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Allergy, Asthma and Sinusitis P.C

top-allergist-sinusitis-nycOur practice, Advanced Allergy, Asthma and Sinusitis P.C., is located in the heart of Manhattan, New York, just a block away from Grand Central Station. It is a new type of practice dedicated to providing the most up-to-date treatment for adult and pediatric patients with allergy, asthma, sinus disease or disorders of the immune system. We offer world-class expertise and the highest standards in diagnostic testing and treatment for allergy, asthma and sinus disease.

Our treatment plans are based upon the latest practice parameters and recommendations in our field as published by the American Academy of Allergy, Asthma and Immunology and the American College of Allergy, Asthma and Immunology.

Best Allergist NYC Midtown

At Advanced Allergy, Asthma and Sinusitis P.C., we make extraordinary efforts to stay current in our field by attending relevant regional, national and international conferences and reviewing the current literature, textbooks and online databases. Dr. Boyan Hadjiev is fellowship-trained and board-certified in Internal Medicine and Allergy and Immunology. We firmly believe that having a board certification makes the physician more proficient and knowledgeable in the field of allergy/immunology and sinus disease.

Please visit our Common Allergic Problems page for a list of conditions we treat and their descriptions.


Telemedicine Services

 


Visit our main site at www.drsneeze.com

Blog Posts are Below:


Understanding Food Allergies

Understanding Food Allergies best allergist nycFood allergies are immune system responses to certain foods that the body mistakenly identifies as harmful. These reactions can range from mild to severe and can affect various parts of the body. Here’s what you need to know:

Understanding Food Allergies

1. Common Allergens

The most common food allergens, often referred to as the “Big Eight,” include milk, eggs, peanuts, tree nuts, soy, wheat, fish, and shellfish. These foods account for the majority of allergic reactions.

2. Symptoms

Symptoms of food allergies can vary widely and may include hives, swelling, stomach pain, vomiting, diarrhea, respiratory issues, and anaphylaxis—a severe, potentially life-threatening reaction. Symptoms usually appear within minutes to a few hours after consuming the allergen.

3. Diagnosis

Diagnosing food allergies typically involves a combination of medical history, dietary review, skin prick tests, blood tests, and oral food challenges. An allergist will evaluate these results to confirm the allergy.

4. Managing Food Allergies

The primary way to manage food allergies is strict avoidance of the allergen. This requires careful reading of food labels, awareness of cross-contamination risks, and clear communication with restaurants and food preparers. In case of accidental exposure, individuals should have an emergency action plan, which includes carrying epinephrine auto-injectors.

5. Living with Food Allergies

Living with food allergies involves being proactive and prepared. It’s important to educate family, friends, and caregivers about the allergy and how to recognize and respond to symptoms. Joining support groups and staying informed about new treatments and research can also help.

Understanding Food Allergies: Conclusion

Understanding and managing food allergies is crucial for ensuring safety and maintaining quality of life. By knowing common allergens, recognizing symptoms, and having a solid management plan, individuals with food allergies can effectively navigate their daily lives.

For comprehensive food allergy diagnosis and management, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. Our team is committed to providing expert care and personalized treatment plans.

Boyan Hadjiev, MD
212-319-5282

Latest Research on Allergy Treatments

What is the latest research on allergy treatments? Advancements in allergy treatments are continually emerging, providing hope for more effective management of allergies. Here are some of the latest developments:

Latest Research on Allergy Treatments best

1. Biologic Therapies

Biologic therapies, such as monoclonal antibodies, target specific components of the immune system involved in allergic reactions. Omalizumab (Xolair) is a biologic used to treat asthma and chronic idiopathic urticaria (hives). It works by binding to immunoglobulin E (IgE) antibodies, preventing them from triggering allergic responses.

2. Sublingual Immunotherapy (SLIT)

SLIT, a method of allergy immunotherapy, involves placing allergen tablets or drops under the tongue. It has been shown to be effective for treating grass, ragweed, and dust mite allergies. Research is ongoing to expand its use to other allergens.

3. Oral Immunotherapy (OIT)

OIT involves consuming gradually increasing amounts of an allergen under medical supervision. This method is primarily used for food allergies, such as peanut and egg allergies, with the goal of increasing tolerance and reducing the severity of allergic reactions.

4. New Allergy Medications

Researchers are developing new medications that target specific pathways involved in allergic reactions. For example, Fevipiprant is an investigational drug that inhibits a specific receptor involved in asthma and other allergic conditions, showing promise in clinical trials.

5. Gene Therapy

Gene therapy is an emerging field that aims to modify or replace defective genes responsible for allergic responses. While still in the experimental stages, gene therapy holds potential for long-term solutions to allergies.

6. Probiotics and Microbiome Research

Studies are exploring the role of the gut microbiome in allergies. Probiotics, which are beneficial bacteria, may help modulate the immune system and reduce allergic responses. Ongoing research aims to identify specific probiotics that could be used as part of allergy treatment.

7. Epigenetics

Epigenetic research is investigating how environmental factors can influence gene expression related to allergies. Understanding these mechanisms could lead to new prevention and treatment strategies.

8. Allergen-Specific Immunotherapy Vaccines

Scientists are developing allergen-specific vaccines that could provide long-lasting protection against allergies. These vaccines aim to induce tolerance to specific allergens, reducing the need for ongoing treatment.

top allergist treatments nyc

Latest Research on Allergy Treatments: Conclusion

The latest research in allergy treatments offers promising advancements in managing and potentially curing allergies. From biologic therapies and immunotherapy to gene therapy and microbiome research, these innovations provide new hope for individuals suffering from allergies.

For expert advice and the latest treatments in allergy management, contact “Dr. Sneeze”, Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. in New York City. Dr. Hadjiev and his team are dedicated to providing cutting-edge allergy care tailored to your needs.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Common Misconceptions About Allergies

Common Misconceptions About Allergies - top allergist nycAllergies can be a frustrating and sometimes debilitating condition. Despite their prevalence, many common misconceptions about allergies persist. From confusing allergies with sensitivities, to believing they’re just a minor annoyance, these misunderstandings can lead to ineffective treatment and unnecessary discomfort. Let’s debunk some of the most common myths surrounding allergies and explore the truth about this widespread health issue.

Common Misconceptions About Allergies

1. Allergies are Just a Nuisance

Many believe allergies are minor inconveniences, but they can significantly impact quality of life and, in severe cases, be life-threatening.

2. You Can Outgrow Allergies

While some children may outgrow certain food allergies, others, such as peanut or shellfish allergies, often persist into adulthood.

3. Hypoallergenic Pets Don’t Cause Allergies

No pet is entirely hypoallergenic. All pets produce dander, saliva, and urine, which can trigger allergies.

4. Moving to a New Location Can Cure Allergies

Moving might provide temporary relief, but allergens are prevalent everywhere. New environmental allergens might replace the old ones.

5. Allergies and Colds Are the Same

Allergies and colds share symptoms but have different causes. Allergies result from immune responses to allergens, while colds are viral infections.

6. Natural Remedies Are Always Safe

Natural doesn’t always mean safe. Some herbal treatments can interact with medications or cause allergic reactions themselves.

Common Misconceptions About Allergies: Conclusion

Understanding these misconceptions helps in managing allergies effectively. Educating yourself and seeking professional advice is crucial for accurate diagnosis and treatment.

For reliable information and expert allergy care, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. in NYC. Our team provides comprehensive allergy management and treatment plans.

Allergy, Asthma and Sinusitis P.C. | Boyan Hadjiev, MD
212-319-5282

The Role of Immunotherapy in Allergy Treatment

What is the role of immunotherapy in allergy treatment? Immunotherapy is a transformative treatment for individuals suffering from allergies, particularly those who do not find relief with conventional medications. This treatment involves gradually exposing patients to increasing doses of allergens, aiming to build their tolerance over time.

The Role of Immunotherapy in Allergy Treatment

The Role of Immunotherapy in Allergy Treatment

1. What is Immunotherapy?

Immunotherapy, also known as allergy shots or sublingual immunotherapy, is a long-term treatment designed to decrease sensitivity to allergens. By repeatedly exposing the body to small, controlled amounts of the allergen, the immune system is trained to tolerate it without triggering a severe allergic reaction.

2. Allergy Shots (Subcutaneous Immunotherapy)

Allergy shots are a well-established method of immunotherapy. Patients receive injections containing small amounts of the allergen, initially on a weekly basis. Over time, the dosage is gradually increased, and the frequency of the shots decreases. This treatment is particularly effective for common allergens such as pollen, dust mites, mold, and pet dander. The maintenance phase, where injections are given monthly, can last for several years, leading to long-term relief even after the treatment ends.

3. Sublingual Immunotherapy

Sublingual immunotherapy is an alternative to allergy shots, involving the placement of allergen tablets or drops under the tongue. This method is primarily used for treating allergies to grass, ragweed, and dust mites. It is a convenient option as it can be administered at home, making it easier for patients to maintain consistent treatment. Sublingual immunotherapy is a viable choice for individuals who are averse to needles or prefer a more flexible treatment schedule.

