Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly logo
Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly Updated August 04, 2026

Hybrid Care at Wyndly: Virtual Visits + In‑Person Supervision (When and Where It’s Needed)

Virtual or in‑person starts (first tablet dose supervised)

  • Begin care your way: fully virtual or with an in‑person start when SLIT tablets are used.

  • First‑dose locations (tablets): Wyndly clinic — 255 Union Boulevard, Lakewood, CO 80228; or select partner offices (e.g., ADVENT), by appointment.

  • After your supervised first dose and ≥30 minutes of observation, continue safely at home with 24/7 physician support and an epinephrine prescription for tablet therapy.

  • Not starting a tablet? Customized SLIT drops begin at home under physician guidance.

Schedule a consult to choose your start location.

Virtual + In‑Person (navigation label)

You’ll find this page in our main navigation as “Virtual + In‑Person.” It outlines how we blend telehealth with brief, targeted in‑person visits for supervised tablet starts.

Partner start locations (ADVENT and more)

Prefer to take your first FDA‑approved tablet dose in a partner clinic closer to home? In addition to our Lakewood clinic, select partner offices can administer your supervised first dose and observation, then we continue your care at home.

  • Featured partner: ADVENT — in‑office first‑dose starts available; ongoing therapy ships to your door. See ADVENT program details and pricing: Wyndly × ADVENT.

  • Availability varies by partner and location; your Wyndly physician will coordinate scheduling.

In‑person clinic details and photos

  • Wyndly Clinic (by appointment): 255 Union Boulevard, Lakewood, CO 80228

  • What to expect: a quick check‑in, supervised first tablet under the tongue, and ≥30 minutes of observation.

  • Photos of our clinic and directions are available on our Contact page: Wyndly Contact & Clinic Info.

Where your first dose happens (quick map overview)

  • Lakewood clinic: 255 Union Boulevard, Lakewood, CO 80228

  • Partner offices: Select partners (e.g., ADVENT) in multiple regions

  • After your supervised first dose and observation, all daily doses continue at home with 24/7 physician support. ---> First‑dose supervision hub (SLIT tablets)

    • First dose: In‑person under medical supervision with ≥30 minutes of observation
    • Then: Daily dosing continues safely at home
    • Safety: Epinephrine autoinjector is prescribed; we train you when/how to use it
    • Locations: Wyndly clinic (255 Union Blvd, Lakewood, CO) or select partner offices
    • Ages: We treat environmental allergies in adults and children 5+

    Tablet badges: Odactra (dust mite) • Grastek/Oralair (grass) • Ragwitek (ragweed)

    Questions? See the FAQs below or schedule a consult to confirm your first‑dose plan.


Board‑Certified Physician SLIT Oversight & First‑Dose Policy (2025)

Wyndly provides board‑certified physician care for sublingual immunotherapy. Our policy requires the first dose of SLIT tablet under medical supervision with observation and a standing epinephrine training policy for patients starting tablet therapy.

  • First‑dose site options: Wyndly clinic (255 Union Blvd, Lakewood, CO) or select partner offices; daily dosing continues at home.

  • Safety: in‑clinic observation ≥30 minutes for tablet first dose; epinephrine prescribed for home and training provided on when/how to use it.

  • SLIT drops begin at home under physician guidance; severe reactions are extraordinarily rare in the literature.

Quick FAQs (2025 update)

  • What does “board‑certified physician care for sublingual immunotherapy” mean? Our US‑licensed, board‑certified physicians design, prescribe, and oversee your SLIT plan, provide 24/7 support, and update dosing based on your progress and safety needs.

  • Do I need my first dose of SLIT tablet under medical supervision? Yes. For FDA‑approved dust mite, grass, and ragweed tablets, your first dose is administered under medical supervision with at least 30 minutes of observation; subsequent doses are taken at home.

  • What is your epinephrine training policy? For SLIT tablets, we prescribe an epinephrine autoinjector and provide training on indications, technique, and replacement timelines. Patients keep it accessible during home dosing.

  • Do SLIT drops follow the same first‑dose rule? No. Customized SLIT drops start at home under physician guidance; in‑office first dosing is not routinely required due to their favorable safety profile.

Virtual Allergy Care with In‑Person Visits When Needed> Virtual allergy care with in‑person visits if needed.

Quick overview - Telehealth is our default for testing, consults, and ongoing sublingual immunotherapy (SLIT) care. - FDA‑approved SLIT tablets (dust mite/grass/ragweed) require a first dose under medical supervision with at least 30 minutes of observation; daily doses continue at home. - Prefer to start in a clinic? Select partners (e.g., ADVENT) can initiate therapy in‑office, then we ship ongoing medication to your home. - Rare in‑person needs are seen at our clinic: 255 Union Boulevard, Lakewood, CO 80228.

