These have been her ACTH levels:

2018	24	Pmol/L	4.62-11.66
2020	4.23	Pmol/L	2.42-10.22
2021	11	Pmol/L	2.42-10.22
Aug 2022	3.57	Pmol/L	2.42-10.22

The 2021 level was during her laminitis episode. She was at 1mg for Prascend, and the vet didn't see a reason to increase the dosage during the laminitis. I didn't agree and increased her to 1.5mg. During the fall of last year she started having other symptoms, so I increased her dose to 2mg, and those symptoms resolved within a couple weeks.

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Helene A. in BC 2021
Photo album:
https://ecir.groups.io/g/CaseHistory/album?id=271068
Case history:
https://ecir.groups.io/g/CaseHistory/files/Helene%20and%20Rosie