Hi Carolyn,

We usually suggest retesting ACTH in early July to see if it's climbing.  That gives you time to increase the dose and retest in early August (if possible) to make sure the new dose is enough.  Pergolide increases during the main part of the rise are not effective so you want to be ahead of it.

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Kirsten and Shaku (EMS + PPID) and Snickers (EMS) - 2019
Kitimat, BC, Canada
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