Talk about adding insult to injury: among the many side effects that the ACTH has had on Lula (fatigue, elevated blood pressure, irritability, being stabbed with a needle every day) Lula's face has suffered the full wrath of the steroids. She's puffed up so much her cheeks look like two water balloons, and there's a constellation of acne between her brows.
We have started titering her down off the ACTH so she will be completely free of it by December 2. The puffiness should recede along with the other side effects. Then we wait and see if all this misery was worth it.