Michaela Ann Gonzales-Montalbo, MD

23/01/2026

No, if you don't have any prior history of antibiotic allergy, you don't need to have a routine skin test every time your doctor will require you to be on antibiotics.

Reference: Position statements of the Philippine Society of Allergy, Asthma, and Immunology on Routine Skin Testing to Parenteral Antibiotics and Evaluation of Antibiotic Allergy: 2018 Update

For more information, don't hesitate to book a consult:
CLINIC SCHEDULE:

LIPA MEDIX MEDICAL CENTER
RM 311 Medical Arts Building
MONDAY AND FRIDAY
8-12 NN

MARY MEDIATRIX MEDICAL CENTER
MAB3 RM508
MONDAY
3-5 PM

BIOTEKNIQUE LABORATORY AND DIAGNOSTICS
TUESDAY AND THURSDAY
8-12 NN

THE CLINIC AT SHALOM
Maptan Bldng Batangas City
SATURDAY
7-9 AM

ONLINE CLINIC THROUGH NOWSERVING OR SERIOUSMD:
Follow this link https://seriousmd.com/doc/michaelaann-gonzalesmontalbo to book!

20/01/2026

17/01/2026

TB demands effective treatment to prevent resistance, so rechallenge tests tolerance. HRZE rechallenge involves cautiously reintroducing first-line tuberculosis drugs (H: isoniazid, R: rifampicin, Z: pyrazinamide, E: ethambutol) after an allergic reaction, under specialist supervision to treat TB while minimizing risks.

For more information, don't hesitate to book a consult:
CLINIC SCHEDULE:

LIPA MEDIX MEDICAL CENTER
RM 311 Medical Arts Building
MONDAY AND FRIDAY
8-12 NN

MARY MEDIATRIX MEDICAL CENTER
MAB3 RM508
MONDAY
3-5 PM

BIOTEKNIQUE LABORATORY AND DIAGNOSTICS
TUESDAY AND THURSDAY
8-12 NN

THE CLINIC AT SHALOM
Maptan Bldng Batangas City
SATURDAY
7-9 AM

ONLINE CLINIC THROUGH NOWSERVING OR SERIOUSMD:
Follow this link https://seriousmd.com/doc/michaelaann-gonzalesmontalbo to book!

10/01/2026

HIV patients often experience higher rates of allergic conditions and reactions due to immune system changes, including elevated IgE levels and increased hypersensitivity to drugs.

Key facts:
🔴 Serum IgE levels average 90 IU/ml in the general population but rise to 212 IU/ml in HIV patients, with highest levels in advanced disease.
🔴In HIV-infected youth, allergic symptoms affect 65.5%, including rhinitis (44.8%), asthma (37.9%), and eczema (27.6%)
🔴Allergic reactivity is high, with 72% of HIV patients showing multiple positive skin tests
🔴Drug ReactionsHIV patients face 100 times higher risk of cutaneous adverse drug reactions compared to the general population
🔴Cotrimoxazole hypersensitivity occurs in 40-80% of cases, versus 3-5% in others
🔴Antiretroviral therapy rashes affected up to 50% in early treatment eras

Monitor for rashes, wheezing, or rhinitis, especially with new medications, and remember to consult allergists or immunologists before starting treatments, as pre-existing allergies may worsen HIV progression. Early HIV management with antiretrovirals can reduce complications.

For more information, don't hesitate to book a consult:
CLINIC SCHEDULE:

LIPA MEDIX MEDICAL CENTER
RM 311 Medical Arts Building
MONDAY AND FRIDAY
8-12 NN

MARY MEDIATRIX MEDICAL CENTER
MAB3 RM508
MONDAY
3-5 PM

BIOTEKNIQUE LABORATORY AND DIAGNOSTICS
TUESDAY AND THURSDAY
8-12 NN

THE CLINIC AT SHALOM
Maptan Bldng Batangas City
SATURDAY
7-9 AM

ONLINE CLINIC THROUGH NOWSERVING OR SERIOUSMD:
Follow this link https://seriousmd.com/doc/michaelaann-gonzalesmontalbo to book!

08/01/2026

Pancake Syndrome, or Oral Mite Anaphylaxis (OMA), causes severe allergic reactions from eating mite-contaminated foods like pancakes made with wheat or corn flour stored in humid conditions. It is therefore recommended that flour should be stored in low temperatures to prevent mite contamination.

