Hi Kirsten

I will have Dixie up to 2mg Pergolide per day by mid-next week which I hope may help her.  

ACTH result back yesterday is 113 pg/mL, up from 20 pg/mL in September 2021 so I just have to be proactive and keep it down, which I guess is the aim of pretty much everyone in this group.  All test results have been uploaded.

Dixie is not on Ertugliflozin or Metformin right now.  Dr Kellon has kindly explained the blood test results and the insulin at 33 mU/L is not high enough at this time to need either medication.   

Thank you for your help.