Food Allergy Test

Food allergy testing helps identify IgE-mediated reactions to common foods such as peanut, tree nuts, milk, egg, fish/shellfish, wheat, soy, and sesame. A proactive plan starts with allergen-specific IgE (sIgE) blood testing to the foods you actually eat or suspect, then adds component-resolved diagnostics (CRD) for higher-risk items (e.g., peanut, some tree nuts) to clarify true risk vs cross-reactivity. Blood sIgE testing needs only a standard blood draw and—unlike skin testing—is not blocked by antihistamines. Use results with your clinician to align findings with symptoms, exposure history, and, when needed, oral food challenges.

Signs, Symptoms & Related Situations

  • Immediate reactions (minutes–2 hrs): hives, flushing, swelling, vomiting, wheeze, cough, throat tightness

  • Delayed/atypical clues: eczema flares, persistent GI symptoms in children

  • Higher-risk history: prior anaphylaxis, asthma with food reactions, cofactor-related events (exercise, NSAIDs, alcohol)

  • When to seek urgent care: breathing difficulty, throat/tongue swelling, dizziness or fainting

Why These Tests Matter

What testing can do

  • Confirm sensitization to specific foods with quantitative sIgE

  • Refine risk with component testing (e.g., Ara h 1/2/3/6 for peanut) to distinguish primary allergy from pollen-related cross-reactivity

  • Guide decisions about avoidance, supervised oral challenges, and emergency plans with your clinician

What testing cannot do

  • Predict reaction severity from a single number

  • Replace a clinician-supervised oral food challenge when diagnosis remains uncertain

  • Diagnose non-IgE conditions (e.g., FPIES, EoE) or lactose intolerance

What These Tests Measure (with test codes)

  • Peanut, total sIgE — 2813Peanut, total with reflex to component panel — 91747 (reflex threshold typically ≥0.10 kU/L); Peanut Component Panel — 91681 (Ara h 1, 2, 3, 6, 8, 9). 

  • Food Allergy Profile with Reflexes — 91682 (15 common foods; reflex components for milk/egg/peanut when positive). 

  • Food & Tree Nut Allergy Panel — 36762 (17 foods) and Food & Tree Nut Allergy Panel with Reflex to Components — 36763 (adds reflex components for positive nut/milk/egg/peanut). 

Component testing adds clinical value (e.g., Ara h 2 is strongly associated with systemic peanut reactions), while pollen-related components (e.g., Ara h 8) often signal milder, oral-allergy–type symptoms—use with clinical history. 

How the Testing Process Works

  1. Target the menu: choose single-food sIgE (e.g., peanut 2813) or a multi-food panel (91682, 36762/36763) based on your diet and history. 

  2. Reflex components when indicated: order 91747 for peanut (auto-reflex to 91681 component panel at threshold) or select component panels directly if history is high-risk.

  3. Collect: simple blood draw at a local patient service center; antihistamines do not affect blood sIgE.

  4. Review results: quantitative values appear in your secure account; discuss interpretation and next steps (dietary trials, avoidance, or oral challenge) with your clinician.

Interpreting Results (General Guidance)

  • Positive sIgE indicates sensitization; combine with history to decide if there is clinical allergy.

  • Component patterns matter (e.g., Ara h 2 positivity supports higher likelihood of systemic reactivity; Ara h 8often reflects pollen cross-reactivity and milder symptoms). 

  • Low/borderline sIgE can still be meaningful; trends and clinical context guide decisions.

  • Negative sIgE plus convincing history may require skin testing or supervised oral challenge to clarify.

Choosing Panels vs. Individual Tests

  • Single high-priority food: start with individual sIgE (e.g., peanut 2813; add 91747/91681 for components). 

  • Broader screening (adults/children with multiple triggers): 91682 or 36762; choose 36763 to auto-reflex to relevant components.

  • Follow-up/monitoring: repeat the same assay over time to track trends; consider components if clinical course changes.

FAQs

Do antihistamines affect these blood tests?
No. Antihistamines don’t block blood sIgE (they can affect skin tests).

Does a higher number mean a worse reaction?
Not directly. Higher sIgE raises the likelihood of reacting but does not measure severity.

