Individual results will vary, but studies of OIT demonstrate a success rate of >80-90% reaching the maintenance dose, so we expect that most of our patients should reach maintenance dosing.
Once I or my child reaches the maintenance dose, will I have to eat it every day forever?
Maybe not, but for the immediate future, yes. The goal of our protocol is to induce a desensitized state, where you are less reactive or non-reactive when otherwise exposed to that allergen. But that desensitized state needs to be maintained through regular (daily) ingestion of the food, which is the present recommendation. There are, however, some individuals in studies of OIT who after a period of time appear to be able to stop eating the food yet still maintain their state of non-reactivity when later re-challenged with it. The scientific term for this is tolerance. This is an active area of research, to investigate ways to promote tolerance, and markers to possibly predict it. For now, however, until further guidance is available, uninterrupted regular daily ingestion of the food is recommended.