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As for the specifc dosage of Solu-Cortef, you would need to consult with your doctor. I'm am not a physician and giving specific medical advice would cross the line for me. SoluCortef is given as a one-time injection at the time of transfer and followed with dexamethazone tablets taken daily for the first trimester. Intralipid is another experimental, low cost alternative to IVIg. The use of both Solu-Cortef and Intralipid are in the early experimental stages and there isn't much hard scientific evidence to support their efficacy in the treament of elevated NK cell activity. That being said, we are having early success with Solu-Cortef. We have not tried Intralipid (yet). You have an abnormal NK cell activity, so you would clearly benefit from some kind of treatment (IVIg, Solu-Cortef/Dexamethazone, Intralipid). If your doc is reluctant to treat you during your upcoming cycle, get a second opinion before you get too far into the cycle. |
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Here's my dilemma. Through his nurse, my doc has been great about being willing to consider the immunological issues. However, he has been clear about his limits i.e. he's not an immunologist and tends to wait on the scientific research. He had said because this is still outside the standard of care he has not been willing to treat with IVIG. I've been working with his nurse by providing the research and articles I come across. She discusses it with him and in their IVF conference. They agreed to the testing but he felt the interpretation was outside his area of expertise which I can totally respect. He has indicated he will work with me monitoring etc if I want to do IVIG but that he won't do it himself. For multiple reasons, if there is a more afforable alternative to IVIG, I think it would make more sense to try that for this particular cycle. |
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I'm going out on a limb here, but... I don't know where else you're going to get this information. I spoke with the RE I work with and this is the poop: |
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Thank you SOOOOO very much. I know that giving me this info feels like a risk and I appreciate your concerns. I promise you that I will take this information to my RE and it will only be in done in conjunction with his approval and part of my medical treatment plan. I hope that ya'll continue to have success and will be able to publish at some point. My RE's RN has been an incredible asset in working WITH me to research things from the "medical research" standpoint. It's been frustrating to find info. All of this is to thank you from the bottem of my heart! |
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Hopefully trying, |
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I have not used the solu-cortef yet so I don't know. Best of luck to you. |
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