For more information:
CLINIC SCHEDULE:

LIPA MEDIX MEDICAL CENTER
RM 311 Medical Arts Building
MONDAY AND FRIDAY
8-12 NN

MARY MEDIATRIX MEDICAL CENTER
MAB3 RM508
MONDAY
3-5 PM

BIOTEKNIQUE LABORATORY AND DIAGNOSTICS
TUESDAY AND THURSDAY
8-12 NN

THE CLINIC AT SHALOM
Maptan Bldng Batangas City
SATURDAY
7-9 AM

ONLINE CLINIC THROUGH NOWSERVING OR SERIOUSMD:
Follow this link https://seriousmd.com/doc/michaelaann-gonzalesmontalbo to book!

05/01/2026

🚨 Hair Dye Drama Alert! 🚨 Itchy scalp? Swollen eyes? Don't let PPD crash your color party! Spot the signs, quick fixes, and pro prevention tips in this fun guide.

For more information, don't hesitate to book a consult:
CLINIC SCHEDULE:

LIPA MEDIX MEDICAL CENTER
RM 311 Medical Arts Building
MONDAY AND FRIDAY
8-12 NN

MARY MEDIATRIX MEDICAL CENTER
MAB3 RM508
MONDAY
3-5 PM

BIOTEKNIQUE LABORATORY AND DIAGNOSTICS
TUESDAY AND THURSDAY
8-12 NN

SAN JOSE DISTRICT HOSPITAL
TUESDAY AND THURSDAY
3-4 PM

THE CLINIC AT SHALOM
Maptan Bldng Batangas City
SATURDAY
7-9 AM

ONLINE CLINIC THROUGH NOWSERVING OR SERIOUSMD:
Follow this link https://seriousmd.com/doc/michaelaann-gonzalesmontalbo to book!

31/12/2025

As we step into a brand new year, I’d like to thank all my patients for your trust and partnership in your health journey. 💙

May 2026 bring you good health, peace of mind, and new beginnings filled with hope and strength. Let this year be one of wellness, balance, and self-care—for you and your loved ones.

Here’s to healthier days ahead and a happy, prosperous New Year! 🌱🥂

25/12/2025

I know I'm posting this late. It's Dec 25 already! Merry Christmas! But I enjoyed Canva editing so much hahaha! 🎄🎁✨️

See you on Dec 29 Monday at Lipa Medix 8 to 12 noon and Mary Mediatrix 3 to 5 PM! ✨️

25/12/2025

Merry Christmas everyone!

19/12/2025

✨️ PUBLISHED ✨️
My research on pollen allergen sensitization has reached the pages of PJAAI!

Click link to read: ✨️
https://pjaai.org/index.php/pjaai/article/view/10989

Of course, I won't be here without the help of Doc Shirley Kwong-Buizon ❤️❤️❤️

15/12/2025

Is it the allergy or the common colds?
As the new season came flying in, gusting in house dustmites, pollens, and all sort of environmental allergens, how sure are we that it's not the flu or common colds? After all, you just caught a co-worker sniffing and coughing!

Swipe to the left to know more!

But let your local allergist help you! The right management for your sniffles is just around the corner. Start the season without the sniffles!

For more information, don't hesitate to book a consult:
CLINIC SCHEDULE:

LIPA MEDIX MEDICAL CENTER
RM 311 Medical Arts Building
MONDAY AND FRIDAY
8-12 NN

MARY MEDIATRIX MEDICAL CENTER
MAB3 RM508
MONDAY
3-5 PM

BIOTEKNIQUE LABORATORY AND DIAGNOSTICS
TUESDAY AND THURSDAY
8-12 NN

SAN JOSE DISTRICT HOSPITAL
TUESDAY AND THURSDAY
3-4 PM

THE CLINIC AT SHALOM
Maptan Bldng Batangas City
SATURDAY
7-9 AM

ONLINE CLINIC THROUGH NOWSERVING OR SERIOUSMD:
Follow this link https://seriousmd.com/doc/michaelaann-gonzalesmontalbo to book!

12/12/2025

ALLERGY PROOF YOUR NOCHE BUENA!!