I have labs done every 3 months. I got my labs and discussed them with my neph. We agreed to slowly reduce prograf dosage and get labs and review prograf levels every 10 days.

The acne appeared over night a couple of days after my neph appt. I called and left a message about the acne, he does not believe it related to prograf and asked that I see my primary care doc, which I am doing. My primary doc is running a comprehensive set of labs to see if anything shows up.

I should have the latest labs early next week. If nothing shows up I will see my dermatologist and a face to face visit with my neph. If that does not resolve my problem, I will try to get into the Banner transplant center in Tucson.

One thing I learned from my transplant journey is to be my own best advocate. I am lucky to have insurance that usually does not require referrals for most things. I will get what I want/need from my neph or I will doc shop, until I find a neph that listens.