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Renal complex cyst requires MRI with contrast

Transplants | Last Active: Sep 10, 2022 | Replies (26)

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@hello1234

Hi @l0lag0lag0b3 😊
It's so nice to talk with you! Thanks for letting me know about the simple cyst you have that is "on watch" for any increase in size.
My renal complex cyst measures 1.8 × 2.0 x 2.1 cm upper pole lesion with multiple septations and questionable solid tissue.
My meds after active CMV was reduced to 500mg bid Cellcept and 6mg Envarsus XR (Tacronlimis) with a blood target between 6 and 8. I take my pills with food so the milligrams may seem higher than what you are taking if you take your Tacronlimis without food.
At this dosage, I developed BK virus so my Cellcept was just reduced to 250mg bid to see if that helps. If not, I think the next move is to remove Cellcept and add 5mg Prednisone. From my reading and discussions with my local nephrologist he would like the Tacronlimis lowered or maybe changed to low dose Cyclosporine or Sirolimus. Tacronlimis is the most powerful.
Boy, there is a real "art" to getting these meds adjusted so not to cause rejection, but avoid or stop the infections. Someone mentioned "Goldilocks" and it's so true!!
I am praying that the reduction of Cellcept does the job. I am going Monday morning for my next blood work...holding my breath!
What meds and dosages are you on currently?

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Replies to "Hi @l0lag0lag0b3 😊 It's so nice to talk with you! Thanks for letting me know about..."

Hello @hello1234
Good to hear from you,
My Current Dosages/day: 1.5mg of Tacro, 1000 of Mycophenolate & 5mg Prednisone.
Tacro range: 4 to 7
Tacrolimus has been the main stay proven over years in preventing rejection, so in my case most probably - reducing the Tacro any further is unforeseeable in the future and I look at it as a maintenance dose.

Mycophenolate has impact on the WBC count (& the associated attributes within the WBC umbrella) typically if you develop an infection the Mycophenolate dose is reduced to boost the WBC effectively to fight the infection.
Looks like you are the right track, Good Luck and keep us in the loop.