The goal of immunotherapy is to retrain your immune system to react less to the allergens that trigger symptoms like congestion, itchy eyes and sneezing. Whether you’ve started allergy shots or sublingual drops, one of the most important parts of your treatment journey is monitoring your progress.

How Immunotherapy Works
Immunotherapy consists of two phases: the build-up phase and the maintenance phase.
The build-up phase involves injecting a small amount of the allergen into the upper arm once a week. The dosage is gradually increased at each visit, typically for three to six months.
When the allergen reaches full concentration, you enter the maintenance phase, which typically lasts three years.
What To Expect
Many patients begin noticing benefits within a few months, though full improvement often continues over 12 to 18 months as the immune system becomes more tolerant. It’s normal to experience ups and downs along the way, especially during heavy pollen seasons; the goal is to help you find long-term relief.
During follow-up visits, your provider will review your progress, discuss any changes in symptoms and adjust your treatment plan when needed. This ongoing communication helps ensure you get the greatest benefit from your therapy.
Here are a few things to note during follow-up visits:
- Symptom frequency, such as how often you experience congestion, drainage or itchy eyes
- Symptom severity, including whether flare-ups feel milder than they used to
- Seasonal patterns and whether historically difficult times of year are becoming easier
- Medication use, such as whether you rely less on antihistamines or nasal sprays
- Exposure triggers and how your body responds when you’re around pets, pollen or dust
Keeping a simple journal or using the notes app on your phone can make this quick and easy. Record brief daily or weekly updates so trends are easy to spot.
Find Relief from Allergies with Immunotherapy
If you’re tired of persistent allergy symptoms that interfere with your daily life, immunotherapy may offer lasting relief. Willamette ENT & Facial Plastic Surgery is here to guide you through every step of treatment. Contact us today to schedule an evaluation and learn whether immunotherapy is the right option for you.
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