treatment with Humira

Evina

0 Posts
Reply treatment with Humira Posted on: Oct 29, 2010 at 1:03pm
Hello Dr Braverman,
I would appreciate your advice. I am planning my next IVF cycle in December. Recently I tested for high TNFalpha as well as elevated NK cells activity. Was advised to take Humira asap (in pre conception cycle) and IVIG before ET. Previously I did 2 fresh IVF and 1 FET with Intralipid and Prednisone/Dexamethasone which were not successful. I would like to know your opinion if at this stage you would advice me to start with IVIG treatment only or Humira as well. Taking Humira makes me worried. I have already booked the phone consultation with you (scheduled in 3 weeks time) as I live overseas, however I would appreciate any of your advice at this stage.

Also, I am very much interested in natural supplements suggested by you on http://www.readytoconceive.com . Is it possible to order and have them shipped overseas as well?

Thank you for your advice.

Kind regards,
Eva

Dr. Braverman

2024 Posts
Re: treatment with Humira Posted on: Oct 29, 2010 at 4:34pm
The literature shows that treatment with IVIG and Humira together works better than either alone. With that said adding Humira should be done when necessary(one of those reasons is a very elevated TNF) with a negative TB screen and short term use I think the risk is quite small. To completely answer your question about the entire management I would need to see a full set of immune panel and how the cells modify based on your treatment. Its hard to analyze just "NK cell" or TNF levels to make these decisions.
Im sure where ever you live at some point I can get this done for you. It does sound like the team you are with are certainly exploring all options.
Our great success has come with "micro" managing these cycles and carefully tailoring protocols to what all the tests show us and how they change during your treatment.

I do beleive that Dr. Myatt can ship overseas, please contact her and ask them you should be able to access her from her website. I will email as well to check for you. Good Luck.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Evina

0 Posts
Reply Re: treatment with Humira Posted on: Oct 31, 2010 at 10:17pm
Thank you Dr. Braverman.
I will be emailing you all of my recent test results prior to our consultation. Also, thank you for the advice re supplements. They will ship overseas as well.
Kind regards,
Eva

Dr. Braverman

2024 Posts
Re: treatment with Humira Posted on: Nov 1, 2010 at 3:47pm
My pleasure.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.