Re: Saraphina blood work,help Dr. Kellon
First, hind gut ulcers is not a real thing - https://wp.me/p2WBdh-Do . Unless she is/was on bute or another NSAID, this isn't colonic ulcers. If she was on an NSAID with Gastrogard at the same time she is at even higher risk for colonic ulceration.
Is she still on thyroid supplementation? That will cause weight loss, but not poor appetite. Oral ulcerations from syringing the metformin are another possibility.
If her pergolide dose is the problem, you would have seen it as soon as you increased her dose. Did you see that?
Eleanor in PA