Wednesday, February 12, 2014

ttc weight gain on fertility drugs?




Meg


I gained at least 10 pounds last month on chlomid and a ovidrel injection, but no pregnancy. Has this happened to anyone else. Does the weight naturally come off? This is so weird.


Answer
Hi!,
When the average person hears a woman is using "fertility drugs," the first thing that often comes to mind is multiple pregnancies like the McCaugheys of Iowa or the Chukwus of Texas. But if managed carefully, the risks of higher order multiples (more than three fetuses) while using fertility drugs are relatively low. Somewhere between 5 to 20 percent of the women who become pregnant while using fertility drugs carry more than one baby.

These drugs fall into two categories: clomiphene citrate (commonly called Clomid or Serophene), given in pill form; and the injectible medications that are injected either intramuscularly or subcutaneously, depending on the drug and the patient. These include Humegon, Pergonal, Repronex, Fertinex, Follistim and Gonal-F.

While Clomid works by "tricking" the brain into thinking there is insufficient estrogen and indirectly stimulating the ovaries, injectibles, which contain FSH (follicle stimulating hormone), directly stimulate the ovaries. Injectibles are much more expensive than Clomid; they are also much more powerful, but if used correctly, produce far fewer side effects.

Often a woman in the early stages of infertility treatment starts with Clomid. For some women who don't ovulate at all, or who have a weak ovulation, Clomid may be enough. While some doctors give women Clomid (generally with timed intercourse or insemination) without monitoring its effects through ultrasound viewing and blood tests, this is generally not recommended as it is difficult to assess the drug's effects without monitoring the body's reaction.

Some Review:
Although Clomid is generally the first fertility drug a woman takes, its side effects can be powerful. Gail Simons, of East Hampton, New York, took Clomid for two cycles and had side effects. "I had severe hot flashes and extreme depression," she says. "I refused to take the Clomid for a third cycle, because it made me feel so awful I was literally crying all the time. I have never felt that depressed and pessimistic in my whole life." Gail moved on to an injectible drug and had no side effects.

Like Gail Simons, Katie Mosher had severe side effects with Clomid, which she took for seven cycles. In addition to hot flashes, Katie suffered from "very bad mood swings and insomnia," she says. "I cried over French fries and never knew why. My husband was great, though, he just smiled and said it was OK because he understood. I, on the other hand, swear never to take Clomid again!"

A recent study suggests that up to 25 percent of the women who use Clomid may find their cervical mucus affected. It is recommended that part of the monitoring process with Clomid include a post-coital test to determine if Clomid is interfering with the production of fertile mucus.

But for every woman like Gail and Katie, there seems to be one like Brenda Price of Ontario, Canada, who describes her side effects on Clomid as "minor," or Kelli Chesterton* of Cupertino, Calif., who did six cycles of Clomid with "little or no side effects. I did ovulate on Clomid." Kelli did have some side effects with her seventh and last Clomid cycle.

Clomid is generally taken in dosages from 50 to 300 milligrams for five days per month, generally beginning on day 3 to 5 of your menstrual cycle. The cost ranges from $30 to $75 per month. Clomid is used in cycles with timed intercourse, sometimes in concert with IUI, seldom with IVF. About 35 to 45 percent of women will become pregnant while using Clomid. About 5 percent of these pregnancies will be twins, with triplet pregnancies being rare.

Regards, $

Nutro Brand Deserts-Why have they been discontinued?




ToxLabRat


Does anyone have any information as to why Nutro has discontinued their line of desserts for dogs? I have a Pug who just loves them, especially the pumpkin and carrot cake varieties, and when I went to the store today, I was told they were discontinued. I called Nutro and was told by a customer service rep that they were discontinued, but she would not disclose the reason. If anyone has any info, I would be interested to know. Thanks in advance.


Answer
Unfortunately, it was poor sales results. In many cases, the product went out of date before it was sold.

You could try fresh fruits. Apple slices, baby carrots, etc are all great treats.

Edit: To clarify, Nutro has had a small recall on their cat food because of overadding of an ingredient. Check your facts before you cry recall....
In addition, the recall of 2007, which was TWO YEARS ago, involved many different producers of pet foods. Nutro was not the only company affected by Menu Foods. Please get your facts straight.

Funny how the FDA website has one recall listed for cat food:

May 21, 2009 - Nutro Products Announces Voluntary Recall of Limited Range of Dry Cat Food Products
Right off the FDA website.

And the mob action begins.....

Here are the facts:

FOR IMMEDIATE RELEASE -- Franklin, Tennessee (May 21, 2009) -- Today, Nutro Products announced a voluntary recall of select varieties of NUTRO® NATURAL CHOICE® COMPLETE CARE® Dry Cat Foods and NUTRO® MAX® Cat Dry Foods with âBest If Used By Datesâ between May 12, 2010 and August 22, 2010. The cat food is being voluntarily recalled in the United States and ten additional countries. This recall is due to incorrect levels of zinc and potassium in our finished product resulting from a production error by a US-based premix supplier.

Two mineral premixes were affected. One premix contained excessive levels of zinc and under-supplemented potassium. The second premix under-supplemented potassium. Both zinc and potassium are essential nutrients for cats and are added as nutritional supplements to NUTRO® dry cat food.

This issue was identified during an audit of our documentation from the supplier. An extensive review confirmed that only these two premixes were affected. This recall does not affect any NUTRO® dog food products, wet dog or cat food, or dog and cat treats.

Affected product was distributed to retail customers in all 50 states, as well as to customers in Canada, Mexico, Japan, Korea, Thailand, Malaysia, Singapore, Indonesia, New Zealand, and Israel. We are working with all of our distributors and retail customers, in both the US and internationally, to ensure that the recalled products are not on store shelves. These products should not be sold or distributed further.

Consumers who have purchased affected product should immediately discontinue feeding the product to their cats, and switch to another product with a balanced nutritional profile. While we have received no consumer complaints related to this issue, cat owners should monitor their cat for symptoms, including a reduction in appetite or refusal of food, weight loss, vomiting or diarrhea. If your cat is experiencing health issues or is pregnant, please contact your veterinarian.

Consumers who have purchased product affected by this voluntary recall should return it to their retailer for a full refund or exchange for another NUTRO® dry cat food product. Cat owners who have questions about the recall should call 1-800-833-5330 between the hours 8:00 AM to 4:30 PM CST, or visit www.nutroproducts.com.

Recalled Pet Food

The varieties of NUTRO® NATURAL CHOICE® COMPLETE CARE® Dry Cat Foods and NUTRO® MAX® Cat Dry Foods listed below with âBest If Used By Datesâ between May 12, 2010 and August 22, 2010 are affected by this voluntary recall.

Nutro Products Recall List â Dry Cat Foods


Edit: Obviously, but no reason to post "facts" that are not. You could really upset people who are feeding a Nutro product, and whether you like it or not has nothing to do with recalls.
BTW, I do not feed my dogs Nutro.




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