The End of Allergies?
New research suggests that taking vitamin B-12 could make seasonal allergies a thing of the past. Possible side effects include unstoppable immune function, sharper mental focus, and boundless energy.

For decades now, celebrity athletes and rock stars have been jabbing themselves with vitamin B-12 shots in a quest to elevate their game. While the science behind the practice has never exactly been sturdy, satisfied patients from Mick Jagger to Roger Clemens have reportedly used shots of this common vitamin to boost energy, speed recovery after workouts, improve mental focus, and bolster the immune system. In sports circles B-12 has become a signature of the professional locker room; it was even dragged into last year's steroid scandal, when onetime Oriole first baseman Rafael Palmeiro tried to blame his positive steroid results on the B-12 shot he'd received from teammate Miguel Tejada. (Not that anyone bought it.)

But now B-12 is poised for a different role: the no-strings-attached breakthrough allergy treatment we've long been waiting for. In a Phase III drug trial last fall, a group of seasonal allergy sufferers spent up to six weeks taking massive amounts of B-12 -- 2,500 times the recommended daily allowance -- in the form of lozenges dissolved under their tongues twice daily. The results were impressive, to say the least. The most typical symptoms -- sneezing, congestion, and itchy, runny nose -- were half as severe in the B-12 takers as in the placebo group. Dr. Lyndon Mansfield, a Texas allergist who helped plan the study, says, "The effects were comparable to those that got Claritin approved. But the dramatic thing about B-12 is that it's so darn safe." The tired, parched, spacey feeling so common with antihistamine allergy meds? Nada. And as Mansfield points out, it's practically impossible to OD on the stuff. Perhaps most surprising, though, is the longevity of B-12's effects. Previous studies suggest that the allergy-suppressing benefits still run strong for months after the B-12 treatments. Even almighty Claritin doesn't last more than a day or two.

The secret to B-12's allergy-fighting success appears to lie in the vitamin's ability to retune the immune system. Allergies, after all, are immune malfunctions, and increasingly widespread ones at that. They are now twice as common as they were a generation ago, afflicting more than 50 million Americans. Explanations for this surge vary, but one of the problems seems to be connected to the very nature of modern life: Our immune systems don't get the kind of practice fighting off irritants that they got in the days before air filters and antibacterial soap. As a result, a certain type of immune cell, known as an IgE antibody, stays on a constant hair trigger, ready to call out the body's histamine -- the ultimate source of all that allergy misery -- every time it bumps into a pollen grain.

A company named Cobalis, which funded the Phase III trial, owns a patent on B-12 as an allergy therapy and is seeking FDA approval to start selling lozenges as an over-the-counter allergy medicine. If the company clears the remaining red tape, its product will be on pharmacy shelves by next spring, under the brand name PreHistin. In the meantime, intrepid (or desperate) snifflers can try to replicate the study with their own B-12 fix. Three weeks before the spring pollen starts flying in your area, take six mg of B-12 each day in the form of sublingual lozenges. (The lozenges, available from a variety of leading vitamin brands in one and five mg forms, are a lot easier to track down -- and more comfortable -- than the shots.) Continue the B-12 regimen for a total of six weeks. And if you happen to play a bit more like Tejada when you take the softball diamond this spring, just write it off as a lucky side effect.


Top Shelf
Aren't ready to try B-12? Despite the blizzard of brand names out there, your choices come down to a handful of simple options: the newer, less-drowsy-formula antihistamines; nasal steroid sprays; the leukotriene-blocker Singulair; and old-school allergy shots, which involve getting injected by a doctor with tiny amounts of allergens. Here's a rundown of some major players, plus another promising treatment on the horizon:

Claritin OTC
Second-generation antihistamines like Claritin are the first line of defense; they can be used alone or with nasal sprays. Side effects can include drowsiness and dry mouth.

FloNase Nasal
Corticosteroids like Flonase take several hours to work but they're stronger than antihistamines. Side effects can include nosebleeds, and the sprays can damage the septum if used incorrectly.

Singulair
This pill blocks the chemical leukotriene, which contributes to allergy symptoms. It can be weak alone but works well with steroids or antihistamines. Side effects can include headache and sore throat.

Xolair
This new allergic asthma drug, available only by injection, might soon be used to treat allergies -- which has some doctors excited, as it targets IgE to stop allergic reactions before they start.


By: Jebediah Reed
Photographs by: Rich Wheater
(April 2006)


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