NV reported the dietary changes were di%cult,
but that she noticed the bene$t of staying o" the
antigenic foods identi$ed in the food-speci$c IgG4
antibody testing (Table 3); when she did avoid the
o"ending foods, her energy, pain, and weight all
improved. She reported temporary pain and
swelling in her hands after eating take-out Chinese
food, although the symptoms abated after one day.