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)

Monday, October 31, 2016

Food Allergy Counseling: Maintaining a Healthy Lifestyle, Planning Your Meals

Have you noticed that many of my pictures via social media are of the same meals? 

Weekly breakfast
Weekend breakfast

You’re not seeing double, nor are these pictures old: very often, I eat the same thing every day.
Black bean and cheese quesadilla lunch
Homemade vegan lentil soup, +Enjoy Life Foods chocolate

This is another one of my my healthy habits / diet tips:  I maintain a set rotation of meals. This equals a stable caloric daily intake and, for me, a stable weight since college.

It’s less about my food allergy needs (I’m allergic to all nuts and seafood) nor my dietary intolerances (soy, milk and wheat) and more about having a routine. I love routines, and when dining, it takes the guesswork out of what I’m eating and when. 

If you’re trying to figure out what you want to eat when you’re hungry or over hungry or don’t have healthy options ready that can equal poor decisions or at least ones that don’t support a healthy lifestyle. If you have meals planned out or in a routine of what you’re dining on, it takes the guesswork and the “hangries" out of the equation.

So that’s my tip: plan out your meals or have your meals on a rotation, take the guesswork out of what you’re eating, and keep your caloric intake stable.

Wednesday, October 26, 2016

News: KALÉO ANNOUNCES 2017 U.S. RETURN OF AUVI-Q®, Press Release, October 26, 2016

UPDATE: 2/14/2017 - Here's more from - "AUVI-Q® (epinephrine injection, USP) is available by Rx! Have it shipped to you starting 2/14! Enroll here".

UPDATE: January, 2017: Auvi-Q release date is set to February 14, 2017. Here's the press release from kaleo.

AUVI-Q is coming back!

Here is a great interview with the owners of kaleo by Allergic Living magazine.

Here is the kaléo full press release below.

(NB: I have been previously paid to consult with kaléo, Inc.)


PR Newswire, RICHMOND, VA. (October 26, 2016) – Kaléo, a privately-held pharmaceutical company, today announced that it will reintroduce AUVI-Q® (epinephrine injection, USP) auto-injector to the U.S. market in the first half of 2017. AUVI-Q is a prescription medicine used to treat life-threatening allergic reactions, including anaphylaxis, in people who are at risk for or have a history of serious allergic reactions.

“Today’s news represents an important milestone for the life-threatening allergy community, which has suffered from a lack of epinephrine auto-injector options for far too long,” said Evan Edwards, Vice President of Product Development & Industrialization at kaléo. “As the inventors of AUVI-Q, my brother and I have dedicated our lives to researching and developing an innovative epinephrine auto-injector that would do for severe allergy sufferers what the AEDs did for cardiac arrest in the community; namely a product that could assist and guide even an untrained user through a life-threatening emergency.”

AUVI-Q is a compact epinephrine auto-injector with industry-first features, including a voice prompt system that guides a user with step-by-step instructions through the delivery process, and a needle that automatically retracts following administration. AUVI-Q is engineered to help patients and their caregivers to confidently administer epinephrine in life-threatening allergic emergencies.

After regaining the rights to AUVI-Q, kaléo conducted a thorough manufacturing assessment and invested in new technology and quality systems to ensure accurate, reliable and consistent delivery from the product. AUVI-Q is manufactured on an intelligent, high-tech, 100% automated robotic production line with more than 100 automated quality checks on each AUVI-Q, ensuring a streamlined and consistent production process.

“For the millions affected by life-threatening food allergies, an epinephrine auto-injector serves as a lifeline,” said James R. Baker, Jr., MD, CEO and Chief Medical Officer at Food Allergy Research and Education (FARE). “These lifesaving devices must be accessible and affordable, and Americans should have options when it comes to selecting the right auto-injector for their family.”

Eric Edwards M.D., Ph.D, Vice President, Product Strategy at kaléo, added, “As a patient and parent of children with life-threatening allergies, I know how the moment of an allergic emergency can unfold- with panic and fear- and that is why I believe and trust in AUVI-Q, not only for myself, but also for my children and other families who might have to depend on it. Driven by this reality, kaléo strives for flawless manufacturing to ensure each AUVI-Q is built to exceptional quality standards.”