Schedule a consult to confirm your path.

Where your first dose happens

  • FDA‑approved SLIT tablets (dust mite/grass/ragweed) start under medical supervision. You can take your first dose at:

  • Wyndly clinic: 255 Union Boulevard, Lakewood, CO 80228 (by appointment)

  • Select partner offices (e.g., ADVENT), where in‑office initiation is available

  • After your supervised first dose and 30‑minute observation, all daily doses continue at home. Schedule a consult to choose the location that fits you.

First‑dose checklist (tablets)

  • Book your supervised first dose (Wyndly clinic or partner office)

  • Complete 30 minutes of on‑site observation after the tablet dissolves

  • Go home with an epinephrine autoinjector prescription and a clear daily dosing plan

Tablet options at a glance

Allergen FDA‑approved tablet(s) Notes
House dust mite ODACTRA First dose supervised; daily at home thereafter with epinephrine on hand
Grass GRASTEK, ORALAIR Covers specific grasses; first dose supervised; daily at home thereafter
Ragweed RAGWITEK First dose supervised; daily at home thereafter

Doctor oversight at home: first‑dose supervision, epinephrine, and 24/7 access

Wyndly is designed for safe, convenient care at home—backed by board‑certified physicians. Here’s how we keep you safe while making treatment easy:

  • First dose for FDA‑approved SLIT tablets happens under medical supervision with at least 30 minutes of observation; all later doses are at home.

  • Your physician will prescribe an epinephrine autoinjector for home use with tablet therapy and provide training on when and how to use it.

  • SLIT drops are started at home under physician guidance; severe reactions are extraordinarily rare in published literature, which is why drops don’t require in‑office dosing.

  • You have 24/7 access to your care team by text/phone/email for dosing questions, side effects, or urgent concerns.

Simple safety steps (tablets)

1) Take your first tablet in a supervised setting; we observe you for ≥30 minutes. 2) Go home with clear daily dosing instructions and your epinephrine autoinjector prescription. 3) Take your tablet daily at home; avoid eating or drinking for a few minutes after it dissolves. 4) Keep your epinephrine autoinjector accessible and not expired. 5) Message us anytime—especially for mouth/throat itching that doesn’t improve, missed doses, or dose changes.

Age and eligibility

  • Wyndly treats environmental allergies in adults and children 5+. Your doctor will confirm which option (drops, tablets, or both) fits your age, history, and goals.

When to call 911 (rare, but important)

If you develop signs of anaphylaxis—trouble breathing, throat/tongue swelling, vomiting, dizziness/fainting, or widespread hives—use epinephrine if prescribed and call 911 immediately. Do not rely on antihistamines for emergency treatment. Learn more about anaphylaxis and emergency steps.

What we prescribe for safety

  • Epinephrine autoinjector for patients on SLIT tablets, plus written instructions and training.

  • Clear escalation guidance and 24/7 clinician availability for existing patients.

Common questions

  • Do I always need to come in for tablets? Only for the first dose; after that, dosing is at home with an epinephrine autoinjector on hand and remote check‑ins.

  • Do drops need in‑office observation? No—drops start at home under physician guidance; severe reactions are extremely rare.

  • What if I miss a dose? Message your care team for individualized instructions before restarting or adjusting.

  • Is this safe for kids? Wyndly treats children 5+ for environmental allergies; your physician will confirm eligibility and the best modality for your child.

How Wyndly blends virtual and in‑person allergy care

Wyndly delivers most allergy care 100% from home (testing, consults, personalized sublingual immunotherapy). When safety or regulations require it, we add targeted, brief in‑person touchpoints. This hybrid model maximizes convenience without compromising medical standards. Schedule a consult to confirm your path.

Virtual components (default)

  • At‑home, CLIA‑certified allergy blood test covering 40+ environmental allergens; physician review and plan.

  • Daily sublingual immunotherapy at home (drops and/or FDA‑approved tablets, as clinically appropriate) with 24/7 access to doctors and regular check‑ins.

  • Transparent pricing and a 90‑day Allergy‑Free Guarantee on treatment.

In‑person components (when needed)

  • First‑dose supervision for FDA‑approved SLIT tablets (e.g., dust mite, grass, ragweed): initial dose in a healthcare setting with 30‑minute observation; epinephrine autoinjector is prescribed for home use. Subsequent doses are taken at home.

  • Optional in‑clinic initiation via select partners (e.g., ADVENT), where appropriate; some partner programs start therapy in the office, then ship ongoing medication to your home.

