Understanding and Managing Allergy Season for Athletes

Dr. Hussam Hamoush
BeingWell
Published in
10 min readMar 28, 2024

Just had a GREAT episode of the Sports Pharmacy Podcast with my good friend Dr. Manan Shah of Wyndly.

AI generated image of an “athlete struggling with allergies” This picture is W

The Impacts of Allergies on Athletic Performance

For many athletes and sports enthusiasts, the arrival of spring can signal the onset of challenging times due to seasonal allergies. Sneezing, runny nose, itchy eyes, and congestion aren’t simply a nuisance; they significantly impact one’s ability to engage in outdoor activities and sports. Allergenic responses can hinder breathing, which is critical during physical exertion, impacting not only the ability to perform but also affecting one’s recovery and rest.

Estimations from health authorities like the Centers for Disease Control and Prevention (CDC) suggest that between 60 to 80 million people in the United States suffer from allergies, making it a common issue affecting roughly one in four Americans. Despite popular belief, allergies can extend beyond the discomfort of seasonal flares; they can massively affect an individual’s quality of life. For athletes in particular, the challenge is dire as their respiratory efficiency is closely tied to their performance.

The Role of Pharmacotherapy in Alleviating Allergy Symptoms

As sufferers seek relief, over-the-counter medications like antihistamines (e.g., Benadryl), nasal steroids (e.g., Flonase), and anti-allergy drugs (e.g., Claritin) have become commonplace in many households. Preemptive medication use has been a strategy for those needing to engage in outdoor activities, ensuring that the allergic reaction is mitigated before it starts. However, this is often a band-aid solution, providing temporary relief rather than addressing the underlying allergy.

Medical professionals are now advocating for a shift from mere symptomatic treatment to more curative approaches. With advancements in medical practices, the concept of desensitizing the body to allergens has gained traction. This revolutionary approach mirrors the progressive treatment options available for other chronic conditions, like using LASIK for vision correction or braces for dental alignment.

Allergy Desensitization: A Path to Improving Patient Care

Allergy desensitization can be a game-changer for those suffering from severe allergies that inhibit routine activities or athletic endeavors. The traditional method, which employs allergy shots (immunotherapy), though effective, requires frequent visits to healthcare facilities. This can be especially challenging for individuals with busy schedules, such as those undergoing surgical residencies or having demanding careers.

Fortunately, there’s an alternative that has been widely adopted in Europe and is gaining ground in the United States: sublingual immunotherapy (SLIT). SLIT involves taking a small dose of an allergen under the tongue to gradually build the body’s tolerance. The process is simple and can be carried out at the patient’s convenience, aligning well with modern lifestyles that prioritize efficiency and ease.

In recent years, the expansion of telehealth services has further streamlined the journey to allergy desensitization. Patients can now undergo allergy tests via mail, consult with doctors online, and have their personalized allergen formulations delivered to their doorstep. This not only reduces the need for in-person doctor visits but also democratizes access to allergy care, allowing patients across all states to benefit from advanced treatment methods.

Independent Pharmacies: Extending Support to Allergy Sufferers

Independent pharmacies play a pivotal role by offering accessible allergy testing kits and facilitating the bridge between patients and medical professionals. Going beyond traditional dispensing roles, independent pharmacies are becoming integral in patient education and disease management, especially in cases where allergies intersect with other health areas, such as asthma or polyps.

Compounded formulations, like sublingual drops for allergens or other medications, are an illustration of the innovations conceived within compounding pharmacies to enhance patient adherence and experience. By circumventing the drawbacks of systemic administration, such as gastrointestinal side effects or the need for injections, these formulations engage the same pathways of direct absorption that have been proven effective for various other drugs.

Embracing Technological Advancements in Allergy Care

The proliferation of technological advancements in medical care provides hope for lasting solutions to chronic conditions such as severe allergies. With personalized medicine taking the forefront, patients can now look towards being liberated from the constraints of seasonal and environmental allergens, reclaiming the ability to breathe freely and perform at their best, regardless of their surroundings.

The integration of telehealth, modern testing techniques, and tailor-made treatment options signifies a significant shift towards patient-centric care models, emphasizing the potential for improved outcomes and quality of life. By leveraging these innovations, healthcare professionals, pharmacists, and patients are forming a collaborative network, dynamically working towards the goal of effectively managing and potentially curing allergies.

At-Home Allergy Testing: Revolutionizing Access to Allergy Treatment

The advent of at-home allergy testing is a breakthrough that is changing the landscape of allergy management. This innovation represents a leap in convenience and accessibility for patients who now have the power to initiate their own allergy testing process without the need for multiple doctor’s visits. The simplicity of the at-home finger prick test — where a small sample of blood is collected and preserved on special paper — ensures that accurate testing can be easily performed outside of clinical settings.