When should I order component testing?
When total sIgE is positive and risk clarification matters (e.g., peanut, some tree nuts), or when history is high-risk.

Are “food sensitivity” IgG tests useful for diagnosis?
No. IgG panels are not recommended for diagnosing food allergy or guiding elimination diets.

Can these tests diagnose lactose intolerance or celiac disease?
No. Those require different evaluations (e.g., lactose breath testing; celiac serology).

Internal Links & Cross-References

Available Tests & Panels

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The Cereal Allergy Panel measures IgE antibodies to common cereal grains, including barley, buckwheat, gluten, rice, and rye. Elevated levels may indicate food allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify cereal grain allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Allergy Panel 15, Cereal Allergy Test

The Shellfish Allergy Panel measures IgE antibodies to common shellfish proteins, including clam, crab, lobster, and shrimp. Elevated levels may indicate shellfish allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify shellfish allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Shellfish Allergy Test

The Seafood Allergy Panel measures IgE antibodies to common seafood proteins, including codfish, crab, lobster, salmon, shrimp, and tuna. Elevated levels may indicate seafood allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify seafood allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Allergy Panel 19, Seafood Allergy Test

The Nut Mix Allergy Panel measures IgE antibodies to common nuts and seeds, including almond, cashew, coconut, hazelnut, peanut, pecan, and sesame seed. Elevated levels may indicate food allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify nut and seed allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Allergy Panel 18, Nut Mix Allergy Test

The Vegetable Allergy Panel measures IgE antibodies to common vegetables, including carrot, corn, pea, potato, and white bean. Elevated levels may indicate food allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify vegetable allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Allergy Panel 16, Vegetable Allergy Test

The Salad Allergy Panel measures IgE antibodies to common salad ingredients, including celery, lettuce, orange, parsley, and tomato. Elevated levels may indicate food allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify salad-related allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Allergy Panel 17, Salad Allergy Test

The Tree Nut Allergy Panel measures IgE antibodies to common nuts, including almond, Brazil nut, cashew, hazelnut, macadamia, peanut, pecan, pistachio, and walnut. Elevated levels may indicate nut allergies, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify nut allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Also Known As: Tree Nut Allergy Test

The Peanut Component Panel measures IgE antibodies to Ara h 1, Ara h 2, Ara h 3, Ara h 6, Ara h 8, and Ara h 9, the major peanut allergens. Identifying which proteins trigger reactions helps distinguish severe, systemic allergy from mild or cross-reactive responses. Doctors use this test to assess risk of anaphylaxis, confirm peanut allergy, and guide management strategies, including avoidance, dietary planning, and consideration for immunotherapy.

Blood
Blood Draw
Also Known As: Peanut Allergy Panel, Peanut Allergy Test

The Gluten f79 IgE Test measures IgE antibodies specific to gluten proteins in the blood. Elevated levels suggest an allergic-type immune response to gluten, which may cause symptoms such as digestive issues, skin reactions, or respiratory problems. This test helps evaluate possible gluten allergy and guide further diagnosis or management.

Blood
Blood Draw
Also Known As: Gluten IgE Test, Gluten f79 Test

The Wheat f4 IgE Test measures IgE antibodies to proteins in wheat. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify wheat allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Wheat IgE Test, Wheat f4 Test

The Whey f236 IgE Test measures IgE antibodies to proteins in whey, a component of milk. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This test helps identify whey allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Whey IgE Test, Whey f236 Test

The Soybean f14 IgE Test measures IgE antibodies to proteins in soybeans. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify soybean allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Soybean IgE Test, Soybean f14 Test

The Casein f78 IgE Test measures IgE antibodies to casein, a milk protein. Elevated levels may indicate a casein allergy, which can cause reactions such as hives, swelling, digestive issues, or respiratory symptoms. The test helps identify casein as a trigger, supporting diagnosis and guiding effective allergy management or dietary adjustments.

