1/12: Jude: AMPS 393; +4.5 315; +6 340; PMPS 326; +2 316; +3 287; +8 226

Marielle said:
It was a stinky-pinky bouncy day for Jude :(. Let's see what this next cycle brings.
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I think he needs an increase from tomorrow, but if you get a lower AMPS, hold the dose. You do not want to increase in a cycle where he is clearing a bounce. Those cycles have additional downward momentum and you don't want to add an increase to the mix.

Marielle said:
Bhooma, If/when he is due an increase, can you briefly explain why. I'm trying to learn the TR protocol. TIA!
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The aim of TR is for the cat to spend as much time in normal numbers as possible with nadirs in the 50-80 range. Dosing is based on nadirs - how low a dose takes the cat. When considering whether a cat needs an increase, you look to see if the numbers (especially the nadirs) show an increasing trend over a few cycles. Specifically in this case, Jude earned a reduction by dropping below 68 on 1/8. He saw green nadirs again on 1/9 which could have been the influence of the depot of the higher dose. The depot can take 4-6 cycles to adjust to a reduction. Since then he has not seen any greens. We have waited 6 cycles from the last greens for any bounce (from those greens) to clear. We can therefore assume that the higher numbers are not due to bouncing but due to a failed reduction and he needs to go back up in dose.
 
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