Doctor Q&A for Dr. Efren Rael

A 36-year-old member asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Immune cells: Natural killer cells are immune effector cells that are efficient in killing virus infected cells. They can be divided into 2 sets: CD56bright (produ ... Read More
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A 26-year-old male asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
2 is better: Anaphylaxis treatment can be unpredictable and sometimes requires 2 doses or more of epi. Hence, if the 1st dose isn't successful at reversing anaph ... Read More
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A 20-year-old female asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Depends: Yes, if allergies are triggering the post nasal drip. No if gastroesophageal reflux is triggering the post nasal drip.
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A 28-year-old female asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Hives discussion: Hives are usually not worrisome, unless associated with other features, such as pain/pressure (as opposed to itch), fever, unintentional weight loss, ... Read More
A 51-year-old member asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
One thought: Humidity can increase vegetation and growth of bacteria, mold, dust mites potentially creating a reactive response by the immune system to challenge, ... Read More
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A female asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Med Formulation: A lot of literature is emerging suggesting a link with the thyroid and skin symptoms such as itch/hives. Some formulations of thyroid medications can ... Read More
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A 45-year-old member asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Multifactorial: Allergies are associated with both environmental and genetic factors. Usually there are 2 phases to allergy, a sensitization phase and an effector ph ... Read More
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A 32-year-old male asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Possible allergy: Humidifiers, although moisturizing to humans, can also increase dust mite and mold populations and can sometimes paradoxically worsen allergy symptoms ... Read More
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A 50-year-old member asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Symptoms: Opiate containing pain medications such as morphine, percocet, demerol, (meperidine hydrochloride) can cause mast cell degranulation independent of al ... Read More
A 34-year-old female asked:
Dr. Efren Rael
18 years experience Allergy and Immunology
Yes: Yes, my research and experience suggests, suboptimal response if treating asthma independent of allergic rhinitis or vice versa. Coexisting condition ... Read More
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