Understanding exercise-induced anaphylaxis.
Medically reviewed by Dr. Sarah Jenkins, MD, FACAAI
Verified ReviewerBoard Certified Allergist & Immunologist · Clinical Allergy, Asthma & Immunology
Stanford University School of Medicine
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A rare condition where an allergic reaction (anaphylaxis) occurs only if the patient exercises within a few hours of eating a specific food (commonly wheat or celery). Neither the food alone nor the exercise alone triggers the reaction.
| Management | Action |
|---|---|
| Timing | Avoid eating suspect foods 4-6 hours prior to physical exertion. |
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Dr. Sarah Jenkins, MD, FACAAI
Board Certified Allergist & Immunologist
Clinical Allergy, Asthma & Immunology
Dr. Michael Chen, MD, PhD
Clinical Immunologist & Researcher
Translational Immunology, Biologic Therapies
All contributors hold active board certification in allergy, immunology, or a related specialty. View full credentials →
Sampson HA, et al. "Second symposium on the definition and management of anaphylaxis: Summary report" — Journal of Allergy and Clinical Immunology.
View sourceAmerican College of Allergy, Asthma & Immunology (ACAAI) "Allergy Facts and Figures" — ACAAI Clinical Resources.
View sourceWorld Allergy Organization (WAO) "White Book on Allergy — 2025 Update" — World Allergy Organization.
View sourceNational Institute of Allergy and Infectious Diseases (NIAID) "Clinical Guidelines for the Diagnosis and Management of Food Allergy" — National Institutes of Health.
View sourceMuraro A, et al. "EAACI food allergy and anaphylaxis guidelines: Diagnosis and management of food allergy" — Allergy — European Journal of Allergy and Clinical Immunology.
This content reflects clinical guidelines current as of the last review date shown above. Always consult a qualified healthcare provider for personalized medical advice.