she said based on the immediacy of ruby's response to being exposed to pb that avoidance is the way to go at this point. avoiding all things peanut related, and tree nuts (those have a high risk of cross contamination). the good news in all of this is i've given up eating peanuts and ruby's eczema that we've been struggling with for months has cleared up entirely, and the dr said tree nuts are safe for me to eat.
in a year we will retest and they will do the skin test, depending on the results of that maybe another blood test and if the numbers are different then try re-exposing her.