Allergy-Associates – 6294 1st Ave N., St Petersburg, FL 33710 (727)345-1900

Beware the Nocturnal Predator

December 4, 2018 Stephen J. Klemawesch, MD

For many years now, asthma has been referred to as “The Nocturnal Predator” because of its tendency to exacerbate at night. The traditional explanation given was due to our normal circadian variation in adrenal gland output. Our adrenal glands produce two hormones that are an innate treatment for asthma: adrenalin and cortisone. In fact, many of the pharmaceutical therapies for asthma mimic the body in that they contain forms of adrenalin and cortisone. Our adrenal glands “wake up” about an…

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Food Allergy/Undeclared Ingredients

December 4, 2018 Stephen J. Klemawesch, MD

Researchers at Utrecht University in the Netherlands recently published a study on food allergy reactions due to undeclared ingredients. They studied 73 patients with food allergy who had a reaction even though they thought they were avoiding their known food allergies. In 22 patients the scientists could find no explanation for the allergic attack. But in 51 cases analysis of the offending food revealed one to four culprit allergens not listed under “ingredients”. The most common “undeclared food” was milk…

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Hearing Protein Discovered

December 4, 2018 Stephen J. Klemawesch, MD

The key sensory proteins for pain, touch, taste, smell and sight have all been identified. In fact, their discoveries have been so important to health wellness that they have led to a number of Nobel Prize awards. However, for forty years the protein for hearing has eluded scientific research. But not any longer, neuroscientists have discovered it. It is named TMC-1 (trans-membrane channel-like protein) and it works via a calcium channel in the inner ear. It stimulates the inner ear…

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Novel Nasal Polyp Treatment

December 4, 2018 Stephen J. Klemawesch, MD

The FDA has recently approved “Sinuva”, a sinus implant to treat nasal polyps. Up to 25% of patients with allergic rhino-sinusitis develop nasal polyps. The polyps can cause nasal discharge, chronic congestion, snoring, tendency to sinus infection and loss of sense of smell. Often the polyps can be treated with nasal steroid sprays and with leukotriene modifier pills such as Singular or Accolate. But, for some patient’s surgery is the only option. Unfortunately, in many surgical patients the polyps often…

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Prefilled Adrenalin Syringe

December 4, 2018 Stephen J. Klemawesch, MD

Adamis Pharmaceuticals has developed a prefilled epinephrine syringe as a cost-effective alternative to the automatic injectors. Currently, the only two available injections for epinephrine to treat severe allergic reactions are Epipen and Auvi=Q. Both work automatically to insert the needle and then deliver the medicine. However, both are expensive and cost constraints have led to some adults and children going without the protection. The new prefilled syringe requires the patient or a caregiver to remove the needle shield, insert the…

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Q – Tips: Lumify

December 4, 2018 Stephen J. Klemawesch, MD

Lumify is a new OTC eyedrop that helps “get the red out”. It is a selective alpha-adrenergic agonist that is available by prescription in higher concentrations. But the OTC form works well and unlike some other OTC eye drops, it does not cause rebound redness when you stop using it.

Q – Tips: Pet Surrogate

December 4, 2018 Stephen J. Klemawesch, MD

A pet surrogate is available for children/adults with pet allergy. Cats and dogs that look real and move in response to being held or petted are available at JoyForAll.com companion pets.

Gut microbiome and good immune function

September 28, 2018 Stephen J. Klemawesch, MD

Previous issues of this newsletter have contained articles about the importance of the gut microbiome and human health in general and more specifically in good immune function. In this regard the use (and overuse) of antibiotics has come under intense scrutiny. This includes therapeutic antibiotics and those used in our food production. The premise here is that the antibiotics kill off some of our healthy microbiome and can lead to an overgrowth of “undesirables”. A recent article published…

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Dear Dr. K.; My ophthalmologist recently diagnosed me with dry eye syndrome. Is that being caused by my allergy?

September 28, 2018 Stephen J. Klemawesch, MD

The answer is no, yes, or maybe so. I’m not trying to be obtuse, but the answer is different for different people. Let’s start with the dry eye syndrome. It is very common and affects millions of Americans. Also, it can vary in severity from a mild nuisance to a vision altering severe condition. The common denominator for all people with dry eye syndrome, is compromised ocular lubrication. But, the condition has many causes which can overlap and interact….

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Shocking News

September 28, 2018 Stephen J. Klemawesch, MD

The immune system was once considered an independent, self-regulated system. But research over the past ten years has found that like most of the rest of the human body, it too is under the control of our nervous system. Some of the early research in this regard was designed to understand why we seem more prone to get sick if we are under stress or depressed. As it turns out the brain does have significant control over certain aspects…

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