How Well Are You Managing Primary Immunodeficiency?

“Actively managing PI isn’t just about avoiding a sniffle. It’s about preserving your energy, reducing the constant threat of infection, and preventing the chronic inflammation that can lead to a whole host of other issues,” says Kara Wada, MD, an immunologist and the founder of the Immune Confident Institute in Columbus, Ohio. PI can vary in severity, and complications can include autoimmune disorders, organ damage, and a higher risk of certain cancers, such as lymphomas.
Are you doing all you can to manage PI? Answer the following questions to find out.
Question 1
What’s your diet like?

- I generally follow an anti-inflammatory diet (colorful fruits and veggies, healthy fats, lean proteins).
- It’s so-so. I eat a combination of healthy foods and some not-so-healthy foods (e.g., fruits and veggies with a fair share of sweets and processed foods).
- A ‘whatever I can find’ diet (mainly fast food, frozen meals, processed food)
- About Primary Immunodeficiency (PI). Centers for Disease Control and Prevention. May 15, 2024.
- Anderson JT et al. Health-Related Quality of Life in Primary Immunodeficiencies: Impact of Delayed Diagnosis and Treatment Burden. Clinical Immunology. March 2022.
- Healthy Diet, Exercise Key in General Care for PI. Immune Deficiency Foundation. April 7, 2022.
- FastStats: Sleep in Adults. Centers for Disease Control and Prevention. May 15, 2024.
- Punj M et al. Assessment of Sleep Disturbances and Sleep Disordered Breathing in Primary Immunodeficiency Disorders. Clinical Immunology. May 2023.
- Immune Deficiency Foundation Patient & Family Handbook for Primary Immunodeficiency Diseases [PDF]. Immune Deficiency Foundation. June 30, 2019.
- Jung S et al. Primary Immunodeficiencies With Defects in Innate Immunity: Focus on Orofacial Manifestations. Frontiers in Immunology. June 18, 2020.
- Navigating Flu Season With PI. Immune Deficiency Foundation.
- Ludmann P. Minimize a Scar: Proper Wound Care Tips From Dermatologists. American Academy of Dermatology Association. July 2, 2025.
- Primary Immunodeficiency. Mayo Clinic. March 12, 2022.
- Addressing Mental Health. Immune Deficiency Foundation.
- Pourriyahi H et al. Loneliness: An Immunometabolic Syndrome. International Journal of Environmental Research and Public Health. November 2021.
- About Sleep. Centers for Disease Control and Prevention. May 15, 2024.

Jon E. Stahlman, MD
Medical Reviewer
Jon E. Stahlman, MD, has been a practicing allergist for more than 25 years. He is currently the section chief of allergy and immunology at Children’s Healthcare of Atlanta's Scottish Rite campus and the senior physician at The Allergy & Asthma Center in Atlanta. He served as the president of the Georgia Allergy Society, has been named a Castle Connolly Top Doctor, and was listed as a Top Doctor by Atlanta magazine. His research interests include new therapies for asthma and allergic rhinitis as well as the use of computerized monitoring of lung function.
He received his bachelor's and medical degrees from Emory University. He completed his pediatric residency at Boston Children’s Hospital and his fellowship in allergy and clinical immunology at Harvard University’s Boston Children’s Hospital and Brigham and Women’s Hospital. After his training, Dr. Stahlman conducted two years of clinical research at Boston Children’s Hospital and was part of the faculty at Harvard Medical School, where he taught medical students and allergy and immunology fellows.
Stahlman is board-certified and recertified in allergy and clinical immunology. He served as a principal investigator on phase 2 through 4 studies that are responsible for most of the U.S. Food and Drug Administration–approved therapies for allergies and asthma available today.
Outside of the office, he centers his interests around his wife and three daughters, coaching soccer for many years, and his hobbies include cycling and triathlons.
