Sublingual Immunotherapy Presctiption Formulation Environmental Allergens - Adult

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Multi-Allergen Inhalant (R)

3 Month Supply

6Month Supply

Pre-Seasonal Inhalant (Y)

3 Month Supply: Order with Multi-Allergen if within 3 months of searson- specific start date below.

Special Instructions:

Test Results		Multi-Inhalants Threshhold	Treatment Dilution										Vol (mL)
BLD	SKIN	Multi-Inhalants Threshhold	1	2	3	4	5	6	7	8	9	10	Std.	Other
		Curvularia app. (Blpolarls)	1	2	3	4	5	6	7	8	9	10	.30
		Fusarium sp.	1	2	3	4	5	6	7	8	9	10	.30
		Helminthosporium solani	1	2	3	4	5	6	7	8	9	10	.30
		Mucor sp.	1	2	3	4	5	6	7	8	9	10	.30
		Penicillium notatum	1	2	3	4	5	6	7	8	9	10	.30
		Aureobasidium pullulans	1	2	3	4	5	6	7	8	9	10	.30
		Rhizopus sp.	1	2	3	4	5	6	7	8	9	10	.30
		Trichophyon mentagrophytes	1	2	3	4	5	6	7	8	9	10	.30
		Mite D.f.	1	2	3	4	5	6	7	8	9	10	.30
		Mite D.p.	1	2	3	4	5	6	7	8	9	10	.30
		Dog Epithellum	1	2	3	4	5	6	7	8	9	10	.30
		Mosquito	1	2	3	4	5	6	7	8	9	10	.30
		Cat Hair	1	2	3	4	5	6	7	8	9	10	.30

Test Results		Multi-Inhalants Threshhold	Treatment Dilution										Vol (mL)
BLD	SKIN	Multi-Inhalants Threshhold	1	2	3	4	5	6	7	8	9	10	Std.	Other
		Cockroach, Mixed	1	2	3	4	5	6	7	8	9	10	.30
		Horse Eplthelium	1	2	3	4	5	6	7	8	9	10	.30
		Cattle Epithelium	1	2	3	4	5	6	7	8	9	10	.30
		Guinea Pig	1	2	3	4	5	6	7	8	9	10	.30
		Candida albicans	1	2	3	4	5	6	7	8	9	10	.30
		Mold Mix 1	1	2	3	4	5	6	7	8	9	10	.30
		Mold Mix 2	1	2	3	4	5	6	7	8	9	10	.30
		Common Weed Mix	1	2	3	4	5	6	7	8	9	10	.30
		11 Tree Mix	1	2	3	4	5	6	7	8	9	10	.30
		10 Tree Mix	1	2	3	4	5	6	7	8	9	10	.30
			1	2	3	4	5	6	7	8	9	10	.30
			1	2	3	4	5	6	7	8	9	10	.30
			1	2	3	4	5	6	7	8	9	10	.30

DIRECTIONS FOR USE: 1 DOSE = 1 PUMP CYCLE
INHALANT: Take 1 dose under the tongue three times daily.
PRESEASONAL: Take 1 dose under the toungue once daily, increase by 1 dose daily until reaching 100 doses per day until finished. If mouth itching develops, continue that dose untill itching no longher. Then resume the increase of 1 dose per day untill you reach 10 doses per day.
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