According to Lucy Gibney, MD, the new NIAID report covers these do's and don'ts for doctors:

1. Don’t rely solely on blood testing for diagnosis. It is best to also include a physician-supervised food challenge. (guideline 7, guideline 11)

2. If you are including blood testing in diagnosis or management, do use certain types of blood tests (allergen-specific serum IgE) and not others. (guideline 7, guideline 6)

3. Do rely on the avoidance of allergens to prevent reactions. (guideline 19) Don’t pre-medicate with antihistamines to "avoid" reaction, and don’t use immunotherapy for treatment until it is fully researched and ready for regular use in the medical setting. (guideline 26, guideline 28)

4. Do begin introduction of solid food for infants between 4 and 6 months of age. (guideline 40)

5. Do use epinephrine to treat severe reactions. Do treat early and seek immediate medical care. Your health provider can provide information on signs and symptoms of severe reaction. (guideline 42)

6. Do avoid eating foods with precautionary labeling, such as “this product may contain trace amounts of allergen.” (guideline 24)