Saddie New metabolic panel, CBC, chemistry, and triglycerides, Dr. Kellon please review
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dr.kellylear@...
Hello, Saddie is also having increased sweating, lethargy and cow pie stools. A new metabolic panel was pulled last Monday, 2021-10-04 and the results were received on Friday, 2021-10-08. The metabolic panel, which I have uploaded on Saddie’s case history page and attached the link below shows a lot of irregularities that I believe is perpetuating the elevated triglycerides along with the anorexia and lethargy. I also attached a new CBC, Chemistry, triglycerides value that was taken yesterday. 2021-10-10 which is showing mild low RBC, hypoglycemia, elevated triglycerides, and elevated liver values. Saddie is currently on 1 gram of pergolide along with 8 mls of APF. The vet whose care she was under did stop her pergolide a few weeks ago for about 4 days because he felt like that was why she wasn’t eating. He put her on 1/2 tab after that for another 4 days and then increased back to 1 tablet which she has been on for 2 weeks. He also had her on 13 tablets of metoformin twice a day. He also stopped the levothyroxine she had been previously on without properly tapering it down. As you can see in her metabolic panel she is very uncontrolled and I am hoping I can be directed on how to get her T4 back up, ACTH down, and triglycerides down. I really appreciate all the help!
https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Saddie
-- Kelly Lear in Texas 2021 https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Saddie |
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Her ACTH isn't likely to come down until after the seasonal rise is over. The T4 may be partially rapid withdrawal but I'm sure euthyroid sick syndrome is also operating. Triglycerides are released in response to an energy crisis. For example, both endurance racing and fasting cause triglycerides to rise.
The low T4 and moderately elevated triglycerides are secondary to the anorexia and underlying disease, not causing it. She still has neutrophilia and now an absolutely lymphopenia. Markers of inflammation/infection are clearly elevated. -- Eleanor in PA www.drkellon.com |
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dr.kellylear@...
And I don’t know how to fix it. This is very sad. Thank you for reviewing this for me.
-- Kelly Lear in Texas 2021 https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Saddie |
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dr.kellylear@...
Should I put her back on levothyroxine?
-- Kelly Lear in Texas 2021 https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Saddie |
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