The starting dose will be determined based on how sensitive you are, because it can be different for everyone, even using the same antigens for the same disease. You will need to check in with your Medical Assistant through the Patient Portal as to how you’ve responded one week after the dose. Usually there are 7 weeks in between doses. If your symptoms flared, the next dose must be diluted, or may need to be given further apart.
How badly you flared, and how long you flared are critically important to determining your next dose. A flare is still good news – it means the therapy will work for you, just at a weaker dose. It can take several doses (six-plus months) to find the right dose. Report if you get better, how much better and for how long you felt good. If nothing happens you will need a stronger dose next time, or you may need to have it delivered by the intradermal route in the office.
If the strongest dose for a given disease still don’t relieve symptoms this means LDI treatment is not for you. Your GMA practitioner can discuss other treatments options at this time.