Any local docs who prescribe neupogen and intralipids for RPL?

Anonymous
Will not ***
Anonymous
I'll post this a separate question as well, but those of you who have consulted with Dr. Abbasi, why did you decide not to continue with her?
Anonymous
Above post is from the OP.
Anonymous
I worked with dr. Rajagopal who is a hematologist who worked with my RE in nyc. She will help.
Anonymous
Anonymous wrote:I'll post this a separate question as well, but those of you who have consulted with Dr. Abbasi, why did you decide not to continue with her?


Her SART success rates for my age group are close to zero.
Anonymous
Anonymous wrote:
Anonymous wrote:Dr. Padilla at FCM is my RE and he doesn't do any immune stuff himself, but is willing to work with an RI. Dr. Kwak-Kim is my RI. She found elevated NK activity and elevated cytokine ratios and has me on Prednisone, Plaquenil and LOTS of IVIG, but they aren't bringing my numbers down and I'm continuing to miscarry. And Dr. KK doesn't prescribe intralipids or neupogen, which are pretty much the only things left to try.


I also miscarried on IVIG, twice. I needed Neupogen, that was the missing piece for me (I have KIR AA haplotype). This was the exact reason I picked Braverman over Dr. KK as my RI to see after initially consulting with Abbasi and AEB. KK would have just given me more IVIG and we already knew that didn't work.


Same KIR AA and after 7 miscarriages ( natural) and 1 failed IVF transfer ( on Neupogen but messed up my progesterone- only 6 at 4 days past 5 day transfer of PGs embryo) we had success with Neupogen and Prednisone and Lovenox and a ton of progesterone- Oral, PIO shots (2 ml) and Crinone 2 x a day. I have antibodies that attack progesterone and the KIR AA ( my husband has the HLa C that causes the most issues with my KIR AA and my HLA C).

Abassi amd Bannen were my original team. He was awesome ! She was not as she messed up my progesterone doasage and I moved to a different RE that had much better communication but believes in RI stuff ( Wang in NYC).
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Dr. Padilla at FCM is my RE and he doesn't do any immune stuff himself, but is willing to work with an RI. Dr. Kwak-Kim is my RI. She found elevated NK activity and elevated cytokine ratios and has me on Prednisone, Plaquenil and LOTS of IVIG, but they aren't bringing my numbers down and I'm continuing to miscarry. And Dr. KK doesn't prescribe intralipids or neupogen, which are pretty much the only things left to try.


I also miscarried on IVIG, twice. I needed Neupogen, that was the missing piece for me (I have KIR AA haplotype). This was the exact reason I picked Braverman over Dr. KK as my RI to see after initially consulting with Abbasi and AEB. KK would have just given me more IVIG and we already knew that didn't work.


Same KIR AA and after 7 miscarriages ( natural) and 1 failed IVF transfer ( on Neupogen but messed up my progesterone- only 6 at 4 days past 5 day transfer of PGs embryo) we had success with Neupogen and Prednisone and Lovenox and a ton of progesterone- Oral, PIO shots (2 ml) and Crinone 2 x a day. I have antibodies that attack progesterone and the KIR AA ( my husband has the HLa C that causes the most issues with my KIR AA and my HLA C).

Abassi amd Bannen were my original team. He was awesome ! She was not as she messed up my progesterone doasage and I moved to a different RE that had much better communication but believes in RI stuff ( Wang in NYC).


What did she mess up on your progesterone dosage? Most prescribe 3 progesterone pills per day. Did you take an ERA and realized you needed more or fewer days on progesterone? I want to make sure it won't happen to me.

Also on your successful cycles, did you also take ivig or only neupogen?
Anonymous
Anonymous wrote:I'll post this a separate question as well, but those of you who have consulted with Dr. Abbasi, why did you decide not to continue with her?


I was with SG and liked my doctor there. However, I did have a PGS normal miscarriage at 8 weeks, so I was looking for second opinions. Dr. Abassi didn't have much to add in terms of protocol changes - and I ultimately decided not to go with her because her office messed up my (very simple IMO) first consult bill.

I also consulted with the Alan Beer clinic and did the battery of immunological testing they prescribed (they work independently from your RE).

After all that I ended up not having any immunological issues of note, but miscarried a 2nd PGS normal embryo (on steroid and baby aspirin "just in case")... so now I'm on to a surrogate.
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