Food Allergy Counseling

Food Allergy Counseling
Sloane Miller, MFA, MSW, LMSW, Psychotherapist; Specialist in Food Allergy Management, Speaking At Mylan Specialty / EpiPen Event (© Noel Malcolm 2013)

Tuesday, February 23, 2016


This afternoon, I heard from Sanofi US that they are returning the AUVI-Q® license to kaléo (originally Intelliject, the Edwards brothers who invented the AUVI-Q® product). kaléo will then decide how or if to get the product back to market.


Here's the press release below:

BRIDGEWATER, N.J., Feb. 23, 2016 /PRNewswire/ -- Sanofi announced today that the license and development agreement between Sanofi and kaléo, formerly Intelliject Inc., the developer of Auvi-Q® (epinephrine injection, USP), will terminate later this year. At that time, all U.S. and Canadian rights will be returned to kaléo. Sanofi is in discussions with kaléo on these terms and for an orderly transition plan. Kaléo will evaluate timing and options for bringing Auvi-Q back to market.

The decision to return rights for Auvi-Q aligns with Sanofi's ongoing transformation to focus on critical therapeutic areas in its five global business units: Diabetes & Cardiovascular, General Medicines & Emerging Markets, Sanofi Genzyme, Sanofi Pasteur and Merial. Sanofi US will complete the return and reimbursement process associated with the October 28, 2015, voluntary nationwide recall of Auvi-Q. For more information on the recall, please visit


I know many families relied upon this epinephrine auotinjector product. Please talk to your board certified medical health provider about additional options for epinephrine auotinjectors.

Monday, February 22, 2016

Recipe: Carrot Spice Muffins with Orange Glaze: Nut-Free, Gluten-Free

Oozing glaze

Oh, this spice cake mix by Namaste. I cannot stop playing with endless variations; it's a perfect foil for my creative, hungry, cake-loving mind. 

And added BIG BONUS: the finished cake is so good, suitable for so many friends/colleagues and so easy to make and share. Who exactly can enjoy? Those with food allergies to any of the top 7 (it uses eggs); those that are gluten-free or celiac; and even my vegetarian friends (as it’s only mixed with water, oil and eggs).

A comedy colleague’s birthday was coming up and he said he liked carrot cake. (I’m a writer, performer and musical talent on his podcast.) So, I got a box of Namaste Spice mix out of my cupboard and added finely shredded carrot. 

A bite cross-section
And while it baked I thought: since I don’t have cream cheese in my fridge to make a traditional frosting (and I think it would be too heavy for these delicate goodies), what about a glaze made with fresh Cara Cara oranges? 

See pieces of orange and zest? So fresh, so good!

The result? My friend said, with a small tear in his eye: “I want to marry this cupcake. I want to settle down in the country and raise horses, maybe. It doesn't matter as long as I can live the rest of my life with this cupcake."
Yes, he liked the cupcake a lot. And he has no dietary restrictions. Had no idea it was a free from cake.

How to make it?

Follow the directions for carrot cake on Namaste Spice mix and whilst it's baking, whip up this super fresh, easy, vegan, top 8 allergen-free glaze.


Cara Cara Orange Glaze
1 cup confectioners sugar
1 t Cara Cara orange zest
1 T fresh squeezed Cara Cara OJ, plus a few more t to get the glaze the consistency you want.

Wash and scrub a Cara Cara orange. Zest and juice it. Add those yummy things to a cup of sugar, mix to desired consistency. Try not to taste every 5 seconds. No actually, go ahead, it’ll be sweet, zingy, full of fresh orange smell and taste.  When drizzled onto the carrot spice muffins, watch out: there will be a happy explosion of zest and sweet and spice in your mouth. And your friends may want to marry them, and by extension you.

Monday, February 01, 2016

Interview: Food Allergy Counseling Client in North Carolina, Working with Sloane Miller

Every day, I receive emails asking me how I work as a psychotherapist and
specialist in food allergy management. To answer this, I interviewed some current clients and asked them three simple questions:

What brought you to counseling with Sloane Miller, LMSW?
What did you hope to happen or change?
What changed for you/how are things different after working with Sloane Miller, LMSW?


What brought you to counseling with Sloane Miller, LMSW?

One of our two food allergic daughters was having anxiety and bouts of panic surrounding eating, especially dining out and at school and we didn't feel equipped to help her. 
What did you hope to happen or change?

I was hoping that someone that had the unique situation of being both a counselor and a food allergic individual would better understand how to help and coach her, like Sloane Miller.  We had fantastic counseling locally dealing with panic and anxiety, but the food piece was a challenge for our therapist because it can be so complex; Sloane was able to help.   

What changed for you/how are things different after working with Sloane Miller, LMSW?

Our daughter's stress level has come way down.  She is still extremely cautious, but the anxiety has been greatly reduced.  Most of all, it has brought down stress for our whole family now that our daughter is feeling more confident with her decisions and our decisions with regard to her food.  Also, we have learned to better prepare ourselves with food in case she is not feeling comfortable.


Thank you for sharing, Nikki, mom of two allergic children