What causes late summer allergies. How can you differentiate between allergy symptoms and other conditions. What are the most effective ways to manage and prevent summer allergy symptoms. How long do summer allergies typically last.

Understanding the Culprits Behind Late Summer Allergies

As the warm days of summer stretch into August and September, many individuals find themselves grappling with unexpected allergy symptoms. While spring and fall are traditionally associated with allergies, late summer presents its own set of challenges for allergy sufferers. But what exactly triggers these late summer allergies?

The primary culprits behind late summer allergies include:

• Ragweed pollen
• Grass pollen
• Mold spores
• Stinging insects

Ragweed, in particular, begins to bloom in late July and August, releasing copious amounts of pollen into the air. A single ragweed plant can produce up to one billion pollen grains, which are lightweight and easily dispersed by wind. Contrary to popular belief, it’s not the tall goldenrod that causes most allergic reactions, but rather the tooth-leaved ragweed that grows low in the grass.

Grass pollen, while more commonly associated with early summer, can still persist into the later months, causing issues for those sensitive to it. Mold spores, thriving in warm and humid conditions, reach their peak from July through October and can remain present until the first snowfall.

Recognizing Late Summer Allergy Symptoms

Can summer allergies cause a sore throat? Indeed, they can. The common symptoms of late summer allergies include:

• Sinus congestion
• Runny nose
• Sneezing
• Coughing
• Itchy or watery eyes
• Sore throat (due to post-nasal drip)

It’s important to note that these symptoms can often be confused with a summer cold or even COVID-19. However, there are key differences. Allergies do not cause fever, which is a primary symptom of both colds and COVID-19. Additionally, allergy symptoms tend to recur seasonally based on specific triggers, whereas colds typically occur only a few times a year.

Differentiating Allergies from Other Conditions

How can you tell if your symptoms are due to allergies or another condition? Here are some key factors to consider:

1. Duration of symptoms: Allergy symptoms lasting longer than two weeks are likely not due to a cold or other viral infection.
2. Absence of fever: Allergies do not cause fever, unlike colds or COVID-19.
3. Itchiness: Itchy eyes, nose, or throat are more common with allergies than with colds.
4. Seasonal recurrence: If you experience similar symptoms around the same time each year, allergies are a likely culprit.

If you’re unsure about the cause of your symptoms, it’s advisable to consult with a healthcare professional or allergist for an accurate diagnosis.

Effective Strategies for Managing Late Summer Allergies

How can you stop summer allergies from interfering with your life? While complete avoidance of allergens may be impossible, there are several strategies you can employ to minimize exposure and manage symptoms:

1. Monitor Pollen Counts

Stay informed about daily pollen levels in your area. Many weather apps and websites provide this information, allowing you to plan outdoor activities accordingly.

2. Create an Allergen-Free Home Environment

Take steps to reduce allergens in your living space:

• Keep doors and windows closed during high pollen days
• Use air conditioning with high-efficiency filters
• Regularly change air filters in your home
• Wash bedding weekly in hot water
• Vacuum carpets and rugs frequently with a HEPA filter vacuum

3. Practice Good Hygiene

After spending time outdoors:

• Shower to rinse off pollen from your skin and hair
• Change into clean clothes
• Avoid bringing outdoor clothes into your bedroom

4. Control Indoor Humidity

Keep indoor humidity levels below 50% to discourage mold growth. Use dehumidifiers in damp areas like basements.

5. Consider Medication

Over-the-counter antihistamines, nasal corticosteroids, and eye drops can provide relief from allergy symptoms. It’s best to start taking these medications before the allergy season begins for maximum effectiveness.

6. Explore Immunotherapy

For severe or persistent allergies, consider discussing immunotherapy (allergy shots) with an allergist. This treatment can help build tolerance to specific allergens over time.

The Duration of Late Summer Allergies

When do summer allergies typically subside? The duration of late summer allergies can vary depending on specific allergens and geographical location. In many regions, pollen levels remain significant until the first frost, which usually occurs in mid to late October.

However, different allergens have different seasons:

• Grass pollen counts typically fall to near-zero during August
• Ragweed pollen peaks in August and September
• Mold spores can persist until full snow cover in colder climates

It’s important to remember that individual experiences may vary, and some people may find relief earlier or later in the season.

