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 Squid f258 IgE Test measures IgE antibodies to proteins in squid. 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 squid allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Squid IgE Test, Squid f258 Test

The Strawberry f44 IgE Test measures IgE antibodies to proteins in strawberries. 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 strawberry allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Strawberry IgE Test, Strawberry f44 Test

The Swordfish f312 IgE Test measures IgE antibodies to proteins in swordfish. 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 swordfish allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Swordfish IgE Test, Swordfish f312 Test

The Tea f222 IgE Test measures IgE antibodies to proteins in tea leaves. 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 tea allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Tea IgE Test, Tea f222 Test

The Tomato f25 IgE Test measures IgE antibodies to proteins in tomatoes. 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 tomato allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Tomato IgE Test, Tomato f25 Test

The Trout f204 IgE Test measures IgE antibodies to proteins in trout. 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 trout allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Trout IgE Test, Trout f204 Test

The Tuna f40 IgE Test measures IgE antibodies to proteins in tuna. 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 tuna allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Tuna IgE Test, Tuna f40 Test

The Turkey Meat f284 IgE Test measures IgE antibodies to proteins in turkey meat. 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 turkey meat allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Turkey Meat IgE Test, Turkey Meat f284 Test

The Vanilla f234 IgE Test measures IgE antibodies to proteins in vanilla. 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 vanilla allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Vanilla IgE Test, Vanilla f234Test

The Watermelon rf329 IgE Test measures IgE antibodies to proteins in watermelon. 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 watermelon allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Watermelon IgE Test, Watermelon rf329 Test

The White Bean f15 IgE Test measures IgE antibodies to proteins in white beans. 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 white bean allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: White Bean IgE Test, White Bean f15 Test

The White Mulberry t70 IgE Test measures IgE antibodies to allergens from white mulberry tree pollen. Elevated levels may indicate an allergic reaction, which can cause hay fever symptoms such as sneezing, nasal congestion, itchy eyes, or asthma flare-ups during pollen exposure. This test helps identify white mulberry pollen allergies and supports management through avoidance strategies or allergy treatments guided by healthcare providers.

Blood
Blood Draw
Also Known As: White Mulberry IgE Test, White Mulberry t70 Test

The Alpha-Gal Panel measures IgE antibodies to beef, lamb, pork, and galactose-alpha-1,3-galactose (alpha-gal), the sugar molecule linked to red meat allergy. This blood test helps diagnose alpha-gal syndrome, a delayed allergic reaction often triggered by tick bites. Doctors use it to evaluate symptoms such as hives, swelling, abdominal pain, or anaphylaxis after eating red meat.

Not available in Oklahoma

The Lupin w207 IgE Test measures IgE antibodies to proteins in lupin, a legume used in flours and food products. Elevated levels may indicate an allergic reaction, which can cause hives, swelling, digestive issues, respiratory symptoms, or anaphylaxis in severe cases. This test helps identify lupin allergies and supports management through dietary avoidance and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Lupin IgE Test, Lupin w207 Test

Blood
Blood Draw

Blood
Blood Draw, Phlebotomist

Blood
Blood Draw, Phlebotomist

Blood
Blood Draw

The Food and Tree Nut Panel screens for common food and nut allergies, including almond, cashew, hazelnut, peanut, walnut, macadamia, and Brazil nut, as well as milk, egg, wheat, soy, sesame, seafood (codfish, salmon, tuna, scallop, shrimp). This IgE test helps identify triggers of allergic reactions such as hives, swelling, digestive issues, or respiratory symptoms, providing valuable insights for diagnosis, management, and dietary planning.

Also Known As: Food and Tree Nut IgE Test

The Childhood Allergy Panel screens for common allergens affecting children, including molds, pet dander, dust mites, cockroach, and mouse proteins, along with food allergens like milk, egg, peanut, soy, wheat, shrimp, codfish, and walnut. It also measures total IgE to assess overall allergic sensitivity. This panel helps identify triggers of allergic reactions such as asthma, eczema, hives, or food-related symptoms to guide effective management and treatment.

Also Known As: Childhood Allergy Profile with Reflexes

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.