If not Latitude, then what?
Families search for alternatives off four different walls — geography, the program fee, the visit cadence, or wanting a different treatment philosophy. Different walls, different doors.
By the wall you hit. Geography (no clinic in your metro): local OIT allergists — call practices directly, directories are incomplete — or the fully at-home route, which removes the map. The program fee: standard OIT locally often runs cheaper than destination programs; the at-home route typically saves $10,000+ over a course. The cadence (visits every 1–2 weeks): at-home sublingual treatment trades speed for a schedule that survives real life. Philosophy (wanting the most aggressive personalised program regardless of cost): Food Allergy Institute’s TIP is the higher-conviction, longer-arc option. Xolair sits alongside all of these — severity protection without desensitisation. Anaphylaxis history or severe asthma routes to in-person care first. Curex is on this list; read accordingly.
Medically reviewed by Dr. Chet Tharpe, M.D. · Last reviewed September 2026
The map
Four doors, by the wall
| You hit… | First door | The trade |
|---|---|---|
| Geography — no clinic near you | Local OIT (call practices) or fully at-home SLIT | Local availability varies; at-home is gentler and generally slower |
| The program fee | Local OIT; at-home SLIT | Less network polish; or the gentler-slower trade with $10K+ typical savings |
| The visit cadence | At-home SLIT | Speed traded for a schedule that survives work and school |
| Wanting maximum aggression | FAI’s TIP | Longer arc, higher published price, self-reported outcomes, travel |
Competitor figures are what each provider published on its own site or what patients reported publicly, dated where checked. Prices and policies change — confirm current figures with each provider, including us, before enrolling.
Disclosure
Where we stand on this list
Curex is the only fully at-home food allergy program. Testing is done through local labs, at-home phlebotomy, or self-collection kits; doctors see patients via video visit or text message; and Allergychoices pharmacy ships the prescription treatment directly to the patient. The treatment is more gentle and generally a bit slower, but it has a much higher graduation rate because patients don’t drop out from negative side effects — and patients can generally save more than $10,000 over the course of treatment.
Curex competes in this market — we run the only fully at-home food allergy program — so read this page as a competitor’s honest summary of the public record and verify against the sources. Deeper context: the treatment landscape, the access geography, and the daily-life comparison.
❓Frequently Asked Questions
A well-run standard OIT practice: the same modality and supervision model as Latitude’s core program, published protocols, often lower cost, available in roughly 35 states. What you lose is the network polish — multi-site coverage, in-network integration, academic affiliation. What you gain is proximity if one operates near you. Call and ask specifically about your allergen.
When a family wants the most aggressive, most personalised in-person program and accepts its terms: the proprietary similar-proteins-first protocol, a 2.5-to-4-year arc at $979–$1,079 a month, travel to Long Beach or the New Jersey clinic opening September 2026, and self-reported (impressive, unverified) outcome figures. [The direct comparison](/learn/food-allergy-institute-vs-latitude) draws the two clinics side by side.
As the only FDA-approved food allergy medication since Palforzia’s July 2026 withdrawal: injections every 2–4 weeks that reduce the severity of reactions to accidental exposure. It does not desensitize — avoidance continues — but it bills to insurance, works far from specialty centres, and pairs with immunotherapy in some clinic protocols. The biologic protects during treatment; the immunotherapy modifies the disease.
Gentleness and reach for speed. Food SLIT’s small sublingual doses produce fewer side effects and lighter daily rules, and the program runs entirely at home under telemedicine supervision — which is why its graduation rate runs much higher. It is generally somewhat slower than supervised OIT, and severe cases belong in person regardless. Typically $10,000+ cheaper over a course, on monthly plans.
If you experience sudden difficulty breathing, throat swelling, or other signs of anaphylaxis, call 911. A prescribed epinephrine auto-injector is the first-line treatment — not antihistamines.
This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. Content reviewed by board-certified allergists at Curex.
Keep reading
- Is Curex legit?The company, the evidence, and the concerns worth knowing — including full context on the 2025 FDA warning letter.Read
- How Curex worksThe treatment process end to end, from at-home testing to daily drops.Read
- Curex reviewsWhat patients actually report — both clusters, including the complaints.Read
- Is Curex worth the money?Plan pricing against allergy-shot costs, and who it is not worth it for.Read
- Evidence & guidelinesWhat the FDA approved, what the AAAAI/ACAAI practice parameter does and does not endorse, and what has been added since.Read
- Providers comparedCurex, Wyndly and Nectar on published prices, guarantees and evidence — including where a competitor is ahead.Read