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Sesame allergy is fairly common in some countries, including Australia and Israel, and it would appear to be on the increase in the UK. Occasionally reactions are severe, including breathing difficulties and anaphylaxis. Even when reactions are mild or moderate, it must be assumed that a future reaction may be severe and medical advice should be sought in all cases. Where there is a real risk of an extreme reaction, injectable adrenaline may be prescribed and should be carried at all times.