Advanced Allergy Management Techniques

For those seeking more comprehensive allergy management, consider these advanced techniques:

1. Allergy Testing

Skin testing is considered the most reliable form of allergy testing. It can help identify specific allergens triggering your symptoms, allowing for more targeted treatment.

2. Customized Treatment Plans

Work with an allergist to develop a personalized treatment plan that may include a combination of avoidance strategies, medications, and possibly immunotherapy.

3. Nasal Irrigation

Using a neti pot or saline nasal spray can help flush out allergens and reduce nasal congestion.

4. Diet Modifications

Some studies suggest that certain foods may help reduce allergy symptoms. These include foods rich in omega-3 fatty acids, quercetin, and vitamin C.

5. Air Purifiers

High-quality air purifiers with HEPA filters can help remove allergens from indoor air, providing relief in your home environment.

The Impact of Climate Change on Late Summer Allergies

Climate change is having a significant impact on allergy seasons worldwide. How is this affecting late summer allergies specifically?

• Extended allergy seasons: Warmer temperatures are leading to longer growing seasons for allergenic plants, extending the duration of allergy symptoms.
• Increased pollen production: Higher CO2 levels are causing plants to produce more pollen, intensifying allergy symptoms for many individuals.
• Shifting plant ranges: Climate change is altering the geographical distribution of allergenic plants, potentially exposing new populations to allergens.
• More potent pollen: Some studies suggest that pollen produced under increased CO2 levels may be more allergenic.

These changes underscore the importance of staying informed about local allergen levels and adapting management strategies as needed.

Emerging Research and Future Treatments for Late Summer Allergies

The field of allergy research is continually evolving, with new insights and potential treatments on the horizon. What are some promising developments in allergy management?

1. Biologics

Biologic medications, which target specific pathways in the allergic response, are showing promise for severe allergies and asthma. While currently used primarily for asthma, research is ongoing into their potential for seasonal allergies.

2. Oral Immunotherapy

While more commonly associated with food allergies, researchers are exploring the potential of oral immunotherapy for environmental allergies, potentially offering an alternative to traditional allergy shots.

3. Microbiome Research

Studies into the gut microbiome and its relationship to allergies may lead to new probiotic or prebiotic treatments that could modulate the immune response to allergens.

4. Nanotechnology

Researchers are exploring the use of nanoparticles to deliver immunotherapy more effectively, potentially improving outcomes and reducing side effects.

5. Genetic Research

Advances in understanding the genetic basis of allergies could lead to more personalized treatment approaches in the future.

As research progresses, individuals with late summer allergies may have access to more effective and targeted treatments, potentially offering better relief from seasonal symptoms.

Managing late summer allergies requires a multifaceted approach, combining environmental controls, medication, and potentially immunotherapy. By understanding the causes and implementing effective strategies, individuals can minimize the impact of allergies on their daily lives. As climate change continues to affect allergy seasons, staying informed and adaptable in your approach to allergy management will be crucial. With ongoing research and emerging treatments, the future holds promise for even better ways to combat late summer allergies, allowing more people to enjoy the waning days of summer without the burden of allergic symptoms.

How to Fight Summer Allergies

In the midwest and southern regions of the US, the weather is heating up, and the beginning of summer is quickly approaching. Allergies are usually associated with the spring or fall because pollen is active during these times and causes allergy symptoms in many people across the US. However, summer allergies are also common and are caused by the same allergens as in other seasons. Summer allergy symptoms may be confused for a summer cold or even COVID-19.

Can summer allergies cause a sore throat?

Common allergy symptoms are sinus congestion, runny nose, sneezing, coughing, and itchy or watery eyes. Allergies can cause a sore throat due to post-nasal drip, another typical symptom of pollen or mold allergies. When sinus congestion occurs, mucus may build up and drain down your throat, causing coughing and a sore, scratchy throat.

One of the main signs of COVID-19 is a fever, along with a cough or shortness of breath. Allergies will not cause a fever, making it one of the primary differences between allergies and COVID-19 patients should know. A cold may occur a few times a year, whereas allergies recur seasonally based on your triggers. Summer allergies are usually caused by pollen from grass, which reaches moderate to high levels throughout the summer months. Ragweed is a common fall allergen, but it also begins to bloom in late July and August. Mold spores and stinging insects are other allergy culprits during the summer. As you and your family spend more time outdoors, they may encounter more insects and environmental allergens, but you can reduce exposure to minimize symptoms.

