Dr. Hoyt’s RAST Framework: What Parents Should Do After a Food Allergy Diagnosis

What topic would you like discussed? Text us!The headlines makes it sound simple: omalizumab (Xolair) performs as well as or better than multi-food oral immunotherapy for food allergy. But once you look under the hood, the story gets a lot more nuanced and a lot more real. Fresh from the AAAAI 2026 conference, I walk you through what the new data actually show, why the study design isn't ideal, and what parents should ask their allergist before choosing a path, whether that be with Xolair, OIT, SLIT, or avoidance.Link to the articles I mention:Food Allergy Peds Hub: https://foodallergypedshub.hoytallergy.com/newsletters/the-food-allergy-friday-newsletter/posts/is-xolair-superior-to-oitDoximity: https://opmed.doximity.com/articles/aaaai-2026-good-science-great-connectionsIf this helps you think more clearly about your child's food allergy treatment, subscribe, share the episode with a friend, and leave a review so more families can find it.Resources📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric HubFor Schools ➡️ Code AnaFor Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!Dr. Alice Hoyt explains how allergists diagnose food allergies, differentiate them from other adverse reactions, and the importance of accurate diagnosis for effective treatment. This episode covers key questions to identify true food allergies and the significance of proper testing and treatment options.Resources:Find an Allergist Tool - American Academy of Allergy - https://acaai.org/resources/find-an-allergist/Fast OIT - Food Allergy Support Team - https://fastoit.org/keywords: food allergy, allergy diagnosis, anaphylaxis, F-Pies, immune response, allergy testing, treatment options, allergist, food reactionsResources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!In this episode, Dr. Alice Hoyt shares a practical and empowering mental model—the RAST framework—to help families navigate the complexities of food allergies with confidence. Whether you're newly diagnosed or have been managing food allergies for years, this approach offers clarity and actionable steps to enhance your journey.food allergy diagnosis, new food allergy parent, epinephrine, allergist advice, managing food allergiesResources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!In this new episode of “Food Allergy and Your Kiddo,” Dr. Hoyt discusses the recent news regarding Palforzia, the first FDA-approved treatment for peanut allergies, which is set to be discontinued. She explains how Palforzia works, its significance in oral immunotherapy (OIT), and the implications of its discontinuation for patients. Dr. Hoyt also addresses the challenges and limitations of Palforzia, including insurance coverage and the preferences of parents for more accessible alternatives like peanut butter. The conversation emphasizes the importance of discussing transitioning options with allergists and the ongoing viability of OIT without Palforzia.Resources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!Dr. Alice Hoyt discusses her recent experience speaking at a panel in Washington, D.C., focused on improving access to epinephrine for anaphylaxis. She emphasizes the importance of making epinephrine available over the counter and addresses the challenges faced by schools and families in accessing this life-saving medication. Dr. Hoyt also highlights the role of education in ensuring proper use of auto-injectors and shares insights from the FDA's evolving approach to non-prescription drugs.Mentioned LinksPanel: https://youtu.be/99rUAtMGfYI?si=Sw4IrjqNGXG2-6ODACNU: https://www.fda.gov/drugs/over-counter-otc-nonprescription-drugs/nonprescription-drug-product-additional-condition-nonprescription-useKeywordsepinephrine, anaphylaxis, FDA, over-the-counter, auto-injectors, education, access, healthcare, medication, allergyTakeawaysEpinephrine should be available over the counter.Education is key to proper use of auto-injectors.Access to epinephrine is crucial for schools and families.FDA is exploring new approaches to non-prescription drugs.Non-medical individuals can learn to use auto-injectors.Cost and insurance barriers affect access to epinephrine.Antihistamines are not a substitute for epinephrine.Proper training can prevent misuse of auto-injectors.Epinephrine is not a habit-forming medication.Collaboration with healthcare providers is essential.Resources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!"Wally the Seafood-Allergic Walrus" is a fun children's story for children, parents, and educators. The story emphasizes the importance of understanding and managing food allergies, being prepared with necessary medications like an "EpiFriend," and displaying empathy in emergency situations. It also highlights the significance of forgiveness and friendship, demonstrating that these values can turn even the most difficult circumstances into opportunities for growth and understanding.Resources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!In this episode, Dr. Alice Hoyt discusses oral immunotherapy (OIT) for children with food allergies, addressing common parental concerns about safety, the treatment process, expected outcomes, and emotional support for children undergoing OIT. The conversation highlights the importance of understanding the risks and benefits of OIT, the practical steps involved in the treatment, and the emotional aspects of managing food allergies in children.Resources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!In this episode, Dr. Alice Hoyt dives deep into Disney’s recent and surprising change to its food allergy policy. After releasing an episode outlining how her family safely plans for Disney, the policy shifted — servers are no longer required to ask diners if they have food allergies.To get clarity for food allergy families, Dr. Hoyt traveled to Orlando for a speaking engagement and then headed straight to Disney Springs to get firsthand insight. She shares what she learned from cast members, managers, and her own dining experience at Jock Lindsey’s Hangar Bar.This episode gives you the real, updated picture of what to expect at Disney with food allergies, and how to stay safe while still experiencing the magic.Resources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!In this episode, Dr. Alice Hoyt shares her insights on planning a Disney World trip with food allergies. She discusses her personal experiences and offers four key strategies: Theme your tripPick your prioritiesPlan your days Dining safely with specific strategies (tune in to hear more!)Dr. Hoyt emphasizes the importance of communication with Disney staff to ensure a magical and safe experience for families with food allergies.Resources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.

What topic would you like discussed? Text us!In this episode of "Food Allergy and Your Kiddo," Dr. Alice Hoyt welcomes back Tamara Hubbard (@foodallergycounselor) to discuss the impact of recent studies on peanut allergy prevention and how parents of children with food allergies may be feeling about this news.The conversation highlights the importance of community support, evolving guidelines, and the emotional journey of parenting children with food allergies. Let us know how YOU are feeling by sharing your thoughts in the comments! Subscribe to YouTube: @hoytfoodallergyInstagram: @hoytfoodallergyFacebook: Hoyt Institute of Food AllergyResources 📖 Navigating Food Allergies: A Parent’s Guide to Care, Coverage, and Confidence by Dr. Alice Hoyt - preorder from Amazon and more For Parents ➡️ Office Hours for Parents For Providers ➡️ Food Allergy Pediatric Hub For Schools ➡️ Code Ana For Potential Patients ➡️ Hoyt Institute of Food Allergy🔎 Find an AllergistAAAAI Allergist FinderACAAI Allergist FinderOIT Allergist FinderThis podcast is the official podcast of the Hoyt Institute of Food Allergy. Information on, within, and associated with this site and Food Allergy and Your Kiddo is for educational purposes only and is not medical advice.