How Can You Get Control Over Uncontrolled Asthma?

                             

Gramercy Allergy and Asthma is a referral site for patients with uncontrolled asthma.  We see some of the toughest cases of allergic asthma in New York City.  Patients with uncontrolled asthma often visit the emergency room several times a month or year. They have little control over there symptoms of cough, chest tightness, shortness of breath and wheezing and feel trapped by asthma symptoms.  They are woken up in the middle of the night with coughing and a feeling that they can't catch their breath.  Asthma symptoms prevent many from doing the things they love like dancing, going for walks with their loved ones or just going outside.  

But what many who have uncontrolled asthma don't realize is that you don't have to live with uncontrolled asthma.  Here's a few things you can do to gain control over your asthma.

Get a Control of Your Asthma!
1) Knowing What You're Asthma Triggers is Vital To Gaining Control.  

Approximately 85% of asthma is associated with allergic triggers.  Animals, dust, change of season, thunderstorms, and pollens will often trigger an asthma attack.  Avoidance measures like using dust mite covers for your pillows, removing feathers from your bed, repairing leaks and knowing when you use your inhalers can often make the difference between being symptom free and an asthma attack.  Uncontrolled nasal and sinus allergies are often the spark that leads to uncontrolled asthma.  Speak with your allergist about a comprehensive plan for tackling your asthma and allergies.

2) Know Your Level of Total IgE.

Immunoglobulin E (IgE), one of 5 types of immunoglobulins (Ig) in our body.  Immunoglobulins are proteins important in fighting bacterial, virus and in causing allergy.  IgE is one of the proteins responsible for triggering an allergic attack and is a marker of total body allergic inflammation.  Have an elevated IgE?  See an allergist.  They can help you.  There are medications that help block IgE from triggering an asthma attack.  Your allergist can help identify which medications will be best for you to prevent an asthma attack. Having elevated IgE can be a marker of more difficult to control asthma

3) Verify you are using your medications correctly.  

Asthma medications are complicated, confusing and often look alike.  Verify with your doctor that you are using yours correctly- it's easy to make a mistake.  Something simply as correcting your delivery of medication may keep you out of the emergency room.

4) Get your Vitamin D Level Checked.

Low vitamin D levels are associated with more frequent attacks according to a study published in The Journal of Allergy.  Persons in this study with low vitamin D levels were 25% more likely to have an asthma attack according to researchers.  Have low vitamin D?  Vitamin D known as the sunshine vitamin is naturally made by our skin when exposed to sunshine.  If you're not able to get outside regularly then take a supplement.  Aim for at least 600 IU/day.

5) Look for Eosinophilia

Eosinophils are a type of blood cell associated with allergic inflammation.  They are often elevated in persons with severe allergic asthma.  Having elevated eosinophils can be a marker of more difficult to control disease.  Elevations in eosionphils are detected via a simple blood test.

6) Look for Other Problems

Not all asthma is created equally.  Persons not responding to typical medications may have something else going on that's causing them to have poorly controlled asthma.  Uncontrolled sinus disease (sinusitis), allergy to aspirin (aspirin exacerbated respiratory disease), loss of smell, recurrent nasal polyps,  frequent infections (ear, sinusitis and pneumonia), and long term use of oral steroids are signs that something might be missing from your asthma care.  

6) Still Have Difficult to Control Symptoms- See an Allergy, Asthma and Immunlogy Specialist

Allergist/Immunologists are specially trained to deal with difficult to control asthma.  Expect a detailed history of your environmental and job exposures, environmental testing,and medication teaching.  They will help identify the cause of your uncontrolled symptoms and help you avoid it whenever possible.  Allergists may prescribe medications like omalizumab (xolair) or mepoluzimab (nucala) that required monthly injection to fight the proteins that are causing your asthma. They are highly trained to deal with immune problems and will help you get to the root cause of your problem.  

Need specific advice regarding your asthma?  Visit us at gramercyallergy.com or click here for an online appointment.

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How to Go Hiking When You Have Allergies?

People mistake New Yorkers for not loving the great outdoors. They forget that the Catskills are just a quick train/drive away and for us it’s the perfect getaway weekend.  The Hudson Valley/Catskills offer hiking, camping and apple picking.  The warm weather makes leaf peaking this time of the year a true treat.  Golden yellows, brilliant orange and vibrant reds fill the valleys and mountainscape.  But if you have allergies, this type of interaction with nature can be a bit of a perilous adventure. What's the best way to deal with allergies and hiking?

