If avoidance and medication do not help a patient find relief, we recommend immunotherapy, also known as allergy shots. Allergy shots can desensitize you to bothersome allergens. Patients are given increasing doses of allergens to build up an immunity and decrease their allergic reaction. Allergy shots are given in two phases: Build-up and Maintenance.
Progression – utilise your rep out results for week 3 to calculate your new training max and then rerun the template after week 4 / deload week. Assistance – 2-3 sets of 4-6 sets on any squat variation designed to help your skill learning. Use 60-90% of working weight. When do I deload or restart the programme? I think the big thing to note with these studies is that while the strength difference between lifting 1x, 2x, or 3x a week may not reach statistical significance (meaning the paper will conclude “no differences among groups”), there are often differences in “effect size”. Those who trained each muscle group once per week experienced only a 3.7% increase in muscle growth. That’s 48% more growth for the group using the method of training muscles twice a week! The plot below gives a visual image of the average results; all favoring a two-per-week approach to training each muscle group. 9100 East Hampton Drive Suite A2 Capitol Heights, MD 20743. Phone: 240-893-3365.
Build-up phase:
Initially, patients are started at a low dose and gradually built up, receiving increasing amounts of the allergens. Once this phase is complete, most patients begin to feel the effects and find relief. To reach the maintenance phase, we offer several schedule options to help patients find relief. See the table below:
| Traditional | Cluster | Rush | |
|---|---|---|---|
| Appointments | No Appointments Required | 8-10 Scheduled Appointments (Varying from 30 minutes and 2 hours) 1-2 Appointments a Week | 1 Scheduled Appointment (Full day, approximately 8 hours) |
| Shot Visits (No Appointment Needed) | 1-3 shots per week | None | 1-3 Shots Per Week After Rush Appointment (No Appointment Necessary) |
| Time to Maintenance | 3-12 Months | 4-9 Weeks | 6-16 Weeks |
For more information on accelerated schedules, visit:
Maintenance phase:
After an effective dosage is reached, a patient will reduce the frequency of injections. Patients are typically on immunotherapy for 3-5 years. Over time, their visits to get allergy shots will decrease from 1x a week to 1x every several weeks.
Premedication
1x A Week Insulin
Due to the increased dose of allergens given during the cluster and rush schedule, there is a higher risk of a reaction, though still rare. These accelerated schedules require patients to pre-medicate before the program begins to reduce that risk further.
Insurance Coverage
1x A Week Meaning
The majority of insurance plans cover both traditional immunotherapy and these accelerated programs; however, some do not. We recommend contacting your insurance provider to learn what your plan will cover.
1x A Week Challenge
If you are interested in allergy shots, please schedule an appointment to discuss the best options for your care.