๐Ÿ  Home ๐ŸŒฟ Conditions We Treat ๐Ÿ‘จโ€โš•๏ธ About Dr. Nicholson ๐Ÿ“ Locations ๐Ÿ’‰ Allergy Immunotherapy ๐Ÿฅœ Oral Immunotherapy ๐Ÿ›ก๏ธ Insurance โญ Reviews โ“ FAQ ๐Ÿ“ฐ Allergy Blog ๐Ÿ’ฐ Cost Estimator ๐ŸŽฎ AllerBlast ๐Ÿ“… Book Appointment
Board Certified ยท Salt Lake County
Allergies ยท Asthma ยท Eczema ยท Hives

Your Utah
Allergy Doc

Expert allergy & immunology care with same-week appointments at three convenient locations. Allergy testing, immunotherapy, OIT, asthma management and more.

โšก Same-Week Appointments ๐Ÿ’‰ Allergy Shots & OIT ๐Ÿฅ 3 Locations
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Dr. Alexander J. Nicholson, MD โ€” Utah Allergy Doc
Patient Reviews

What Our Patients Say

4.9
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Google Rating ยท Granger Medical Allergy
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Sarah M.
Draper ยท Allergy Shots
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"Dr. Nicholson completely changed my life. After two years of allergy shots my seasonal allergies are almost completely gone. He took the time to explain everything and actually listened to my concerns. Same-week appointment was a lifesaver."

Google Review
Michael T.
West Jordan ยท Asthma
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"I've had exercise-induced asthma for years. Dr. Nicholson was the first doctor who actually dug into the root cause instead of just prescribing another inhaler. Got a same-week appointment and had a real treatment plan within one visit."

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Jennifer K.
Riverton ยท Food Allergy OIT
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"Our 8-year-old had a severe peanut allergy and we lived in fear every day. Dr. Nicholson walked us through OIT step by step. Six months in she can tolerate small amounts. We finally feel like we can breathe. He is genuinely brilliant and so kind."

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David R.
Draper ยท Eczema
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"I struggled with severe eczema for 10 years and seen several dermatologists. Dr. Nicholson identified my specific triggers through testing and got me on Dupixent. My skin is clear for the first time in a decade. Can't recommend him enough."

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Amanda L.
West Jordan ยท Chronic Hives
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"Had chronic hives for 8 months with no answers. Dr. Nicholson diagnosed me with CSU on the first visit and had a treatment plan immediately. Staff is incredibly warm and the West Jordan office is easy to get to. Truly exceptional care."

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Ryan H.
Draper ยท Venom Allergy
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"I had a life-threatening reaction to a wasp sting. Dr. Nicholson got me started on venom immunotherapy quickly and explained everything with real patience. A year later I was stung again with zero reaction. He literally saved my life."

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โญ Leave a Review โ€” Help Other Patients Find Dr. Nicholson
New Patients Welcome

Request an Appointment

Same-week appointments available. Choose to call us directly or fill out the form below and our team will reach out to schedule you.

๐Ÿ“ž Call to Schedule

Our team is ready to get you in fast. Same-week appointments available at all three locations.

801-965-3550

Monโ€“Fri ยท Office Hours Vary by Location

New Patient Request Form

โœ… Request Received!

Thank you! Our team will contact you within 1 business day to confirm your appointment. For immediate scheduling, call 801-965-3550.

Find Us

Three Convenient Locations

Serving Salt Lake County and Utah Valley. Same-week appointments available. Call 801-965-3550 to schedule.

