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Chacko Allergy, 5555 Peachtree Dunwoody Road, Suite 135, Atlanta, GA (2025)

11/29/2025

New Microdosing Tool: Top 9 Proteins Milk Drops 🥛✨
I just received new microdose products from Top 9 Proteins — the same team behind Lil Mixins. Not paid, not sponsored, but I trust the company and the quality.

These drops provide 4 mg per 1 mL, which makes precise microdosing easier and more consistent. I already gave the milk drops to a physician family today, and I’m excited to use these for milk, cashew, egg, and other allergens.

Key Takeaways:
• Microdosing is the foundation of tolerance — these drops make it simpler and more standardized.
• Great option for families starting small or with high fear/numbers.
• Another reliable tool to help kids safely build tolerance at home.

📞: (678) 325-3788
💻: Schedule an appointment — https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/28/2025

Friday Walkthrough: Two Families Starting Their Milk Journey 🥛✨

📍 Nolan’s Story
• Nolan is a 2-year-old whose mom is a dermatologist and dad is a GI doctor.
• They drove about 6 hours from Florida because no one near them offers milk OIT.
• Nolan has had severe anaphylaxis to milk and is on Dupixent for eczema — yet no one was treating the milk allergy itself.
• During today’s Friday Walkthrough, we started him on small, controlled amounts of milk and taught the family how to continue safely at home.

📍 Ari’s Story
• Ari is 2.5 years old with a milk IgE greater than 100.
• Her family drove 4–5 hours from Nashville.
• She was referred to me by Elizabeth from Latitude OIT in California, who asked on a national panel:
“Anyone near Nashville who can treat high-number milk OIT?”
— and I was the closest.
• Despite very high numbers, I don’t automatically start Xolair.
I begin with slow, steady milk escalation and reserve Xolair only if we need it.

📍 Why These Walkthroughs Matter
Even on a “regular” Friday Walkthrough, we see families traveling from multiple states because milk treatment simply isn’t offered where they live.

Both Nolan and Ari began their milk desensitization journey today — and both have strong chances of success.

✅ Takeaway
Milk OIT is still unavailable in many regions, but with the right plan and careful escalation, even severe milk allergy can be safely treated.

📞: (678) 325-3788
💻: Schedule an appointment — https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/27/2025

🚫 Baby Feeding Myths: Let’s Set the Record Straight! 🍼🥜
Dr. Chacko and Catherine Jaxon (co-founder of Mission MightyMe) tackle some of the most common myths parents still hear about food allergies and early introduction — and spoiler alert: every single one is FALSE. 😅

Here’s the truth 👇
❌ Myth 1: Babies need to eat the same food 3–4 days in a row before trying something new.
Fact: False — that advice is outdated!

❌ Myth 2: If parents have food allergies, their baby definitely will too.
Fact: False — genetics play a role, but early introduction matters more.

❌ Myth 3: Food allergies are just “bad luck.”
Fact: False — while not always 100%, prevention is possible with the right guidance.

❌ Myth 4: It’s safer to wait to introduce peanuts.
Fact: False — early introduction (4–6 months and def before age 1) helps prevent peanut allergy!

Prevention doesn’t have to be complicated — or scary. 💙

📞 (678) 325-3788
💻 Schedule an appointment → https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/27/2025

Third Time’s the Charm! 💛🥜
This family came to us after seeing two other allergists — after being told to avoid peanuts like the plague they decided to come to us. 🚫

Here, their story changed. 🙌 Through a safe, guided OIT journey, their child is now confidently enjoying Bamba puffs with no fear! 🥰✨

Sometimes, all it takes is the right team and a little hope to turn “never” into “now.” 💪🌈

📞 (678) 325-3788
📅 Schedule an appointment → https://bit.ly/4aW4Jf2
📍 14 Convenient Locations: Alpharetta | Atlanta | Buford | Canton | Cu***ng | Druid Hills | Duluth | Johns Creek | Lawrenceville | Marietta | Midtown Atlanta | Peachtree Corners | Vinings | Woodstock

11/26/2025

Six… seven… SIX SEVEN. 😄
Tom Chacko Allergist here — and yes, we’re talking numbers again.

Today’s case:
A 2-year-old who broke out in hives after just 1 tablespoon of peanut butter 🥜
His peanut IgE?
6.7 — or as the meme goes… “six seven… SIX SEVEN.” 😂

But here’s the good part:
With slow, careful exposure, we can reverse reactions like this.
We treat the tens, we treat the zeros, and yes — we treat the 6.7s too.
We do this every day, and we’re good at it.

Those are the numbers.
Let me know if you need help — give me a shout.

📞 (678) 325-3788
💻 Schedule an appointment — https://bit.ly/4aW4Jf2
📍 14 Locations Across Metro Atlanta

11/26/2025

“Too allergic for OIT”? Let’s talk about that.
So many families are told their child is “too allergic” — but what does that actually mean?

In this clip, Dr. Chacko and Dr. Alice Hoyt break down one of the biggest misunderstandings in food allergy care:
Bite-safe vs. free-eating are different goals.
Low-dose, steady protocols can be safer and effective.

Here’s what they explain:
🔹 Not all OIT is the same. There isn’t one universal protocol — doses, goals, and speed vary based on the child.
🔹 Low-and-slow works. Lower daily doses over longer periods can build protection while reducing reaction risk.
🔹 Every child’s plan should be individualized. Age, IgE numbers, history, tolerance — all of it matters. There’s no one-size-fits-all approach.