Kaléo is aware of the epinephrine auto-injector access and affordability challenges confronting patients and is working to engage with various stakeholders, including wholesalers, insurance companies, pharmacies and pharmacy benefit managers, to ensure that all patients regardless of insurance coverage, have affordable access to AUVI-Q.

“We believe that patients should have options when it comes to epinephrine auto-injectors for life-threatening allergic reactions,” said Spencer Williamson, President and CEO of kaléo. “When a health care practitioner prescribes AUVI-Q, determining that it is best for a patient, we believe that the patient should be able to obtain the product without insurance barriers or being subjected to a high out-of-pocket cost. As we prepare to make AUVI-Q available once again in the United States, our priority is to return AUVI-Q to the market as an epinephrine auto-injector alternative that all patients can afford.”

“We are very excited about patients once again having a choice in epinephrine auto-injectors,” said Eleanor Garrow-Holding, President and CEO of the Food Allergy & Anaphylaxis Connection Team (FAACT). “As food allergy advocates and families personally affected by food allergies, we understand that each person with food allergies has individual needs and comfort levels. Those living with life-threatening allergies deserve innovative products and choices that meet their individual needs. As such, we are grateful that patients will have options when selecting their potentially life-saving epinephrine auto-injector."

The latest updates regarding the return of AUVI-Q will be available to members of the public who register online at


About Anaphylaxis 
Anaphylaxis (pronounced ana-fuh-lak-sis) is a serious allergic reaction that happens quickly and may cause death. Anaphylaxis can occur as a result of exposure to allergens including tree nuts, peanuts, milk, eggs, fish, shellfish, soy, wheat, insect bites, latex and medication, among other allergens.

About AUVI-Q 
AUVI-Q® (epinephrine injection, USP) Auto-injector is a prescription medicine used to treat life-threatening allergic reactions, including anaphylaxis, in people who are at risk for or who have a history of serious allergic reactions. AUVI-Q contains epinephrine, a well-established, first-line treatment for severe, life-threatening allergic reactions that occur as a result of exposure to allergens including food such as peanuts, tree nuts, fish, shellfish, dairy, eggs, soy and wheat; insect stings or bites; latex and medication, among other allergens and causes.

Invented by twin brothers Eric and Evan Edwards, a physician and engineer who each suffer from life-threatening allergies, AUVI-Q is a compact epinephrine auto-injector with industry-first features, including a voice prompt system that guides a user with step-by-step instructions through the epinephrine delivery process, and a needle that automatically retracts following administration. In emergencies such as anaphylaxis, it is often individuals without medical training who need to step in and deliver potentially life-saving rescue therapy. AUVI-Q was designed – through careful analysis of the situations where epinephrine is used and with significant input from the allergy community that relies on it – to reflect Human Factors Engineering (HFE). HFE is about designing products or systems that are easy to operate and, most importantly, support correct use, with the goal to remove the potential for error.

AUVI-Q® (epinephrine injection, USP) is a prescription medicine used to treat life-threatening allergic reactions, including anaphylaxis, in people who are at risk for or have a history of serious allergic reactions.

Important Safety Information 
AUVI-Q is for immediate self (or caregiver) administration and does not take the place of emergency medical care. Seek immediate medical treatment after use. Each AUVI-Q contains a single dose of epinephrine. AUVI-Q should only be injected into your outer thigh, through clothing if necessary. If you inject a young child with AUVI-Q, hold their leg firmly in place before and during the injection to prevent injuries. Do not inject into veins, buttocks, fingers, toes, hands, or feet. If you accidentally inject AUVI-Q into any other part of your body, seek immediate medical treatment.

Rarely, patients who use AUVI-Q may develop infections at the injection site within a few days of an injection. Some of these infections can be serious. Call your healthcare provider right away if you have any of the following symptoms at an injection site: redness that does not go away, swelling, tenderness, or the area feels warm to the touch.

If you have certain medical conditions, or take certain medicines, your condition may get worse or you may have more or longer lasting side effects when you use AUVI-Q. Be sure to tell your healthcare provider about all the medicines you take, especially medicines for asthma. Also tell your healthcare provider about all of your medical conditions, especially if you have asthma, a history of depression, thyroid problems, Parkinson’s disease, diabetes, heart problems or high blood pressure, have any other medical conditions, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. Epinephrine should be used with caution if you have heart disease or are taking certain medicines that can cause heart-related (cardiac) symptoms.