Draper

Tues ยท Fri
11724 S. State St., Ste. 100
Draper, UT 84020

๐Ÿ“… Appointments

Tuesday: 8:00 AM โ€“ 4:30 PM

Friday: 8:00 AM โ€“ 12:00 PM

๐Ÿ’‰ Walk-in Shot Hours

Mon: 9:00 AM โ€“ 4:30 PM

Tue: 8:00 AM โ€“ 4:30 PM

Wed: 8:00 AM โ€“ 4:30 PM

Thu: 9:00 AM โ€“ 4:30 PM

West Jordan

Mon ยท Wed ยท Thu
3181 W. 9000 S., Bldg. A, Ste. 205
West Jordan, UT 84088

๐Ÿ“… Appointments

Monday: 8:00 AM โ€“ 4:30 PM

Wednesday: 8:00 AM โ€“ 4:30 PM

Thursday: 1:00 PM โ€“ 4:30 PM

๐Ÿ’‰ Walk-in Shot Hours

Mon โ€“ Thu: 8:00 AM โ€“ 4:30 PM

West Valley City

Thu 8AM โ€“ 12PM
2965 W. 3500 S.
West Valley City, UT 84119

๐Ÿ“… Appointments

Thursday: 8:00 AM โ€“ 12:00 PM

๐Ÿ“ž To schedule, call us at 801-965-3550 or use our online request form

Request a Same-Week Appointment
What We Treat

Conditions We Specialize In

From seasonal sneezing to life-threatening food allergies, we offer comprehensive diagnosis and treatment for the full spectrum of allergic and immune conditions.

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Allergic Rhinitis

Allergy skin testing and immunotherapy offered. Treat the root cause, not just the symptoms.

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Food Allergies

Peanuts, tree nuts, milk, egg, wheat, soy, fish, shellfish & more. Oral immunotherapy (OIT) offered to build tolerance.

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Allergic Conjunctivitis

Itchy, watery, red eyes from seasonal or year-round allergens. Often treated alongside allergic rhinitis.

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Asthma

Allergic, non-allergic & exercise-induced asthma. Biologics (Dupixent, Nucala, Fasenra) available when appropriate.

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Atopic Dermatitis (Eczema)

Topical, systemic & biologic treatment options. Comprehensive skin allergy evaluation included.

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Urticaria & Angioedema

Acute & chronic hives; allergic and non-allergic swelling of the face, lips, and throat.

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Drug Allergies

Allergies to antibiotics, anesthetics, NSAIDs, contrast media & more. Drug challenges and delabeling available.

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Insect Venom Allergy

Bee, wasp, hornet, yellow jacket reactions. Venom immunotherapy significantly reduces risk of future reactions.

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Contact Allergies

Nickel, fragrances, chemicals, latex & more. Patch testing available to identify triggers.

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Immunodeficiencies

Evaluation & management of primary immune deficiency disorders. Recurrent infections, low immunoglobulins & more.

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Eosinophilic Esophagitis (EoE)

EoE evaluation through dietary elimination & targeted medication management strategies.

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Mast Cell Disorders

MCAS & mastocytosis โ€” comprehensive workup, diagnosis & treatment planning.

Request a Same-Week Appointment
About Your Doctor

Alexander J. Nicholson, MD

Allergy, Asthma & Immunology

Dr. Nicholson is a board-certified specialist in Allergy, Asthma & Immunology, proudly serving patients throughout Salt Lake County and Utah Valley at Granger Medical Clinic's three locations in Draper, West Jordan, and West Valley City.

With specialized training in the full spectrum of allergic and immune conditions, Dr. Nicholson brings a comprehensive, patient-centered approach to care. He is passionate about not just managing symptoms but addressing root causes โ€” offering allergy immunotherapy (shots), sublingual therapy, and oral immunotherapy for food allergies to help patients achieve lasting relief.

Dr. Nicholson currently accepts new patients and offers same-week appointments, making it easier than ever to get the expert allergy care you deserve.

Board Certification
American Board of Allergy & Immunology (ABAI)
Fellowship โ€” Allergy & Immunology
Subspecialty training following internal medicine residency
Internal Medicine Residency
Graduate medical training in internal medicine
Medical Degree (MD)
Doctor of Medicine

Accepting New Patients ยท Same-Week Appointments

Call 801-965-3550 or use our online New Patient Request Form to schedule. Dr. Nicholson sees patients at Draper, West Jordan, and West Valley City locations.

Request Appointment @utahallergydoc
Environmental Allergens

Allergy Immunotherapy (Allergy Shots)

The only proven way to naturally retrain your immune system and achieve long-lasting โ€” often permanent โ€” relief from environmental allergies.

A Natural Cure for Allergies

Unlike antihistamines and nasal sprays that only mask symptoms, Subcutaneous Immunotherapy (SCIT) โ€” commonly known as allergy shots โ€” works by gradually exposing your immune system to the substances that trigger your allergies. Over time, your body learns to tolerate them rather than overreact.

