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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

Chacko Allergy, 5555 Peachtree Dunwoody Road, Suite 135, Atlanta, GA (2026)

01/28/2026

If you’re new to food allergies, this part matters. 🥜💬
In this clip, Dr. Chacko and Dr. Alice Hoyt break down what’s actually FDA-approved for food allergy treatment — and where families often get confused.

Here’s the real landscape:
• There are currently two FDA-approved options related to food allergies
• Xolair (omalizumab) is an injectable that lowers the risk of severe reactions from accidental exposures — it does not “treat” the allergy itself
• Palforzia is defatted peanut flour, approved only for peanut allergy
• Palforzia often struggles in real-world use, especially when used in highly allergic kids and pushed to higher doses
• High IgE + high target doses = more side effects, especially GI symptoms
• OIT isn’t one-size-fits-all — comfort, cost, dosing style, and family goals all matter

Pharma has a place—but many clinics succeed with grocery-store foods. Comfort, cost, and SLIT/OIT mechanics all matter.

👉 Comment: PB, puffs, or flour—what worked for you?

01/27/2026

“Allergies are ruining my life… so I’m here to figure out why.” 😅

A quick look at an environmental skin prick test in real time:
• Tiny scratches place allergens just under the skin
• Itching can start within minutes
• Positive vs negative sites help us identify triggers
• Dust mites showing up early here 👀

Skin testing helps connect symptoms to real causes — so we can actually treat them, not guess.

If you’re tired of guessing what’s causing your symptoms, or you’ve never been tested before, this is often the best place to start.
Come visit us at any of our locations and let’s get you real answers — and a real plan.

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

01/26/2026

“I don’t feel hopeless anymore…” 💬
When Natalie’s son was diagnosed with a life-threatening dairy allergy, she grieved the life she thought he couldn’t live. But after a year and a half in a food allergy treatment program, his numbers are already coming down — and she’s starting to live in the light at the end of the tunnel.

💡 Tom Chacko, allergist here — I came across this video and had to share it. This mom is doing something powerful: slowly and safely reintroducing allergens under medical guidance to build her son’s tolerance.

👶 I see this especially with milk allergy — one of the most common and challenging. But with oral immunotherapy and low-dose desensitization, it can absolutely be done.
🌎 Whether you're in California or Georgia or anywhere in between, there are paths toward food freedom.

If you're navigating milk or egg allergy and looking for options, let us help. We've been doing this for nearly a decade and know what works.

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

01/25/2026

I recently received a DM from a physician in New York whose child has severe peanut allergies and later developed cashew and pistachio allergies. They were told his “numbers were too high” for OIT and to avoid for now — possibly consider medication later.

Here’s what’s important to understand 👇🏽

There is no single number that automatically disqualifies a child from OIT. We routinely treat patients with very high IgE levels. In fact, age is often on your side — the younger the patient, the more opportunity we have to change the allergy trajectory.

Avoidance is not “wrong,” but it should not be the only conversation. Families deserve to hear about:
• Early food introduction
• Natural food-based immunotherapy
• Stepwise approaches (starting with peanut, then expanding)
• Options that may not require biologics
• The critical window of opportunity that can be lost with prolonged avoidance

Who you see matters. Comfort level, experience, and philosophy around food allergy treatment can completely change outcomes.

If you’ve been told “just avoid” — get another opinion. The trajectory can be very different.

Please share this with any parent who needs to hear it 🤍

📞: (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

01/24/2026

I received a DM from a parent whose almost-3-year-old has high cashew numbers and was told it’s better to wait because she’s too young to describe symptoms.

Here’s my honest take.

For cashew allergy, waiting is often not the advantage people think it is. Unlike milk or egg — where numbers may naturally come down — cashew levels typically do not decrease on their own.

In many cases, the earlier you start, the better the outcome.

We routinely begin treatment at 2–3 years old. Age is not the problem — delay is. Young children are often the best candidates because their immune systems are more adaptable, and we can change the trajectory before reactions become more severe.

If you’re told:
• “They’re too young”
• “The numbers are too high”
• “Just wait and avoid”

Please consider getting another opinion.

If it’s not us, I’m always happy to recommend trusted colleagues in your area. Parents deserve options — not just avoidance.

Please share this with anyone navigating cashew or tree nut allergies 🤍

📞: (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

01/23/2026

Dr Chacko core 🤍
When the outtakes are better than the take 😭
Same doctor. Same energy. Zero filter.

Medicine is serious… I am not always 😂

📞: (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

01/22/2026

Monday Walkthrough — Throwback Edition 🥚✨
Taking it back to one of our busiest clinic days from Thanksgiving week — because the work (and progress) deserves another moment. 🍁💛

Kids were out of school, families were prepping for the holidays, and our clinic was full of meaningful milestones:
• Carter (8 yrs) — moving through egg OIT 🥚, carefully introducing egg white to retrain his immune system.
• Margaret (6 yrs) — graduated from peanut 🥜 and started milk OIT 🥛. IgE of 13 — high, but very workable with the right plan.
• Michael — one of our long-term peanut patients who started early and now eats PB&J freely at home 🥪🙌
• Baked Egg Challenge — a 7-month-old trying muffin 🧁 for the first time. Even a few bites can tell us whether baked egg can safely enter the diet.
• James — continuing peanut OIT 🥜 with an IgE of 17. High, yes — but very typical here and absolutely manageable.

