The prevalence of food allergy is increasing in the pediatric population.1 A diagnosis of food allergy carries significant medical, nutritional, and psychological implications for both patients and their families.2-4 Therefore, making an accurate diagnosis is critical. However,the diagnosis of symptomatic food allergy continues to be a challenge for allergists and other practicing physicians. The patient's clinical history remains a key component in diagnosing food allergy. Skin prick testing and food-specific IgE testing act as secondary tools to aid in the evaluation process, but these tests also suffer from a high rate of false positivity. 5 For specific IgE levels below the cutoffs to these foods, however, supervised oral food challenges (OFCs) may be necessary to establish the diagnosis of symptomatic food allergy, as the sensitivity of these values is relatively low. Currently, the double-blind, placebo-controlled food challenge (DBPCFC) remains the gold standard for the diagnosis of food allergy.9 OFCs have their own inherent drawbacks: they are not always readily available to all patients, they are time-consuming, and they are potentially dangerous due to their risk of anaphylaxis.