Treatment. This is the big news. About 2 months ago, the FDA approved the first oral immunotherapy (OIT) for peanuts, called Palforzia. Peanut allergy leads to both the real risk of anaphylaxis (a severe allergic reaction) and the daily fear and anxiety of possible reactions. This impairs quality of life through compulsive avoidance, label reading, restaurant fears, etc. While peanut OIT does not cure peanut allergy, it does desensitize to the extent that small accidental exposures can be well-tolerated. Treatment involves putting a tiny bit of peanut powder into food every day in an amount that is slowly increased over time. OIT is not for everyone; there are manageable allergic side effects during dose-building but the process requires a dedicated patient and family.