Here are a five tips to handle your allergies before you head out for your next big hike.

Use and Bring your Asthma Medication

• Any experience hiker will tell you to always be prepared when you go hiking.  Elevations can bring about dramatic temperature changes and winds.  If you have asthma, the change in temperature and/or exercise required to climb the mountain might trigger an attack.
  
• Pack your inhaler with you in your bag.  Make sure you use it before you start your climb to prevent your lungs from getting tight.  When you’re on the mountain, you might have limited resources to emergency care so prevention of symptoms is key.

Know What You Are Allergic To Before You Head Out

• Get tested!  Find allergy relief by knowing what you are allergic to so you can prepare and avoid it.  About 5% of Americans are allergic to molds. Common molds that cause problems are Alternaria. Aspergillus, Cladosporium, and Penicillium. The dirt and decomposing leaves are full of molds, fungi, smuts, and rusts that might trigger you to have an allergy attack. As you hit the trail you’ll potentially disturb these molds causing them to release spores into the air that may cause you to have an allergy attack.
  
• If you are among those who are allergic to molds, speak with your allergist about developing a plan for treating acute symptoms. Toss in a few anti-histamines into your bag to stop acute symptoms.

                           

Allergic to Insects? Bring your Epinephrine

• We forget that there are stinging insects in the woods.  Bees over live underground, wasps and hornets build nests on fallen trees, and fire ants are on the ground. If you have or suspect you are allergic to any of these insects, make sure you pack your epi for your next hike.
  
• Love the outdoors, and allergic to stinging insects?  Did you know that there's treatment for stinging insect allergy that's almost 99% effective? Talk to your allergist about getting treatment for insect allergy it can potentially save your life. 

                                         

Don’t touch The Pines

• Many forget about delayed allergic reactions when they go hiking.  There are many substances in the woods that can cause a rash up to 10 days after your home.  This is called contact dermatitis.
  
• A sticky resin leaking from pine tree bark causes rashes in about 5% of the population.  This is called colophony allergy.  You can potentially exposure your
  
• About 5% of the population is sensitive to the sticky resin from pine trees known as colophony.  This can cause a severe rash on your skin that might require your allergist’s attention.

 

Be Cautious of 3 Leafed Plants.

• In New York we have 3 main types of plants that can causes severe contact dermatitis- poison ivy, poison oak and poison sumac.  All three have similar characteristics and classically will have 3 leaves clustered together.
  
• Did you know that poison ivy loves to grow in apple orchards?  The vines climb wrap around the trunk of the tree.  Bringing back fall foliage as a souvenir? Be careful there's not poison ivy or poison oak in your beautiful fall foliage mix.  You'll typically find poison sumac, the least prevalent poisonous plant, in wet marshy areas.   The reaction will typically take place several days later and be characteristic of an itchy linear rash.
  
• Collecting fire wood for the bonfire?  Don't burn the poison ivy.  You will aerosolize, uroshiol, the chemical that causes the reaction, into the air allowing it to cover your body and enter your lungs.

Want to know what’s triggering your symptoms or need help with your next hike?

 Gramercy Allergy , New York City's Top allergy offices, would love to help!  Dr Collins brings over a decade of experience treating allergy and immunology.  She's happy to solve the most difficult problems.  Visit us anytime for more specific advice and to determine what is causing your symptoms. Book an appointment online here.

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How to Run a Race When You Have Asthma?

 Over 50,000 people will head out to run 26.2 miles around all five boroughs of New York City for the New York City Marathon.  Did you know that 10% of the people running on Sunday will have exercise induced asthma?  This is a disease where exercise triggers spasm, chest tightness and shortness of breath.  As if running 26.2 miles where hard enough, people with exercise induced asthma, need all the help  they can get to help prevent their symptoms. 

Here are Five Tips to Help you Finish Strong this Weekend!

1)     Stay Hydrated

-Persons with exercise induced asthma get dehydrated faster.  When you lungs are dehydrated, this can trigger symptoms of asthma

-A study from the University of Buffalo in 1999, showed that persons with asthma had improved lung function when they were hydrated.

-Make sure all week long, you are drinking plenty of water.  Take water frequently along the run to keep your muscles and lungs well hydrated.

2) Eat Diet Rich in Omega 3 Fatty Acids.