After a full course of treatment (3โ€“5 years), many patients achieve significant or complete remission of their allergy symptoms โ€” often for life.

  • Treats the root cause โ€” not just the symptoms
  • Natural immune system retraining with no long-term medications
  • Reduces or eliminates need for daily allergy medications
  • Shown to prevent the development of new allergies and asthma
  • Effective for tree, grass, and weed pollen; pet dander; dust mites; mold
  • Customized to your specific allergy skin test results
  • Cluster therapy (rapid desensitization) available to accelerate buildup
  • Covered by most major insurance plans

Who Is a Candidate?

Patients with allergic rhinitis, allergic asthma, allergic conjunctivitis, or insect venom allergy who have failed or want to avoid long-term medications. A skin test or blood test is required to identify your specific triggers and design your custom extract.

1

Allergy Skin Testing

Comprehensive testing identifies exactly which environmental allergens trigger your immune response. Results in about 20 minutes.

2

Custom Extract Preparation

Your personalized vial is mixed based on your test results. Takes 1โ€“2 weeks to prepare.

3

Buildup Phase

Weekly injections with gradually increasing doses over several months. Cluster therapy can accelerate this phase.

4

Maintenance Phase

Monthly injections once your target dose is reached. Most patients see significant improvement within the first year.

5

Long-Term Relief

After 3โ€“5 years, many patients achieve lasting remission even after stopping shots.

Allergy Shot Codes (for insurance)

95165 Allergy Extract  ยท  95115 One Injection  ยท  95117 Two or More Injections  ยท  95180 Rapid Desensitization

Schedule a Skin Test Consultation
Food Allergy Treatment

Oral Immunotherapy (OIT)

A life-changing treatment that builds tolerance to dangerous food allergens โ€” dramatically reducing the risk of accidental reaction and anaphylaxis.

Stop Fearing Food

Oral Immunotherapy (OIT) is a medically supervised treatment in which patients consume gradually increasing doses of a food allergen โ€” such as peanut flour or tree nut protein โ€” under careful clinical oversight. The goal is to raise the threshold at which a reaction occurs, providing a critical safety buffer against accidental exposures.

๐Ÿฅœ Peanut ๐ŸŒฐ Tree Nuts ๐Ÿฅ› Milk ๐Ÿฅš Egg
  • Dramatically reduces risk of severe reaction from accidental exposure
  • Natural, biology-based approach โ€” no immunosuppressant medications
  • Allows many patients to safely consume small amounts of the allergen
  • Reduces anxiety and improves quality of life for patients & families
  • Carefully supervised with in-office dose escalations
1

Initial Evaluation

Detailed history, allergy testing (skin prick and/or specific IgE blood tests) to confirm allergy and assess candidacy for OIT.

2

Initial Dose Escalation

First doses are given in-office under close observation. This visit determines your starting dose and confirms safety.

3

Daily Home Dosing

You take measured doses at home each day, gradually increasing according to your personalized schedule.

4

Clinic Dose Escalations

Every 1โ€“2 weeks, you return to the clinic for supervised dose increases. We monitor closely for any reactions.

5

Maintenance & Freedom

Once your maintenance dose is reached, many patients can safely tolerate accidental exposure amounts โ€” a life-changing result.

Is OIT Right for My Child?

OIT is offered for children and adults with confirmed food allergies. The ideal candidate is motivated, able to follow daily dosing, and has consistent access to epinephrine. Dr. Nicholson will evaluate candidacy at your consultation.

Schedule an OIT Consultation
Financial Planning Tool

Allergy Treatment Cost Estimator

Estimate your out-of-pocket costs based on typical charges. This is not a coverage guarantee โ€” always verify your specific benefits with your insurance company using the CPT codes provided.

๐Ÿ“ž How to Verify Your Benefits

Call the member services number on your insurance card and ask: "What is my coverage for allergy testing and immunotherapy?" โ€” then give them these CPT codes: 95004, 95044, 95165, 95115, 95117, 95180

Estimate Your Costs

Enter Number of Units for Each Service
95004 โ€” Allergy Skin Testing
$11 per unit
Max 80
95044 โ€” Patch Testing
$14 per unit
Max 80
95165 โ€” Allergy Extract
$29 per unit
95115 โ€” One Allergy Injection
$29 per injection
Typically ร—26 for Year 1  ยท  ร—16 for Years 2โ€“5
95117 โ€” Two or More Injections
$34 per injection visit
Typically ร—26 for Year 1  ยท  ร—16 for Years 2โ€“5

Your Estimated Costs

Estimated Total (Year 1) $0

โš ๏ธ Disclaimer: These are estimates based on typical retail charges. Actual contracted rates, deductibles, and out-of-pocket maximums vary by plan. Always verify with your insurer. This tool is for informational purposes only.