4. Benefits of Immunotherapy

Immunotherapy offers numerous benefits:

  • Long-Term Relief: One of the most significant advantages is that it can provide lasting relief from allergy symptoms, even after the treatment is discontinued.
  • Symptom Reduction: Patients experience a marked reduction in symptoms such as sneezing, itching, and congestion. This improvement can significantly enhance quality of life, particularly during allergy seasons.
  • Medication Dependence: With successful immunotherapy, there is often a reduced need for daily allergy medications, which can save costs and reduce side effects associated with long-term medication use.
  • Preventive Benefits: In children, immunotherapy has the potential to prevent the development of new allergies and can also reduce the risk of developing asthma.

5. How Immunotherapy Works

The mechanism behind immunotherapy involves desensitizing the immune system to allergens. By introducing the allergen in controlled amounts, the immune system is trained to become less reactive. Over time, the body’s response to the allergen becomes less severe, which helps in reducing the symptoms experienced during natural exposure. This gradual process is carefully monitored by an allergist to ensure safety and effectiveness.

6. Side Effects and Risks

While immunotherapy is generally safe, it does come with some risks. Common side effects include localized reactions at the injection site, such as swelling and redness, or oral itching and discomfort for sublingual methods. These side effects are usually mild and temporary. However, there is a risk of severe allergic reactions, including anaphylaxis, which is why it’s crucial to start this treatment under the supervision of an allergist. Patients are monitored for a short period after each injection to manage any immediate reactions.

The Role of Immunotherapy in Allergy Treatment: Conclusion

Immunotherapy stands out as a promising solution for long-term allergy relief. By building tolerance to allergens, it helps reduce symptoms and improve the overall quality of life for allergy sufferers. It’s a proactive approach that not only alleviates current symptoms but also provides preventive benefits.

For personalized advice and effective immunotherapy treatment plans, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. Our dedicated team is here to help you manage and overcome your allergies.

Contact Information:

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Allergy-Friendly Home Improvements

Allergy-Friendly Home ImprovementsCreating an allergy-friendly home can significantly reduce symptoms and improve quality of life. Here are some practical home improvements to help reduce exposure to common allergic triggers.

Allergy-Friendly Home Improvements

1. Install High-Efficiency Air Filters

Use HEPA filters in your HVAC system to capture airborne allergens like pollen, dust, and pet dander. Replace filters regularly for optimal performance.

2. Use Hypoallergenic Bedding

Opt for hypoallergenic mattress covers, pillows, and bedding to reduce dust mites and other allergens. Wash bedding in hot water weekly to kill dust mites.

3. Choose Hard Flooring

Replace carpets with hard flooring options such as hardwood, tile, or laminate. Hard surfaces are easier to clean and don’t trap allergens like carpets do.

4. Use Low-VOC Paints

Choose low-VOC (volatile organic compounds) paints to reduce exposure to chemicals that can trigger allergies and asthma. These paints are available in a variety of colors and finishes.

5. Control Humidity Levels

Maintain indoor humidity levels between 30-50% using dehumidifiers or air conditioners. This prevents mold growth and reduces dust mites.

6. Install Ventilation Fans

Install exhaust fans in kitchens and bathrooms to reduce moisture and prevent mold growth. Proper ventilation also helps remove cooking fumes and other irritants.

7. Choose Allergy-Friendly Furniture

Opt for leather, vinyl, or other non-fabric furniture that can be easily wiped down. Avoid upholstered furniture that can harbor allergens.

8. Remove Clutter

Keep your home free of clutter to minimize dust accumulation. Use storage solutions to keep items organized and off the floor.

9. Regular Cleaning

Vacuum regularly with a HEPA-filter vacuum and dust surfaces with a damp cloth. Clean areas prone to mold, such as bathrooms and basements, frequently.

10. Use Green Cleaning Products

Choose non-toxic, fragrance-free cleaning products to avoid chemical irritants that can trigger allergies. Natural cleaning solutions like vinegar and baking soda can be effective and safe.

Allergy-Friendly Home Improvements: Conclusion

Implementing these allergy-friendly home improvements can create a healthier living environment and help reduce allergy symptoms.

For expert advice on allergy management and creating an allergy-friendly home, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. Our team is dedicated to helping you achieve a healthier home.

Boyan Hadjiev, MD
212-319-5282

Travel Tips for Allergy Sufferers

What are some good travel tips for allergy sufferers? Traveling with allergies can be challenging, but with careful planning, you can enjoy your trip without discomfort. Here are some tips.

Travel Tips for Allergy Sufferers

Travel Tips for Allergy Sufferers

1. Plan Ahead

Research your destination for potential allergens, such as pollen counts, local foods, and accommodations. Choose allergy-friendly hotels and destinations when possible.

2. Pack Allergy Essentials

Bring necessary medications, including antihistamines, nasal sprays, and epinephrine auto-injectors. Pack these in your carry-on for easy access.

3. Inform Your Travel Companions

Let your travel companions know about your allergies so they can help you avoid allergens and assist in case of an emergency.

4. Use Air Purifiers

If you’re staying in a hotel, consider bringing a portable air purifier to reduce allergens in your room. Some hotels also offer allergy-friendly rooms equipped with air purifiers and hypoallergenic bedding.

5. Be Cautious with Food

When traveling internationally, learn how to communicate your food allergies in the local language. Carry allergy cards that list your allergens and necessary precautions in the local language. Always inform restaurant staff about your allergies and choose dishes that are less likely to contain allergens.

6. Avoid Peak Allergy Seasons

If possible, plan your trips during seasons when allergens are lower. This can reduce your exposure and help you enjoy your travels more comfortably.

7. Keep Your Environment Clean

Wipe down surfaces in your accommodation and rental car to remove dust and allergens. Use hypoallergenic bedding and avoid feather pillows or comforters.

8. Stay Hydrated

Drink plenty of water to stay hydrated, as this can help alleviate some allergy symptoms. Avoid caffeinated and alcoholic beverages that can dehydrate you.

9. Manage Stress

Travel can be stressful, which can exacerbate allergy symptoms. Practice stress-relief techniques such as deep breathing, meditation, or gentle exercise.

10. Emergency Plan

Have a clear emergency plan in place. Know where the nearest medical facilities are, carry a medical ID, and ensure you have travel insurance that covers allergy-related emergencies.

Travel Tips for Allergy Sufferers: Conclusion

With the right preparation and precautions, you can manage your allergies effectively while traveling and enjoy a stress-free trip.

For personalized allergy management and travel advice, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. Our team is here to help you travel safely and comfortably.

Dealing with Pet Allergies

Dealing with Pet AllergiesHow can pet owners go about dealing with pet allergies? Pet allergies can be challenging, especially for animal lovers. Here are some effective strategies to manage them.

Ideas for Dealing with Pet Allergies

1. Create Pet-Free Zones

Designate certain areas of your home as pet-free, such as bedrooms, to reduce allergen exposure. This ensures you have a space to retreat to when symptoms flare up.

2. Bathe and Groom Pets Regularly

Frequent bathing and grooming can reduce the amount of dander (dead skin flakes) pets shed. Use hypoallergenic pet shampoos and consider professional grooming services.

3. Clean and Vacuum Frequently

Regularly clean and vacuum your home, focusing on areas where your pet spends time. Use a vacuum with a HEPA filter to capture small allergen particles effectively.

Dealing with Pet Allergies strategies cleaning

4. Use HEPA Air Purifiers

HEPA air purifiers can help remove pet allergens from the air. Place them in common areas and bedrooms to improve air quality.

5. Wash Pet Bedding and Toys

Frequently wash your pet’s bedding, toys, and other items in hot water to reduce allergen buildup. This helps minimize the spread of dander throughout your home.

6. Allergy-Friendly Furnishings

Choose furnishings that are easy to clean, such as leather or vinyl, instead of fabric-covered furniture. This reduces the amount of dander that can accumulate.

7. Allergy Medications

Consult with an allergist to discuss appropriate medications. Antihistamines, decongestants, and nasal sprays can help manage symptoms. In some cases, allergy shots (immunotherapy) may be recommended for long-term relief.

8. Personal Hygiene

Wash your hands after petting or playing with your pet to prevent transferring allergens to your face. This can help reduce allergy symptoms.

9. Limit Carpet Use

Carpets can trap pet dander and other allergens. Opt for hard flooring options like tile, hardwood, or laminate, which are easier to clean and less likely to harbor allergens.

10. Consider Allergy-Friendly Pets

If you’re considering getting a new pet, look for breeds that are known to be more allergy-friendly, such as certain dog and cat breeds that produce fewer allergens.

Dealing with Pet Allergies: Conclusion

Managing pet allergies involves a combination of regular cleaning, proper pet care, and medical treatment. By implementing these strategies, you can reduce allergy symptoms and enjoy the companionship of your pet.

For personalized advice and effective allergy management, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. in NYC. Our team is dedicated to helping you live comfortably with your pet.