How to stop summer allergies?

Avoiding allergy triggers is the best way to prevent allergy symptoms. If you experience any of the above symptoms for longer than two weeks, then allergies may be the cause, and we recommend getting an allergy test. Skin testing is the most reliable form of allergy testing. Our physicians will use a combination of family history and the skin testing results to diagnose an allergy.

Once you know what you are allergic to, you can take steps to minimize exposure to those allergens:

• Track pollen counts
• Keep doors and windows closed to reduce the amount of pollen and mold that comes indoors
• Switch out air filters seasonally
• Wash bedding and vacuum carpets and rugs
• Shower and change clothes when you come in from working or enjoying time outside
• Keep an eye on humidity levels in your house

If complete avoidance is impossible (as it is with pollen allergies) our physicians can prescribe medication to help manage your symptoms and may recommend immunotherapy to treat the root cause of your allergies. It’s important to start taking medication before the allergy season begins and continue to take medication as prescribed to benefit fully. Immunotherapy is known as allergy shots and works to build your tolerance to your allergens to help you find relief.

When do summer allergies go away?

Pollen in our region won’t disappear entirely until mid to late October with the first frost. However, depending on the allergens you are allergic to, you may see symptom relief sooner. Grass pollen counts typically fall to zero during August.

Don’t suffer from untreated allergies in the summer or any time of the year. Schedule an appointment today with one of our board-certified allergists, and move towards a clearer tomorrow.

Seasonal allergies mark the end of summer fun | News

The unofficial end of summer is usually celebrated on Labor Day or the first day of school. But for some people, the start of fall is signaled by an itch in the throat and a stuffy nose.

The change of seasons can be miserable for kids (and parents) who suffer from seasonal allergies or hay fever.

Common symptoms of hay fever

• Sneezing

• Stuffy, runny or itchy nose

• Itchy, watery or red eyes

• Itchy throat

• Worsening of asthma symptoms

Ragweed pollen, which occurs August through September, is the main cause of misery for those with fall allergies. Contrary to popular belief the primary cause of allergy symptoms is the tooth-leaved ragweed that lives low in the grass, not the tall goldenrod species. A single ragweed plant can produce up to one billion pollen grains. These grains are very light weight and float easily through the air. Common weed pollen increases in the late summer into the fall months. Peak time for ragweed pollen is usually about the time that school begins in the fall.

Another allergen that can cause problems at the time of year is mold. Mold spores can appear in the early spring, but peak in warmer, humid months, such as July through October. Mold spores may be present until there is full snow cover.

Pollen and mold spores are carried by the wind. Some pollen can travel hundreds of miles. This is why warm, dry and windy weather often increases allergy symptoms. Since pollen and mold are carried by the wind, it will not help to remove plants or trees in your yard.

Limit exposure to pollen and mold

The best control is to avoid contact with the pollen. The National Allergy Bureau tracks pollen counts regionally to help you plan when you should avoid spending a lot of time outdoors.

• Keep windows closed and use air conditioning

• Keep kids indoors when the pollen or mold counts are reported as high

• Don’t allow a child with seasonal allergies to mow lawns or raking leaves. This can stir up stir up pollen and molds.

• Have your child shower and change their clothes after being outdoors for a long time. Pollen and mold can be easily carried indoors on clothes and hair. This also includes on pets, such as cats and dogs, who should be bathed more often during pollen seasons.

• Don’t hang laundry outside to dry. Pollen and molds can cling to laundry and be brought indoors.

• Think about taking a vacation during high pollen seasons and travel to an area with less pollen

Treating outdoor allergy symptoms

Medicine can help relieve your child’s allergy symptoms:

• Antihistamine (helps runny/itchy nose/eyes, sneezing)

• Nose spray (helps nasal stuffiness)

• Eye drop (helps itchy eyes)

It is important to take the allergy medications as prescribed by your health care provider.

If medications fail to relieve your child’s symptoms, your physician may recommend taking your child to an allergist for allergy “shots” or immunotherapy, which can help desensitize kids to allergens.

Care Anywhere

Did you know that you can see urgent care providers for allergies and other health problems through a video visit using the UW Health’s Care Anywhere app. You don’t have to leave home and can see a provider when it’s convenient for you and your child.

