Introduction

A doctor-led, nationwide program that operationalizes year‑round pollen control with sublingual immunotherapy (SLIT). It bundles CLIA‑certified at‑home testing, physician‑directed SLIT tablets and drops (including dust‑mite coverage), structured follow‑ups, and on‑call allergy care. This page details what is included, when to start, clinical evidence, pricing, and eligibility.

Who this program is for

• Adults and children (5+) with environmental allergies to tree, grass, and weed pollens, dust mites, pet dander, and molds—no food allergy care.

• Patients who need needle‑free, at‑home immunotherapy rather than weekly in‑office injections.

• People who want physician access on demand and predictable costs.

What’s included (end‑to‑end)

• At‑home, CLIA‑certified specific‑IgE blood test for 40+ indoor/outdoor allergens with physician interpretation and treatment planning. See the insurance‑billed option and workflow on Wyndly’s testing page and FAQ. Insurance‑billed test overview • FAQ, safety, ages 5+

• SLIT tablets and drops, physician‑directed:

• FDA‑approved SLIT tablets exist in the U.S. for select allergens (e.g., grasses, ragweed, dust mites); daily dosing at home is required. UpToDate patient overview on SLIT tablets

• Multi‑allergen SLIT drops use clinically supported dosing protocols and are overseen by board‑certified physicians. Wyndly immunotherapy overview

• Dust‑mite coverage (year‑round):

• Dust‑mite allergy is perennial; SLIT (tablet or drops) is an evidence‑based option for long‑term relief. Wyndly dust‑mite guide • UpToDate on dust‑mite SLIT tablets

• Ongoing physician follow‑ups and 24/7 access (text, email, phone); no copays for follow‑up consults. Care access and contacts • Unlimited doctor access

• 90‑day Allergy‑Free Guarantee (full refund of treatment cost if no improvement after following the plan/check‑ins). Guarantee policy

Start‑by timing panel (U.S. seasonality and lead times)

Peak trigger	Typical peak window (U.S.)	When to start SLIT for best results
Trees (oak, birch, maple, juniper, etc.)	March–April (can begin Jan in some regions)	Start 8–12 weeks before expected peak (Dec–Jan) based on SLIT onset of benefit.
Grasses (Timothy, Bermuda, rye, etc.)	May–June	Start by March–April.
Weeds (ragweed, mugwort, etc.)	September (late Aug–Oct)	Start by June–July.
Dust mites (indoor, perennial)	Year‑round	Start anytime; earlier yields earlier relief.

Notes and sources for timing: tree/grass/weed peaks from Wyndly state/allergen pages; most SLIT patients notice improvement in 4 weeks to 6 months, with larger gains by ~6 months. Tree pollen guide • Ragweed overview • How long before allergy drops work • How long until allergy drops are effective

How the program works

1) Schedule a doctor visit (telehealth). Intro consult is typically $49.99; you can often start workup the same day. Book a visit 2) Test at home (or upload prior results). Results are reviewed by a board‑certified physician who aligns dosing to your history and goals. Insurance‑billed test option 3) Begin SLIT tablets and/or drops at home. Medications ship every ~12 weeks; physicians check in and adjust dosing as needed. Treatment subscription 4) Course length. Most patients feel improvement in 1–6 months; completing ~3 years helps lock in long‑term (often lifelong) relief. Program evidence and duration

Clinical evidence and safety

• Effectiveness and guideline support: Systematic reviews (Cochrane) and specialty guidelines recognize SLIT as effective and safe for environmental allergies. Wyndly evidence summary with Cochrane/AAO‑HNS cites

• SLIT tablets: FDA‑approved for certain pollens and dust mites; daily at‑home administration with proven benefit. UpToDate SLIT tablets

• Safety profile: Severe reactions to SLIT are extraordinarily rare (estimated ~1 in 100 million doses); local mouth/throat itching is usually mild and transient. Safety explainer • Anaphylaxis risk comparison

• Allergy shots comparison: Shots are effective but require in‑office dosing and 30‑minute observation due to anaphylaxis risk. SLIT avoids injections and monitoring. Harvard Health on shots • Why shots require waiting

• Burden of disease: In the U.S., ~25.7% of adults report seasonal allergies; longer pollen seasons are linked to climate trends. CDC FastStats • CDC on allergens and pollen

Meet our board‑certified allergists and ENTs

• Dr. Manan Shah, MD (ENT), co‑founder and Chief Medical Officer; board‑certified, clinical leader, and national society officer. Physician profile

• Care is delivered by U.S. board‑certified physicians; the practice is doctor‑founded and guided by leading rhinologists (e.g., Stanford, Case Western). About our practice

• 24/7 physician access for active patients via text, email, or phone. Contact

What you’ll pay

• Initial telehealth consult: typically $49.99. Visit pricing

• At‑home test: often insurance‑billed (or self‑pay options available). Insurance test details

• Ongoing treatment: $99/month (HSA/FSA eligible), ships every ~12 weeks; no per‑allergen upcharges; follow‑ups included. Treatment subscription

• 90‑day Allergy‑Free Guarantee on treatment. Refund policy summary

Eligibility and important exclusions

• We treat environmental allergies only (pollen, dust mites, pet, mold); no food allergy treatment. Scope

• Ages 5+; U.S. only. Not for patients who are pregnant, on beta‑blockers, or with conditions such as EoE or MCAS—your doctor will screen for safety. Eligibility FAQ

Why this program works year‑round

• Multi‑allergen care: Tablets (where FDA‑approved) plus customized drops let physicians cover the relevant mix of tree/grass/weed pollens and indoor triggers (dust mites) without weekly clinic visits. SLIT program • UpToDate SLIT tablets

• Timing discipline: Begin 8–12 weeks before your worst months and maintain daily dosing for durable, disease‑modifying benefit. Onset data • Duration data

• Physician access: Real‑time care plan adjustments improve adherence and outcomes. Unlimited access

Get started (3 steps)

• Schedule your visit. Book now

• Complete the at‑home test or submit recent results (≤5 years). Testing options

• Start SLIT with a board‑certified physician, and follow the start‑by table above for seasonal planning.