Managing Seasonal Allergies in NYC

Managing Seasonal Allergies in NYCWhat are the best strategies for managing seasonal allergies in NYC? Seasonal allergies can be challenging, especially in a bustling city like New York. Here are some tips to manage them effectively.

Managing Seasonal Allergies in NYC

1. Monitor Pollen Levels

Stay informed about daily pollen counts. Websites and apps provide updates that can help you plan outdoor activities accordingly. On high-pollen days, try to stay indoors as much as possible.

2. Keep Windows Closed

Keep your windows closed during peak allergy season to prevent pollen from entering your home. Use air conditioning to keep your space cool and ventilated without letting allergens in.

3. Use Air Purifiers

Invest in a high-quality air purifier with a HEPA filter to remove allergens from the air inside your home. This can significantly reduce indoor pollen and other airborne irritants.

4. Shower and Change Clothes

After spending time outdoors, shower and change your clothes to remove pollen that may have settled on you. This helps prevent the spread of allergens throughout your home.

5. Medications and Treatments

Consult with an allergist like Dr. Boyan Hadjiev to discuss appropriate medications and treatments. Over-the-counter antihistamines, nasal sprays, and eye drops can be effective. In more severe cases, prescription medications or allergy shots (immunotherapy) might be necessary.

6. Clean Regularly

Regular cleaning can help reduce allergens in your home. Vacuum frequently with a HEPA filter vacuum, dust surfaces with a damp cloth, and wash bedding in hot water.

7. Wear Sunglasses and Hats

When outdoors, wear sunglasses and a wide-brimmed hat to protect your eyes and face from pollen. This can help reduce symptoms like itchy, watery eyes and sneezing.

8. Limit Outdoor Activities

Try to limit outdoor activities during peak pollen times, typically early morning and late afternoon. Plan indoor activities or exercise at a gym to minimize exposure.

9. Use Saline Nasal Rinses

Saline nasal rinses can help clear pollen and other allergens from your nasal passages. Use a saline spray or a neti pot to rinse your nose after being outdoors.

10. Stay Hydrated and Maintain a Healthy Diet

Staying hydrated and eating a balanced diet can help your body manage allergy symptoms. Foods rich in vitamins and antioxidants, like fruits and vegetables, can boost your immune system.

Managing Seasonal Allergies in NYC:Conclusion:

Managing seasonal allergies in NYC requires a combination of preventative measures and treatments. By monitoring pollen levels, keeping your home clean, and consulting with an allergist, you can reduce symptoms and enjoy a more comfortable allergy season.

For expert advice and personalized allergy management, contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. Our dedicated team is here to help you navigate allergy season with ease.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Allergies and Sleep: How to Get a Good Night’s Rest

What are some good ways to manage allergies and Sleep? Sleep is essential for our well-being, but allergies can turn a peaceful night’s rest into a miserable ordeal. From seasonal allergies to city living, allergens are prevalent and ensuring quality sleep can be a challenge. Keep reading for expert advice on how to get a good night’s sleep despite allergies.

Allergies and Sleep

The Impact of Allergies on Sleep

Allergies can disrupt your sleep in several ways:

1. Nasal Congestion

Allergic rhinitis (hay fever) can lead to a stuffy or runny nose, making it difficult to breathe through your nose while sleeping.

2. Sneezing and Coughing

Allergic reactions can cause frequent sneezing and coughing, further disrupting your sleep cycle.

3. Itchy Eyes and Throat

Itchy eyes and throat can be irritating, making it hard to relax and fall asleep.

4. Restless Nights

Sleep disturbances due to allergies can lead to fragmented sleep, leaving you feeling fatigued and groggy during the day.

Tips for Getting a Good Night’s Sleep with Allergies

Top NYC allergist Boyan Hadjiev, MD aka “Dr. Sneeze” recommends the following strategies to improve your sleep quality:

1. Allergen-Proof Your Bedroom

  • Use hypoallergenic pillow and mattress covers to limit exposure to dust mites and pet dander.
  • Wash bedding, including sheets and pillowcases, in hot water at least once a week.
  • Keep windows closed during high pollen seasons to prevent outdoor allergens from entering your bedroom.

2. Maintain a Clean Bedroom

  • Regularly vacuum carpets and rugs with a vacuum cleaner equipped with a HEPA filter to trap allergens.
  • Dust and wipe down surfaces with a damp cloth to prevent allergen accumulation.
  • Consider removing carpeting, which can harbor allergens, and opt for hardwood or tile floors.

3. Shower Before Bed

Taking a shower before bedtime can help wash away pollen and other allergens from your skin and hair, reducing the risk of allergen transfer to your bedding.

4. Use Air Purifiers

Invest in high-efficiency particulate air (HEPA) air purifiers for your bedroom to help remove allergens from the air.

5. Medications and Allergy Treatment

Consult with Dr. Sneeze about appropriate allergy medications to manage your symptoms. Allergy treatments, including immunotherapy (allergy shots), may provide long-term relief.

Allergies and Sleep: Contact NYC’s Top Allergist

If allergies are interfering with your sleep in the city that never sleeps, it’s time to seek expert guidance from Boyan Hadjiev, MD. You can contact his practice for an appointment at:

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Dr. Sneeze is dedicated to helping NYC residents enjoy a good night’s sleep. Schedule an appointment today and take the first step toward restful, allergy-free nights with the support of NYC’s top allergist.

Managing Allergies at Work in NYC

What are some expert tips on managing allergies at work? The workday in New York City can be demanding, and allergies can add an extra layer of stress and discomfort to your professional life. Keep reading to learn some ways to help manage allergies in NYC and other large cities.

Managing Allergies at Work in NYC

The Challenges of Allergies in the Workplace

Allergies can pose unique challenges at work, including:

1. Indoor Allergens

Office environments can harbor indoor allergens like dust mites, mold spores, and pet dander, triggering allergy symptoms for susceptible individuals.

2. Commute Allergens

The journey to work in NYC can expose you to outdoor allergens like pollen, pollution, and exhaust fumes, exacerbating your symptoms.

3. Stress and Allergies

Stress, common in the workplace, can worsen allergy symptoms as it can weaken your immune system and make you more sensitive to allergens.

Tips for Managing Allergies at Work

The following strategies can help you effectively manage allergies while at work:

1. Communicate with Your Employer

  • Inform your employer about your allergies and any specific triggers in the workplace.
  • Request accommodations if needed, such as a clean and allergen-friendly workspace.

2. Keep Your Workspace Clean

  • Regularly clean your desk, computer, and other personal items to reduce indoor allergen exposure.
  • Use a HEPA air purifier in your workspace to help filter out allergens.

3. Allergen-Proof Your Workspace

  • Consider using allergen-proof covers for your chair and keyboard to limit allergen accumulation.
  • Keep personal items like coats and bags off the floor to avoid contact with potential allergens.

4. Allergy Medications

  • Take allergy medications as prescribed by a qualified doctor or allergist to keep symptoms in check.
  • Keep spare medication at work in case you forget to take it before leaving home.

5. Outdoor Allergen Management

  • If you have outdoor allergies, use a saline nasal spray after your commute to help remove allergens from your nasal passages.
  • Change your clothes and wash your face and hands when you arrive at work to minimize allergen exposure.

6. Stress Reduction

Practice stress-reduction techniques, such as deep breathing exercises or mindfulness meditation, to help manage stress-related allergy symptoms.

Contact NYC’s Leading Allergist

Don’t let allergies hinder your professional success in the vibrant city of New York. Boyan Hadjiev, MD, “Dr. Sneeze,” is dedicated to helping NYC professionals effectively manage allergies at work. You can contact his practice for an appointment at:

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

NYC Allergist Survival Guide: Living with Allergies in the Big Apple

Here you can read with a comprehensive NYC allergist survival guide to help you thrive in the big city while keeping your allergies in check. New York City is a vibrant and exciting place to live, but it also comes with unique challenges for allergy sufferers. With allergens lurking around every corner, managing allergies in the Big Apple can be a daunting task.

NYC Allergist Survival Guide

NYC Allergist Survival Guide

Identifying Common Allergens in NYC

NYC residents are exposed to a variety of allergens, including:

1. Pollen

  • Trees: Springtime in NYC can be beautiful, but it also brings tree pollen allergies.
  • Grasses: Grass pollen is prevalent in the late spring and early summer.
  • Weeds: Ragweed, a common weed in the city, releases allergenic pollen in the late summer and fall.

2. Indoor Allergens

  • Dust Mites: Dust mites thrive in the city’s apartments and homes, particularly in bedding and upholstered furniture.
  • Mold: Mold spores can grow in damp environments, such as bathrooms and basements.
  • Pet Dander: NYC’s pet-friendly culture means that pet dander can be a common indoor allergen.

3. Pollution

The city’s traffic and urban environment contribute to air pollution, which can exacerbate allergy symptoms.

Survival Tips for Allergy Sufferers in NYC

Dr. Sneeze offers the following expert tips to help you live comfortably with allergies in the Big Apple:

1. Allergen-Proof Your Home

Use allergen-proof covers for pillows and mattresses to reduce exposure to dust mites.
Keep windows closed during high pollen seasons and use air conditioning with HEPA filters.

