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Transplant: dental cleaning

Transplants | Last Active: Jul 22, 2023 | Replies (30)

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@caretakermom

Hi @hello1234

I'm glad that you are feeling better now! Next time hubby goes in for cleaning I'll have to remind the hygenist to be extra careful and not poke too hard!
In a few occasions, my husband did have a higher Tac level but we were told that the increased Tac level depends on what you eat previous to the lab draw. We never tracked what caused the rise, however, lately his trough levels are pretty consistent, even when eating high potassium food. Ever since his team took him off of fluconzaole(1 year post) his Tac dosage increased by 1 mg(2x daily) but trough level is pretty stable. Nurse says it's because the fluconazole makes Tac absorption easier so they when they took him off of fluconazole, it was expected that his Tac would have to be readjusted.
I'm so glad you're testing negative in the BK blood. Never knew that BK can also be present in urine. Our neph orders BK blood test only but I'll have to ask him about testing BK in the urine the next time! Will the BK in the urine be eventually resolved? Is your team still following you now, or just your local neph?

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Replies to "Hi @hello1234 I'm glad that you are feeling better now! Next time hubby goes in for..."

Hi @caretakermom 😊
You have an excellent question regarding if the BK in urine will ever be resolved. My transplant nephrologist said that if the BK in the urine ever goes to negative, my immune suppression meds should be adjusted up. I assumed that BK in the urine would always be my "new normal". But my local nephrologist mentioned that BK in the urine is not completely benign. He said it can cause stenosis. So when I go for my annual visit with transplant next month, I am going to ask about it. I will definitely keep you posted.
And thank you for the scoop regarding your husband's TAC level and potassium foods. I am hoping that eating sweet potatoes has nothing to do with my latest increase in TAC level....They are my favorite!
Thanks again for always being there with good questions and good advice!