The Wyndly Allergy Test Experience

  • Ease of Use: The test kit is designed to be user-friendly, enabling patients to perform the test with minimal discomfort.
  • Quick Turnaround: A prepaid envelope for sample dispatching sharply reduces the time it takes to obtain results.
  • Remote Consultation: Following testing, patients engage in a video consultation to review results and treatment options.

With such advancements, allergy diagnosis is reframed from an intrusive process involving multiple sticks and long wait times, to a rapid assessment that fits seamlessly into a patient’s lifestyle.

Personalized Allergy Management: The Wyndly Approach

The strategy that Wyndly embodies centralizes personalized care. Tailored treatment is not just a catchphrase but an effective approach to handling complex allergy cases. When a patient discovers through testing that they have multiple allergies, a customized treatment plan becomes imperative.

Customized Sublingual Immunotherapy (SLIT):

  • FDA-Approved Tablets: For individuals with a single allergen sensitivity, FDA-approved tablets, like Odactra for dust mite allergy, provide targeted desensitization.
  • Compounded Drops: For patients allergic to multiple triggers, a compounding pharmacy can create a unique formulation catering to their specific allergen profile.

The Wyndly Protocol for Athletes:

  • Performance Optimization: By reducing nasal inflammation and improving breathing through desensitization, athletes can potentially enhance their performance.
  • Continuous Improvement: Over time, regular use of SLIT may offer long-lasting improvement in breathing and athletic endurance.

Expanding Healthcare Horizons with Virtual Allergy Care

Virtual healthcare services like those offered by Wyndly represent the confluence of convenience and advanced medical care. This approach does not just facilitate quick testing and consultation but also delivers personalized therapies directly to patients’ doorsteps.

  • Seamless Integration: Incorporating allergy care into daily routines without disrupting work or family life.
  • Elimination of Geographic Barriers: No matter the location, patients have access to high-quality allergy care, akin to top-tier medical institutions.

The underlying philosophy is to rewrite the narrative of healthcare delivery so that it is patient-focused rather than constrained by systemic inefficiencies.

The Future: A More Breathable World for All

Wyndly’s vision paves the way for a future where allergies no longer constrain individuals from leading a quality life or achieving their maximum athletic potential. The integration of simple testing methods, personalized therapies, and virtual consultations provides a promising look at how remote healthcare can effectively address complex medical needs.

Through the modernization of allergy treatment, a collaborative ecosystem amongst healthcare providers, pharmacists, and patients is nurtured, aiming for a reality where every breath can be taken effortlessly, and every athletic aspiration can be pursued without hindrance. As these technologies and methodologies become more widespread, the hope is to see a significant reduction in the burdens of allergies, making them a manageable aspect of life rather than a limiting factor.

Understanding the Hygiene Hypothesis: A Closer Look

The Hygiene Hypothesis is an interesting concept that suggests our overly clean living environments might be contributing to the increase in allergic diseases. According to the theory, the immune system needs to come into contact with a variety of organisms, including bacteria and parasites, in order to develop properly. Without exposure to these potential threats, the immune system may become prone to overreacting to harmless substances like pollen, pet dander, or certain foods.

Implications of Modern Lifestyle on Allergy Development:

  • Reduced Exposure: Today’s indoor-centric lifestyle means we aren’t as exposed to the outdoor environment and its array of microorganisms.
  • Cleaner Environments: Increased use of disinfectants and antiseptics may limit the immune system’s ability to learn to differentiate between harmful invaders and benign substances.
  • Effects on Children: The concern is most significant in children, as their immune systems are still developing and they are the most affected by changes in environmental exposure.

The challenge is finding a balance between maintaining good hygiene to prevent infectious diseases while also ensuring the immune system gets “trained” by natural exposure to various environmental inputs.

The Impact of Allergies: Beyond Sneezes and Sniffles

Allergies are more than mere inconveniences — they significantly affect the quality of life. They can be profoundly impactful in day-to-day activities, affecting sleep, concentration, and overall well-being.

Quality of Life Considerations:

  • Daily Discomfort: Chronic congestion, sneezing, and eye irritation can lead to persistent discomfort.
  • Sleep Disruption: Allergic reactions can interfere with sleep, leading to fatigue and other health problems.
  • Social Effects: Allergies can restrict participation in outdoor activities and sports, impacting social interactions and physical health.

Understanding the full spectrum of allergy impact is key to appreciating the value of effective management strategies, such as Wyndly’s integrative approach to allergy care.

Innovations in Allergy Management: Addressing the Root Cause

Wyndly’s approach to allergy management is all about addressing the root cause of allergies rather than just treating the symptoms. This commitment is exemplified by their offering of sublingual immunotherapy (SLIT) and commitment to following evidence-based treatments.

Underlying Principles of Wyndly’s Allergy Management:

  • Evidence-Based: Adherence to the latest research and clinical practice guidelines ensures treatments are both safe and effective.
  • Consistency: Just as regular exercise can transform physical fitness, consistent exposure to small doses of allergens can gradually teach the immune system to react appropriately.
  • Long-Term Benefits: Over time, this consistent exposure may result in long-term tolerance to allergens.

