I hope you are all well and happy.
I am concerned about my tac trough.
I am 2 years post renal tx. The first year, my tac level was all over the place, which is common if not the norm. The second year, my tac has been right where my coordinator wants it to be, ie between 5-7 (I've been between 5 and 6).
Three months ago, I had a brain fart and accidentally took my tac right BEFORE my blood draw (just 30 minutes), and my tac trough was 45! We weren't concerned because it was obvious I'd screwed up.
Two months ago, I had a blood draw for my annual checkup, and as you know, that entails lots of tests and therefore lots of beaurocracy. The lab tech didn't know what she was doing as far as inputting my detail into their precious system, and so my draw was almost an hour late. My tac level was 3.9. My tx neph didn't like that and asked me to repeat in a couple of weeks. I did, and my tac was 4.5, still too low.
I'll say at this point that for the past few months, I've made it a point to walk about 12 miles a week. I've always enjoyed exercise, but lately I've needed a specific goal, and the result is that I've taken more exercise than usual. I don't know if the increase in exercise has resulted in increased metabolism in tac, but that theory sounds good. lol
Last week on 28 May, I was literally being prepped for day surgery to have my fistula ligated, and since I was concerned about my tac, my dear husband made a call on my behalf to my coordinator. Surprisingly, she was actually at her desk, so I got to talk to her. She told me to go from 3mg in the AM/ 3 in the PM to 3x4.
Since the increase of my tac dosage, my routine has been trashed. I don't do anesthesia very well, and I have had trouble with nausea and loss of appetite. The op went well, but my arm is very sore. I've used painkillers judicially, I've not eaten much and I have had almost no exercise at all.
So I am wondering if the lack of exercise, lack of food coupled with an increase in tac dosage might result in a too-elevated tac trough. I have an appointment with the lab on 23 June and will have something of an answer then, and I guess I could call my tx coordinator (but I sense that she's not that interested in my theories), but I thought that in the meantime, I could ask all of you.
Any thoughts would be very welcomed. Thank you!