Re: New TRH stim results for Ruger
Eleanor Kellon, VMD
I didn't see any mention of APF in your history. If you didn't use it, you should try it next time you start pergolide. There's also a good chance his response in terms of lowering ACTH was poor because it was started at the peak of the seasonal rise.
It's reasonable to give him a break now when his levels are good. Start APF early August and after 2 or 3 days try 0.5 mg pergolide. Increase to 1 mg after a few days if everything goes smoothly. Test ACTH end of August.
Eleanor in PA