CPT Codes for Insurance Calls

95004 Scratch Test
95044 Patch Test
95165 Extract
95115 1 Shot
95117 2+ Shots
Coverage

Accepted Insurance Plans

We accept most major insurance plans. Contact our office at 801-965-3550 if you don't see your plan listed โ€” we're happy to verify your benefits.

Aetna / Altius / First Health
BCBS
Cigna / Greatwest
DMBA
Educators
Health Choice Utah
Health Utah
Humana
Medicare
Medicaid
Molina
Multiplan
PEHP
Select Health
Tricare West / HealthNet
United / UMR
UUHP
WISE

๐Ÿ›ก๏ธ Insurance Tip: Before starting allergy immunotherapy, we recommend calling your insurance company to verify your specific benefits for allergy extract preparation (CPT 95165) and injections (CPT 95115/95117). Our staff are happy to help you navigate this process.

๐Ÿ“ž Call to Verify Benefits: 801-965-3550
Common Questions

Frequently Asked Questions

Everything you need to know before your first visit โ€” from insurance and costs to what to expect from allergy testing and immunotherapy.

Do I need a referral to see Dr. Nicholson?

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Most insurance plans โ€” including BCBS, Aetna, Select Health, and United โ€” allow you to self-refer directly to an allergist without a PCP referral. We recommend calling your insurer to confirm, but in most cases you can contact our office directly at 801-965-3550 to book.

How quickly can I get an appointment?

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Dr. Nicholson offers same-week appointments at all three locations โ€” Draper, West Jordan, and West Valley City. Use the Request Appointment form on this site or call us at 801-965-3550 and we'll find the earliest available slot.

What insurance plans does Dr. Nicholson accept?

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We accept most major plans including Aetna/Altius/First Health, BCBS, Cigna/Greatwest, DMBA, Educators, Health Choice Utah, Health Utah, Humana, Medicare, Medicaid, Molina, Multiplan, PEHP, Select Health, Tricare West/HealthNet, United/UMR, UUHP, and WISE. Call us to verify your specific plan before your visit.

What should I expect at my first allergy appointment?

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Your initial visit typically includes a detailed medical history review, discussion of your symptoms and triggers, and often allergy skin testing (a 20-minute test using tiny scratches on the forearm or back). Dr. Nicholson will review results with you and outline a personalized treatment plan before you leave.

How does allergy skin testing work?

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Skin prick testing (CPT 95004) involves placing small drops of allergen extracts on your skin, then making a tiny scratch through each drop. Results appear within 15โ€“20 minutes as small raised bumps at any positive sites. It's minimally uncomfortable โ€” most patients compare it to a light scratch โ€” and gives immediate, highly accurate results.

Does insurance cover allergy testing and allergy shots?

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Yes โ€” most plans cover both. Allergy skin testing is billed under CPT 95004. Allergy extract preparation uses CPT 95165, and injection visits use CPT 95115 (one shot) or 95117 (two or more shots). We recommend calling your insurer before your visit and asking about your deductible, coinsurance, and any prior authorization requirements for these codes.

How long does allergy immunotherapy (allergy shots) take?

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Allergy shots involve a buildup phase (weekly injections for several months) followed by a maintenance phase (monthly injections). The full course is 3โ€“5 years. Many patients experience significant improvement within the first year, and a large percentage achieve long-term or permanent relief after completing treatment.

Can allergy shots cure my allergies permanently?

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Allergy immunotherapy is the only treatment proven to provide long-lasting โ€” and often permanent โ€” relief by retraining your immune system. Studies show that 85% of patients with allergic rhinitis see significant improvement, and many remain symptom-free years after stopping shots. Results vary by individual.

What is cluster immunotherapy (rapid desensitization)?