How to survive seasonal allergies – Lifehacker

April 18, 2016

Health

Spring is coming and with it comes allergies. This means that swelling, nasal congestion, reddening of the skin, tears and other unpleasant symptoms appear. Today we will talk about the causes of seasonal allergies, how to prepare for it and what to do if preventive measures do not help.

According to the definition in medical dictionaries, an allergy is an increased acute reaction of the body’s immune system to certain substances (allergens), which develops upon direct contact with them. And there is a real reaction. But behind the dry terms there is an indescribable range of sensations: watery eyes, itching in the nose, the skin itches and spots, it is hard to breathe … In short, nothing pleasant.

And now spring has come, the season when many types of allergies are activated: to pollen, grass, city dust. But torment can be avoided, the main thing is to start preparing in advance. And we will share with you useful recommendations. But first, let’s talk about why an allergic reaction occurs.

Causes of Allergy

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If you notice a deterioration in the condition from early spring to mid-autumn, most likely you are experiencing hay fever – an allergic reaction to plant pollen.

Pollen from trees, shrubs and grass gets into the nose and our immune system perceives it as a foreign substance. And, accordingly, it begins to produce antibodies – just like against viruses and bacteria. Because of this, histamine is formed in the blood – a biologically active substance, to which we owe all the unpleasant manifestations of allergies: coughing, sneezing, runny nose, watery eyes, and so on.

In fact, allergy is not a disease, it is a special condition of the body that reacts to ordinary substances in a non-standard way.

Is it possible to completely rid a person of such an individual reaction of the organism? No, medicine is not omnipotent, but it is possible to achieve a stable long-term improvement and save a person from all unpleasant allergic manifestations.

One more important conclusion can be drawn from this. In a person who is not predisposed to allergies, there will be no reaction even upon contact with the strongest allergen. Conversely, in a person predisposed to allergies, a reaction will manifest itself, and even substances that are not allergens can provoke it.

The following can also provoke allergies:

• polluted environment;
• stress;
• immunosuppressed;
• smoking;
• antibiotics;
• wrong food.

By the time of the year when you begin to feel unwell, you can understand exactly what your body is reacting to. In spring, allergies are most often caused by tree pollen, in summer – grasses, autumn allergies are associated with pollination of weeds.

There are more than 100 types of pollen allergens, so you should definitely consult a doctor so that he can prescribe the appropriate treatment. Sometimes the allergen is obvious, but in most cases a diagnosis needs to be made. When to contact a specialist and how to prepare for the appointment, we will tell a little later. And now we will discuss several ways of prevention.

How to prepare for the spring allergy season

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1. Get specific immunotherapy

This is the most effective method of prevention. You are diagnosed with an allergen (for example, you cannot tolerate alder pollen), and before flowering, doctors administer preparations that contain small doses of the allergen. So the body gradually gets used to it, so during the flowering season you will not have a reaction to the substance that provokes allergies. If it is not possible to completely get rid of the allergy, then at least the allergic reaction will manifest itself in a milder form.

But two important points must be noted. Firstly, specific immunotherapy should be carried out in the fall, when the flowering period has already passed. And secondly, in order for the procedure to be as effective as possible, it should be carried out regularly. Usually, the predisposition to allergies disappears completely after 3-4 years.

2. Follow a hypoallergenic diet

A hypoallergenic diet is the exclusion from the diet of those foods that can provoke or aggravate allergies. It is advisable to take care of your diet and thereby strengthen the immune system in advance, even before the onset of the flowering period. The diet should be dominated by light food, mainly vegetables and fruits.

Before the onset of allergy, it is necessary to normalize the acid-base balance and metabolism.

In addition, it is worth refusing to use certain products directly during the allergy period. Avoid strawberries and raspberries in spring, watermelons, melons, grapes and eggplants in autumn. During the entire flowering period, nuts, coffee, chocolate, cocoa, honey, eggs are not recommended.

3. Try Vitamin Therapy

Vitamins B and C are effective in treating pollen allergies and boosting the immune system. Therefore, we recommend taking vitamins both before the onset of the allergy season and during it.

How to deal with allergies

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What if you haven’t had time to undergo specific immunotherapy, other methods of prevention do not help you personally, and allergy season is coming very soon? There are several methods that will help alleviate the course of allergies.

