It's a good point that the dex test is promoted because "only 1 in 10.000 horses will react to it".
Actually, steroid through any type of administration can be an issue with these horses. I know of one that became laminitic with a topical steroid cream on her ears. Pap has become laminitic with steroid cream in his eye for uveitis. This has happened in the fall and in the spring when ACTH was not elevated (it was 14) to add to the tiny bit of cortisol he was getting in his eye...over 5 days.
It's definitely worth digging in your heels and expect alternatives if you request.