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Cluster therapy compresses the buildup phase by giving multiple injections per visit under close medical supervision. It allows patients to reach their maintenance dose in weeks rather than months. It involves a small increased risk of systemic reaction and requires pre-medication with an antihistamine. Dr. Nicholson will advise if you're a candidate.

What is oral immunotherapy (OIT) for food allergies?

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OIT is a medically supervised treatment where patients consume gradually increasing daily doses of a food allergen (such as peanut protein) to build tolerance. The goal is to raise the threshold at which a reaction occurs โ€” providing a critical safety buffer against accidental exposures. Dr. Nicholson offers OIT for peanut and tree nut allergies.

Who is a candidate for OIT?

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OIT is appropriate for children and adults with confirmed IgE-mediated food allergies (typically diagnosed via skin testing and/or blood tests) who are motivated to follow a daily dosing protocol. Candidates must have reliable epinephrine access and consistent clinic availability for supervised dose escalations every 1โ€“2 weeks.

How is eczema (atopic dermatitis) treated by an allergist?

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Dr. Nicholson evaluates eczema comprehensively โ€” including allergy testing to identify triggers, patch testing for contact allergens, and assessment of underlying immune dysfunction. Treatment options range from topical therapies to systemic medications and biologics including Dupixent (dupilumab), which targets the IL-4/IL-13 pathway driving skin inflammation.

What causes chronic hives (urticaria) and what can be done?

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Chronic spontaneous urticaria (CSU) affects roughly 1% of the population and occurs when no clear external trigger is identified. Dr. Nicholson specializes in CSU evaluation and management, including newer biologic therapies. As of April 2026, Dupixent is FDA-approved for CSU in patients as young as 2 years old who don't respond to antihistamines.

Can asthma be treated by an allergist?

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Absolutely โ€” allergists are subspecialty trained in asthma management. Dr. Nicholson treats allergic, non-allergic, and exercise-induced asthma. For moderate-to-severe asthma not controlled by standard inhalers, biologic therapies (Dupixent, Nucala, Fasenra, Tezspire) may be appropriate and can dramatically reduce exacerbations.

What is the difference between an allergist and an immunologist?

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Dr. Nicholson is dual-trained in both allergy and immunology โ€” the same fellowship covers both disciplines. Immunologists evaluate immune system dysfunction including primary immunodeficiency disorders (recurrent infections, low antibody levels), while allergists focus on hypersensitivity conditions. Dr. Nicholson manages both.

How do I know if I have a drug allergy vs a drug intolerance?

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A true drug allergy involves an immune system response (IgE-mediated or T-cell mediated) and can cause hives, swelling, anaphylaxis, or serious skin reactions. A drug intolerance is a non-immune side effect (like nausea from antibiotics). Dr. Nicholson offers drug allergy evaluation and delabeling โ€” many patients labeled as 'penicillin allergic' test negative on challenge.

What is Utah's pollen season like and when is it worst?

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Utah has one of the most intense multi-season pollen environments in the West. Juniper peaks Februaryโ€“March, cottonwood and oak peak Aprilโ€“May, grasses peak Mayโ€“July, and ragweed and sagebrush peak Augustโ€“September. Salt Lake Valley's geography traps pollen (and air pollution) during inversions, intensifying symptoms. Our pollen widget on the home page tracks current levels daily.

Do you treat children as well as adults?

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Yes โ€” Dr. Nicholson treats patients of all ages, from infants and toddlers to adults. Pediatric allergy conditions including food allergies, eczema, asthma, and allergic rhinitis are a significant part of the practice. OIT for peanut allergies is available for children as young as 4 years old.

How are allergy shots given and is it painful?

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Allergy shots are subcutaneous injections โ€” typically given in the back of the upper arm โ€” using a very fine, short needle. Most patients describe them as a minor pinch. You'll need to wait 30 minutes after each injection in our office so we can monitor for any reaction. Walk-in shot hours are available without an appointment at our Draper and West Jordan locations.

How do I get started as a new patient?

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The easiest way is to use the New Patient Request Form on this website โ€” we'll contact you within 1 business day to confirm your appointment. You can also call us directly at 801-965-3550. Same-week appointments are available. Please bring your insurance card, ID, and a list of current medications to your first visit.

Still have questions? We're happy to help.