Treatment #1: Radical

The most common treatment for most allergies is to avoid exposure to the allergen. But if not having pets or not eating nuts is easy, then in the case of hay fever, when allergens are literally in the air, this can become a problem. Alternatively, you can take a vacation and go to a point in the country or planet where allergies will not bother you. Radical but effective. However, it is clear that this option is not suitable for everyone, so we move on.

Method No. 2. Pharmacological

Also a common method of struggle. Most importantly, do not self-medicate and purchase drugs only after consulting a doctor.

Another common mistake is to take pills when the allergic reaction is already in full swing. Taking antihistamines after exposure to an allergen is mostly useless – the body has already reacted. In fact, antihistamines should accumulate in the body. Only then will they help to cope with an allergic reaction. Ideally, it is advisable to start the course of taking medications 2-3 weeks before the flowering season.

In addition, over time, the body gets used to the drug, so the drug must be changed. In any case, be sure to contact a specialist and together with him determine how the treatment will be carried out.

Method No. 3. Home

To make it easier to endure allergies, you need to prepare your house for the flowering season. Keep doors and windows closed if possible. You can ventilate the room after rain. If there is no way without fresh air, tighten the windows with gauze and moisten it often with water. It is also worth moistening curtains and curtains. Keep a few containers of water around your home or purchase a humidifier. So the allergy will be easier to tolerate, and it will be easier to breathe indoors and the skin will not dry out.

Method 4: Hygiene

Every time you get home, take off your clothes and put them in the launderer. And then go to the shower and wash your hair thoroughly – a lot of pollen can remain on them and it will be difficult to fall asleep. If you walk pets, you will have to wash them too. During the allergy period, do not dry clothes on the open balcony.

Method No. 5. Folk

Folk medicine can also offer several remedies to help you cope with allergies. So, a decoction of the string is often recommended: brew the string with hot water, let it brew for 20 minutes – and you can drink it. Please note that the drink should turn out to be golden in color and in no case cloudy. You can find more recommendations in our article “How to overcome allergies without drugs.”

You can rinse your nose with warm water, preferably with salt. This will help reduce swelling and remove pollen from the nose.

When to see a specialist

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If you are still suffering from symptoms, it is worth visiting an otolaryngologist and an allergist. Your doctor may write a prescription for new drugs and recommend immunotherapy. Many over-the-counter medications are effective in managing allergies. It can be decongestants, eye drops, sprays. In some cases, a doctor may prescribe allergic injections that relieve symptoms for several years. But such drugs are not suitable for everyone and only a specialist can select them.

As we have already said, the best time for an examination by a specialist is late autumn. Two weeks before the diagnosis, it is necessary to stop taking antihistamines. The most popular and cheapest method for identifying and determining the type of allergy is skin testing.

Allergy is not the case when you should ignore the symptoms or self-medicate. There is always, even if small, the possibility of anaphylactic shock. Therefore, be sure to contact an allergist and do not neglect your health.

Who is spring and who is allergic!

Throughout the world, spring is traditionally a time of joy and fun, a time of love and good hopes. But – not for everyone! Millions of people, alas, are waiting for the arrival of spring (especially in its later part – when the snow has already melted, the leaves are turning green and gardens are blooming all around) with undisguised horror. Because for them, the time of annual torment is coming. Among which, a sore throat, runny nose and watery eyes are far from the worst. And these are not signs of illness for them at all: coronavirus, flu or SARS – but symptoms of seasonal allergies. Moreover, this disease is capable of progressing, and starting with harmless symptoms, it often leads to such a life-threatening disease as bronchial asthma. Doctor of Pharmaceutical Sciences Valery Smirnov, Head of the Laboratory of Clinical Pharmacology of the Institute of Immunology of the Federal Medical and Biological Agency of Russia, tells us about the prevention of seasonal allergies, its signs, types of treatment, and other things.

— Valery Valeryevich, what are the main symptoms of seasonal allergies?

– Redness and itching of the mucous membranes of the eyes, nose, sometimes throat, in severe cases – bronchial obstruction. As well as skin manifestations in the form of itching and urticaria.

— How is seasonal allergy different from other types?

– An allergy is caused by a certain allergen, and if it has a seasonal nature of its appearance, then we are talking about seasonal allergies. A classic example of a seasonal allergy is pollinosis, that is, an allergy to the pollen of flowering plants.

— Some people live with allergies for many years without seeking help. How dangerous is it?

