Wyndly is a concierge allergy practice. We fix your patients pollen, dust, pet, and mold allergies using a customized daily oral treatment. Instead of referring a patient to the traditional allergist where they’ll have to do painful weekly shots for 5 years, our doctors prescribe an oral treatment taken at home with convenient virtual visits.

We use the same medications as allergy shots, but administer them orally in a treatment called “sublingual Immunotherapy.” We either use FDA approved allergy extracts or FDA approved sublingual tablets and tailor each treatment based on the patient’s allergy results and history.

Dr. Manan Shah is an ENT and allergist with a practice in Denver. During the pandemic, Dr. Shah realized he could offer the same allergy care via telehealth that he was providing in the office. Furthermore, he could make it more convenient and cheaper for patients. Once he realized most patients pay $120-$150 monthly in copays for allergy treatment even with insurance, he created Wyndly a direct pay allergy practice to give convenient and evidence based care.

Sublingual immunotherapy uses the same medications as allergy shots, but they are dosed for oral usage. It is used at major academic centers like Johns Hopkins and University of Pittsburgh, has been endorsed by the American Academy of Otolaryngologic Allergy, and recently the American Academy of Head and Neck Surgery in their recent Clinical Practice Guideline noted that sublingual immunotherapy provides equivalent reduction in allergy symptoms to traditional allergy shots, with sublingual being more cost effective and convenient.

We have created an animation here that explains how it works concisely. Our website has a great page explaining immunotherapy here.

Two independent Cochrane review studies( 2003 and 2010) review studies have found sublingual immunotherapy to be safe and effective for environmental allergy treatment. Comparison studies between shots and allergy drops have not shown superiority of either and recommend the choice be based on patient preference. The American Academy of Head and Neck Surgery in their recent Clinical Practice Guideline noted that sublingual immunotherapy provides equivalent reduction in allergy symptoms to traditional allergy shots, with sublingual being more cost effective and convenient.

Referring patients to Wyndly is simple.

1) Your office administers our simple allergy test to the patient.
2) Our providers review the results with the patient during a video visit and create a personalized treatment plan if appropriate.
3) We prescribe a customized immunotherapy plan to patients and ship it to their door. Patients get unlimited visits with their provider and our care team is always just a call or text away.

Wyndly works with patient’s 5 years and up because sublingual immunotherapy has been studied and shown to be effective in patients ages 5 and up. In fact, in children who began immunotherapy at a young age, it has been shown to decrease the risk of developing asthma later on. Below 5 years old, allergists typically do not recommend immunotherapy but rather OTC allergy medications or sprays.

Every time you send a patient to another office, it’s lost revenue and wasted time for the patient. We let providers do the blood allergy testing right in their office to ensure they are the quarterbacks of their patient’s care. Our doctors provide an included allergy test review for each test.

In addition to the cost of the test kit, most practices charge the patient an additional education and kit administration fee which we’ve seen range from $50-100. This makes it revenue positive for you, and is typically still cheaper than the copays and deductibles patients pay to get skin tested.

We use a blood allergy test kit that is clinically validated and CLIA certified.

For allergy shots, skin prick testing is required to understand skin sensitivity. For oral immunotherapy, we do not need skin test results and blood testing can be used. While QuestLab offers similar blood testing, we’ve found many patients never get their blood drawn.

To make it easier for patients, Wyndly offers an at home allergy test kit. Historically, skin testing was preferred, but with advances in technology, blood allergy testing has been shown to be equivalent to skin testing, while being more comfortable than a multi-prick allergy test. The choice of testing method should be based on patient choice and the International Consensus Statement on Allergy and Rhinology recently stated that “there is good evidence to show that [blood testing] is equivalent to skin testing” and indeed using standardized laboratory testing might actually improve accuracy.

Wyndly charges $99 a month to work with our practice. This includes the cost of all customized immunotherapy prescriptions and unlimited visits with their doctor. This is cheaper than most patients pay in copays and deductibles to get weekly allergy shots, and it saves time and discomfort.

While allergy shots typically take 3-5 years, the AAO Clinical practice guideline recommends sublingual immunotherapy for 3 years. Most research suggests both allergy shots and allergy drops have an 80-85% efficacy rate.

While allergy shots generally take 1-2 years to cause improvements, when taken consistently, sublingual immunotherapy patients generally feel decreased allergy symptoms around 4-8 months.

Wyndly charges $249 for the allergy test kit and physician consultation on our website. For retail partners we provide the kits for $200 at a $50 discount.

Our founding physician, Dr. Manan Shah is always happy to connect. Dr. Shah is a board certified ENT and Allergist, is the president of the Colorado ENT Society, is the Chair of the Young Physicians Section of the American Academy of Head and Neck Surgery, and sits on the Legislative Affairs Committee as well as the Medical Device and Drugs Committee.

Email us at care@wyndly.com to connect!