Good Afternoon,

I need to update Falki's case history which I hope to do shortly.

We received his recent analysis from sample collected Sept 6, 2022. His insulin (although still high) has decreased significantly at 516 (<300) vs. 1435+ on June 7, 2022. He's been on Metformin since August 6, 2022 so basically 1 month at time of blood draw. I am thinking we'll just continue as we are with the Metformin. Can we wait to retest in spring or should it be earlier?

 

His ACTH results are good at 3.3 (2-10) on 2 mg. compounded pergolide started end of June vs. 5.1 on June 7, 2022 on 1 mg.

Glucose on Sept 6, 2022 is 5.0 (3.7-6.7) vs. 5.7 on June 7, 2022.

I'd also like to start him on J-herb and L-car for cold weather but not sure at what dose to start since he's basically been eating free choice hay since starting the Metformin.

Recommendations would be appreciated.

Thank you,