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 Ginger f270 IgE Test measures IgE antibodies to ginger, a spice that can cause allergic reactions in some individuals. Elevated IgE levels may indicate an allergy, with symptoms such as skin rashes, itching, hives, digestive upset, or respiratory issues after exposure. The test helps identify ginger as a potential allergen, supporting accurate diagnosis and guiding dietary or lifestyle adjustments.

Blood
Blood Draw
Also Known As: Ginger IgE Test, Ginger f270 Test

The Goat Milk f300 IgE Test measures IgE antibodies to proteins in goat milk. Elevated levels may indicate an allergic reaction, which can cause symptoms such as hives, digestive upset, nasal congestion, wheezing, or skin irritation. The test helps identify goat milk as a potential allergen, supporting diagnosis and guiding dietary adjustments or allergy management strategies.

Blood
Blood Draw
Also Known As: Goat Milk IgE test, Goat Milk f300 Test

The Grape f259 IgE Test measures IgE antibodies to grape allergens. Elevated levels may indicate an allergic reaction, with symptoms such as hives, itching, swelling, stomach discomfort, or respiratory issues. The test helps identify grape exposure as a possible trigger and supports healthcare providers in diagnosing grape allergy and guiding appropriate management strategies.

Blood
Blood Draw
Also Known As: Grape IgE Test, Grape f259 Test

The Grapefruit f209 IgE Test measures IgE antibodies to grapefruit allergens. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive upset, or respiratory symptoms. The test helps identify grapefruit as a potential trigger and supports healthcare providers in diagnosing grapefruit allergy and guiding management or avoidance strategies.

Blood
Blood Draw
Also Known As: Grapefruit IgE Test, Grapefruit f209 Test

The Green Bean f315 IgE Test measures IgE antibodies to green bean proteins. Elevated levels may indicate an allergic reaction, which can cause symptoms such as itching, hives, swelling, gastrointestinal discomfort, or respiratory issues. The test helps identify green beans as a potential allergen, supporting healthcare providers in diagnosing allergy and recommending avoidance or management strategies.

Blood
Blood Draw
Also Known As: Green Bean IgE Test, Green Bean f315 Test

The Green Pepper f263 IgE Test measures IgE antibodies to proteins in green peppers. 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 green pepper allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Unripe, Green Pepper IgE Test, Green Pepper f263 Test

The Gulf Flounder f147 IgE Test measures IgE antibodies to proteins from Gulf flounder. Elevated levels may indicate an allergic reaction, with symptoms such as hives, digestive discomfort, or respiratory issues. The test helps identify Gulf flounder as a possible allergy trigger, supporting healthcare providers in diagnosing fish-related allergies and guiding dietary adjustments or treatment plans.

Blood
Blood Draw
Also Known As: Gulf Flounder IgE Test, Gulf Flounder f147 Test

The Halibut f303 IgE Test measures IgE antibodies to halibut, a common fish allergen. Elevated levels may indicate an allergic reaction, which can cause symptoms such as hives, swelling, digestive issues, or respiratory problems after eating halibut. This test helps identify halibut as a trigger for fish allergy, supporting diagnosis and guiding dietary management or treatment plans.

Blood
Blood Draw
Also Known As: Halibut IgE Test, Halibut f303 Test

The Herring f205 IgE Test measures IgE antibodies to herring, a type of fish. Elevated IgE levels may suggest an allergic reaction, which can cause hives, swelling, digestive discomfort, or respiratory symptoms after eating or handling herring. The test helps identify fish allergy as a potential trigger, supporting proper diagnosis and management of dietary restrictions or allergic conditions.

Blood
Blood Draw
Also Known As: Herring IgE Test, Herring f205 Test

The Kiwi Fruit f84 IgE Test measures IgE antibodies to proteins in kiwi fruit. Elevated levels may indicate an allergic reaction, which can cause oral allergy symptoms, itching, swelling, hives, or in severe cases, anaphylaxis. This test helps identify kiwi fruit allergies and supports management through dietary avoidance and treatment strategies recommended by healthcare providers.

