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Watch: Dr. Claudia Miller Explains Toxicant-Induced Loss of Tolerance (TILT)

Claudia Miller TILT explains ut health san antonio

Our team at the Toxicant-Induced Loss of Tolerance (TILT) Research Program at UT Health San Antonio wanted to share a recent presentation by Dr. Claudia Miller, allergist/immunologist, professor emeritus, and leader of the TILT Research Program at UT Health San Antonio.

Watch Dr. Miller’s presentation.

The presentation, “Toxicant-Induced Loss of Tolerance (TILT) and Chronic Inflammation,” was part of the International Lyme and Associated Diseases Society on Oct. 9-12, 2025, in San Antonio, Texas. The conference focused on “From Terrain to Treatment: Advances in Vector-Borne Illness,” covering cutting-edge research, diagnostics, and treatments for tick-borne diseases.

Learn more about TILT in this tutorial.

How do you know if you have TILT and chemical intolerance?

Answer these three questions from the TILT Research Program:

  1. Do you feel sick when you are exposed to tobacco smoke, certain fragrances, nail polish/remover, engine exhaust, gasoline, air fresheners, pesticides, paint/thinner, fresh tar/asphalt, cleaning supplies, new carpet or furnishings? By sick, we mean: headache, difficulty thinking, difficulty breathing, weakness, dizziness, upset stomach, etc.
  2. Are you unable to tolerate or do you have adverse or allergic reactions to any drugs or medications (such as antibiotics, anesthetics, pain relievers, X-ray contrast dye, vaccines or birth control pills), or to an implant, prosthesis, contraceptive chemical or device, or other medical/surgical/dental material or procedure?
  3. Are you unable to tolerate or do you have adverse reactions to any foods such as dairy products, wheat, corn, eggs, caffeine, alcoholic beverages, or food additives (e.g., MSG, food dye)?

If you answer YES to any question, take the Quick Environmental Exposure and Sensitivity Inventory (QEESI) and share the results with your doctor!

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