(HealthDay News) — From hives and itchiness to anaphylaxis, an allergic reaction to nuts can manifest itself in many ways, says the University of Rochester.

If you are living with a nut allergy, the school suggests:

  • When grocery shopping, check every item’s food label for nuts.
  • Tell all restaurants and servers about your food allergy.
  • Always keep medicine handy. Make sure you understand when and how to use it.
  • Work with your healthcare provider to create a plan in case of an emergency.