Blood
Blood Draw
Also Known As: Casein IgE Test, Casein f78 Test

The Milk f2 IgE Test measures IgE antibodies to proteins in cow’s milk. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive issues, respiratory symptoms, or, in severe cases, anaphylaxis. This test helps identify milk allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Milk IgE Test, Milk f2 Test

The Milk Component Panel measures IgE antibodies to alpha-lactalbumin (F76), beta-lactoglobulin (F77), and casein (F78), the major milk proteins linked to allergic reactions. Elevated levels may confirm cow’s milk allergy, which can cause hives, digestive upset, or anaphylaxis. Doctors use this test to identify specific milk protein sensitivities, guide dietary restrictions, and support management of food allergies in children and adults.

Also Known As: Milk Allergy Panel, Milk Allergy Test

The Boiled Milk f231 IgE Test measures IgE antibodies to proteins in boiled cow’s milk. Heating milk can alter its proteins, and some individuals react differently to boiled compared to fresh milk. Elevated IgE levels may indicate an allergic response that could cause symptoms like hives, digestive upset, or respiratory issues. The test aids in identifying milk-specific allergies and helps guide dietary and clinical management.

Blood
Blood Draw
Also Known As: Boiled Milk IgE Test, Boiled Milk f231 Test

The Almond f20 IgE Test measures IgE antibodies in the blood specific to almonds. Elevated levels may indicate an allergic reaction, which can cause symptoms such as hives, swelling, digestive discomfort, respiratory issues, or even anaphylaxis. This test helps identify almond allergy and supports diagnosis and management of food allergies.

Blood
Blood Draw
Also Known As: Almond IgE Test, Almond f20 Test

The Brazil Nut f18 IgE Test measures IgE antibodies to Brazil nuts, a tree nut that can cause allergic reactions ranging from mild symptoms like hives or itching to severe anaphylaxis. Elevated IgE levels suggest an allergy, helping identify Brazil nuts as a trigger for allergic responses and guiding safe dietary choices and allergy management strategies.

Blood
Blood Draw
Also Known As: Brazil Nut IgE Test, Brazil Nut f18 Test

The Cashew Nut f202 IgE Test measures IgE antibodies to cashew proteins. Elevated results may indicate an allergic reaction, which can cause symptoms such as hives, swelling, digestive discomfort, or anaphylaxis. This test helps identify cashew nut allergy, supporting diagnosis and guiding dietary avoidance and allergy management strategies.

Blood
Blood Draw
Also Known As: Cashew Nut IgE Test, Cashew Nut f202 Test

The Hazelnut f17 IgE Test measures IgE antibodies to hazelnut proteins. Elevated levels may indicate an allergic reaction, which can cause symptoms such as hives, swelling, digestive issues, or respiratory problems after hazelnut exposure. The test helps identify hazelnut as a potential allergen, supporting diagnosis and management of nut allergies.

Blood
Blood Draw
Also Known As: Hazelnut IgE Test, Hazelnut f27 Test

The Peanut f13 IgE Test measures IgE antibodies to proteins in peanuts. Elevated levels may indicate an allergic reaction, which can cause hives, swelling, digestive issues, respiratory symptoms, or in severe cases, anaphylaxis. This test helps identify peanut allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Peanut IgE Test, Peanut f13 Test

The Pecan Nut f201 IgE Test measures IgE antibodies to proteins in pecans. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify pecan allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Pecan Nut IgE Test, Pecan Nut f201 Test

The Pine Nut f253 IgE Test measures IgE antibodies to proteins in pine nuts. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify pine nut allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Pine Nut IgE Test, Pine Nut f253 Test

The Pistachio f203 IgE Test measures IgE antibodies to proteins in pistachios. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify pistachio allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Pistachio IgE Test, Pistachio f203 Test

The Walnut f256 IgE Test measures IgE antibodies to proteins in walnuts. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify walnut allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Walnut IgE Test, Walnut f256 Test

Food allergies affect 32 million Americans. It's estimated that every three minutes, a food allergy sends someone to the emergency room.

If you suspect you have a food allergy, it's important to know just what you're allergic to, so you can take steps to avoid coming into contact with that food. Wondering what foods you should avoid?

To learn about your allergies, it's essential to undergo a food allergy test. This article will go over some food allergy basics and what you need to know about testing. Keep reading to learn more.  

What Are Food Allergies?

Any food can cause an allergy response. Allergies can start in childhood or develop later in life. But, no matter the allergy, there's one commonality: food allergies are potentially life-threatening. 

