Saturday July 4, 2020



November 09

Allergy Free Recipes - Pumpkin Cookies

Cooking can be a challenge when faced with food allergies. But creating allergy-friendly meals is as easy as 1-2-3 with these recipes. Each is marked with a key designating which major allergens have been omitted. You can also try substituting allergy-safe ingredients into your own favorite recipes. As always, read all food labels carefully before cooking.

Pumpkin Cookies

M, E, P, S, N

3 cups flour
1 T pumpkin pie spice
1 T ground ginger
1/2 tsp. salt
2 cups sugar
1 cup milk-free, soy-free margarine, softened
1 cup canned pumpkin
1-1/2 T oil
1-1/2 T water
1 tsp. baking powder

M, E, W, P, S, N

5 cups confectioners sugar
1/2 cup milk-free, soy-free margarine, softened
2 tsp. vanilla extract
1/4 cup water
orange food coloring
green food coloring

Grease cookie sheet. In small bowl, mix oil, water and baking powder. Set aside. In medium bowl, combine flour, pumpkin pie spice, ginger and salt. Set aside. In large bowl, cream sugar and margarine until light and fluffy. Add pumpkin and oil mixture. Mix well. Combine with dry ingredients and mix well. Cover. Chill in refrigerator until dough is firm.

Preheat oven to 350° F. Drop dough by rounded teaspoonfuls onto a cookie sheet. Flatten slightly. Create a "stem" with dough and press into top of cookie. Bake 16 minutes, or until lightly browned. Cool on wire racks.

To make frosting, beat all ingredients on medium speed until smooth and spreadable. If necessary, add extra water, 1 teaspoon at a time. Divide frosting into two bowls. Add orange food coloring to one bowl; green food coloring to other.

Frost cooled cookies.

M=Milk-free; E=Egg-free; W=Wheat-free; P=Peanut-free; S=Soy-free; N=Nut-free

November 08

Allergy-Free Holiday Recipes - Pumpkin Pie Recipe

For individuals with food allergies, avoidance is the best way to prevent a potentially serious allergic reaction. Common allergy triggers such as eggs, wheat, peanuts, tree nuts and milk are also common ingredients in holiday recipes. But with a little preparation and creativity, nearly any recipe can be made allergy-free and safe to eat for anyone.

Try one of the allergy-free recipes. Each recipe is marked with a key designating which major allergens have been omitted. You can also try substituting allergy-safe ingredients into your own favorite recipes.

Pumpkin Pie

M, E, P, S, N, optional W

2 cups canned pumpkin
3/4 cup brown sugar, firmly packed
1-1/2 cups water
6-1/2 T cornstarch
1 tsp. cinnamon
1/2 tsp. salt
1/4 tsp. ground cloves
1/2 tsp. ginger
pie crust*
1/4 cup brown sugar (optional)
1/4 cup coconut (optional)

Preheat oven to 375° F. In medium saucepan, combine all ingredients but brown sugar and coconut. Cook over medium heat until mixture begins to thicken, stirring constantly. Pour into pie crust. Bake for 30 minutes or until firm. If desired, sprinkle coconut and brown sugar on top. Bake 5 more minutes.

*To make this recipe wheat-free, use your favorite wheat-free pie crust recipe.

M=Milk-free; E=Egg-free; W=Wheat-free; P=Peanut-free; S=Soy-free; N=Nut-free

November 07

Probiotic Study 2008

Probiotics for Gastroenteritis and Allergies -- A Double Benefit ...

2008 article,” Meta-analysis of clical trails of probiotics for prevention and treatment of pediatric atopic dermatitis,” was among the top 10% most-cited Journal of Allergy and Clinical Immunology articles in 2008. It was cited 27 times, out of a total of 55 citations that is has received since it was published.


Meta-analysis of clinical trails of probiotics for prevention and treatment of pediatric atopic dermatitis.


J Allergy Clin Immunol. 2008; 121(1):116-121.e11( ISSN: 1097-6825)


Lee J; Seto D; Bielory L

UniversityofMedicineand Dentistry ofNew JerseyMedicalSchool,NewarkNJ07103-2499,USA


BACKGROUD: Prenatal and postnatal probiotic supplementation for prevention and treatment of pediatric  atopic dermatitis (PAD) has been in clinical trails, but results have been mixed and hindered by heterogeneity of study design.

OBJECTIVES: To summarize and interrupt quantitatively clinical trial findings on the efficacy of protopics for PAD and to define key trail features correlating with high methologic quality.

METHODS: PubMed and Cochrane database searches yieked 21 trails (n=1989; age 0-13y) published between February 1997 and May 2007 for review and quality assessment. Ten doubled-blind randomized controlled clinical trials were meta-analyzed by using RevMan. Data from the 6 prevention studies (n= 158) and 4 treatment trails (n=299) were pooled by using fixed-effects models of relative risk ratios and of weighed mean difference, respectively.

RESULTS: Prevention corresponded with summary effect sizes of 0.69(0.57,0.83) and

0.66(0.49,089), respectively , supporting probiotics’ PAD prevention potential,

which decreased further to 0.61 after exclusion of the 1 trial of postnatal-only

probiotics The clinical significance of the treatment trial findings of intergroup

Scoring Atopic Dermatitis (quantification of PAD severity) score reduction by

6.64 points(-9.78,-3.49) and -8.56(-18.39,1.28), and intragroup change of -1..06(

3.89,1.73) and -1.37(-4.81-2.07), is questionable .