2. Regular Cleaning

Vacuum regularly using a vacuum cleaner equipped with a HEPA filter to trap allergens.
Dust and wipe down surfaces with a damp cloth to minimize indoor allergen accumulation.

3. Pollen Tracking

Monitor pollen counts in your area and stay indoors on high pollen days.
Shower and change clothes after outdoor activities to remove pollen from your body and clothing.

4. Medication Management

Follow your prescribed allergy medication regimen diligently to control symptoms. Consult with an experienced allergist for personalized recommendations on allergy medications.

5. Allergen Avoidance

Consider allergen immunotherapy (allergy shots) for long-term relief and reduced sensitivity to allergens.

6. Stress Reduction

Manage stress through relaxation techniques like meditation and deep breathing exercises, as stress can exacerbate allergy symptoms.

Best NYC Allergist Survival Guide 2024

NYC Allergist Survival Guide: Contact NYC’s Trusted Allergist

For comprehensive allergy management and expert guidance on living with allergies in the city that never sleeps, reach out to Dr. Boyan Hadjiev, MD, NYC’s top allergist. You can contact his practice for an appointment at:

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

With the support and expertise of NYC’s trusted allergist, you can enjoy all that the Big Apple has to offer while keeping your allergies under control. Schedule an appointment today and take the first step toward a healthier, symptom-free life in NYC.

Allergies and Skin Conditions: NYC Allergist Solutions

Do you want to learn more about allergies and skin conditions? Allergies don’t just stop at sneezing and watery eyes; they can also wreak havoc on your skin. In the bustling urban environment of New York City, where allergens are abundant, skin conditions related to allergies are more common than you might think.

Allergies and Skin Conditions

The Connection Between Allergies and Skin Conditions

Allergies can trigger or exacerbate a range of skin conditions, including:

1. Eczema (Atopic Dermatitis)

Eczema is a chronic skin condition characterized by itchy, inflamed skin. Allergens like pollen, dust mites, pet dander, and certain foods can trigger eczema flare-ups in sensitive individuals.

2. Hives (Urticaria)

Hives are itchy, raised welts on the skin that can appear suddenly and often occur as an allergic reaction to foods, medications, insect stings, or environmental allergens.

3. Contact Dermatitis

Contact dermatitis occurs when the skin comes into direct contact with an allergen, such as certain metals, fragrances, or plants. It results in redness, itching, and sometimes blisters at the site of contact.

Solutions for Allergy-Related Skin Conditions

Allergists offer comprehensive solutions to address allergies and related skin conditions:

1. Accurate Allergy Testing

Accurate diagnosis is the first step to managing allergies and skin conditions. Allergists utilize advanced allergy testing methods, including skin prick tests and blood tests, to identify the specific allergens triggering your skin symptoms.

2. Allergen Avoidance

Once allergens are identified, your doctor provides practical guidance on allergen avoidance strategies. This may include dietary restrictions, environmental controls, and lifestyle adjustments to reduce allergen exposure.

3. Medication Management

Allergy-related skin conditions can often be managed with medications such as antihistamines and topical corticosteroids. Your allergist will prescribe the most appropriate medications to relieve your symptoms.

4. Immunotherapy (Allergy Shots)

For long-term relief, immunotherapy, commonly known as allergy shots, may be recommended. Immunotherapy gradually desensitizes your immune system to specific allergens, reducing your body’s overreaction to them and lessening skin reactions.

Allergies and Skin Conditions: Contact NYC’s Top Allergist

Dr. Boyan Hadjiev is dedicated to helping NYC residents find relief from allergies and related skin issues. Schedule an appointment today and take the first step toward healthier, itch-free skin with the support of NYC’s top allergist.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Allergy Shots vs. Allergy Drops: Which Treatment Is Right for You in NYC?

Dr. Boyan Hadjiev, a top allergist in NYC, offers expert guidance on two common allergy treatment options: allergy shots vs allergy drops. Discover which one may be the right choice for you. When allergies disrupt your life, seeking the right treatment becomes essential for relief and improved quality of life. In New York City, where allergens abound, making the right choice can significantly impact your well-being.

big city Allergies nyc

Allergy Shots (Immunotherapy)

How They Work

Allergy shots, also known as allergen immunotherapy, involve injecting small, gradually increasing amounts of allergens (such as pollen, dust mites, or pet dander) under your skin. This exposure helps your immune system become less sensitive to the allergens over time, reducing allergic reactions.

Benefits

Long-lasting Relief: Allergy shots can provide long-term symptom relief, potentially even curing allergies in some cases.
Effective for Severe Allergies: They are particularly effective for individuals with severe allergies that don’t respond well to medications.

Considerations

Time-Consuming: Allergy shots require regular visits to the allergist for injections during an initial build-up phase and maintenance phase.
Needle Phobia: If you’re uncomfortable with needles, this may not be the best option for you.

Allergy Drops (Sublingual Immunotherapy)

How They Work

Allergy drops, or sublingual immunotherapy, involve placing allergen extracts under your tongue, where they are absorbed into your bloodstream. Like allergy shots, this helps your immune system become less reactive to allergens over time.

Benefits

Convenience: Allergy drops can be taken at home, reducing the need for frequent clinic visits.
Needle-Free: They are a needle-free option, making them suitable for individuals with needle phobia.
Safe for Children: Allergy drops are a suitable option for children as well.

Considerations

Consistency is Key: You need to take allergy drops consistently as prescribed for the treatment to be effective.
Effectiveness May Vary: Allergy drops may not be as potent as allergy shots, making them more suitable for individuals with milder allergies.

Allergy Shots vs. Allergy Drops

Allergy Shots vs. Allergy Drops: Choosing the Right Treatment

The choice between allergy shots and allergy drops depends on your specific needs and preferences. Dr. Hadjiev can help you make an informed decision based on the severity of your allergies, your lifestyle, and your comfort with needles.

Contact NYC’s Expert Allergist

Dr. Hadjiev specializes in helping NYC residents find the right allergy treatment to improve their quality of life. Schedule an appointment today and take the first step toward allergy relief tailored to your unique needs.

Dr. Boyan Hadjiev
Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016

Call 212-319-5282 or visit https://drsneeze.com for more information.

Pediatric Allergies: How NYC’s Allergist Can Help Your Child Thrive

Want to know more about pediatric allergies? As a parent, your child’s health and well-being are of utmost importance. If your child is dealing with allergies, it can be a source of concern and frustration. Allergies in children, whether to foods, pollen, or other allergens, require specialized care and attention. Here we’ll discuss some ways to  help your child thrive despite allergies.

Best Allergist for Pediatric Allergies NYC 2024

The Impact of Pediatric Allergies

Pediatric allergies can manifest in various forms, affecting a child’s quality of life. Common allergic conditions in children include:

  • Food Allergies: Allergic reactions to common foods like peanuts, milk, eggs, and more.
  • Environmental Allergies: Sensitivities to pollen, dust mites, pet dander, and mold spores.
  • Asthma: Asthma is often linked to allergies and can cause wheezing, coughing, and difficulty breathing.

These allergies can result in symptoms such as sneezing, runny nose, itchy eyes, hives, stomach upset, or, in severe cases, anaphylaxis. Managing pediatric allergies requires specialized care to ensure your child’s health, comfort, and development.

Expert Care for Pediatric Allergies

Dr. Hadjiev understands the unique challenges that pediatric allergies present and offers comprehensive care tailored to your child’s specific needs:

1. Accurate Diagnosis

Accurate diagnosis is the first step toward effective allergy management. An experienced allergist will utilize various diagnostic tools, including skin prick tests and blood tests, to pinpoint the specific allergens triggering your child’s symptoms.

2. Allergen Avoidance Strategies

Once allergens are identified, the allergist provides practical guidance on allergen avoidance strategies tailored to your child’s daily life. This includes recommendations for dietary restrictions, environmental controls, and lifestyle adjustments.

3. Medication Management

For immediate relief of allergy symptoms, an allergist may prescribe medications such as antihistamines, nasal corticosteroids, or asthma inhalers. Medications can help alleviate your child’s discomfort and improve their quality of life.

4. Allergy Shots (Immunotherapy)

In some cases, allergen immunotherapy, also known as allergy shots, may be recommended. This treatment gradually desensitizes your child’s immune system to specific allergens, reducing their allergic reactions over time.

5. Asthma Management

If your child has asthma alongside allergies, your allergist should specialize in asthma management and provide expert guidance to keep your child’s asthma well-controlled.

Pediatric Allergies children new york city

Pediatric Allergies: Contact NYC’s Trusted Allergist

Don’t let pediatric allergies hold your child back. Dr. Boyan Hadjiev, MD, “Dr. Sneeze,” is dedicated to helping your child thrive by providing expert care for pediatric allergies. Contact him today for an appointment:

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Give your child the gift of a healthier, symptom-free life with the support and expertise of NYC’s trusted allergist, Dr. Sneeze. Schedule an appointment today and take the first step toward a brighter future for your child.

