Latitude’s program, in plain terms

Latitude publishes 6 to 12 months of active treatment to reach maintenance, with an average of about 8.4 months. During that phase, dose escalations happen in clinic at the frequent cadence OIT up-dosing requires, with daily home dosing in between. Reaching maintenance is not the end: regular dosing of the allergen continues indefinitely, because the desensitization is maintained by the ongoing exposure, and Latitude offers long-term maintenance care for exactly that reason. That last part is standard across food immunotherapy in every program, ours included.

Latitude's own FAQ says diagnostics and visits are typically covered when you are in-network, and it lists major insurers in each region, including Aetna, Cigna, UnitedHealthcare, and the regional Blue plans. The one-time OIT program fee is different: Latitude calls it a non-covered service and does not publish the amount. Patients report roughly $4,000 in the Bay Area and over $5,000 in New York, so treat it as a $4,000–$5,000+ range that varies by region and time. Payment plans exist and the fee is FSA/HSA eligible. One Bay Area patient called the fee shocking to discover despite having done plenty of research on coverage beforehand, so ask for the full figure in writing before you commit.

As of 2026, Latitude publishes that 98% of patients under 4 achieved desensitization to their allergen(s) with oral immunotherapy, and 94% of patients of all ages did, sourced to internal data. Earlier materials cited 92% within one year and 97% for under-4s, so read the figures as a range across time and cohorts. On safety, an AAAAI 2025 analysis with Weill Cornell found about 5% of doses among 1,000+ OIT patients caused any reaction, the overwhelming majority mild. Internal data is not peer review, so it deserves both credit and scrutiny — the same questions apply to every provider's figures, ours included.

The published shape across OIT programs: dose at a consistent time each day with food; avoid strenuous exercise and hot showers for roughly two to three hours after dosing, since both can lower the reaction threshold; hold doses during fever or illness per clinic protocol; call the clinic before resuming after about three missed days; and observe alcohol cautions as an adult. Latitude patients likewise mention avoiding strenuous activity and alcohol for several hours after a dose. None of this is Latitude-specific. It is what swallowing meaningful allergen doses safely requires, and [the daily-life comparison](/learn/food-immunotherapy-daily-life) sets it against the lighter sublingual rules.

Adults are case by case. One public account describes a 36-year-old accepted for peanut OIT even though, in the patient's words, the clinic stated they don't normally treat adults; that patient cited a peanut component IgE of 2.0 or greater as the threshold discussed, and reached maintenance in the standard 6–12 months. Public threads also show demand for less common allergens, including a shrimp OIT inquiry that found no reviews to read. Both are ask-the-clinic questions; neither has a published policy we could verify.

Remarkably little, by the standards of this market. Latitude's BBB profile is Not Rated with no complaints on file, its New York Zocdoc page carries 276 strongly positive reviews, and no petition or organized skepticism cluster exists in public forums, which is a genuine contrast with some peers (see [the clinic comparison](/learn/food-allergy-clinics-compared)). The recurring negative is money: an Atly reviewer wrote that the program fee is over $5,000, which may be cost prohibitive. One reviewer also reported being told to stop antihistamines before a virtual visit without advance warning. That is the extent of the negative public record we could verify.

