Does a positive result mean I am allergic?
No — it means you are sensitised. Many people test positive to foods they eat regularly with no problem at all.
Allergy is diagnosed from what actually happens when you are exposed, and the test supports that history rather than replacing it.
Do not cut a food out on the strength of a positive test alone.
Does the number tell me how severe my allergy is?
No. Higher levels mean a higher probability of a genuine reaction, but they do not predict severity.
A low-level positive can precede a serious reaction, which is why anyone with a history of severe reaction needs specialist assessment regardless of the number.
Can you test for food intolerance?
No, and neither can anyone else — there is no validated blood test for it.
IgG food intolerance panels are not valid. IgG to a food shows you have eaten it, not that you react to it. They generate long lists of "positives" and lead to unnecessary restriction.
Intolerance is identified by structured elimination and reintroduction, ideally with a dietitian.
What about lactose intolerance or coeliac disease?
Different mechanisms entirely, and not covered by allergy testing.
Coeliac disease has its own specific test — and it only works if you are still eating gluten. Lactose intolerance is usually diagnosed by trial of exclusion.
Why did I test positive to foods I eat with no problem?
Usually cross-reactivity. Birch pollen allergy produces positives to apple, hazelnut, carrot and celery, generally causing only oral itching with raw food and nothing at all when cooked.
Dust mite cross-reacts with shellfish; latex with banana, avocado and kiwi. A confusing panel usually makes sense once the history is heard.
Do I need to stop antihistamines first?
Not for a blood test — antihistamines do not affect IgE levels.
They do affect skin prick testing, which needs them stopped several days beforehand. Different test, different rule.
I had a severe reaction. Is a blood test enough?
No — you need specialist allergy assessment, and it is free on the NHS.
Anyone with a history of anaphylaxis needs an adrenaline auto-injector, training in using it, and a written emergency plan. That is not something to arrange around a blood test.
And if you are having a reaction now — swelling, difficulty breathing, feeling faint — call 999.
My child tested positive. Should we remove the food?
Not on a test result alone, and this matters a great deal in children.
Unnecessary exclusion can cause loss of tolerance, making a genuine allergy more likely rather than less — and it risks nutritional gaps during growth.
Children with suspected food allergy should be assessed by a paediatric allergy service, which is free.
Do I need to fast?
No. No fasting, and no need to stop antihistamines.