The severity of a food reaction varies. A mild reaction usually involves minor abdominal pain or hives. Severe reactions can cause low blood pressure, anaphylaxis, and loss of consciousness. 

While there are no cures for food allergies, they may go away with time. It depends on several factors, including a person's health and exposure to the allergen. However, there are ways to monitor food allergies safely.  

What Causes Food Allergies?

Food allergies occur when the immune system mistakes proteins found in food as a threat. As a result, chemicals are released throughout the body, which causes the symptoms of allergic reactions. 

While nearly any food can cause a reaction, some are more common than others. For example, the most common food allergens in the United States include: 

  • Milk 
  • Egg
  • Peanut 
  • Tree nuts 
  • Soy 
  • Wheat 
  • Fish 
  • Shellfish 

Even though we're aware of how food allergies happen, it's unclear why people develop allergies to certain food. Those with common food allergies tend to have other allergic conditions like asthma and eczema. 

Doctors divide food allergies into three types. The categories are based on the symptoms, as well as when they occur. 

The first type is IgE-mediate food allergies. This is the most common type, and it's triggered by the immune system producing immunoglobulin E. There is an increased risk of anaphylaxis with this type of allergy. 

Next, we have non-IgE-mediated food allergies. The allergic reaction is caused by other cells in the immune system. Symptoms take hours to appear, as opposed to minutes. 

The final type is mixed IgE and non-IgE-mediate food allergies. This is a combination of the two allergy types discussed above. 

Signs and Symptoms of a Food Allergy 

If you or someone you know has a food allergy, it's important to recognize the signs and symptoms of a reaction. This way, you can seek medical attention as soon as possible. 

Within a few minutes or hours of eating a food you're allergic to, you're likely to experience:

  • Itching 
  • Hives 
  • Swelling
  • Wheezing 
  • Abdominal pain 
  • Dizziness 

Depending on your degree of reaction and how familiar you are with treating your allergy, you may only need to take medication and follow up with your doctor. 

With a severe allergy that causes anaphylaxis, emergency treatment is crucial. If left untreated, anaphylaxis can cause coma or death. Some of the signs include a drop in blood pressure, a rapid pulse, tightening of the airways, and loss of consciousness.

Types of Food Allergy Testing 

There are several options when it comes to food allergy lab tests. You can decide what's best for you based on your doctor's opinion and your own experiences.

Oral Challenge Test 

An allergist will give you small amounts of the food you suspect are causing your allergy. The food could be administered in an ingestible capsule or via injection. The allergist will watch you closely after administering the food and provide treatment if you react. 

Elimination Diet 

If you think you know what foods are causing allergic reactions, you can start eliminating them from your diet. Then, you start to add them back into your diet, one by one, to see if you react. This is not recommended if you are at risk for a severe allergic reaction. 

Skin Prick Test 

An allergist will put a small amount of the suspected food on your skin. Then, they will prick the skin with a needle to let the food enter your system. If you develop hives at the injection site, you're probably allergic. 

Blood Test 

While the other tests involve consuming or coming into contact with the food you may be allergic to; a blood test does not require you to experience an allergic reaction. Instead, a medical professional will take a blood sample for a food allergy lab test, usually from your arm, and test for IgE substances. 

Food allergy test results usually come back within one to three days. From there, you and your doctor can plan a treatment course. 

The Benefits of a Food Allergy Test  

For optimal health, it's important to undergo food allergy testing if you are worried about allergic reactions. While there's no way to cure your allergy, you'll know what to eliminate from your diet, so you don't get sick. 

You'll also be aware of the type of allergic reaction you have and what you need to do to manage it. For example, you can keep medication, like an EpiPen, on your person, or you'll know that you need to take a trip to the emergency room to avoid complications. 

Order Your Test With Ulta Lab Tests 

If you're looking for a fast, convenient, and private allergy test, Ulta Lab Tests has what you need. With our Food Allergy Profile, you can learn what your body is allergic to, so you can lead a healthier, happier life. 

Not only are our results secure and confidential, but you don't need to worry about having insurance or a referral. We offer the lowest prices on lab tests and don’t require a physician’s referral.

Order our Food Allergy Profile to find out if you are one of the 15 common food allergies.