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Top Doctors 2015: Emerging Medicine

Six Twin Cities Top Docs who are on the forefront of innovation in medicine weigh in on the medical breakthroughs—from healthier kids to better sleep—we can expect in the next 20 years.

Allergy Doctor Michael Wexler

Dr. Michael R. Wexler

Allergy and Immunology

MANAGING ALLERGIC RESPONSE

Michael R. Wexler is the son of a doctor and the father of a doctor. He is a board-certified allergist/immunologist and pediatrician specializing in allergies, asthma, and immunology. A graduate of the University of Minnesota Medical School, Wexler practices at Advancements in Allergy and Asthma Care Ltd. He is also on staff at several local hospitals and is an associate clinical professor at his alma mater. In September 2014, his practice began offering the FARM (Food Allergy Risk Management) program.

What troubles you about how food allergies are traditionally managed?

The normal course is to identify what someone is allergic to, then avoid it. If the kids happen to eat [what they’re allergic to], you treat it with emergency medicines. It’s very unsatisfactory for parents and physicians to be told, “Just do your best to avoid the food.” There’s no in-between.

How can we prevent this?

There’s been a lot of discussion over the years about trying to desensitize children. They were seeing results a couple of decades ago when they were doing allergy shots with food. Then there was a mistake, tragically, and the child died.

That was the last big approach before switching gears and introducing the food orally. Dr. Richard Wasserman has been a real pioneer.

How does FARM work?

Rather than just give medicine to treat the symptoms, we’re trying to train the body to tolerate it. The very first dose is 2.05 micrograms of peanut. One peanut weighs 250 milligrams. We have only been doing peanuts.

While we do the buildup phase, the kids eat the food twice a day within a window of time and they can’t exercise for a certain time before and after eating. If they’re sick, we have to back down a bit. If things go smoothly, the kids will get their maintenance dose in four to six months. Some parents are happy if the kids can eat foods with trace amounts [of peanuts] safely. Some parents want their kids to be bite-safe. The current recommendation is that they eat the food daily, indefinitely.

Have there been any side effects?

It’s rare, but sometimes the kids have allergic reactions and they need epinephrine. Typically it occurs when they’re exercising or sick. The most common concern is developing eosinophilic esophagitis, an allergic condition of acid reflux. We watch for it.

Has the FARM approach been tested independently?

Dr. Wasserman and I are clinicians. We know the kids and can see what is happening. I understand the way of medicine is very controlled studies, but the approach has been so slow and cumbersome. Dr. Wasserman has desensitized about 300 kids and adults. He hasn’t had anyone who developed eosinophilic esophagitis. As long as we’re careful and know when to back off, it seems to be safe for the vast majority of people.

 

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Dr. Wexler Voted Top Doctor 19 Times

Mpls. St. Paul Magazine:
1997, 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016 

top allergy doctor 2014

Dr. Wexler named Top Doctor by Mpls St. Paul Magazine 2015

"forefront of innovation … in medical breakthroughs"
Dr. Wexler's work

 

top allergy doctor 2014

Dr. Wexler named Top Doctor by Mpls St. Paul Magazine 2014

 

top allergy doctor 2014

Dr. Wexler named Top Doctor by Mpls St. Paul Magazine 2013

 

top allergy doctor 2012

Dr. Wexler named Top Doctor by Mpls St. Paul Magazine 2012

 

Best Allergy Doctor in MN Dr. Wexler named Best Allergy Doctor by MN Monthly

Call today to schedule your appointment and feel good again!
(952) 546-6866

Dr. Wexler is a member or graduate of these organizations

 

American Board of Allergy ImmunologyUniversity of Minnesota Medical SchoolAmerican Board of Pediatrics Logo

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Advancements in Allergy and Asthma Care, LTD.
12450 Wayzata Blvd.,
Suite 215
Minnetonka, Minnesota 55305
952-546-6866

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