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Issues surrounding consumer-bought food-allergy testing.

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Direct-to-consumer (DTC) allergy tests are often misleading, using unaccredited labs and unvalidated methods. Rely on clinical history and specific IgE testing for accurate food allergy diagnosis.

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Area of Science:

  • Immunology
  • Dermatology
  • Consumer Health

Background:

  • Increasing prevalence of reported allergies.
  • Rise of direct-to-consumer (DTC) allergy tests available online.
  • Concerns regarding the diagnostic accuracy of non-clinician-led allergy testing.

Purpose of the Study:

  • Evaluate the accreditation and methodologies of DTC allergy tests.
  • Assess the clinical validity of DTC allergy testing processes.
  • Provide an overview of available online DTC allergy tests.

Main Methods:

  • Conducted internet searches for "allergy test kit" and "intolerance test".
  • Contacted companies to inquire about ISO15189 accreditation, testing methods, and clinical input.
  • Identified 24 DTC food allergy testing companies, with 22 contactable.

Main Results:

  • Only one laboratory possessed ISO15189 accreditation.
  • This accredited lab was the sole user of specific IgE testing with clinician involvement.
  • Other labs utilized controversial methods like bioresonance or IgG testing, with limited nutritionist input.

Conclusions:

  • Most online DTC food allergy tests are misleading due to unaccredited labs and unvalidated methods.
  • Dermatologists should disregard DTC test results and focus on clinical history.
  • Specific IgE testing, when clinically indicated, is the recommended approach for diagnosing food allergies.