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Table 2 OTI guidelines with Granini® peach juice

From: Oral immunotherapy with peach juice in patients allergic to LTPs

Stage 1. Sublingual 2 min and then spit out

 Visit 1 (dilution 1/1000)

1–2–4 drops

 Visit 2 (dilution 1/100)

1–2–4 drops

 Visit 3 (dilution 1/10)

1–2–4 drops

 Visit 4 (1/1: undiluted juice)

1 drop

 Visit 5 (1/1)

2 drops

 Visit 6 (1/1)

4 drops

 Visit 7 (1/1)

5 drops

Stage 2. Sublingual 2 min and swallow (drops)

 Visit 8 (1/1)

1 drop

 Visit 9 (1/1)

2 drops

 Visit 10 (1/1)

4 drops

 Visit 11 (1/1)

5 drops (equivalent to 0.13 ml)

Stage 3. Sublingual 2 min and swallow (ml)

 Visit 12

0.25 ml

 Visit 13

0.50 ml

 Visit 14

1 ml

 Visit 15

2 ml

 Visit 16

3 ml

 Visit 17

5 ml

Stage 4. Oral tolerance test with whole juice

 Visit 18

10–25–65–100 ml (accumulated dose 200 ml)

Continue intake of 200 ml/day (1 carton), at least 4 days/week

  1. The increases were performed in a controlled manner at the immunotherapy unit every 1, 2 or every 4 weeks, depending on tolerance. Previously, prick-test to LTP and prick-by-prick test to juice were repeated (with the used and the new cartons), to assess the possible loss of protein activity of the product administered at home