By treating the underlying immune response rather than just offering short-term relief, Wyndly hopes to provide more enduring solutions to allergy sufferers.

The Role of Technology in Modern Allergy Care

As Wyndly leverages the internet and modern technology to bridge gaps in allergy care, the role of advanced tools becomes increasingly important.

Technological Advances in Allergy Treatment

  • Metered Droppers: Precision in medicine is key. The use of metered droppers ensures exact dosing in each administration of SLIT.
  • Online Healthcare Accessibility: Wyndly’s strong online presence and utilization of the Internet make it easier for patients to access care and educate themselves on allergies and treatment options.
  • Real-World Offices: Having physical locations reinforces the authenticity and credibility of online healthcare services.

By combining in-depth medical knowledge with state-of-the-art technology, Wyndly is at the forefront of revolutionizing allergy treatment, bringing it into the 21st century and making it accessible to those in need, wherever they may be.

Tailored Allergy Treatments: Beyond One-Size-Fits-All Approaches

Despite a range of over-the-counter options and prescription medications like topical nasal steroids, there’s a growing interest in finding more individualized solutions for allergy sufferers. While many medications such as Flonase (fluticasone) and Nasonex (mometasone) offer relief from allergic symptoms, health experts like Dr. Manan Shah recognize the value in trying to restore normal nasal function without relying too heavily on these aids.

Exploring Natural Remedies and Diet:

While some might turn to antihistamines and steroids, others are exploring the potential benefits of natural remedies and dietary choices. Black seed oil has been mentioned as a helpful supplement by individuals like Dr. H, noting its positive effects on allergies. Empirical evidence and clinical studies continue to explore the efficacy of such alternative treatments.

Tracking Allergies and Proactive Interventions:

Being aware of one’s allergy patterns and the timing of symptoms allows for personalized and proactive treatment plans. For example, those who notice seasonal patterns in their allergy symptoms can begin preventative treatments ahead of the season, adjusting their strategies according to weather-related shifts which could impact allergen exposure.

Accessibility to Testing and Treatment:

Dr. Manan Shah emphasizes the importance of accessibility when it comes to allergy care. The collaboration with pharmacies like Stonebriar Pharmacy and the availability of home testing kits on Wyndly’s website indicates a commitment to reaching patients wherever they are. These efforts aim to dispel the notion that one has to suffer without respite from allergies.

Wyndly’s Allergy Care Outreach:

The growth of online platforms has been instrumental in allergy care, providing education and treatment options for patients. Wyndly, with its broad online presence — including platforms such as YouTube and TikTok — has made significant strides in raising awareness about allergies and their management.

By engaging with the community through social media, Dr. Manan Shah and his team foster an environment where education and patient empowerment are at the forefront. Their focus on evidence-based, customer-centered care through both digital channels and physical clinics embodies their dual commitment to convenience and trustworthiness.

Continuity of Care in Allergy Treatment

Wyndly’s model of allergy care stresses the necessity of ongoing management and the value of building a relationship with patients that extends beyond the initial treatment phase. A continuous process where adaptation and monitoring ensure that not only are symptoms managed but progress is made towards long-term allergy resolution.

The Commitment to Patient Improvement:

It’s not just about temporary relief but establishing a path to better health that can sustainably manage or even potentially resolve allergic sensitivities. As Dr. Manan Shah states, the aim is to work closely with individuals, guiding them towards an improved quality of life where allergies no longer dictate their day-to-day experiences.

The Importance of Patient Education:

Another critical aspect of Wyndly’s approach is educating patients about their allergies. Understanding what triggers symptoms, how to avoid certain allergens, and recognizing early signs of an allergic reaction can empower patients to take charge of their own health. This heightened awareness is vital for effective allergy management.

In conclusion, Wyndly is harnessing the power of modern medicine, technology, and personalized care to change the landscape of allergy treatment. Their integrative approach addresses not only the symptoms but the underlying causes of allergies, with a strong emphasis on patient education, accessibility, and a progressive model of care that adapts to the needs of each individual. As the world of healthcare continues to evolve, Wyndly’s innovative strategies represent a proactive and enlightened way to tackle the ever-growing challenges of allergy management.

Check out the episode here:

Spotify: https://open.spotify.com/episode/4FUdiz42dS5cmU4F31KeL6?si=029e8c7f5b9d4f03&nd=1&dlsi=f2c19a62fc174122

Apple: https://podcasts.apple.com/us/podcast/athletes-vs-allergy-season-a-survival-guide-with/id1651696470?i=1000649985345

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Dr. Hussam Hamoush
BeingWell

Drug store owner and Podcast Host. Stonebriar Pharmacy in Frisco, TX. Part time writer, Full time Advocate.