- In a subset of people with exercise induced asthma, eating a diet rich in omega 3 fatty acids 3 weeks before exercising, reduced inflammation typically seen in mucus associated with asthma.  Lung function was improved and they used less rescue inhalers like albuterol.

- Fish, flax seed oil, walnuts and chia seeds are all excellent sources of omega 3 fatty acids.

3) Use Medications Early

- Make sure you use your albuterol and other asthma medications at least 15 minutes before exercising.  This will keep you lungs open during your run.  

-Check to make sure they haven't expired.

-You may need a 2^nd dose during the run.  Albuterol only lasts for 4 hours so if you are expecting your marathon time to be longer than that, make sure you give your self a 2^nd dose at the 3.5 hour mark. 

4) Warm Up Your Lungs

-Warm up your lungs with light exercise 5-10 minutes the morning before your race.  This will help them get used to temperature changes.

5) Check the Weather Report

-When you have asthma, knowing what the weather’s going to be like is especially important.  In the early part of your run, you may need a scarf to help keep your lungs warm.  A scarf will help humidify and warm the air before it enters into your lungs.

- Bring one you won’t care about loosing if you are running on Sunday. As the day warms, you may want to drop it. 

-Look at the pollen counts.

-If allergies are a trigger for your asthma, using your allergy medication can prevent you from having an allergy attack.  You’re covering a lot of ground running a marathon.  As New Yorkers, we know how drastically the weather can change around the city.  Make sure you look at all the areas your running through to keep yourself healthy.

Good luck at your next race! Need other last minute tips before Sunday or your next race?  Call the office or click her to schedule an appointment.

Can You Prevent Allergy Prenatally?

Can You Prevent Allergies During Pregnancy?

Allergies are strongly influenced by genetics.  Did you know that a child has a 50% chance of having allergies their mom or dad have allergies; this increases up to 75% if both parents have allergies? Because of the strong influence of genes, many women with allergies ask me, “what can I do to prevent allergies in my baby?” 

Some believe that the diversity of bacteria living in our guts (our microbiome) influence the development of allergic disease (asthma, eczema and allergic rhinitis).  They hypothesis that these bacteria “teach” our immune systems how to differentiate safe from non-safe.  Changes to these bacteria may lead to dysfunctioning inmmune systems and thereby the development of allergies.  Using probiotics, the most popular being Lactobacillus, during and after pregnancy potentially can alter the development of allergies and asthma.

 

Probiotics in the Prevention of Allergy among Children in Trondheim, a group of researchers in Norway, wanted to look more into these question.  

Can Probiotics in Pregnancy Prevent the Development of Allergic Disease?

The Probiotics in the Prevention of Allergy among Children in Trondheim (ProPACT) study just released the follow up to their original study started in 2003.  They followed 415 pregnant women’s children from age 3 months to 6 years.  Moms were randomized to get milk with and without probiotics from 36 weeks gestation to 3 months after delivery.  

Can Probiotics Prevent Allergic Disease?

• Researchers found that at 2 years of age, children who’s mom’s had received the milk fortified with probiotics had less eczema (OR 0.51, 95 % CI 0.30 – 0.87, p = 0.013).
  
• At 2, there was no impact on asthma, allergic sensitization or allergic rhinitis/conjunctivitis
  
• Follow up by questionnaire and exam at 6 years, 81 and 82 children (in the milk and milk with probiotic groups respectively) were re-assessed for the development of eczema, allergic sensitization asthma and allergic rhinoconjunctivitis.

What did They Find Out?

• At age 6 there was a trend towards a reduction in eczema in school age children, but it was not statistically significant.

What’s the Bottom Line?

• Perinatal supplementation with probiotics may prevent the onset of eczema, but has no effect on the development of asthma, allergic sensitization and allergic rhinitis/conjunctivitis.
  
• The microbiome may have a role in the development and prevention of eczema.
  
• We still have a lot to learn about prevention of allergic disease. Stay tuned to learn more about the microbiome and allergies.

Want to read the full article?  Perinatal Probiotic Supplementation in the Prevention of Allergy Related Disease: 6 Year Follow Up of a Randomised Controlled Trial

Need specific advice regarding your allergies Click here to book an Appointment.

How Can you Be Prepared for an Allergy Free Fall?