For many families, “too allergic” really means “you need a different protocol — not no protocol.”

Share this with a parent who was told ‘no.’
They deserve to know that there are options — and that bite-safe protection alone can be life-changing.

📞 (678) 325-3788
💻 Schedule an appointment → https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/26/2025

It’s a regular Wednesday, and I’m walking you through some powerful peanut allergy journeys today 👇
• Asher, just 2 years old, was originally told to avoid peanuts. We slowly introduced Bamba and peanut pasta — and now he’s eating peanut butter freely! 🙌
• Sophia, age 3, has a peanut IgE of 63 (very high), but we’re not letting numbers stop us. She’s starting early treatment and we’re confident we can turn this around. 💪
• Diana came all the way from Virginia! She previously started oral immunotherapy elsewhere and is now continuing with us — working her way up through peanut puffs and eventually sesame. 🌰
• Isabella, 19, was told to avoid peanuts forever — but her numbers were low. She’s now challenging with peanut M&Ms and doing great! 🎉

We see stories like this every single day — real patients reversing peanut allergy through safe, guided food introduction.

If you or your child were told to avoid forever, remember: in the right hands, options exist. ❤️

📞: (678) 325-3788
💻: Schedule an appointment — https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/25/2025

You Did Everything Right ❤️
Even when parents follow every recommendation — early introduction, variety, consistency — sometimes food allergies still develop. And that’s okay.

In this conversation, Dr. Chacko and Catherine Jaxon (co-founder of Mission MightyMe) remind parents that:
💡 Food allergies can still occur even when you do everything right.
💛 There’s no guilt — you did the best you could with the information available.
👩‍⚕️ If an allergy does develop, there are still options — treatments like oral immunotherapy (OIT) and desensitization can change what’s possible.

The takeaway: No guilt. No shame. Just next steps. 🌈
Allergies happen, but so does healing — and you’re not alone in the process.

📞 (678) 325-3788
💻 Schedule an appointment → https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/25/2025

From “Too Severe” to Sweet Success: Overcoming Egg Allergy 🧁🥚
This patient’s egg IgE was over 100 — and most doctors said nothing could be done. They drove 2–3 hours from Alabama looking for options.

Fast forward just one year later, and they’re now safely eating baked muffins and cookies — foods every child deserves to enjoy. 💛

Even with high numbers, treatment is possible in the right hands. Avoidance isn’t the only answer — options are available.

📞: (678) 325-3788
💻: Schedule an appointment — https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/24/2025

Tiny Doses. Big Impact. 🥜✨
In this conversation, Dr. Chacko and Dr. Gideon Lack discuss a growing area of food allergy care — how measured, microdosed exposure can help highly sensitive patients, especially teens.

For those with high IgE levels or strong reactions, introducing precise, consistent doses under medical supervision may help the immune system adapt safely over time.

👩‍⚕️ Dr. Chacko’s approach:
Uses tiny, controlled doses (sometimes as little as 5–10 mg of peanut or tree nut protein).
Incorporates tools like Mission MightyMe puffs for precision and consistency.
Focuses on real-world safety and gradual progress.

For highly sensitive teens, tiny measured doses can be a bridge.
Precision + consistency + clinician guidance = key.

Not medical advice — always consult your trusted allergist for individualized care. 🩺

📞 (678) 325-3788
💻 Schedule an appointment → https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/24/2025

From Avoidance to Action: This 2-Year-Old’s Peanut Success Story 🥜👶
When this toddler first came to us in early 2024, their peanut IgE was 1 and Ara h2 was 1.5 — and like many families, they were told to avoid peanut completely.

Instead, we introduced peanut puffs (Bamba) slowly into the diet, and now — just over a year later — their peanut levels are almost negative (0.2)! 🙌
That means this little one can now enjoy peanut butter safely like everyone else. 🥜✨

Avoidance often makes allergies worse over time — treatment and gradual exposure can change everything. 💪

📞: (678) 325-3788
💻: Schedule an appointment — https://bit.ly/4aW4Jf2
📍14 Convenient Locations: Alpharetta, Atlanta, Buford, Canton, Cu***ng, Druid Hills, Duluth, Johns Creek, Lawrenceville, Marietta, Midtown Atlanta, Peachtree Corners, Vinings, Woodstock

11/23/2025

From Peanut Allergy to Peanut Power! 🥜💥
When this mom first came to us, her son Carter couldn’t go near peanuts without a reaction. 🚫

They stayed dedicated, trusting the process and following every step of their OIT journey. 💪

Now he’s confidently enjoying peanut products with ease — and smiles all around! 🥰

And the best part? Mom found us on Google — proof that the right search can truly change a family’s life. 💛

Stories like these remind us why we do what we do — helping kids overcome fear and enjoy the foods they once avoided. 🌈✨

📞 (678) 325-3788
📅 Schedule an appointment → https://bit.ly/4aW4Jf2
📍 14 Convenient Locations: Alpharetta | Atlanta | Buford | Canton | Cu***ng | Druid Hills | Duluth | Johns Creek | Lawrenceville | Marietta | Midtown Atlanta | Peachtree Corners | Vinings | Woodstock

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Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm
Saturday	9am - 5pm
Sunday	9am - 5pm