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Table 2 Practical advice to build-up and improve tolerance for primary prevention [157]

From: The biodiversity hypothesis and allergic disease: world allergy organization position statement

Primary prevention
• Support breastfeeding, solid foods from 4–6 months.
• Do not avoid environmental exposure unnecessarily (e.g. foods, pets).
• Strengthen immunity by increasing connection to natural environments.
• Strengthen immunity by regular physical exercise.
• Strengthen immunity by healthy diet, e.g. traditional Mediterranean or Baltic type.
• Use antibiotics only for true need, majority of microbes are useful and build-healthy immune function.
• Probiotic bacteria in fermented food or other preparations may strengthen immune function.
• Do not smoke, e.g. parents smoking increase asthma risk in children.