Getting Medical Help for TILT

Finding a Health Care Provider

The Hoffman TILT program is dedicated to educating medical professionals about TILT, a topic few health practitioners understand. Fortunately, we are beginning to make inroads in this area. Growing numbers of physicians-in-training are learning about TILT and embracing this new paradigm. Knowledgeable practitioners today generally view avoidance of environmental initiators, and chemical, food, and drug triggers, as the most important first step to manage symptoms. For more insight, please read Dr. Miller’s note below.

Triggers & Prevention

A Letter for Patients

On behalf of Dr. Claudia Miller:


Click to read the TILT brochure.

Thank you so much for your interest in our work. I read every letter, and wish that I could personally respond to everyone.

There is such an unmet need for information about Toxicant-Induced Loss of Tolerance and how to prevent, diagnose and treat TILT-related illnesses. I’m especially sad when I hear that it is difficult for people to find physicians who are knowledgeable about TILT. This needs to change, but it will take time and education. TILT is a new paradigm and new medical paradigms emerge slowly. Nevertheless, I encourage you to take the Quick Environmental Exposure and Sensitivity Inventory (QEESI) and share the results with your doctor. In my experience, this is the single best way to help your doctor understand chemical intolerance.

I am no longer seeing patients, nor do I consult on disability cases or litigation. I devote all of my time to research and teaching. I strongly believe that advancing the understanding of this condition, and preventing it, are key.

Although I cannot comment on specific medical conditions nor refer patients to particular physicians, please visit our list of frequently asked questions. We hope that within this site, you’ll find information that is helpful.

Again, thank you for your interest; it means a great deal to me. I hope that you will also talk with your family, friends and physicians about the evidence for TILT and how chemical and food intolerance contribute to chronic illness.

Please share the information provided here with anyone you feel might benefit or be interested in it. There is no charge for the educational materials on our website.

Dr. Claudia Miller

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