
is found. The aim of the study is to evaluate
whether this topical delivery method will prove
effective in turning off the allergic response.
After years of success with the under the tongue
allergy drops, we are excited to be part of the
TREAT study. The idea of giving immunotherapy
as a simple topical cream holds great promise as
yet another safe, simple and inexpensive alterna-
tive to allergy shots. If you are interested in ap-
plying for the TREAT study simply call our office
Medicine
In Harmony
by Scott Rollins, M.D.
at 970.245.6911 and
schedule a no-cost
appointment to get
started.
(Scott Rollins, MD, is
Board Certified with
the American Board
of Family Practice and
the American Board
of Anti-Aging and
Regenerative Medi-
cine. He specializes in
Bioidentical Hormone
Replacement for men
and women, thyroid
and adrenal disorders,
fibromyalgia, weight
loss and other com-
plex medical condi-
tions. He is founder
and medical director
of the Integrative
Medicine Center of
Western Colorado
(www.imcwc.com)
and Bellezza Laser
Aesthetics (www.
bellezzalaser.com).
Call 970.245.6911 for
an appointment or
more information.)
¡°He who
sings
frightens
away his
ills.¡°
- Miguel de
Cervantes,
Don Quixote