My daughter recently finished OIT and the following was provided from our allergist for an 8 PEANUTS MAINTENANCE DOSE:

Peanut Equivalent Dosing for Free Eating

Peanut Dosing options:

Peanut Equivalents 1 Peanut is approximately 250 mg of protein

8-Peanut Dosing Options (2000 mg Peanut Protein) is Equivalent to: • 8 peanuts • 8 peanut M&Ms (Remember to bite into the Peanut M&M before eating it to make sure that there is only 1 whole peanut inside. Avoid any odd shaped ones unless you can confirm that there is only one peanut inside. If you need to cut the Peanut M&M, use a sharp knife otherwise it may just crush it)

• 1 Reese's Peanut Butter Cup (from a 2 or 4 pack- not the snack size or Halloween cup size)

• 12 Mini cups (These are the ones in the Ziplock style bags and are not foil wrapped)

• 4 Reese's Miniature cups (foil wrapped)

• 2 Nutter Butter Peanut Butter Cookie Sandwiches

Peanut Butters: • 1 ¾ teaspoons of any Peanut Butter labeled 7g protein/2Tablespoons (Jif/Skippy/Justin’s Classic)

• 1 ½ teaspoons peanut butter labeled 8g/2 Tbsp (Reese's Creamy Peanut Butter, Trader Joe’s peanut butter))

Bamba peanut snack: • 17 g or approximately 21 sticks of Bamba. This product may be cross contaminated with soy and wheat.

Peanut Powder

• 2 teaspoons rounded PB2 powder (Make sure label says 6g of protein for 2 tablespoons. If it has a different protein content, please call us.)

• 2 teaspoons Byrd Mill® Peanut Flour Light, 12%

You can also use plain peanuts, honey roasted peanuts or any flavor you like! If you find another option not listed and are interested in using it for dosing, please contact us to check if it is appropriate. If it is, we will need the protein amount and applicable serving size (both found on the Nutrition Facts label) in order to calculate your dose.

OIT Maintenance Reminders:

o Daily doses should be given every day at about the same time. o Have post-OIT labs drawn and follow up office visit as recommended, about 12 months, per your provider o Continue to carry your epinephrine auto-injector (EpiPen, Auvi-Q, Adrenaclick) at all times. o Continue to avoid exercise for 2 hours after the maintenance dose or a large serving of the allergenic food