                          

October traditionally, associated with the start of fall, brings about a host of wonderful changes. Temperatures drop, leaves change, and winter squashes seem to appear everywhere overnight. There is excitement in the air brought in from storms and falling leaves.  Invitations for apple picking, hiking, hay rides and haunted houses abound.  For those with allergies, these drastic changes and invitations often leave with itchy eyes, asthma exacerbations and can trigger itchy skin.  Simply, Fall can be a bit perilous for those with asthma and food and skin allergies.

Some simple tips, can make sure you get to enjoy Fall & do participate in all the Fun!

How Can you be Prepared for an Allergy Free Fall?

Dealing with Asthma in the Fall:

• Fall is a great time to check in with your allergist/asthma specialist
  
  
• Make sure you get your flu shot! Those with asthma are more likely to end up hospitalized from the flu.  Stop by Gramercy Allergy anytime- we have the flu shot!
  
  
• Wash your hands frequently.  This will help prevent you getting the common cold.
  
  
• Roast some of those fall squashes- any orange colored vegetable is packed with Vitamins A, C and E- all essential for a health immune system.  Check out here for pumpkin recipes
  
  
• Make sure your inhalers aren’t expired
  
  
• Pack a scarf to protect your lungs from cold temperatures
  
  
• Follow pollen counts for ragweed pollens and mold spores

If you have Skin Allergies & Eczema:

•       Start a good moisturization routine weekly to keep your skin protected from the cooler temperatures. Extra moisture will help prevent your skin from becoming itchy.
•            Change to a mild soap, use lukewarm showers and always moisturize before your skin dries out!
•       Little time to moisturize?  Using baby oil in the shower is a quick and easy way to keep skin hydrated.  Just be careful- your tub can get slippery.
•       Be careful with Halloween makeup- many have chemicals/dyes that can cause severe reactions that can scar.
•       Check out for more specific tips.  How To Keep Your Skin Beautiful When You Have Eczema

If you have Fall Eye and Nose Allergies:

·        Get tested.  Knowing what’s triggering your allergies is the first way to avoid it.

·       Following pollen and mold spore counts can be the best way to stay ahead of allergens.

·       Use medications early.  Starting medications early will help prevent symptoms.

·       See your allergist for specific advice. 

If you have Food Allergies:

·       Be careful with Halloween candy.  This is often a common source of accidental exposure.

·       Participate in the Teal Pumpkin Project sponsored by FARE

·       Make sure your injectable epinephrine isn’t expired.

·       Look over Halloween candy to make sure it doesn’t contain hidden food ingredients that might make you sick.

Need specific advice on how to survive fall Allergy free?  Visit Gramercy Allergy- Union Square premier allergy office. We are located at 205 East 22nd Street NY NY 10010

What is The Teal Pumpkin Project?

Halloween and Food Allergy

·        Did you know that one in 13 children under the age of 18 years of age are affected from food allergies? 

·        This number is only on the rise and according the Centers for Disease Control and Prevention since 1997-2011, food allergies have increased by 50%. 

·        Sadly, we don’t know why these numbers are increasing. 

·        Children with food allergies often feel left out and isolated as it’s difficult for them to “share” food.  Halloween proposes a particular challenge for parents with food allergies.  The candy filled pumpkin offered up with generosity and fun is a perilous bowl of potential threats for those with food allergies.

·        Candy typically may contain milk, egg, soy, peanuts, tree nuts and latex, some of the most common causes of food allergies.

What is the Teal Pumpkin Project™?

·        Launched as a national campaign by Food Allergy Research & Education (FARE) in 2014, the Teal Pumpkin Project™ raises awareness of food allergies and promotes inclusion of all trick-or-treaters throughout the Halloween season. 

           AMAZINGLY! Last year, households from 50 states and 7 countries participated in the Teal Pumpkin Project™ by putting out a teal painted pumpkin to signify that their treats were “food allergy safe”. This year, you can be part of an even bigger movement by joining 100,000 households pledging to participate in the Teal PumpkinProject™!

Gramercy Allergy and Asthma Took The Pledge Have You?

What Do You Have to Do To Participate in the Teal Pumpkin Project™?

·       Place a teal painted pumpkin outside your home or a sign signifying you have non-food related treats available to trick-or-treaters.

·       Take the Pledge!

     Join FARE and 100,000 other households across the USA in providing allergy free treats. 