– Most often, in the initial stage of allergy, its symptoms are not terrible, as a result of which the patient usually does not go to the doctor for the first years and is content with stopping allergic manifestations. Later, when a person’s condition worsens and symptomatic remedies no longer help, he is forced to consult an allergist. This usually happens already at the stage of the disease, when the allergy becomes moderate or severe. Therefore, it is very important to seek help in a timely manner. The sooner you start the prevention of the disease, the easier it will eventually proceed. Or maybe get rid of it altogether. Otherwise, if the disease is neglected, a side effect such as bronchial asthma may develop, which can haunt a person throughout his life, regardless of the season of manifestation of the allergen that became the root cause of the disease.

— What modern methods of treating seasonal allergies can you name?

— There are three types of treatment for seasonal allergies: etiotropic, symptomatic and pathogenetic. Etiotropic therapy is aimed at eliminating the cause of the disease and preventing contact of the body with the allergen. Symptomatic therapy aims to eliminate the symptoms of the disease with the help of painkillers, sedatives and other means. Pathogenetic therapy is aimed at attenuating the inflammatory response. For pathogenetic treatment, there are a number of drugs (antihistamines and immunosuppressants. – Approx. Aut.) One of the most important methods of treating allergies is ASIT (allergen-specific immunotherapy – when increasing doses of a causally significant allergen are administered to the patient in order to develop insensitivity to it).

— A new allergy vaccine has recently been developed at the Institute of Immunology. Please tell us about her.

– Allergens of birch and apple were chosen for the vaccine – after all, it is known that the reaction to birch often overlaps with food allergies: to apple, peanut, soy and others. It is expected that relative to ASIT, this vaccine is likely to show higher efficacy. For example, if in the case of ASIT about 100 injections are needed, then about five injections will be enough to produce the required amount of class G blocking immunoglobulins.

— Is it possible to say that in some regions of Russia people are more prone to allergies than in others?

— According to the epidemiology of the spread of the disease and the number of visits to allergists, we see that there are regions in which there are more people with seasonal allergies. From year to year the situation changes slightly in one direction or another, but it is noticeable that the incidence of allergies is especially high in the Sverdlovsk and Rostov regions. And now the North Caucasian regions are joining them. The main allergens depend on those plants that grow in a particular region. Obviously, in the northern regions there will be no allergy to ragweed, while in the south it is very common. However, there are also hypoallergenic areas on the globe where allergy sufferers like to go when their allergen blooms in their place of permanent residence.

— According to statistics, seasonal allergies “get younger” every year. Tell me, are there any features of the course of this disease in children?

– Due to the fact that the etiology, pathogenesis, and symptoms are approximately the same in both adults and children, it is rather difficult to talk about this. However, the pharmacology itself and methods of treatment impose certain features, since not all drugs and not all methods of treatment are allowed for children under 14 years of age. In addition, we can talk about the fact that the child can “outgrow” the disease. With age, hormonal changes and certain changes occur, and sometimes it happens that allergies go away when they grow up. But not always, of course.

— People are now wearing masks to protect themselves from the coronavirus. Is this not a negative factor for those who suffer from allergies?

– If we take the experience of other countries, we see that the same Japanese wore protective masks even before the coronavirus pandemic. This is due to the fact that many people in Japan are allergic to Japanese cedar blossoms. But there is one important point here: yes, the use of a mask can be considered as a kind of prophylaxis of a purely mechanical property, when the allergen does not get on the mucous membranes due to the mechanical barrier in the form of a mask, but this is possible only if it is used correctly. But if the patient wears the same mask on the street all day long, it is natural that it will accumulate all kinds of pollen on itself and will cause him to interact even more with this very pollen. So, I repeat once again: only if the mask is used correctly, this measure can be considered preventive.

– Can certain factors – such as stress, lack of sleep, etc. – exacerbate the course of an allergy?

– Yes, such factors can influence the deterioration, especially if the allergy is already in a severe stage.

— What are your top tips for people with seasonal allergies?

– If you already know that you have an allergy – try to always carry a symptomatic remedy that you have already used at least once. You also need to contact a therapist who will write a referral to an allergist, and then, after assessing the diagnosis and general health, will decide on treatment. But you need to understand that during the period when flowering has already begun, ASIT does not make any sense and is even contraindicated. Such procedures are best carried out during the period when there is no flowering, and best of all – in the fall.