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A jar of peanut butter costs a few dollars. The pharmaceutical version? $4,000. Dr. Adam Fox from London explains what happened when it got pulled — and why it matters differently depending on which side of the Atlantic you're on. In this episode of The Immune Edit, Dr. Doug Jones sits down with Dr. Adam Fox, Professor of Pediatric Allergy at King's College London and one of the UK's leading food allergy specialists. They get into the real differences between how the US and UK healthcare systems handle food allergy treatment — from oral immunotherapy access to biologics like omalizumab — and what happens when a licensed treatment disappears from the market. TIMESTAMPS 0:00 – Introduction and how Dr. Jones and Dr. Fox connected 1:46 – Dr. Adam Fox's background and allergy training in the UK 5:30 – How food allergy became a recognized specialty 8:15 – UK vs US healthcare systems and allergy care access 10:14 – NHS approach: fewer tests, fewer visits, long waiting lists 1 3:00 – The private care alternative and where it fills gaps 15:00 – Omalizumab uptake differences between US and UK 1 9:52 – The Palforzia story: a $4,000 peanut powder 23:02 – Why Palforzia's removal creates different problems in each country 28:45 – Systems, frustration, and doing the best you can within the rules 3 0:00 – The myth that US medicine is always better 32:01 – What drives Dr. Fox to push boundaries within the NHS 35:39 – Plans for global collaboration between US and UK allergists 40:41 – Immune Edits: mindset, fear, and the turbulence analogy for OIT 44:06 – Closing and the upcoming international meeting in Dallas TOPICS COVERED Food allergy oral immunotherapy OIT, Palforzia peanut allergy treatment, UK vs US healthcare comparison, NHS allergy care, pediatric allergy, food allergy desensitization, omalizumab Xolair for food allergy, peanut allergy treatment options, global allergy collaboration, allergy psychology and mindset 🩺 Become a patient at GAIN → myimmunenetwork.com 📱 Follow @drdougjones on Instagram and TikTok 🌐 Visit drdougjones.com Listen on Spotify and Apple Podcasts — search "The Immune Edit"