Tracking and reporting your dose response is one of the most important parts of your Low Dose Immunotherapy (LDI) journey. Accurate reporting helps determine your next steps, as there is no fixed plan beyond each individual dose. Every dose you take is essentially a unique experiment, and your report is what guides the next decision.

This guide explains how to report your dose accurately and efficiently, ensuring the best possible outcome.

Why Dose Reporting Matters

Each dose you take is carefully assessed to decide what happens next. Your feedback determines whether you continue with the same dose, increase to a stronger dilution, or decrease to a weaker dilution. Accurate and timely dose reporting is essential to ensure you’re on the right track.

To make the best decisions, I need clear, specific, and unambiguous information from you. Here’s how you can help:

• Report the Date: The exact calendar date you took the dose.

• Confirm the Dose Taken: Verify which specific dose you used.

• Describe the Results: Share how your symptoms changed (if at all) after taking the dose.

If we both follow this process and stick to our roles, you’ll get the best results.

Step 1: Report the Date You Took the Dose

This step is simple but crucial. The date you took the dose tells me when to expect changes in your symptoms.

What I Need:

• A specific calendar date (e.g., July 28 or October 3).

What to Avoid:

• Do not use weekdays (like “Monday” or “Sunday”) because there are 52 Mondays in a year, and I won’t know which one you’re referring to.

• Avoid vague timeframes like “6 days ago” or “last week.” These can be interpreted in different ways.

Pro tip: Mark the date on a calendar as soon as you take your dose so you don’t forget.

Step 2: Confirm the Dose You Took

While I should know what dose you’re taking, I’ll never assume. Mistakes can happen if people accidentally use the wrong syringe or start with the wrong dilution.

What I Need:

• The exact name of the dose you took, as listed on your syringe or invoice.

This verification step prevents mistakes and ensures you’re taking the correct dose. It’s also a way to double-check that the label on the syringe matches what’s on your invoice.

Step 3: Describe the Results

This part of the report is the most subjective, but it’s still essential. Your goal is to describe how your symptoms responded to the dose. The key question is: Did it work or not?

Here’s how to break down your response:

What I’m Looking For:

• Did it work perfectly?

  • Did your symptoms resolve completely? If so, note this clearly.

• Did it partially work?

  • If so, estimate the percentage of improvement (e.g., “My joint pain was 50% better” or “My rash was 80% gone”).

• Did it make you worse?

  • If so, estimate how much worse you felt (e.g., “My symptoms were 30% worse than usual”).

These numbers don’t have to be precise, but they’re useful for tracking progress over time. For allergy-related symptoms, you may need to conduct a “test exposure” around 6-7 days after the dose to see if you still react to the allergen.

What If Your Symptoms Worsen?

Sometimes, people experience what’s called a “flare response” when the dose is too strong. If you think you’ve had a flare, here’s what I’ll want to know:

• How much worse were your symptoms?

  • Again, give a percentage estimate if possible (e.g., “My symptoms were 50% worse than usual”).

  • It’s useful to compare how this reaction differs from your usual “worst day” experiences.

We’ll discuss more about flares in another video, but this information helps guide our next steps.

How to Know If LDI Worked

If LDI works, you’ll know. People often overthink small changes, but true LDI responses are clear and noticeable. Here’s how to assess it:

• Was there a dramatic improvement in your symptoms? If yes, it’s likely that the dose worked.

• Did your chronic symptoms go away? This is a strong indicator that LDI is working.

If you’re unsure whether anything changed, it probably didn’t. When LDI works, there’s rarely confusion about it.

When to Report Back

One Week After Your Dose

• Send your report about 7 days after taking the dose. This allows time to track how your symptoms respond.

If the Dose Works Perfectly

• Report the results at 7 days and keep me updated on how long the improvement lasts. Even if the symptoms disappear completely, they will eventually return, and knowing how long it lasted helps us determine your next step.

If the Dose Doesn’t Work

• We may increase the strength of the dose next time.

Common Mistakes to Avoid

• Overly Detailed Reports:

  • Long, overly descriptive emails aren’t helpful. Keep it simple and clear.

  • Avoid re-explaining your original symptoms — I already have this from our initial consult. Instead, focus on what’s changed relative to those symptoms.

• Forgetting to Note Relative Change:

  • Don’t just tell me “I had headaches this week.” Instead, say, “My headaches were 50% better” or “My headaches were about the same as usual.”

Summary of What I Need From You

1. Date you took the dose (e.g., “October 3” not “last Tuesday”).

2. Name of the dose (written on the syringe or invoice).

3. How your symptoms changed (better, worse, or the same) with estimates of percentage change.

By following these simple guidelines, you’ll provide me with clear, actionable information to guide your LDI treatment. Accurate dose reporting leads to better outcomes and ensures the process is as smooth and effective as possible.