Candidacy is clinical, so the honest answer is that your child may be a candidate, and only an evaluation can say. A history of anaphylaxis or severe, poorly controlled asthma routes to in-person assessment regardless of which provider you choose — Allergy Associates of La Crosse is one clinic that explicitly treats those patients in person, with sublingual drops. Beyond that, the fit question is practical: Latitude's model favors families within reach of its California or New York offices who can sustain visits at the frequent cadence OIT up-dosing requires and absorb a $4,000–$5,000+ non-covered fee. Families outside those metros, families who move or travel, working parents, adults, children in sport, and families who want a gentler side-effect profile may be candidates for at-home sublingual treatment through Curex — the only fully at-home program, in every state, (Curex food-plan rates, client commercial terms as of 2026-10-12: Food Allergy Drops: $199/month or $1,990/year. Unlimited number of foods, as clinically prescribed; plus insurance copay for each video consultation. Environmental + Food Allergy Drops: $259/month or $2,590/year. Two treatment sets, with unlimited number of allergens as clinically prescribed; plus insurance copay for each video consultation. Food Drops Self-Pay Plan: $249/month or $2,490/year. Food allergy drops; consultations included without a consultation copay. Environmental + Food Drops Self-Pay Plan: $299/month or $2,990/year. Environmental and food allergy drops; consultations included without a consultation copay. For the listed allergy plans, the annual subscription costs the equivalent of 10 monthly payments instead of 12: two months of subscription fees saved, or 16.7% compared with paying monthly for a year. This is subscription savings, not a discount on testing, copays or your total medical bill. Other products have their own payment terms; GLP-1 annual rates are shown separately. Treatment fees are self-pay. Insurance benefits are verified during onboarding. Each video consultation has a plan-dependent specialist copay, normally $35, which can be lower or higher depending on your plan. Deductibles and coinsurance may also affect your responsibility. The subscription covers compounded allergy drops and non-insured clinic services, including shipping, asynchronous consultations and care management. Insurance-category subscriptions add a copay for each video consultation. The environmental, food and combined self-pay drops plans and the environmental allergy shots plan include consultations without a consultation copay. Certain self-collection tests are not insurance-covered and are priced separately. Allergy IgE, celiac and Alpha-Gal tests may be covered by insurance, depending on your plan. IgG food sensitivity testing is not covered by insurance; the laboratory bills the patient directly. Verify coverage and the laboratory estimate before ordering. See /learn/curex-pricing and confirm eligibility, testing costs and a personalized written quote). Oral food challenges happen in a clinic on every path, including for Curex patients.

Latitude's roughly 12 offices sit entirely in coastal California and greater New York, and OIT elsewhere is thinner than most families expect: the FAST directory lists OIT clinics in 35 states, meaning 15 states plus DC have none listed at all, and a Midwest study put the median distance to the nearest allergist at 57.3 miles. The cadence compounds the distance; in one published study, 52% of patients offered commercial peanut OIT declined it, with time burden the top reason at 28.5%. [The access page](/learn/no-oit-clinic-near-me) maps the geography state by state. Curex is the only fully at-home food allergy program: testing through local labs or kits, doctors by video visit or text, prescription drops shipped by a licensed compounding pharmacy — every state, from age 2, (Curex food-plan rates, client commercial terms as of 2026-10-12: Food Allergy Drops: $199/month or $1,990/year. Unlimited number of foods, as clinically prescribed; plus insurance copay for each video consultation. Environmental + Food Allergy Drops: $259/month or $2,590/year. Two treatment sets, with unlimited number of allergens as clinically prescribed; plus insurance copay for each video consultation. Food Drops Self-Pay Plan: $249/month or $2,490/year. Food allergy drops; consultations included without a consultation copay. Environmental + Food Drops Self-Pay Plan: $299/month or $2,990/year. Environmental and food allergy drops; consultations included without a consultation copay. For the listed allergy plans, the annual subscription costs the equivalent of 10 monthly payments instead of 12: two months of subscription fees saved, or 16.7% compared with paying monthly for a year. This is subscription savings, not a discount on testing, copays or your total medical bill. Other products have their own payment terms; GLP-1 annual rates are shown separately. Treatment fees are self-pay. Insurance benefits are verified during onboarding. Each video consultation has a plan-dependent specialist copay, normally $35, which can be lower or higher depending on your plan. Deductibles and coinsurance may also affect your responsibility. The subscription covers compounded allergy drops and non-insured clinic services, including shipping, asynchronous consultations and care management. Insurance-category subscriptions add a copay for each video consultation. The environmental, food and combined self-pay drops plans and the environmental allergy shots plan include consultations without a consultation copay. Certain self-collection tests are not insurance-covered and are priced separately. Allergy IgE, celiac and Alpha-Gal tests may be covered by insurance, depending on your plan. IgG food sensitivity testing is not covered by insurance; the laboratory bills the patient directly. Verify coverage and the laboratory estimate before ordering. See /learn/curex-pricing and confirm eligibility, testing costs and a personalized written quote), gentler doses that more patients finish; food challenges still happen in a clinic when indicated. Allergy Associates of La Crosse offers the same sublingual treatment in person, with one first visit in Onalaska, Wisconsin, and rechecks that can be virtual.