๐Ÿ“ž Call 801-965-3550 Request Appointment
Evidence-Based Allergy News

Allergy & Immunology Blog

Monthly articles from Dr. Nicholson โ€” covering new research, treatment updates, and practical tips. All content is evidence-based, reviewed against AAAAI, ACAAI, and FDA guidelines.

๐Ÿ“‹ Featured ยท May 2026 FDA Approval Update

Dupixent Now Approved for Chronic Hives in Children as Young as Age 2

A landmark development for young patients with antihistamine-resistant chronic hives โ€” the first biologic ever approved for this age group.

On April 22, 2026, the FDA approved Dupixentยฎ (dupilumab) for children aged 2 to 11 years with chronic spontaneous urticaria (CSU) โ€” recurring hives and itch โ€” who remain symptomatic despite antihistamines. This is the first biologic ever approved for CSU in children under 12.

Previously, only antihistamines were approved for this age group โ€” and about 50% of patients don't respond adequately. This approval fills a critical treatment gap.

How it works: Dupixent blocks IL-4 and IL-13 โ€” the same inflammatory signals driving eczema, asthma, and nasal polyps โ€” targeting the root cause of CSU rather than just suppressing symptoms.

Sources: FDA Press Release Apr 22 2026 ยท Regeneron/Sanofi ยท LIBERTY-CUPID Program ยท Healio, Dermatology Times, Contemporary Pediatrics

Key Facts

โœฆ Ages covered: 2โ€“11 years (expands existing 12+ approval)
โœฆ Condition: Chronic spontaneous urticaria (CSU) not controlled by antihistamines
โœฆ Mechanism: IL-4/IL-13 receptor antagonist (type 2 inflammation)
โœฆ Evidence: LIBERTY-CUPID + CUPIDKids Phase 3 trials
โœฆ Dupixent's 9th FDA-approved indication
Ask Dr. Nicholson if Dupixent is Right for Your Child โ†’

Previous Articles

April 2026 ยท Seasonal Tips

Utah's Worst Allergy Season: Surviving Juniper and Cottonwood Pollen

Utah's unique geography creates some of the worst springtime pollen in the West. Learn which trees peak when, how to read pollen counts, and evidence-based strategies that actually make a difference.

AAAAI Patient Education ยท 2026
March 2026 ยท Asthma

Exercise-Induced Bronchoconstriction: What Utah Athletes Need to Know

Up to 90% of people with asthma experience exercise-induced symptoms. We break down the latest AAAAI/ERS guidelines on diagnosis and pre-exercise treatment strategies.

AAAAI/ERS Joint Guidelines ยท 2025
February 2026 ยท Food Allergy

Early Peanut Introduction: How LEAP Changed Everything

The LEAP trial showed early peanut introduction reduced allergy risk by 80%. Updated AAAAI/AAP guidelines on when to introduce high-risk foods โ€” and when to see an allergist first.

AAAAI ยท AAP ยท LEAP Trial
January 2026 ยท Outdoor Life

Camping & Hiking with Allergies: A Guide for Utah Families

Pollen-heavy canyon hikes, campfire smoke, insect stings โ€” outdoor adventures present real allergy challenges. Dr. Nicholson's practical guide covers medication timing, EpiPen readiness, and best seasonal destinations.

ACAAI Patient Resources ยท AAAAI Guidelines
December 2025 ยท Eczema

Atopic Dermatitis in 2026: Beyond Steroids โ€” Biologics & JAK Inhibitors

New biologics (Dupixent, Adbry) and JAK inhibitors (Rinvoq, Cibinqo) have transformed eczema care. Updated AAAAI/AAD guidelines on which patients are candidates for targeted therapy.

AAAAI ยท AAD Guidelines 2025
November 2025 ยท Immunotherapy

Is Allergy Immunotherapy Right for You?

Allergy shots are the only proven treatment for long-lasting โ€” sometimes permanent โ€” allergy relief. Who is the ideal candidate, what the 3โ€“5 year commitment looks like, and why fall is the best time to start.

AAAAI Practice Parameters ยท 2025

Follow Along on Instagram

Monthly allergy tips, Utah pollen updates, patient education, and behind-the-scenes from the clinic โ€” all on Instagram.

@utahallergydoc
AllerBlast!
Dr. Nicholson's Waiting Room Challenge
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