Blood
Blood Draw
Also Known As: Kiwi Fruit IgE Test, Kiwi Fruit f84 Test

The Lamb f88 IgE Test measures IgE antibodies to proteins found in lamb meat. Elevated levels may indicate an allergic reaction, which can cause hives, itching, digestive discomfort, respiratory symptoms, or in severe cases, anaphylaxis. This test helps identify lamb meat allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Lamb IgE Test, Lamb f88 Test

The Lamb's Quarters w10 IgE Test detects IgE antibodies to allergens from lamb’s quarters weed pollen. Elevated levels may indicate an allergic reaction, often causing hay fever symptoms such as sneezing, nasal congestion, itchy eyes, or asthma flare-ups during pollen exposure. This test helps identify lamb’s quarters pollen allergies and supports management through avoidance strategies or allergy treatments.

Blood
Blood Draw
Also Known As: Goose Foot, Lamb's Quarters IgE Test, Lamb's Quarters w10 Test

The Lemon f208 IgE Test measures IgE antibodies to proteins in lemon. Elevated levels may indicate an allergic reaction, which can cause symptoms such as itching, hives, swelling, digestive discomfort, or in severe cases, anaphylaxis. This test helps identify lemon allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Lemon IgE Test, Lemon f208 Test

The Lettuce f215 IgE Test measures IgE antibodies to proteins in lettuce. Elevated levels may indicate an allergic reaction, which can cause symptoms such as itching, hives, swelling, digestive discomfort, or, in rare cases, anaphylaxis. This test helps identify lettuce allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Lettuce IgE Test, Lettuce f215 Test

The Lime f306 IgE Test measures IgE antibodies to proteins in lime. Elevated levels may indicate an allergic reaction, which can cause itching, hives, swelling, digestive discomfort, or in severe cases, anaphylaxis. This test helps identify lime allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Lime IgE Test, Lime f306 Test

The Lobster f80 IgE Test measures IgE antibodies to proteins in lobster. 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 lobster allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Lobster IgE Test, Lobster f80 Test

The Malt f90 IgE Test measures IgE antibodies to proteins in malt, a product of germinated barley used in foods and beverages. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive issues, or respiratory symptoms. This test helps identify malt allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Malt IgE Test, Malt f90 Test

The Tangerine f302 IgE Test measures IgE antibodies to proteins in tangerines. Elevated levels may indicate an allergic reaction, which can cause itching, hives, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify tangerine allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Mandarin Allergy Test, Tangerine IgE Test, Tangerine f302 Test

The Melons f87 IgE Test measures IgE antibodies to proteins in melons, such as cantaloupe or honeydew. Elevated levels may indicate an allergic reaction, which can cause itching, hives, swelling, digestive discomfort, or, in severe cases, anaphylaxis. This test helps identify melon allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Melons IgE Test, Melons f87 Test

The Mustard f89 IgE Test measures IgE antibodies to proteins in mustard seeds. 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 mustard allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Mustard IgE Test, Mustard f89 Test

The Nutmeg f282 IgE Test measures IgE antibodies to proteins in nutmeg. Elevated levels may indicate an allergic reaction, which can cause symptoms such as hives, itching, swelling, digestive discomfort, or respiratory issues. In rare cases, severe reactions like anaphylaxis may occur. This test helps identify nutmeg allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Nutmeg IgE Test, Nutmeg f282 Test

The Oak t7 IgE Test measures IgE antibodies to allergens from oak tree pollen. Elevated levels may indicate an allergic reaction, which can trigger hay fever symptoms such as sneezing, nasal congestion, itchy eyes, or asthma flare-ups during pollen season. This test helps identify oak pollen allergies and supports management through avoidance strategies or allergy treatments guided by healthcare providers.

Blood
Blood Draw
Also Known As: Oak IgE Test, Oak t7 Test

The Octopus f59 IgE Test measures IgE antibodies to proteins in octopus. Elevated levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive discomfort, respiratory symptoms, or in severe cases, anaphylaxis. This test helps identify octopus allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Octopus IgE Test, Octopus f59 Test

The Onion f48 IgE Test measures IgE antibodies to proteins in onions. Elevated levels may indicate an allergic reaction, which can cause symptoms such as itching, hives, swelling, digestive discomfort, respiratory issues, or in severe cases, anaphylaxis. This test helps identify onion allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Onion IgE Test, Onion f48 Test

The Oregano f283 IgE Test measures IgE antibodies to proteins in oregano. Elevated levels may indicate an allergic reaction, which can cause symptoms such as hives, itching, swelling, digestive discomfort, respiratory issues, or, in severe cases, anaphylaxis. This test helps identify oregano allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Oregano IgE Test, Oregano f283 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.