Can allergy shots (immunotherapy) be customized to include crested wheatgrass?

Allergy shots, also known as immunotherapy, are typically designed to treat allergens that are common causes of allergic asthma, rhinitis, and eye allergies. These may include substances such as pollen, mold, dust mites, and pet dander.

In the case of an unusual allergen such as crested wheatgrass, it may be possible to include it in a specialized immunotherapy program. This depends on the ability of your allergist to first confirm the specific allergic reaction to crested wheatgrass through skin testing or blood testing. If a definite allergy is confirmed, the allergist would need to obtain an extract of crested wheatgrass that is suitable for immunotherapy.

It is worth noting that allergy shots require a long-term commitment as they work by gradually desensitizing your immune system to the allergen. The treatment typically begins with 'build-up' phase involving injections 1-2 times per week for several months, followed by a 'maintenance' phase with injections every 2-4 weeks for 3-5 years.

There can be side effects associated with allergy shots, including local reactions such as redness and swelling at the injection site, and systemic reactions such as worsening allergy symptoms, hives, or in rare cases, severe reactions like anaphylaxis. Navigate these potential issues with your allergist who will monitor your progress and adjust the treatment plan as necessary.

Other potential treatment approaches include avoidance of the allergen (if feasible), medications to manage symptoms, or sublingual immunotherapy (allergy drops or tablets), which may be an option if suitable extracts are available.

Keep in mind, just as the allergic reactions vary widely among individuals, so too does the effectiveness of allergy shots. Therefore, it is important to discuss with your healthcare provider about whether this therapy is the right choice for you.