·       Want to download a sign?  Visit the FARE website http://www.foodallergy.org/teal-pumpkin-project/downloads#.VgFbFt9VhBc

What are Some Easy Ideas for Non-Food Treats to use for the Teal Pumpkin Project™?

·        Glow sticks, bracelets, or necklaces ·        Pencils, pens, crayons or markers ·        Bubbles ·        Halloween erasers or pencil toppers ·        Mini Slinkies ·        Whistles, kazoos, or noisemakers ·        Bouncy balls ·        Finger puppets or novelty toys

·        Coins ·        Spider rings ·        Vampire fangs ·        Mini notepads ·        Playing cards ·        Bookmarks ·        Stickers ·        Stencils

How Can You Get More Involved with Food Allergy Awareness? 

Participate in the FARE WALK For Food ALLERGY- and Help us Say Farewell to Food Allergies. 

When? Saturday October 10, 2015

 Where? Westchester NY- Glen Island Park (Weyman Avenue, New Rochelle, NY 10801

Check In @ 1PM with Walk Ceremony starting 230.

Register at Food Allergy Walk Westchester

Or visit the FARE Website

Need help managing specific food allergies?  Please visit click here to schedule an appointment.

* "The TEAL PUMPKIN PROJECT and the Teal Pumpkin Image are trademarks of Food Allergy Research & Education (FARE)."

Halloween and Food Allergy

What Are the Top 5 Ways that Allergies Can Make You Tired?

As New Yorkers, many of us are running on empty.  Work, social, and family demands are often great and push us to our limits. Many of us blame our lack of energy on "doing to much" and not taking enough downtown, but if you have uncontrolled allergies they actually may be contributing to your lack of energy and feeling of brain fog.

What are the Top 5 Ways that Allergies Can Cause You to be Tired?  

1) Nasal Congestion

Many over the counter and prescription allergy medications cause a side effect of drowsiness and fatigue.  This can happen suddenly, or with increased use over time.

Did you know that our beds are filled with allergic triggers such as dust mites, feathers, and pet dander.  These allergic triggers can cause severe nasal congestion that happens about 20-30 minutes after falling asleep.  A stuffy nose is the number one cause of sleep disturbances in allergy suffers.  Incorrect breathing, via your mouth or even snoring, can mimic sleep apnea, a dangerous condition.  

2) Post Nasal Drip

Many allergy suffers have a chronic post nasal drip.  During the day time it's less noticable then when lying flat because we swallow the mucous.  At night time, post nasal drip can cause throat itching and coughing that can wake you up from sleep.

3) Side Effects of Allergy Medications

Many over the counter allergies medications can have the side effect of fatigue and grogginess.  This can occur on the first dose or after long term use.

4) Production of Inflammatory Mediators From an Allergic Reaction

People who suffer from allergies have allergic inflammation in their bodies.  These inflammatory mediators are similar to those that our bodies produce during a cold or viral infection and can cause symptoms of feeling fatigue, brain fog, and feeling drained.

5) Night Awakenings from Coughing

Did you know that uncontrolled asthma can present just at nighttime with a dry cough or wheezing? This is called nocturnal asthma.  Asthma symptoms that seem worsen in the middle of the night, typically between 2AM and 4AM, are a significant cause of fatigue and poor sleep for those with allergies. Interestingly, nocturnal asthma can affect anyone with any type of asthma.  What might trigger the worsening asthma at night?  Sinus infections, post nasal drip and your body clock can trigger asthma.  

What should you do if you believe your allergies and asthma are triggering fatigue?

See an allergy specialist for full evaluation.  Poor sleep and fatigue is a leading cause of poor concentration at school and work.  By knowing what is triggering your symptom of fatigue and brain fog, you can avoid and treat the problem.

Want my help?  Please click here to make an appointment or visit gramercyallergy.com

My Recent WABC-TV New York View Point Interview - Talking Women Entrepreneurship and Vision for Gramercy Allergy and Asthma

My Recent WABC-TV Interview - Talking Women Entrepreneurship and Vision for Gramercy Allergy and Asthma

A lot of you know me as an Allergist and Immunologist but I’m also a small business owner.

This past Sunday, I joined Julie Weeks, research adviser to American Express OPEN and author of the 2015 State of Women- Owned Businesses Report, in-studio at WABC-TV’s “Viewpoint” program   to discuss women entrepreneurship in the New York metropolitan area and my vision for Gramercy Allergy and Asthma.

