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Transplant: Tacrolimus, What’s Your Target Range?

Transplants | Last Active: Nov 21, 2022 | Replies (87)
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@hello1234

Hi @rosemarya 😊 Thank you so much for your very detailed response! It sounds like my local nephrologist is hopeful to get my Tacronlimis dosage a little lower if he can feel confident that the organ match is low immunologic risk. (Maybe that is what transplant did for you since you ended up lower than "the book" range!). I think the goal is always to avoid rejection without over-suppressing. Tough balance act!
Thank you again Rosemary for letting me know your experience with Tac dosage. Did your transplant team ever give you details about your match...HLA antigens, antibodies, etc?

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Replies to "Hi @rosemarya 😊 Thank you so much for your very detailed response! It sounds like my..."
Rosemary, Volunteer Mentor | @rosemarya | Jun 28, 2022

@hello1234, That is a good question about whether my team has given me details. In truth, I have never been interested in knowing the medical specifics because I do not have any medical experience or familiarity with the many tests/labs that are performed annually and do not now what they mean. I realize that others might be interested, though.
At 13 years post transplant, I do have routine labs drawn every 3 months (more if needed). You are right that the goal is to prevent rejection with a delicate balance - enough to protect transplanted organs without causing any harm to other organs.
I am sorry that you are facing concern and confusion about your tacrolimus concerns. I expect that you will be making a list of your questions in preparation for your Mayo visit. Maybe you will return to teach me after your appointment.
So, you see the transplant team in a couple months; When do you see your nephrologist again?

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