wow. It's always such a shock when you finally get your answer.
Personally, I'd switch to Dr S. But it would be worth discussing your results with Dr Lok first to see what he thinks.
From memory, the treatment is 20mg of prednisone from transfer until 12 weeks when you begin to wean off. I had to alter that as we were also trying to juggle other medical problems as well, and I didn't ever end up coming off prednisone through the entire pregnancy. I believe you will be on the clexane much longer, but I don't know the details there as I used aspirin.
Side effects of prednisone - weight gain, altered moods (makes me irritable). Seems to increase carbohydrate cravings. The weight you gain will centre on the belly... A friend describes the prednisone look as a potato with sticks stuck in for arms and legs. Horrid moon face. I have difficulty remembering as it's been a drug I've been on for so long... it does deplete calcium reserves so it will be important that you take an extra calcium supplement while you take it so you don't end up with osteoporosis later in life. Basically, prednisone turns me into a fat and grumpy cow. It is important that you wean off it slowly. Even if you take it only for the TWW, you'll then spend the next 4 weeks weaning off the drug.
The treatment does seem to be pretty effective, but I wouldn't know exact figures.
It is a lot to digest... but there's also the apparent changes to medicare rebates next year to consider as well.
I hope this has helped in some way - I wish I could remember more for you!
BW
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