The interview with host Ken Rosato  centered around my thoughts on being a successful small business owner in New York City and  included my practice philosophy of spending time with my patients to better understand the impact of their allergies and asthma on their health.  I associated being an allergist with being a detective as the focus is on investigating what's trigging disease, rather than just masking symptoms with medications.  I also spoke to the benefits of being in private practice, such as  having more time to spend with my patients to fully investigate what is making them so sick.  The segment concluded with me addressing the keys to being a successful physician and entrepreneur, such as tapping a trusted network of mentors.  

Want to see the full interview?   WABC's New York View Point- Sunday August 30, 2015

August is National Immunization Month- Why Should You Get Immunized?

August is National Immunization Month- Why Should You Get Immunized?

The month of August brings reminders and memories of back to school, meeting your fist college roommate or trying out for sports teams.  It’s also a great month to check in with your physician to make sure your vaccines are up to date.  The CDC has labeled August as National Immunization Awareness Month to raise the importance of vaccination not just in childhood, but through our entire lives.

Vaccination is one of the great victories in medicine in prevention of disease.   In 1000 AD, the Chinese and Turks began the practice of inoculation with small pox to prevent disease.  Edward Jenner didn’t bring vaccination to small pox into practice until 1796.  Since, we’ve expanded our ability to protect infants, teens and adults against many preventable diseases that before were serious and often led to death. 

Despite these advances, every year, thousands of children and adults in the US needlessly are sick and suffer and are hospitalized from diseases that could be prevented by vaccination.

What are A Few Reasons Why Vaccines Are So Important?

·       They help protect children, teens and adults against many serious and sometimes deadly diseases.

·       Vaccination to protect against 15 diseases is available in the United States.

·       Through this program many diseases such as measles, mumps rubella, influenza, and small pox that used to wreak havoc on communities have now been brought under control. 

·       They help prevent disease such as measles, mumps, rubella, tetanus, human papilloma virus, influenza, shingles, pneumonia caused by pneumococcal bacteria, hepatitis, and whooping cough

Despite knowing this we aren't doing a great job vaccinating adults.

According to CDC data, in 2013:

·       Only 17% of adults 19 years or older had received the tetanus and whooping cough vaccine (Tdap)

·       Only 24% of adults 60 years or older had received shingles (herpes zoster) vaccination. – National Health Interview Survey 2013

·       Only 21% of adults 19 to 64 years at high risk had received pneumococcal vaccination. – National Health Interview Survey 2013

·       Only 42% of adults 18 years or older received a flu vaccine during 2013-2014

vaccination. – National Health Interview Survey 2013

What Are Some Common Myths about Vaccines that Prevent Vaccination?

·       The importance of vaccination ends in childhood

o   Adults should continue to receive vaccinations depending on their health age, and occupation throughout their life

o   Common vaccines for adults include: influenza, pneumonia (Pneumovax), shingles, hepatis B, and whooping cough.  Speak with your doctor to make sure yours are up to date.

o   Check out the CDC's Vaccine Scheduele for Adults to see what vaccines you should have received

·       I’m Egg Allergic and Can’t Get the Flu Vaccine

o   Speak with your allergist regarding specific advice regarding vaccination for flu and egg allergy.

·       Vaccination is dangerous and can lead to disease

o   Vaccines are thoroughly tested before licensing and carefully monitored even after they are licensed to ensure that they are very safe

o   Side effects from vaccines are usually mild and temporary.

o   Some people may have allergic reactions to certain vaccines, but serious and long-term side effects are rare.

·       Vaccination will weaken my immune system

o   Vaccination will not weaken your immune system.  Vaccines act like germs to stimulate the immune system against the virus or bacteria so it will mount a response and offer protection against disease.  Vaccines strengthen your body’s response against these illnesses.

·       Vaccination can cause autism

o   No.  Vaccination does not cause autism.

o   Numerous studies have found no link between vaccination and autism.  In 2004, a groundbreaking study from the Institute of medicine found that thimerosal (a preservative in vaccines) does not cause autism.

Have specific questions about vaccine and the importance of them?  Speak with your doctor to get accurate information or look at the CDC’s website.

If you need vaccines, have questions regarding allergy to vaccines, or have questions about vaccines, contact us and we'll help! Want more specific advice on vaccination with one of New York’s Top Allergist?  Visit our website http://www.gramercyallergy.com or click here to schedule an appointment online.