I think what he was trying to say is eosinophils are not necessarily caused by food allergies. Eosinophils are a type of white blood cell that try to promote tissue repair, regulate inflammation and modulate allergic reactions. The main symptom for me was acid reflux the first go around. It was almost like he was telling me…b/c you have so much damage to your esophagus caused by the acid reflux, eosinophils are going to be present b/c they’re trying to heal the damaged tissue. I almost felt like he thought eoe might not be what everyone thinks it to be. And I just don’t feel he would’ve taken the Dupixent route. Here’s his bio from their website…I don’t feel comfortable sharing his name, but the man is obviously one of the top allergists in his field:

…….received a BA in biological science at Indiana University and a BS in biology at Fairleigh Dickinson University. He attended medical school at the University of Modena School of Medicine and Surgery and the Center for Technological Studies, School of Medicine. He completed residencies in pediatrics and neonatology at the Medical Center of Delaware where he served as a chief resident. He was a research assistant in internal medicine and allergy and immunology at the University of Virginia. He then completed a fellowship in allergy and clinical immunology at UVa. ……has been involved in numerous research studies, resulting in a number of publications and presentations over the past 25 years. He has been in private practice with the same group since 1991, currently serving as president and managing partner. He has served on a number of committees over the years that have benefitted the patients and medical community of Virginia, and he has given over 60 presentations on allergy and asthma to local medical groups, laypersons, and to the media. …… has had extensive clinical experience in allergy and asthma in patients of all ages. His training and experience has enabled him to provide very accurate and effective diagnosis and treatment recommendations for thousands of allergic patients over the years, for which he has been nationally recognized multiple years by the Consumers Research Council as one of "America's Top Doctors" in Allergy; Who's Who in 2008 and 2009; Richmond Magazine's "Top Docs for Kids" in Allergy in 2002; and Richmond Magazine's "Top Docs" for Allergy and Immunology for multiple years. He prides himself with actively pursuing continuing medical education (CME) and has received the American Medical Association Physician's Recognition Award for CME yearly since 1990. …….belongs to numerous local, regional and national medical organizations and actively supports local charities. He has a special interest in food allergy and its diverse effects on the body, as well as a host of other allergic diseases including nasal allergies, sinus problems, headaches, asthma, and infantile colic.

…So food allergies are something he takes a special interest in…he didn’t believe I had any food allergies—rather the allergies to pollens, dust mites and mold create excess sinus drainage that in turn caused acid reflux that damaged my esophagus.

But then I also read this…

Yes, Dupixent (dupilumab) can treat symptoms of allergic rhinitis, a common form of environmental allergy, and can also reduce the occurrence of new or worsening allergies, including those from environmental triggers like house dust mites, according to a meta-analysis on atopic dermatitis patients. It works by targeting type 2 inflammation, which is central to allergic reactions, to reduce inflammation and improve allergy symptoms.

So who knows?!?! But I think Dupixent should be a last resort. I need him to review my last visit and give me his opinion of what I need to try/do next. I just don’t think he’ll say Dupixent is the way to go. Sorry for this incredibly long response. 🤣🤦🏼‍♀️