NYC’s Top Allergist on Allergen Avoidance Strategies

What are good allergen avoidance strategies? Breathing should be effortless and natural, but for those with allergies, it can be a constant struggle. In bustling New York City, allergens are everywhere, making it important to learn how to navigate this challenging environment. Dr. Boyan Hadjiev, MD is a top NYC allergist, and he’s here to share expert advice on allergen avoidance strategies to help you breathe easier in the city.

Allergen Avoidance Strategies NYC

Understanding Allergens in the Urban Jungle

Allergens are substances that can trigger allergic reactions in susceptible individuals. In NYC, common allergens include:

  • Pollen: From trees, grasses, and weeds, pollen is a major seasonal allergen.
  • Dust Mites: These microscopic creatures thrive in indoor environments, particularly in bedding and upholstered furniture.
  • Mold Spores: Mold grows in damp places like bathrooms, basements, and even air conditioning units.
  • Pet Dander: Proteins found in the skin cells, urine, and saliva of animals can cause allergic reactions.
  • Cockroach Droppings: In urban settings, cockroach allergens are prevalent in homes and public spaces.

Allergen Avoidance Strategies

Reducing your exposure to allergens is the key to managing allergy symptoms. Here are expert tips from Dr. Sneeze to help you breathe easier in the city:

1. Pollen Allergies

  • Monitor Pollen Counts: Stay informed about pollen counts and try to stay indoors on high pollen days.
  • Keep Windows Closed: Use air conditioning with HEPA filters and keep windows closed during pollen seasons.
  • Shower and Change: After spending time outdoors, shower and change clothes to remove pollen from your body and clothing.

2. Dust Mite Allergies

  • Use Allergen-Proof Covers: Invest in allergen-proof covers for pillows, mattresses, and box springs to limit exposure.
  • Wash Bedding Regularly: Wash your bedding in hot water (at least 130°F or 54°C) every week to kill dust mites.
  • Vacuum with HEPA Filters: Use a vacuum cleaner equipped with a HEPA filter to trap dust particles.

3. Mold Allergies

  • Fix Leaks: Address water leaks promptly to prevent mold growth.
  • Use Dehumidifiers: Keep humidity levels in your home below 50% to discourage mold growth.
  • Clean Bathrooms: Regularly clean and disinfect bathrooms and kitchens to prevent mold.

4. Pet Allergies

  • Create Allergy-Free Zones: Designate certain areas of your home as pet-free zones, including your bedroom.
  • Wash Pets: Regularly bathe and groom your pets to reduce the spread of allergens.
  • Use HEPA Air Purifiers: Employ HEPA air purifiers to help capture pet dander.

5. Cockroach Allergies

• Maintain Cleanliness: Keep your home clean and free from food crumbs that attract cockroaches.
• Seal Cracks and Crevices: Seal any cracks and crevices in your home to prevent cockroach entry.

Allergen Avoidance Strategies New York

Contact NYC’s Top Allergist

For personalized guidance on allergen avoidance strategies and expert allergy management, reach out to Dr. Boyan Hadjiev, MD, also known as “Dr. Sneeze.” Call to schedule an appointment:

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Breathe easier and enjoy the vibrant life of New York City with the support and expertise of NYC’s top allergist, Dr. Sneeze. Take the first step toward allergy relief and a healthier, symptom-free life by scheduling an appointment today.

The Link Between Allergies and Sinusitis: Insights from NYC’s Best Allergist

Link Between Allergies and SinusitisIn this blog post, we’ll shed some light on the link between allergies and sinusitis. The hustle and bustle of New York City can be exhilarating, but for some residents, it also comes with the challenge of dealing with allergies and sinusitis. If you’ve ever wondered about the connection between these two conditions, you’re not alone.

Allergies and Sinusitis: A Common Connection

Allergies and sinusitis are often interrelated and can exacerbate each other’s symptoms. Understanding this connection is crucial for effective diagnosis and treatment. Here’s how they are linked:

1. Allergic Rhinitis (Hay Fever)

Allergic rhinitis, commonly known as hay fever, is an allergic reaction to airborne allergens such as pollen, dust mites, pet dander, and mold spores. When you’re exposed to these allergens, your immune system releases histamines, which can lead to symptoms like:

  • Sneezing
  • Runny or stuffy nose
  • Itchy or watery eyes
  • Postnasal drip
  • Coughing

The constant irritation of the nasal passages and sinuses due to allergic rhinitis can make you more susceptible to sinusitis.

2. Sinusitis

Sinusitis, also known as a sinus infection, occurs when the lining of the sinuses becomes inflamed and swollen. This can happen due to infections, allergies, or other irritants. Sinusitis symptoms can include:

  • Facial pain or pressure
  • Headache
  • Thick nasal discharge
  • Cough
  • Fatigue

Allergies can contribute to sinusitis by causing inflammation in the nasal passages, obstructing drainage, and creating an ideal environment for bacterial growth.

Link Between Allergies and Sinusitis nyc best allergist

Allergies and Sinusitis: Diagnosing and Treating the Connection

1. Allergy Testing

To address the link between allergies and sinusitis, Dr. Sneeze may recommend allergy testing. Identifying specific allergens that trigger your symptoms is crucial for effective management. Allergy testing can include skin prick tests and blood tests to pinpoint your sensitivities.

2. Allergen Avoidance

Once allergens are identified, Dr. Sneeze will provide guidance on allergen avoidance strategies. This may involve recommendations for reducing exposure to common allergens in your home and work environments.

3. Medications

Both allergies and sinusitis can benefit from medications. Allergy medications like antihistamines and nasal corticosteroids can help manage allergy symptoms. For sinusitis, antibiotics or decongestants may be prescribed to alleviate infection-related symptoms.

4. Immunotherapy

For long-term relief, immunotherapy (allergy shots) may be recommended. Immunotherapy gradually desensitizes your immune system to specific allergens, reducing your body’s overreaction to them and lessening the risk of sinusitis.

Link Between Allergies and Sinusitis: Contact NYC’s Best Allergist

If you’re experiencing the frustrating cycle of allergies and sinusitis, seeking expert guidance is essential. Dr. Boyan Hadjiev, MD, “Dr. Sneeze,” is NYC’s best allergist, specializing in the diagnosis and treatment of these conditions. Don’t let allergies and sinusitis disrupt your life in the city. Dr. Hadjiev is dedicated to helping you find relief and improve your quality of life. Schedule an appointment today.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Asthma Management in the City: Expert Advice from a NYC Allergist

Dr. Boyan Hadjiev, an NYC allergist renowned as “Dr. Sneeze,” offers expert advice on asthma management in the city that never sleeps. Asthma, a chronic respiratory condition that affects millions of people worldwide, can be particularly challenging to manage in a bustling metropolis like New York City. With its unique blend of environmental factors and urban stressors, NYC residents with asthma need specialized guidance to breathe easier.

Asthma Management NYC best allergist

The Urban Asthma Challenge

Asthma Management in the CityAsthma is characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, shortness of breath, coughing, and chest tightness. Living in New York City can exacerbate these symptoms due to several factors:

  • Air Pollution: NYC’s high population density and traffic contribute to increased air pollution, which can trigger asthma symptoms.
  • Allergens: The city’s diverse environment contains various allergens, including pollen, mold spores, dust mites, and cockroaches, all of which can worsen asthma.
  • Stress: The fast-paced, high-stress lifestyle of NYC can also have a negative impact on asthma control, as stress can trigger asthma exacerbations.

Asthma Management Tips

To effectively manage asthma in the city, consider the following expert tips from Dr. Sneeze:

Asthma Management in the City Top NYC allergist1. Develop an Asthma Action Plan

Work with Dr. Sneeze to create a personalized asthma action plan. This plan will outline your daily asthma management routine, including medication use, peak flow measurements, and steps to take in case of an asthma attack.

2. Identify Triggers

Identifying and minimizing exposure to asthma triggers is crucial. Dr. Sneeze can help you pinpoint your specific triggers through allergy testing and recommend strategies to reduce your exposure.

3. Medication Management

Follow your prescribed asthma medication regimen diligently. This may include daily controller medications and quick-relief medications for acute symptoms. Dr. Sneeze will tailor your medication plan to your individual needs.

4. Regular Check-ups

Schedule regular follow-up appointments with Dr. Sneeze to monitor your asthma control and make any necessary adjustments to your treatment plan. Asthma management is an ongoing process, and consistent care is vital.

5. Allergen Avoidance

Take steps to minimize exposure to common asthma triggers, such as pollen, dust, and pet dander:

  • Use high-efficiency particulate air (HEPA) filters in your home.
  • Keep windows closed during high pollen seasons.
  • Use allergen-proof covers for pillows and mattresses.
  • Address any water leaks or mold issues promptly.

6. Stress Management

Stress reduction techniques, such as mindfulness meditation, yoga, or deep breathing exercises, can help improve asthma control by reducing stress-related exacerbations.

