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 Abalone f346 IgE Test measures IgE antibodies specific to abalone proteins in the blood. Elevated levels may indicate an allergic response to abalone, a type of shellfish. This test helps identify shellfish allergy in individuals with symptoms such as hives, digestive issues, or breathing difficulties, and supports diagnosis and management of food allergies.

Blood
Blood Draw
Also Known As: Abalone IgE Test, Abalone f346 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 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 Alpha-Lactalbumin f76 IgE Test measures IgE antibodies in the blood specific to alpha-lactalbumin, a protein found in cow’s milk. Elevated levels may indicate a milk allergy, with possible symptoms such as hives, digestive problems, respiratory issues, or anaphylaxis. This test helps identify milk-related allergies and supports diagnosis and management of food allergies.

Blood
Blood Draw
Also Known As: Alpha-Lactalbumin IgE Test, Alpha-Lactalbumin f76 Test

The Anchovy f313 IgE Test detects IgE antibodies to anchovy proteins, helping identify potential allergic reactions. It aids in assessing symptoms like hives, digestive upset, or respiratory issues that may occur after anchovy consumption. Results support healthcare providers in diagnosing fish allergies and guiding dietary or treatment plans.

Blood
Blood Draw
Also Known As: Anchovy IgE Test, Anchovy f313 Test

The Anise f271 IgE Test measures IgE antibodies to anise, a spice that may trigger allergic reactions in some individuals. It helps evaluate symptoms such as skin irritation, respiratory issues, or digestive discomfort after exposure. Results support healthcare providers in identifying spice allergies and guiding management or avoidance strategies.

Blood
Blood Draw
Also Known As: Anise IgE Test, Anise f271 Test

The Apple f49 IgE Test detects IgE antibodies to apple, which may indicate an allergic response. It helps evaluate symptoms such as oral itching, swelling, hives, or digestive and respiratory issues after apple exposure. Results assist healthcare providers in diagnosing apple allergy and guiding avoidance strategies or treatment plans.

Blood
Blood Draw
Also Known As: Apple IgE Test, Apple f49 Test

The Apricot f237 IgE Test measures IgE antibodies to apricot, which may indicate an allergic reaction. It helps assess symptoms such as itching, hives, swelling, or digestive and respiratory issues after apricot exposure. Results support healthcare providers in diagnosing apricot allergy and guiding appropriate management and avoidance strategies.

Blood
Blood Draw
Also Known As: Apricot IgE Test, Apricot f237 Test

The Asparagus f261 IgE Test measures IgE antibodies to asparagus, helping identify potential allergic reactions such as itching, hives, or digestive discomfort after consumption. Elevated IgE levels suggest an immune response to asparagus exposure, assisting in the evaluation of food allergies and guiding dietary or treatment recommendations.

Blood
Blood Draw
Also Known As: Asparagus IgE Test, Asparagus f261 Test

The Avocado f96 IgE Test measures IgE antibodies to avocado, a fruit that can trigger allergic reactions in some individuals. Elevated IgE levels may indicate an immune response, with symptoms such as itching, hives, swelling, or digestive issues. This test helps identify avocado allergy and supports appropriate dietary adjustments and allergy management.

Blood
Blood Draw
Also Known As: Avocado IgE Test, Avocado f96 Test

The Banana f92 IgE Test measures IgE antibodies to banana, helping identify potential allergic reactions. Elevated levels suggest allergy, which may cause oral itching, hives, swelling, gastrointestinal upset, or respiratory issues. This test aids in diagnosing banana allergy and guiding dietary management to reduce exposure and prevent reactions.

Blood
Blood Draw
Also Known As: Banana IgE Test, Banana F92 Test

The Barley f6 IgE Test measures IgE antibodies to barley, helping identify allergic reactions to this grain. Elevated levels may indicate allergy that can cause hives, itching, swelling, asthma, or digestive symptoms after barley consumption. This test supports the diagnosis of barley allergy and guides dietary management to reduce exposure and prevent reactions.

Blood
Blood Draw
Also Known As: Barley IgE Test, Barley f6 Test

The Barley Pollen g201 IgE Test detects IgE antibodies to barley pollen, which may trigger respiratory allergic reactions. Elevated levels can indicate pollen-related issues such as hay fever, sneezing, nasal congestion, itchy eyes, or asthma. This test helps identify allergic responses to barley pollen exposure and supports targeted allergy management strategies.

