Provocation/ Neutralization Allergy Testing. What is it? Message From Doris Rapp MD

It is a way to test and treat patients for allergies. During P/N testing it is possible to reproduce and then eliminate a person’s specific symptoms. It is therefore very helpful in pinpointing cause and effect relationships so someone can identify exactly which exposure to an allergenic substance is causing which specific symptoms. Environmental medical specialists, often also certified in pediatrics or internal medicine, know how to do this testing.

How is it done?


The most precise, effective way to do allergy skin testing, in Dr Rapp’s personal experience, is unquestionably to use Provocation/Neutralization . With this method, it is possible to actually reproduce, usually in a slight to moderate form, a person’s exact symptoms of allergy. You can provoke changes of the typical type such as hay fever, asthma, itchy skin or a belly ache. In addition, the less frequently recognized symptoms of allergy, including changes in how someone feels, looks, writes, walks , talks, behaves and acts can be produced. Even the pulse, breathing and blood pressure can change. All of these changes can be produced in about eight minutes after injecting a single drop of a standard allergy extract into the outer, upper arm. This dose is called the Provocative dose because it provokes an allergic reaction or response. The needle is so tiny you can barely feel it. Sometimess the dose of extract is simply dropped under the tongue and this is called sublingual testing.

Then, by giving one drop of progressively weaker 1:5 dilutions of the same allergy extract, every eight minutes, it is possible to Neutralize, any or all of the reactions caused by a provocative dose. The aim is to eliminate any provoked reaction, as soon as possible, after it occurs. Once the neutralization dose is found, a person can be treated with that exact dilution of that extract. From then on, this “right” dilution can be given to either prevent or treat allergic responses from exposure to an offending allergen. If the injections are given regularly, in time, they typically are no longer needed.

Most food-treated individuals will develop enough protection to ingest most of their previously allergenic foods with much less or no difficulty. Similarly, for many, it is often necessary to find the “right” dilutions to treat dust, mold, pollen and some chemical sensitivities, along with the major problem foods. All of these “right” dilutions can be combined into one treatment dose. The treatment doses are injected about twice a week at first and the interval between treatments is gradually increased so they are given or needed, less and less often. The treatments are so safe that older patients can self-administer them.

For the best clinical success, while the above is taking place, it is necessary to clean up the inside of the body, as well as the external environment. It is essential that an allergic person live in a more environmentally-safe home, eat more organic safer foods, drink purer water and take appropriate antioxidants, essential fatty acids and nutrients, It is also necessary that steps be taken to detoxify or get rid of, as many of the toxic pollutants and harmful heavy metals that are so frequently found stored inside the bodies of most adults and children. See Detoxification pp. 420-431 in the book, Is This Your Child’s World?

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One comment on “Provocation/ Neutralization Allergy Testing. What is it? Message From Doris Rapp MD

  1. kristine on said:

    Hello. My name is Kristine. I live in Long Island with my husband and two boys. My older son, who is 11 has very bad allergies. He is allergic to every seasonal pollen, dust, dust mites, cat, mold, soy, almonds, and grass. He is a very active young boy…loves to be outside!! He was taking allergy shots for a year when I discovered his zoning episodes and noticed that they would happen more frequently when he would get his shots. I spoke with the allergist, but he insisted they had nothing to do with the shots. I brought him to a neurologist and had an MRI, EEG, and blood work done….all came back negative. They continued to happen, so I stopped the shots. They lessened, but still would come…somedays worse than others. I noticed when I would give him Allegra they would subside a lot. We went back to the neurologist and had a 24 hour EEG that showed he was having absense seizures. He is now on Keppra, but when I give him the Allegra he doesn’t get as many seizures. I am reading you book…Is this your child and I am convinced this has something to do with his allergies….always have, but could never prove it.I am asking you if you know of any place on Long Island that does this kind of testing…..I am at my witts end in trying to get one of these doctors to listen to me. They keep telling me it has nothing to do with the allergies and my neurologist just tells me he’s never heard of such a thing. If you have any advice for me I would love it…..Thank you for your book…Reply - Quote

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