Contact NYC’s Expert Allergist

Dr. Boyan Hadjiev - Top Allergist NYCFor comprehensive asthma management and expert advice tailored to your unique needs, reach out to Dr. Boyan Hadjiev, known as “Dr. Sneeze.” Dr. Hadjiev and his team are dedicated to helping NYC residents with asthma achieve optimal control and lead healthier, symptom-free lives. Take the first step towards better asthma management by scheduling an appointment today.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Allergy Testing 101: What to Expect at NYC’s Premier Allergy Clinic

allergy-test-common-environmental-allergies-02Are you experiencing mysterious symptoms that might be related to allergies? Perhaps you’ve been struggling with sneezing, itchy eyes, or unexplained skin rashes. If so, it’s time to consider allergy testing, a critical step toward identifying and managing your allergies. Dr. Boyan Hadjiev, MD, also known as “Dr. Sneeze,” operates NYC’s premier allergy clinic, Allergy, Asthma and Sinusitis P.C. In this blog post, we’ll explore what to expect when you undergo allergy testing at this clinic.

Allergy Testing 101: Why Allergy Testing?

Allergy testing is a vital diagnostic tool that helps pinpoint the specific allergens triggering your symptoms. Identifying these culprits is the first step toward effective allergy management. Dr. Sneeze and his team utilize cutting-edge allergy testing methods to provide you with accurate results and personalized treatment plans.

Allergy Testing 101: The Allergy Testing Process

1. Consultation and Assessment

Your journey begins with a comprehensive consultation with Dr. Sneeze or one of his skilled healthcare professionals. During this initial assessment, you’ll discuss your medical history, symptoms, and any potential triggers. This information helps guide the testing process and ensures a tailored approach to your care.

2. Skin Prick Testing

Skin prick testing is one of the most common methods used for allergy testing. It involves applying a small amount of allergen extracts to your skin, typically on your forearm or back. These extracts represent common allergens like pollen, dust mites, pet dander, and certain foods. Dr. Sneeze will then use a small, painless needle to prick or scratch the skin’s surface, allowing the allergens to enter.

3. Observation

After the allergens are introduced to your skin, you’ll be closely monitored for any allergic reactions. This typically involves checking for the development of small raised bumps, known as wheals, and assessing their size and severity. The presence and size of these wheals indicate your body’s response to specific allergens.

4. Interpretation and Diagnosis

Dr. Sneeze will carefully interpret the results of your skin prick testing. Positive reactions to specific allergens will help identify the substances to which you are allergic. This information is invaluable for creating a personalized allergy management plan.

What to Expect During Testing

  • The entire process is relatively quick and typically takes around 20-30 minutes.
  • Skin prick testing is minimally invasive and generally painless.
  • You may experience mild itching or redness at the test sites, but these symptoms are temporary and typically subside within a short time.

Preparing for Allergy Testing

Before undergoing allergy testing, there are a few essential steps to follow:

  • Inform Dr. Sneeze of any medications you are taking, as some medications may interfere with the results.
  • Avoid antihistamines for several days before testing, as they can suppress allergic reactions and affect the accuracy of the results.

Contact NYC’s Premier Allergy Clinic

Are you ready to take control of your allergies and find relief from your symptoms? Contact NYC’s premier allergy clinic, Allergy, Asthma and Sinusitis P.C.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Experience the highest standard of care and expert allergy testing to identify and manage your allergies effectively. Dr. Sneeze and his dedicated team are committed to helping you lead a healthier, symptom-free life. Contact them today and take the first step toward allergy relief.

Understanding Food Allergies: Tips from a Top Food Allergist in NYC

food allergies best allergist nyc 2024Should you consult a food allergist? Food allergies can be a serious and life-altering condition, affecting millions of people in the United States. In a bustling metropolis like New York City, where dining out and culinary experiences are an integral part of life, understanding and managing food allergies becomes even more crucial. That’s where Dr. Boyan Hadjiev, a top food allergist in NYC, comes in. Known as “Dr. Sneeze,” he specializes in helping individuals navigate the complex world of food allergies and lead healthier lives. In this blog post, we will explore the key aspects of food allergies and share valuable tips from Dr. Sneeze to help you or your loved ones better manage this condition.

What Are Food Allergies?

Food allergies are immune system reactions triggered by specific proteins in certain foods. When someone with a food allergy consumes the allergen, their immune system mistakenly identifies it as harmful and releases chemicals, such as histamines, to protect the body. This immune response can lead to a range of symptoms, from mild to severe, including:

  • Hives or skin rash
  • Swelling of the face, lips, tongue, or throat
  • Difficulty breathing
  • Abdominal pain
  • Nausea and vomiting
  • Diarrhea
  • Anaphylaxis, a severe and potentially life-threatening reaction that can cause a drop in blood pressure and loss of consciousness

Common Food Allergens

While any food can potentially cause an allergic reaction, eight major allergens are responsible for the majority of food allergy cases. These include:

  • Milk
  • Eggs
  • Peanuts
  • Tree nuts
  • Soy
  • Wheat
  • Fish
  • Shellfish

Diagnosing Food Allergies

Accurate diagnosis of food allergies is essential for effective management. Dr. Sneeze offers comprehensive allergy testing, including skin prick tests and blood tests, to identify specific allergens triggering your symptoms. If you suspect a food allergy, seek professional medical advice rather than attempting self-diagnosis.

Understanding Food Labels

Reading food labels is a crucial skill for anyone with food allergies. Dr. Sneeze advises his patients to:

  • Carefully read ingredient lists for potential allergens.
  • Be aware of hidden sources of allergens, such as cross-contamination in shared kitchen equipment.
  • Understand labeling terms like “may contain,” “processed in a facility that also processes,” and “contains.”

Creating a Safe Eating Environment

Dr. Sneeze recommends the following steps to create a safe eating environment when you have food allergies:

  • Inform Others: Educate your friends, family, and dining companions about your food allergies. They should be aware of the seriousness of the condition and how to respond in case of an allergic reaction.
  • Carry Medications: Always carry prescribed epinephrine auto-injectors (e.g., EpiPen) and antihistamines. These can be lifesaving in case of an allergic reaction.
  • Communication is Key: When dining out, communicate your allergies to restaurant staff, including chefs and servers. Ask questions about ingredients, food preparation methods, and potential cross-contamination risks.
  • Plan Ahead: Plan your meals and snacks carefully to ensure you have safe options readily available. This includes packing safe snacks when traveling or attending events.

Food Allergist: Seeking Professional Guidance

Managing food allergies can be challenging, but with the right guidance, it becomes much more manageable. Dr. Sneeze and his team specialize in helping individuals develop personalized strategies for coping with food allergies. They can provide:

  • Allergy testing to identify specific allergens
  • Guidance on allergen avoidance
  • Emergency action plans for severe reactions
  • Education on reading food labels
  • Immunotherapy for potential desensitization

Contact NYC’s Leading Food Allergist: Dr. Boyan Hadjiev

Don’t let food allergies limit your enjoyment of life in the Big Apple. Dr. Boyan Hadjiev, known as “Dr. Sneeze,” is here to help you understand and manage food allergies effectively. Dr. Sneeze is NYC’s leading allergist, providing expert care and guidance for individuals with food allergies. 

To schedule an appointment or seek assistance, contact Dr. Sneeze today:  

Dr. Boyan Hadjiev
Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016

Call 212-319-5282 or visit https://drsneeze.com for more information.

Take control of your food allergies and enjoy a safer, healthier life!

Finding Relief: NYC’s Top Allergist Explains Seasonal Allergies

Top Allergist for Seasonal Allergies: Understanding Seasonal Allergies in NYC

Dr. Boyan Hadjiev - Top Allergist NYCMeet Dr. Boyan Hadjiev, a top allergist in New York City. Here he will explain how New Yorkers can find relief from seasonal allergies. When spring blooms and leaves rustle in New York City, many of us welcome the change in season. However, for those who suffer from seasonal allergies, this time of year can bring discomfort and misery. The bustling urban environment of NYC can exacerbate allergy symptoms, making it crucial to seek expert guidance.

What Are Seasonal Allergies?

Seasonal allergies, also known as hay fever or allergic rhinitis, occur when the immune system reacts to allergens present in the environment during specific seasons. In NYC, these allergens can include pollen from trees, grasses, and weeds, as well as mold spores. Common symptoms of seasonal allergies include:

  • Sneezing
  • Runny or stuffy nose
  • Itchy or watery eyes
  • Coughing
  • Fatigue

Why Are Seasonal Allergies a Challenge in NYC?

New York City’s unique urban landscape can amplify the challenges of dealing with seasonal allergies. The city’s high population density means more pollution, which can exacerbate symptoms. Additionally, tall buildings and concrete surfaces can trap pollen and other allergens, creating a higher concentration in certain areas. Dr. Hadjiev understands the complexities of managing allergies in this environment.

Top Allergist for Seasonal Allergies: Allergy Diagnosis and Treatment

1. Allergy Testing

To effectively manage seasonal allergies, accurate diagnosis is essential. Dr. Hadjiev offers comprehensive allergy testing, including skin prick tests and blood tests, to identify specific allergens triggering your symptoms. Pinpointing the culprits allows for tailored treatment strategies.