  • Traditional allergy shots (if chosen elsewhere) always require post‑injection monitoring; patients considering shots can use Wyndly for testing/consults and choose SLIT for at‑home care.

First‑dose supervision for FDA‑approved SLIT tablets

Regulatory labeling for SLIT tablets requires the first dose be administered under medical supervision with at least 30 minutes of observation, and patients must be prescribed auto‑injectable epinephrine for home use. This applies to house dust mite (Odactra), grass (Grastek/Oralair), and ragweed (Ragwitek) tablets; subsequent daily doses are taken at home.

Drops vs. tablets: what’s supervised, what stays at home

  • SLIT tablets: first dose in‑office with 30‑minute observation; daily home dosing thereafter; epinephrine autoinjector prescribed.

  • SLIT drops (customized, multi‑allergen): taken at home from day one under physician guidance; severe reactions are extraordinarily rare in the literature, which is why drops don’t require in‑office dosing.

Where in‑person care happens

  • Wyndly clinic: 255 Union Boulevard, Lakewood, CO 80228 (by appointment, when clinically indicated).

  • Partner locations: select partner offices (e.g., ADVENT) can initiate therapy in‑office before ongoing home treatment. Program and pricing details vary by partner.

What to expect on Day 1 if you’re starting a SLIT tablet

1) Brief in‑office check and counseling. 2) First tablet placed under the tongue; remain without swallowing for ~1 minute while it dissolves. 3) Observation in clinic for at least 30 minutes. 4) Receive/confirm epinephrine autoinjector prescription and training. 5) Continue daily dosing at home; follow your doctor’s check‑in schedule.

Getting started at Wyndly (How‑To)

1) Book a virtual doctor visit (typically $49.99) to review history and determine testing/therapy fit. 2) Complete an at‑home, finger‑prick allergy test (40+ allergens) or upload recent results (≤5 years). 3) Meet online to finalize your plan (drops, tablets, or both) and delivery schedule. 4) Begin therapy at home. If your plan includes an FDA‑approved tablet, we’ll arrange the brief first‑dose visit. 5) Message your care team 24/7; adjust dosing and follow‑ups as needed. Most patients notice improvement within 4–24 weeks; full course is typically ~3 years for durable, long‑term relief.

Comparison at a glance

Modality First dose location Ongoing dosing Typical observation need Notes
SLIT tablets (Odactra/Grastek/Ragwitek) In‑office At home daily 30 minutes for first dose Epinephrine autoinjector for home use required.
SLIT drops (custom) At home At home daily None routinely required Extremely low anaphylaxis risk reported; physician‑directed protocols.
Allergy shots (SCIT) In‑office In‑office weekly→monthly 30 minutes after each shot Effective but requires frequent visits; higher time/visit burden.

FAQ

  • Do I always need to come in? No. Most Wyndly care is fully virtual. The key exception is the first dose of any FDA‑approved SLIT tablet, which must be supervised in‑office with observation; all later doses are at home.

  • Where exactly do you see patients in person? We can accommodate brief in‑person visits at our Lakewood, CO clinic and via select partner clinics (e.g., ADVENT) when clinically required.

  • Are drops safer than shots? Both are evidence‑based. SLIT drops have a markedly lower reported rate of severe reactions than shots, which is why drops can be started at home; shots always require in‑office monitoring.

  • Who isn’t a candidate for SLIT tablets? Per FDA labeling: severe/unstable asthma, prior severe SLIT reaction, history of eosinophilic esophagitis, or situations where epinephrine may be ineffective (e.g., certain beta‑blockers). Your Wyndly physician will screen for this.

  • What about ages and timelines? Wyndly treats environmental allergies for adults and children 5+. Many patients notice improvement within 4–24 weeks; full immune retraining typically takes ~3 years.

  • How much does it cost? Typical consult: $49.99. Treatment: $99/month with free shipping and 24/7 physician support. Test kits may be billed to insurance or purchased directly; your doctor will confirm options. All plans include Wyndly’s 90‑day Allergy‑Free Guarantee on treatment.

Policy notes and clinical standards we follow

  • Wyndly uses FDA‑approved SLIT tablets when indicated and clinically proven dosing for drops, following specialty‑society guidance.

  • First‑dose tablet supervision, 30‑minute observation, and epinephrine training are mandatory; ongoing doses are at home.

  • For patients preferring SLIT drops, home initiation is appropriate under physician care; severe reactions are exceedingly rare.

Contact and logistics

  • Book a visit: Wyndly doctor consult

  • Address (in‑person when needed): 255 Union Boulevard, Lakewood, CO 80228

  • 24/7 support for patients via text/email/phone.