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What is his trough measurement? Perhaps his body isn't clearing it out rapidly and that is why he is on such a low dose. Is he tolerating it well?
Dr. Andrea Bacigalupo is a world renowned expert. Has your husband been seen by him in person? If you haven't officially seen him, I doubt he would question another doctor's protocol without knowing more about your husband's individual case.
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58 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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