2. Allergen Avoidance

One of the first lines of defense against seasonal allergies is allergen avoidance. Dr. Hadjiev provides practical advice on minimizing exposure to allergens in NYC. Tips may include keeping windows closed during high pollen seasons, using air purifiers, and changing clothes after spending time outdoors.

Top Allergist for Seasonal Allergies

3. Medications

For immediate relief, medications such as antihistamines, decongestants, and nasal corticosteroids can be prescribed. These drugs help alleviate symptoms like sneezing, congestion, and itchy eyes.

4. Immunotherapy

For long-term relief, Dr. Hadjiev offers immunotherapy, commonly known as allergy shots. These shots gradually desensitize your immune system to specific allergens, reducing your body’s overreaction to them. This approach can provide lasting relief and even potentially cure your allergies.

Living Allergy-Free in NYC

1. Seasonal Allergy Tips

To manage your seasonal allergies in NYC effectively, consider these lifestyle adjustments:

  • Check local pollen forecasts and stay indoors on high pollen days.
  • Use air-conditioning with HEPA filters to filter out allergens.
  • Keep windows closed and use air purifiers in your home.
  • Shower and change clothes after spending time outdoors to remove allergens.
  • Consider wearing a pollen mask when doing yard work or spending time in parks.

2. Regular Check-ups

Regular follow-up appointments with Dr. Hadjiev are essential for monitoring your progress and adjusting your treatment plan as needed. Allergies can change over time, and your treatment should evolve accordingly.

Contact NYC’s Top Allergist for Seasonal Allergies: Dr. Boyan Hadjiev

Don’t let seasonal allergies disrupt your life in the city that never sleeps. Dr. Boyan Hadjiev, known affectionately as “Dr. Sneeze,” is here to help you find relief. Dr. Hadjiev specializes in diagnosing and treating allergies, offering personalized solutions to fit your needs.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

How to Choose the Right Allergist: Tips for Finding the Best Care

How do you choose the right allergist? Allergies can be a serious and sometimes life-threatening condition. Choosing the right allergist is an important decision that can impact your health and well-being. With so many options out there, it can be overwhelming to know where to start. In this blog post, we will discuss some tips for finding the best care and how Boyan Hadjiev MD, an allergist located in New York City, may be the right choice for you.

Choose the Right Allergist

Tip #1: Check Credentials and Experience

When choosing an allergist, it’s important to check their credentials and experience. Look for an allergist who is board-certified in allergy and immunology and has experience in treating your specific allergy. Dr. Boyan Hadjiev is board-certified in allergy and immunology and has been practicing for over 20 years. He has treated a wide range of allergies and has experience in both pediatric and adult allergy care.

Tip #2: Look for Personalized Care

Your allergist should take the time to get to know you and your specific needs. They should develop a personalized treatment plan that is tailored to your individual needs. An expert allergist understands that each patient is unique and he takes the time to develop a personalized treatment plan for each patient. They offer comprehensive allergy testing to determine the specific allergens that are causing your symptoms and develops a personalized treatment plan that may include medications, allergy shots, and lifestyle changes.

Tip #3: Consider Accessibility and Convenience

When choosing an allergist, it’s important to consider accessibility and convenience. Look for an allergist who is located close to your home or work and offers flexible appointment times. Dr. Hadjiev is conveniently located in Midtown Manhattan and offers flexible appointment times, including early morning and evening hours. He also offers telemedicine appointments for added convenience.

Tip #4: Read Reviews and Ask for Referrals

One of the best ways to find a reputable allergist is to read reviews and ask for referrals from friends and family. Look for an allergist with positive reviews and testimonials from patients. A top NYC allergist will have excellent Google and ZocDoc reviews and testimonials from his patients, who  will generally praise the doctors care and treatment plans.

Choosing the Right Allergists 2023 2024

Tip #5: Consider Insurance Coverage

When choosing an allergist, it’s important to consider your insurance coverage. Look for an allergist who accepts your insurance plan or offers affordable payment options. An experienced allergist in NYC will accept most major insurance plans and offer affordable payment options for patients without insurance.

Choose the Right Allergist: Dr. Boyan Hadjiev for Your Allergy Care Needs

If you’re looking for an allergist who offers personalized care, experience, and convenience, look no further than Dr. Boyan Hadjiev. With over 20 years of experience, he has the expertise to diagnose and treat a wide range of allergies. He offers comprehensive allergy testing, personalized treatment plans, and flexible appointment times to ensure that you receive the best possible care.

Contact his office today to schedule an appointment and take the first step towards managing your allergies.

Dr. Boyan Hadjiev
Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016

Call 212-319-5282 or visit https://drsneeze.com for more information.

Allergy Shots: What to Expect and How They Work

In this post, we’ll discuss what an allergy shot is, how it works, and what to expect during treatment. If you suffer from allergies, you know how frustrating and disruptive they can be to your daily life. Fortunately, there are effective treatment options available, including allergy shots. Allergy shots, also known as immunotherapy, are a type of treatment that can help reduce and even eliminate allergy symptoms.

Allergy Shot

What are Allergy Shots?

Allergy shots are a form of immunotherapy that involves injecting small amounts of allergens into the body to help desensitize the immune system. The goal of allergy shots is to help the immune system build up a tolerance to the allergens over time, ultimately reducing or eliminating allergy symptoms. Allergy shots are typically recommended for individuals with moderate to severe allergies that are not effectively managed with other treatments, such as medication or avoidance of allergens.

How Do Allergy Shots Work?

Allergy shots work by introducing small amounts of allergens into the body over a period of several months to years. The dose of allergen is gradually increased during this time to help the immune system build up a tolerance to the allergen. The immune system produces antibodies in response to the allergen, which ultimately help reduce or eliminate allergy symptoms.

It’s important to note that allergy shots are not a quick fix for allergies. It can take several months to see improvement in symptoms, and full treatment typically lasts three to five years. However, for many individuals, the long-term benefits of allergy shots are well worth the commitment.

What Are the Different Types of Allergy Shots?

There are two main types of allergy shots: subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT). SCIT involves injections of allergen extracts under the skin, while SLIT involves placing drops of allergen extracts under the tongue. Both types work by gradually exposing the immune system to small amounts of allergens over time, in order to desensitize the body and reduce allergic reactions.

What to Expect During Allergy Shot Treatment

Allergy Shots how they work allergist NYCAllergy shot treatment typically involves two phases: the buildup phase and the maintenance phase.

During the buildup phase, the dose of allergen is gradually increased over several weeks or months. This allows the immune system to slowly build up a tolerance to the allergen. You will typically receive allergy shots once or twice a week during the buildup phase.

Once you reach the effective dose, you will enter the maintenance phase. During this phase, you will receive allergy shots less frequently, usually once every two to four weeks. The goal of the maintenance phase is to help maintain the immune system’s tolerance to the allergen.

Are Allergy Shots Effective?

Studies have shown that allergy shots can be highly effective in reducing and even eliminating allergy symptoms. One study found that 85% of patients experienced a significant reduction in allergy symptoms after three years of allergy shot treatment.

Allergy shots are particularly effective for individuals with allergies to pollen, dust mites, and animal dander. However, they may be less effective for individuals with food allergies.

Conclusion: Contact an Experienced Allergist for the Best Treatments

Allergy shots can be an effective treatment option for individuals with moderate to severe allergies that are not effectively managed with other treatments. While the treatment process can be lengthy, the long-term benefits can be significant, ultimately improving quality of life for allergy sufferers.

If you are interested in learning more about allergy shots or other allergy treatment options, contact Dr. Boyan Hadjiev, also known as “Dr. Sneeze”, an experienced allergist located in New York City. Dr. Hadjiev and his team at Allergy, Asthma and Sinusitis P.C. provide comprehensive allergy testing and treatment services to help you manage your allergies and improve your quality of life.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

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Effectiveness of Immunotherapy in Allergy Treatment

Effectiveness of Immunotherapy in Allergy Treatment

What is the effectiveness of immunotherapy in allergy treatment? Allergies can be a real nuisance and can severely affect your quality of life. They can cause symptoms like sneezing, runny nose, itchy eyes, and even more severe symptoms like anaphylaxis. While there are many different treatment options available for allergies, one treatment option that has gained popularity in recent years is immunotherapy. In this blog post, we will explore what immunotherapy is, how it works, and its effectiveness in allergy treatment.

What is Immunotherapy?

Immunotherapy, also known as allergy shots, is a treatment that involves exposing a person to small amounts of an allergen over time, with the goal of reducing their sensitivity to that allergen. The process typically involves regular injections, usually given over a period of several years.

How Does Immunotherapy Work?

The immune system is the body’s defense against harmful substances, including allergens. When the immune system encounters an allergen, it produces antibodies that trigger an allergic reaction. Immunotherapy works by exposing the immune system to small amounts of the allergen, which over time helps the immune system build up a tolerance to the allergen. As the immune system becomes desensitized to the allergen, the severity of the allergic reaction is reduced.

