Sublingual Immunotherapy (SLIT)
An alternative to allergy shots that uses allergy drops under the tongue to help reduce long-term allergic sensitivity.
How Would You Like to Get Started?
Choose the option that works best for you.
Request an Appointment
Speak with our team about your symptoms, your insurance and next steps.
Self-Scheduling Appointment
Book your in-office appointment with our sinus and snoring specialists.
How Allergies Contribute to Chronic Nasal Symptoms
In South Florida, environmental allergens such as pollen, mold, and dust mites can trigger persistent nasal inflammation. For some individuals, symptoms last most of the year rather than just seasonally.
Chronic allergic inflammation may cause nasal congestion, sneezing, post-nasal drip, sinus pressure, and disrupted sleep. When medications provide only temporary relief, long-term immune-based therapy may be considered.
Sublingual immunotherapy is one option designed to gradually reduce allergic sensitivity.
How Would You Like to Get Started?
Choose the option that works best for you.
Request an Appointment
Speak with our team about your symptoms, your insurance and next steps.
Self-Scheduling Appointment
Book your in-office appointment with our sinus and snoring specialists.
What Is Sublingual Immunotherapy & How It Works
Sublingual immunotherapy (SLIT) is a form of allergy treatment that delivers small, controlled amounts of allergens under the tongue.
The treatment:
- Uses customized allergy drops based on testing results
- Is taken at home after initial evaluation
- Gradually exposes the immune system to specific triggers
- Aims to reduce allergic sensitivity over time
- May serve as an alternative to allergy shots for selected patients
SLIT works by modifying the immune response rather than simply masking symptoms.
How Would You Like to Get Started?
Choose the option that works best for you.
Request an Appointment
Speak with our team about your symptoms, your insurance and next steps.
Self-Scheduling Appointment
Book your in-office appointment with our sinus and snoring specialists.
Who May Be Considered & What to Expect
Sublingual immunotherapy may be considered for individuals who:
- Have confirmed environmental allergies
- Prefer an alternative to allergy shots
- Experience year-round or seasonal allergy symptoms
- Have persistent symptoms despite medication
- Are candidates for long-term allergy management
What to expect:
- Comprehensive allergy testing before initiation
- Customized formulation based on identified triggers
- Daily at-home administration
- Periodic follow-up visits to monitor progress
- Gradual improvement over time
Treatment duration varies based on individual response.
Comprehensive Evaluation Before Treatment
Successful sublingual immunotherapy begins with confirming appropriate candidacy.
Confirmed Allergen Identification
Testing determines the specific allergens suitable for sublingual therapy.
Severity Assessment
We evaluate symptom burden and previous response to medications.
Suitability Review
Patient preference, lifestyle considerations, and medical history are reviewed to determine whether SLIT or allergy shots are more appropriate.
Individualized Treatment Planning
The formulation and dosing schedule are customized based on allergy profile and clinical findings.
Patients using sublingual immunotherapy often report gradual reduction in allergy symptoms and decreased reliance on daily medications.
Patient Stories
Real Results, Real Relief
Patients using sublingual immunotherapy often report gradual reduction in allergy symptoms and decreased reliance on daily medications.
GOOD Based on 132 reviews Posted on Google Michelle GoldmanTrustindex verifies that the original source of the review is Google. I had the sinus balloonoplasty surgery seven months ago. I have not had one sick day since I have not had a sniffle since. It was 25 minutes long . Recovery was a joke. It is the easiest surgery in the world. Dr. Mandel is amazing.And I'm extremely healthy now. I just sent a friend to Dr. Mandel to get the same surgery done. He might have saved my life. I was sick for over two years with sinus infection infections and bronchitis.Posted on Google Joe D'AlesandroTrustindex verifies that the original source of the review is Google. I got sinus surgery with Dr. Mandel a little under 2 years ago and it's been good so far. He definitely saved me. I had chronic sinusitis for 7 months with acute bouts before then for years. only when I would get sick, since I turned 20. Antibiotics and steroids were needed to get the snot out and stop producing more post-nasal drip. Finally medication stopped working in August 2023 when I got a flu, and several bouts of antibiotics and steroids didn't do anything. Beginning of March 2024 Dr. Mandel opened all 6 sinuses and did turbinate reduction. I like how this place did CT scans. Every other ENT is apparently just guessing, evidence by the fact 4 days before one of my appointments here another ENT in the area (2nd opinion) told me "he didn't see any sinusitis," then here they did a CT and saw it in 4 sinuses. Had surgery 4 weeks later here. The other ENT told me they are "aggressive" in this practice. He had a strong opinion of Mandel in fact. Yeah, in my view he actually wants to try and fix the problem and not have you come back. Haven't had a steroid/antibiotic pill since I had the surgery, every time I get sick now it feels different in there. Sometimes I still get sinusitis after a cold/flu but it just drains naturally within a day or two. I'd do it again if I had to. They sent me to a good allergist after too in order to monitor me. My default state is different with more mucus than before but according to him that's likely scarring from the multi-month episode I had.Posted on Google Eddie BasultoTrustindex verifies that the original source of the review is Google. Pleasant, knowledgeable, and professionally run. I recommend this medical clinic to everyone in need of an ENT service.Posted on Google Rhonda RosaTrustindex verifies that the original source of the review is Google. Great !!!!Posted on Google Kingtherawest 1Trustindex verifies that the original source of the review is Google. The staff is so professional and helpful.Posted on Google Loretta PisinoTrustindex verifies that the original source of the review is Google. This practice is the best! They are all professional, pleasant, thorough and informative. Beverly Gomez has been my treatment provider and I can’t say enough good things about her.Posted on Google Audree BurgTrustindex verifies that the original source of the review is Google. The practice was extremely punctual and courteous. I saw the PA for my first visit who was extremely knowledgeable and a pleasure to talk to
Why Choose Florida Sinus & Snoring Specialists
- Board-certified sinus and allergy specialists
- Comprehensive allergy testing
- Personalized SLIT formulations
- Ongoing monitoring and follow-up
- Integrated care for sinus and nasal conditions
Our approach focuses on long-term immune-based allergy management tailored to each patient.
How Would You Like to Get Started?
Choose the option that works best for you.
Request an Appointment
Speak with our team about your symptoms, your insurance and next steps.
Self-Scheduling Appointment
Book your in-office appointment with our sinus and snoring specialists.
Frequently Asked Questions
How is SLIT different from allergy shots?
SLIT uses allergy drops taken under the tongue, while allergy shots are administered by injection in the office.
Is SLIT taken daily?
Yes. Treatment is typically administered daily at home after evaluation and prescription.
How long does SLIT treatment last?
Treatment duration varies, often extending over several months to years depending on individual response.
Is SLIT appropriate for all allergies?
Eligibility depends on testing results and clinical assessment.
How Would You Like to Get Started?
Choose the option that works best for you.
Request an Appointment
Speak with our team about your symptoms, your insurance and next steps.
Self-Scheduling Appointment
Book your in-office appointment with our sinus and snoring specialists.
Relief Starts With the Right Diagnosis
The first step to feeling better is understanding what’s causing your symptoms.
We use advanced in-office diagnostics to evaluate your condition with precision—so we can recommend the most effective, least invasive treatment options.
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How Would You Like to Get Started?
Choose the option that works best for you.
Request an Appointment
Speak with our team about your symptoms, your insurance and next steps.
Self-Scheduling Appointment
Book your in-office appointment with our sinus and snoring specialists.

