Hi Princeaboo,

You appear to have a high number of allergic sensitivities. My approach to highly allergic patients is to first identify their specific trigger factors by doing skin testing. Assuming this has been done in your case, the next step is to reduce exposure to indoor environmental triggers. These topics are reviewed extensively on this site. I know you spend most of your time outdoors but indoor triggers are still very important to address.

I offer allergy shots to people who are allergic to trigger factors that are unavoidable and troublesome despite medications. Horse shots may not be available but often are not necessary unless you are highly allergic to horse dander. Often the mold spores associated with hay in the stable or barn are the major problem.

I recommend discussing your allergy problems with your allergist. He/she may choose to adjust your medications or advise when and how much medication to take based on your detailed account. Allergy shots may be offered. You can learn more about allergy shots on this site.

Good Luck!

J. Thompson, MD