Effectiveness of Immunotherapy

Immunotherapy has been shown to be an effective treatment option for allergies. According to the American Academy of Allergy, Asthma, and Immunology, immunotherapy can reduce allergy symptoms in up to 85% of patients. It can also help prevent the development of new allergies and reduce the risk of asthma in children with allergies.

While immunotherapy can be a highly effective treatment option for allergies, it is important to note that it is not a quick fix. The process can take several years to complete, and results may not be noticeable for several months. Additionally, not everyone is a candidate for immunotherapy, and it is important to discuss your options with an allergist or immunologist.

Types of Immunotherapy

There are two main types of immunotherapy:

Subcutaneous immunotherapy (SCIT)

SCIT involves injecting small amounts of the allergen into the patient’s skin, usually in the upper arm. The injections are given on a regular schedule, typically once or twice a week for several months, followed by less frequent injections over a period of several years.

Sublingual immunotherapy (SLIT)

SLIT involves placing a small amount of the allergen under the patient’s tongue. The allergen is absorbed through the mucous membranes in the mouth. SLIT is typically given daily and can be continued at home.

Is Immunotherapy Right for You?

If you suffer from allergies, immunotherapy may be a good option for you. However, it is important to talk to an allergist or immunologist to determine if you are a good candidate for the treatment. They will take into account your medical history, the severity of your allergies, and other factors to determine if immunotherapy is right for you.

Effectiveness of Immunotherapy in Allergy Treatment: Conclusion

Immunotherapy can be an effective treatment option for allergies, and it is important to discuss your options with an allergist or immunologist. While it may take several years to complete, immunotherapy can help reduce allergy symptoms and improve your quality of life.

Contact Dr. Boyan Hadjiev, also known as “Dr. Sneeze” today for allergy testing and to discuss your allergy treatment options:

Dr. Boyan Hadjiev
Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016

Call 212-319-5282 or visit https://drsneeze.com for more information.

Anaphylaxis: Causes and How to Respond

Anaphylaxis Causes responseIn this blog post, we will discuss what anaphylaxis is, what causes it, and how to respond in case of an emergency. Anaphylaxis is a severe, potentially life-threatening allergic reaction that requires immediate medical attention. It can happen quickly, within minutes or even seconds, and can affect multiple organs in the body.

What is Anaphylaxis?

Anaphylaxis is a severe allergic reaction that can cause a range of symptoms, including:

  • Skin reactions such as hives, itching, and flushing
  • Swelling of the face, lips, tongue, and throat
  • Difficulty breathing, shortness of breath, or wheezing
  • Chest pain or tightness
  • Abdominal pain, nausea, or vomiting
  • Dizziness or fainting

These symptoms can develop quickly and progress rapidly, making it essential to seek medical attention immediately.

What Causes Anaphylaxis?

Anaphylaxis occurs when the body’s immune system overreacts to an allergen. The most common allergens that can cause anaphylaxis include:

  • Food, especially peanuts, tree nuts, shellfish, and dairy
  • Insect stings, such as from bees, wasps, and hornets
  • Medications, including antibiotics, aspirin, and chemotherapy drugs
  • Latex, which is found in gloves, balloons, and other products
  • In some cases, exercise, cold weather, or emotional stress can trigger anaphylaxis

How to Respond to Anaphylaxis?

Anaphylaxis is a medical emergency that requires prompt treatment. If you or someone around you experiences symptoms of anaphylaxis, follow these steps:

  • Call 911 or your local emergency number immediately.
  • If the person has an epinephrine auto-injector (such as EpiPen), use it right away as directed.
  • Make the person lie down and elevate their legs if possible.
  • Loosen tight clothing and cover them with a blanket.
  • Do not give anything to eat or drink, as it can obstruct the airway.
  • Monitor the person’s breathing and be prepared to perform CPR if necessary

Allergic Anaphylaxis emergency what to do and look for

Preventing Anaphylaxis

If you have a history of anaphylaxis or severe allergic reactions, it’s crucial to take steps to prevent future episodes. Here are some tips:

  • Identify and avoid triggers: Work with an allergist to determine the specific allergens that cause your anaphylaxis and learn how to avoid them.
  • Carry an epinephrine auto-injector: Make sure to have your epinephrine auto-injector with you at all times and know how to use it correctly.
  • Wear a medical alert bracelet: A medical alert bracelet can inform others about your anaphylaxis and provide emergency contact information.
  • Develop an emergency action plan: Work with your allergist to develop an emergency action plan that outlines the steps to take in case of anaphylaxis.

Causes & How to Respond to Anaphylaxis: Conclusion

In conclusion, anaphylaxis is a severe and potentially life-threatening allergic reaction that requires immediate medical attention. Understanding the causes and symptoms of anaphylaxis is important in order to prevent and respond to it effectively. If you or a loved one has experienced anaphylaxis, it is important to seek medical attention right away and follow up with an allergist for further evaluation and treatment.

At Allergy, Asthma and Sinusitis P.C, Dr. Boyan Hadjiev provides comprehensive allergy testing and treatment services, including immunotherapy, medication management, and personalized care plans tailored to each patient’s unique needs. With his expertise and experience, Dr. Hadjiev can help patients identify their specific allergens and develop strategies to avoid them, as well as provide emergency plans and epinephrine auto-injectors to prevent and manage anaphylaxis.

If you or a loved one is experiencing allergies or has a history of anaphylaxis, do not hesitate to contact Dr. Hadjiev and his team at Allergy, Asthma and Sinusitis P.C. They are committed to providing the highest quality care and helping patients live healthy, allergy-free lives.

Contact them today to schedule a consultation and take control of your allergies.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Sinusitis and Allergies: Understanding the Link and Effective Treatments

Sinusitis and allergies are two common conditions that are closely linked. In fact, many people who suffer from allergies also experience chronic sinusitis. In this blog post, we will explore the link between these two conditions and discuss effective treatments that can help you find relief.

Sinusitis and Allergies | Best doctor NYC 2023-2024

What is Sinusitis?

Sinusitis is an inflammation of the sinus lining that can cause a range of symptoms, including facial pain and pressure, congestion, headaches, and a reduced sense of smell. It can be caused by a variety of factors, including bacterial or viral infections, allergies, or structural abnormalities in the nasal cavity.

What are Allergies?

Allergies occur when the immune system overreacts to a foreign substance, such as pollen or pet dander. Common allergy symptoms include sneezing, itching, runny nose, and watery eyes. For some people, allergies can also trigger sinusitis.

The Link between Sinusitis and Allergies

The sinuses are connected to the nasal passages, and allergies can cause inflammation in the nasal cavity that can lead to sinusitis. When someone with allergies is exposed to an allergen, such as pollen or dust mites, their body releases histamines. Histamines are responsible for causing allergy symptoms, but they can also cause the blood vessels in the sinuses to become inflamed, leading to sinusitis.

Treatments for Sinusitis and Allergies

If you are experiencing symptoms of sinusitis or allergies, it is important to seek treatment from an experienced allergist. They can help you identify the cause of your symptoms and develop an effective treatment plan. Some common treatments for sinusitis and allergies include:

  • Antihistamines: These medications block the effects of histamines, reducing allergy symptoms and preventing sinus inflammation.
  • Decongestants: Decongestants work by shrinking the blood vessels in the nasal cavity, reducing congestion and pressure in the sinuses.
  • Nasal corticosteroids: These medications reduce inflammation in the nasal cavity and sinuses, helping to alleviate symptoms of both allergies and sinusitis.
  • Immunotherapy: Immunotherapy involves exposing the body to small amounts of an allergen over time, helping the immune system build up a tolerance and reducing allergy symptoms.
  • Surgery: In some cases, surgery may be necessary to correct structural abnormalities in the nasal cavity that are causing chronic sinusitis.

Prevention Tips

Links between Sinusitis and Allergies | TreatmentsWhile there is no guaranteed way to prevent sinusitis or allergies, there are steps you can take to reduce your risk of developing these conditions. Some tips include:

  • Avoiding allergens: Identify the allergens that trigger your symptoms and take steps to avoid them as much as possible.
  • Keeping the home clean: Regularly clean your home to remove dust, pet dander, and other allergens that can trigger symptoms.
  • Staying hydrated: Drinking plenty of fluids can help keep mucus thin and flowing, reducing the risk of sinusitis.
  • Using a humidifier: Adding moisture to the air with a humidifier can help soothe irritated nasal passages and reduce congestion.
  • Getting regular checkups: Regular checkups with an allergist can help identify and treat allergy and sinusitis symptoms before they become chronic.

Sinusitis and Allergies: Conclusion

In conclusion, if you are experiencing sinusitis symptoms, it’s important to schedule an appointment with a top NYC allergist like Boyan Hadjiev MD, who can help diagnose and treat the underlying cause of your condition. By taking a comprehensive approach that considers both allergies and other factors that may be contributing to your sinusitis, Dr. Hadjiev can help you find long-term relief and improve your overall quality of life. Don’t suffer through sinusitis symptoms any longer.

Contact Dr. Sneeze at Allergy, Asthma and Sinusitis P.C. to schedule a consultation today.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

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