Are your performing food challenges prior to starting OIT or omalizumab to determine if these patients have a threshold dose that would actually benefit from the intervention?  

This is a great question! I’m curious about other allergists' practices as well. My response to this question is that it depends. I have patients who undergo a food challenge but do not pass. They then decide they would like to pursue OIT or omalizumab. We are then able to track their response...