We are pleased to offer early peanut oral immunotherapy (EPOIT) and early tree nut oral immunotherapy (ETNOIT) in very young children, starting in infancy. We are one of very few practices in the area offering this important treatment option in this age group. As with older children, early oral immunotherapy raises the threshold at which an allergic child will react to accidental exposure to the food, providing a safety margin against accidental ingestion. Young children have been found to have even better outcomes from oral immunotherapy, and there is a higher chance of true sustained tolerance to peanut and tree nuts.