Emergency first. If this might be anaphylaxis, use epinephrine and call 911.Thoughts of harming yourself: call or text 988.After surgery: trouble breathing or chest pain, call 911.
General information, not medical advice.Read the full note

Epitope Health teaches what published research and FDA labels say, and how strong that evidence is. It cannot know your situation, and nothing here is a diagnosis, a dose for one person, or a decision about whether a food, medicine or procedure suits one person. Those decisions belong with a licensed clinician who can examine you.

If a reaction is happening now, use epinephrine if it has been prescribed and call 911. If you are thinking about harming yourself, call or text 988, any time.

Epitope Health
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Library updates

Every change to the verified library, in the order it happened: new sources, corrections, and why. The library is checked word for word against its sources whenever it changes.

DateLibraryWhat changedWhy
October 18, 2026perioperative.json (new)Built: 69 sources, 126 excerpts for Surgery Ready (anesthesia types, TIVA versus inhaled, fasting, GLP-1 and SGLT2 drugs, sleep apnea, blood thinners, PONV, delirium, the drugs patients hear about, perioperative anaphylaxis); topic map from Dr. Recio's perioperative corpus; all verified word for wordSurgery preparation section of Epitope Health
October 18, 2026label-epipenAdded label-epipen-5 (2.2: inject into the anterolateral thigh, through clothing if necessary), label-epipen-6 (12.1: alpha- and beta-adrenergic receptors), label-epipen-7 (12.2: alpha and beta effects in anaphylaxis)Para AI test run: could not answer where the EpiPen label says to inject, or how epinephrine works
October 18, 2026label-auvi-qAdded label-auvi-q-5 (2.2: anterolateral thigh, through clothing if necessary) and label-auvi-q-6 (12.1: mechanism of action)Same gaps, for AUVI-Q
October 18, 2026niaid-addendum-2017-full-text (new)Added the guideline's full text (NIAID PDF of the JACI report, read with pdftotext) with Appendix F: approximately 6 to 7 g of peanut protein per week over 3 or more feedings, and the LEAP intake at 12 and 24 monthsPara AI test run: could not answer the LEAP peanut dose; neither the LEAP nor the LEAP-On abstract states it, and the one abstract that does (PMID 27297994, 68 citations) is below the citation bar
October 18, 2026fpies-niaid-workshop-2025 (new), mehr-fpies-2009 (new)Added FPIES symptoms: delayed protracted vomiting with lethargy and pallor 1 to 4 hours after ingestion (PMID 39521282, RCR 10.4); vomiting 100%, lethargy 85%, pallor 67%, diarrhea 24% of 66 episodes (PMID 19188266, 203 citations)Para AI test run: could not answer the main FPIES symptoms; the 2017 consensus executive summary abstract does not list them
October 18, 2026Website supplement (new)Built: 32 sources for topics the app's libraries do not yet cover (environmental allergy and mold, IgG panels, immunotherapy for pollen and dust mite, eczema and the atopic march, FPIES and EoE treatment, the ASA sedation levels, and six procedure pages); every excerpt verified word for wordThe epitopehealth.com guides
October 16, 2026whole libraryBuilt: 82 sources, 231 excerpts; all verified word for word, all primary studies above the citation barFirst build for version 1.3

Plans for this page: a weekly note on new guidelines and major trials in allergy and perioperative care, each graded and checked before it appears. Until that reading program is running, this page shows the library's own change log, so nothing here is promised that is not done.