Blood
Blood Draw
Also Known As: Barley Pollen IgE Test, Barley Pollen g201 Test

The Basil f269 IgE Test measures IgE antibodies to basil, an herb that may cause allergic reactions in some individuals. Elevated levels can indicate basil-related allergy symptoms such as hives, itching, swelling, digestive upset, or respiratory discomfort. This test helps identify allergic responses to basil exposure and supports effective dietary and allergy management strategies.

Blood
Blood Draw
Also Known As: Basil IgE Test, Basil f269 Test

The Bayberry M. cerifera IgE Test detects IgE antibodies to bayberry pollen, which may trigger allergic reactions such as sneezing, nasal congestion, itchy eyes, or asthma-like symptoms. Elevated IgE levels indicate a potential bayberry allergy, helping guide avoidance strategies and allergy management for improved respiratory and immune health.

Blood
Blood Draw
Also Known As:

Bayberry M. cerifera IgE Test


The Beef f27 IgE Test measures IgE antibodies to beef, which may indicate an allergic response. Elevated levels suggest the immune system reacts to beef proteins, potentially causing symptoms like hives, digestive upset, or respiratory issues. This test helps identify beef allergy and supports personalized dietary planning and management.

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

The Black Olive rf342 IgE Test measures IgE antibodies to black olive, which may cause allergic reactions such as oral itching, swelling, hives, or digestive discomfort. Elevated antibody levels can help confirm an olive allergy and guide dietary changes or allergy management.

Blood
Blood Draw
Also Known As: Black Olive IgE Test, Black Olive rf342 Test

The Black Pepper f280 IgE Test measures IgE antibodies that may develop in response to black pepper exposure. Elevated levels can indicate an allergic reaction, with symptoms ranging from mild oral or skin irritation to more significant respiratory or gastrointestinal responses. This test helps identify black pepper as a possible trigger and supports allergy evaluation and management.

Blood
Blood Draw
Also Known As: Black Pepper IgE Test, Black Pepper f280 Test

The Blackberry f211 IgE Test measures IgE antibodies that may form in response to blackberry exposure. Elevated results can indicate an allergic reaction, which may cause symptoms such as oral itching, skin irritation, respiratory issues, or gastrointestinal discomfort. The test helps identify blackberry as a potential allergen and supports accurate diagnosis and allergy management.

Blood
Blood Draw
Also Known As: Blackberry IgE Test, Blackberry f211 Test

The Blue Mussel f37 IgE Test measures IgE antibodies to proteins found in blue mussels, a common shellfish. Elevated IgE levels may indicate an allergic reaction, which can cause symptoms such as hives, swelling, digestive discomfort, or respiratory issues after consumption. The test helps detect mussel-specific allergies, supporting diagnosis and management for individuals with suspected shellfish allergy.

Blood
Blood Draw
Also Known As: Blue Mussel IgE Test, Blue Mussel f37 Test

The Blueberry f288 IgE Test measures IgE antibodies to proteins found in blueberries. Elevated antibody levels may indicate an allergic reaction, which can cause hives, itching, swelling, digestive issues, or respiratory symptoms after eating blueberries. The test helps identify blueberry-specific allergies and supports diagnosis and management for individuals with suspected fruit-related allergic responses.

Blood
Blood Draw
Also Known As: Blueberry IgE Test, Blueberry f288 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 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 Broccoli f260 IgE Test measures IgE antibodies to broccoli, a cruciferous vegetable that can trigger allergic reactions in some individuals. Elevated IgE levels may indicate a broccoli allergy, which can cause symptoms such as itching, hives, digestive issues, or, in rare cases, more severe responses. This test helps identify broccoli as a potential allergen to support diagnosis and dietary management.

Blood
Blood Draw
Also Known As: Broccoli IgE Test, Broccoli f260 Test

The Brussel Sprouts rf217 IgE Test measures IgE antibodies to Brussels sprouts, a cruciferous vegetable. Elevated IgE levels may indicate an allergic reaction, which can cause symptoms such as itching, hives, digestive upset, or respiratory issues. This test helps identify Brussels sprouts as a potential allergen, supporting accurate diagnosis and personalized allergy management.

Blood
Blood Draw
Also Known As: Brussel Sprouts IgE Test, Brussel Sprouts rf217 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.