Egg, milk, peanut — different paths, same goal: building safety, confidence, and freedom for families. 💙

If you’ve been told there are “no options” for your child’s food allergies, this is your reminder that there are paths forward — and we’re here to help guide them.

📞 (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

01/21/2026

There’s a lot of talk about using SLIT as a “bridge” to OIT in infants and toddlers — and here’s my honest take.

In real life, infants and toddlers cannot reliably hold allergen under the tongue. What often ends up happening?
They swallow it.

At that point, we’re essentially talking about low-dose OIT — and that’s okay. Both approaches can work. We’re often saying the same thing using different labels.

What matters most:
• Early treatment
• Age being on your side
• Not waiting until allergies worsen
• Avoiding missed windows of opportunity

I don’t spend time debating terminology. I focus on treating babies early and safely — because waiting and avoiding can change the trajectory in the wrong direction.

If you’ve been told to “just avoid”, please get another opinion.
And if I can help — or point you to trusted colleagues — I’m happy to.

Please share this with any parent who needs to hear it 🤍

📞: (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

01/20/2026

“What can an adult or teen with severe nut allergies do if avoidance has been the approach their whole life?”

Short answer: you still have options.

For many of my high schoolers, college students, and adults, the goal isn’t to freely eat nuts. The goal is protection from accidental exposure — at restaurants, social events, travel, or shared foods.

That’s where low-dose oral immunotherapy comes in.

We can build to a small, steady maintenance dose — often within 6–8 weeks — and stop there. This provides a meaningful safety buffer without forcing anyone to “eat foods they don’t care to eat.”

In some cases, we use very low-dose, food-based options (like standardized nut protein snacks) that are:
• Easy to take
• Affordable
• Practical
• Designed for accidental exposure protection

Avoidance doesn’t have to be the end of the story — even after years.

If you’re a teen, college student, or adult with peanut or tree nut allergies and want peace of mind, there are real, effective options available.

If it’s not us, I’m always happy to connect you with trusted colleagues near you.

Please share this with someone who’s been told “it’s too late” 🤍

📞: (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

01/19/2026

Cashew Journey with Dr. Chacko
I’m here with my buddy Ian — and today, he officially finished his treatment with me! 🙌 Mom and Grandma are cheering in the back because this has been a long journey.

We’ve been working through cashew, walnut, and today sesame. He just completed 1 gram of sesame, and he’s already been eating even more than that at home. When we started, his cashew was 9.5 — pretty high — and now he eats half a cashew like it’s nothing.

For families, especially in Indian households where cashews and sesame are in so many foods, weddings, and events, this changes everything. The biggest fear is always:
“What if my child gets exposed accidentally?”
Well, I prove it by showing you exactly how much they can now tolerate.

So thank you to Mom and Grandma for trusting me and sharing your story. ❤️

If your child has a cashew allergy, walnut allergy, or sesame allergy, reach out early. The earlier we start, the more we can reverse — and get these foods safely back into their diet.

Thanks everyone! 🙏✨

📞 (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

01/19/2026

Monday Walkthrough with Dr Chacko 👨🏽‍⚕️🥜✨

It’s a regular Monday here, so let’s dive in.

First up we have Eli, 9 months old, starting his peanut OIT journey. His IgE is high, but I believe by age 2–3 he’ll be eating peanut butter like any other kid. Starting early makes all the difference.

Next is Catherine — an adult peanut-allergic patient. Yes, we do treat adults too. She’s not trying to eat peanuts regularly, but she is protecting herself from accidental exposure. We’ll begin with peanut powder, and eventually transition her to one Mighty Me puff (about 50mg of protein). Accident protection matters, and long-term benefits are real.

Then we have a 13-year-old starting day one of reversing his peanut allergy — another peanut OIT start today. That’s three peanut cases just this morning.

Now meet Lily, working through sesame with numbers over 100. Sesame is trickier, so we’re using a sublingual approach and tracking her closely.

And lastly, a 1-year-old with low peanut numbers beginning a gradual “bamba challenge” — slowly introducing peanut puffs into the diet to build tolerance safely.

Just a regular Monday here:
High volume, families traveling from near and far, and lives changing every day.

If your child has a food allergy — peanut, sesame, cashew, anything — reach out early. And if it’s not with me, I’ll always point you to someone who can help. There are options. 💛

Thanks everyone!

📞 (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

01/17/2026

From 10 ➡️ 0 🥜🙌
This baby started with a peanut IgE of 10 — high for an infant. Instead of avoiding, we began peanut oral immunotherapy (OIT) early, and now she’s eating peanut butter with no issues! 💪

Her new test? Totally negative.
If we had done nothing, those numbers would’ve likely gone up. But early action stopped the train before it gained speed. 🚂

So if your baby has a food allergy, don’t wait — early intervention matters.

📞: (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