CONCLUSION: Current evidence is more convincing for probiotics’ efficacy in

prevention than treatment of PAD.


November 06

Cold Urticaria 2010

Cold Urticaria

Newly published Article June 2010

Efficacy and tolerability of second- and third-generation antihistamines in the treatment of acquired cold urticaria: a meta-analysis.

Related Articles

Efficacy and tolerability of second- and third-generation antihistamines in the treatment of acquired cold urticaria: a meta-analysis.

Ann Allergy Asthma Immunol. 2010 Jun;104(6):518-22

Authors: Weinstein ME, Wolff AH, Bielory L

BACKGROUND: Acquired cold urticaria (ACU) is a form of physical urticaria that has been treated with first-generation antihistamines; there is a paucity of data regarding second- and third-generation antihistamines for the treatment of ACU. OBJECTIVE: To perform a systematic review of the literature to determine the efficacy of second- and third-generation antihistamines in the treatment of ACU. METHODS: Data were extracted via a MEDLINE search of the literature between 1950 and May 2009. We included double-blind, randomized, placebo-controlled studies comparing the treatment of patients with ACU with second- and third-generation antihistamine medications vs placebo. RESULTS: Overall, 98 patients were identified from 4 included studies. Two trials indicated that second- and third-generation antihistamines significantly eliminated the presence of wheals after treatment vs placebo (odds ratio [OR], 8.88; 95% confidence interval [CI], 4.35 to 18.13). Two trials demonstrated a reduction in wheal area after treatment with a second- or third-generation antihistamine compared with placebo (mean difference, -347.99 mm2; 95% CI, -489.43 to -206.54 mm2). Two trials demonstrated significant elimination of pruritus with second- or third-generation antihistamine treatment vs placebo (OR, 10.44; 95% CI, 4.39 to 24.84). All 4 studies assessed the tolerability of a second- or third-generation antihistamine vs placebo and found an increased rate of adverse events (OR, 3.04; 95% CI, 1.53 to 6.06), although the complaints were mild. CONCLUSIONS: The newer, less-sedating antihistamines seem to be effective in the treatment of ACU in terms of their ability to significantly reduce the presence of wheals and pruritus after cold exposure. These medications are usually well tolerated, with only mild adverse effects.

PMID: 20568385 [PubMed - in process]

November 04

Salt Room Therapy

November 16, 2010

Bottom line's Daily Health News


At the very same time that we’re being inundated with advice on restricting salt intake, we’re also hearing about a new type of therapy based on the claim that spending time in a salt room, breathing in moist, salty air, can help ease chronic respiratory problems such as asthma while also clearing up skin issues such as acne or psoriasis. Based on a centuries-old Eastern European curative therapy, spalike salt rooms are beginning to appear around the country. Are the benefits for real?


The quasi-medical term for this treatment is "halotherapy." It involves sitting in a smallish room lined with blocks of salt mined from ancient salt caves. A generator (like a steam vaporizer) emits vapor containing about one-half cup of salt during a 45-minute session. People remain clothed for the treatment but often bring a clothing change for afterward since the salt tends to leave a residue.

It sounds like "a day at the beach" -- but does halotherapy help your health in any meaningful way? To find out, I called asthma and allergy specialist Leonard Bielory, MD, chair of the American College of Allergy, Asthma & Immunology (ACAAI) Integrative Medicine Committee and director, STARx Allergy and Asthma Center in Springfield, New Jersey.


Dr. Bielory calls salt rooms a "nice concept" but voices some concerns. He agrees that the salt particles may help skin conditions such as acne or eczema but he worries that salt therapy may prove detrimental to some people with asthma. He pointed out that asthma is the result of constriction in the respiratory tract, which can be caused by excess mucus or by spasms. Breathing salt-infused air might help break up mucus and therefore help some folks to breathe better, but others may find that the salt is an irritant that triggers spasms.

 Dr. Bielory’s objections don’t stop there. There’s no way to guarantee the purity of the air in the rooms, he said -- pointing out that, theoretically at least, salt attracts certain bacteria and that each person coming for treatment brings a fresh supply of additional bacteria that might evolve in the environment. Other worries relate to the length of time and at what temperature it is safe to stay in the rooms, and whether salt rooms may be dangerous for people with other health conditions, such as cardiac problems.

 Offering a different perspective, Daily Health News contributing medical editor Andrew L. Rubman, ND, was less dismissive. While agreeing with some of Dr. Bielory’s concerns, he pointed out that this therapy has hundreds of years of successful use in Europe behind it, and he knows naturopathic physicians who treat patients with inhaled salt therapy for such things as chronic bronchitis, asthma and chronic fatigue syndrome. "There is potential benefit for some patients under the supervision of a skilled doctor with experience," he said. Dr. Rubman agrees with Dr. Bielory that medical oversight is imperative because there is potential for harm.

 Is it worth a try? Maybe, but don’t be casual about it. If you are interested in exploring the use of halotherapy for a particular medical concern, make sure you find a doctor "worth his salt" ... in other words, one who knows the way around this particular block.


Leonard Bielory, MD, chair of the American College of Allergy, Asthma & Immunology (ACAAI) Integrative Medicine Committee, professor and director, STARx Allergy & Asthma Center, Springfield, New Jersey, research associate, Rutgers University, Center of Environmental Prediction, New Brunswick, New Jersey.

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Location: Springfield, NJ
Today's Date: July 04, 2020
Station Director: Leonard Bielory, M.D
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