Common side effects include fast, irregular or ‘pounding’ heartbeat, sweating, shakiness, headache, paleness, feelings of over excitement, nervousness, or anxiety, weakness, dizziness, nausea and vomiting, or breathing problems. These side effects usually go away quickly, especially if you rest. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

Please see the full Prescribing Information and the Patient Information at

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 1-800-FDA-1088.

About kaléo (kuh-LAY-oh) 
Kaléo is a pharmaceutical company dedicated to building innovative solutions for serious and life-threatening medical conditions. Our mission is to provide innovative solutions that empower patients to confidently take control of their medical conditions. We believe patients and caregivers are the experts on how their medical condition impacts their lives, and are an integral part of our product development process. Each kaléo product combines an established drug with an innovative delivery platform with the goal of achieving superiority and cost effectiveness. Kaléo is a privately-held company headquartered in Richmond, Virginia. For more information, visit

Monday, October 24, 2016

Food Allergy Counseling: Maintaining a Healthy Lifestyle, Preparing Your Produce

My haul from Costco today

A follower on my Instagram account asked me how I eat all those luscious cupcakes and weekend pancakes and still stay slim?

And it’s true, I do eat pancakes almost every weekend and cake, cookies and/or chocolate whenever I want.

So, how do I do it?

I will be posting my strategies and thoughts on my Allergic Girl Facebook page, here on my blog and on Instagram.

Today my tip is about food prep, supporting your diet goals and setting yourself up for excellence.

I shop two or three times a month at Coscto for my fruit and veg; I eat that much fruit and veg daily.

Above is a picture of what I bought today. 

And below is a picture of what I did for about 30 minutes when I got home i.e. I washed, chopped, prepped, bagged and Tupperwared everything so it’s all nice and ready to grab.

My fridge after food prep

Need a snack? Sliced apples and oranges are ready. Want a salad? Look, one’s already made and waiting! Isn’t that glorious?

Part of the challenge when you buy a ton of fruit and veg is that they need preparation: chopping, slicing, coring, peeling, etc.. The prep can be a barrier to eating all of that wonderful produce and it can end up sitting in bags, rotting in your fridge in just a few days. All that wasted goodness, health and cash.

So, by taking some time when I get home from shopping and prepping fruits and veg, getting them closer to being ready to eat, I cut out that challenge and make it so much easier to grab a healthy snack, setting myself for excellence and supporting a health diet with healthy habits.

Monday, October 17, 2016

Recipe: One Pan Turkey Scramble

What to make with eight ounces of frozen ground turkey thigh? 

I typed that into Google and  Simply Recipes's "Mom'sGround Turkey & Peppers" recipe popped up. I love the Simply Recipes site and this recipe was so easy: turkey, peppers, onions, garlic and chili powder. 

I used shallots (had no garlic) and halved the recipe and was so yum. I had made a batch of brown rice and put it right over but would be on top of a great salad, too.

Thank you, Simply Recipes!

Monday, October 10, 2016

Food Allergy Counseling: Emotional Agility in Children and Adults

This is a fantastic, short article from the New York Times Well section on how to embrace your child’s emotional experience and teach them to embrace it as well; also works for adults!

“How children navigate their emotional world is critical to lifelong success…Dr. David offers four practical steps for helping a child go through, rather than around, a negative emotion and emerge ready to keep going — feel it, show it, label it, watch it go."

Read more here on the New York Times website.

Thursday, October 06, 2016

Allergic Girl Counseling: An interview with Sloane Miller, Food Allergy Canada

Food Allergy Canada interviewed me earlier this month on a topic rarely explored in print: self care for those of us managing food allergies. 

Here's the article: Food allergies and emotional resilience: An interview with Sloane Miller and Pauline Osena and quote from me.

“As an adult with food allergies (and asthma, allergies and eczema)…being open, present and vulnerable are all values I hold dear and knowing when I’m feeling extra food allergy vulnerable and need more support is an important skill I’ve fostered.”

Read more on the Food Allergy Canada blog.