Re: Barbara's questions
Robin <Eclectk1@...>
Thanks for joining us, the more input/infor/support we can exchangethe better.> I agree totally and am VERY happy to have everyones input, and to see that we have new members: Welcome all!! <1. Most of you seem to use pergolide. Is it because the cyprostopped working?>My vets have indicated that Pergolide generally works better and for more horses. They suggested trying cypro first, simply based on cost (which is now about the same a pergolide I gather, but was MUCH cheaper back then!). They cautioned me at the time, however, that the cypro might not work at all, or might lose effectiveness over time. Apparently some horses' systems develop a "tolerance" to the cypro and it slowly becomes less and less effective. BET labs, in this past week, informed me that sometimes the Cypro quits working BECAUSE THE HORSE DOESN'T HAVE ENOUGH THYROID HORMONES -- AND THAT SUPPLEMENTING WITH THYROL-L can sometimes keep the cypro effective for a longer time period. YOU DO HAVE TO BE CAREFUL TO NOT OVERSUPPLEMENT, but that can be tested (it requires several samples over a time period, so you'd need to work with one of the labs that could tell you how to properly do this...). Anyhow, before I knew that, I tried cypro for awhile several years ago. It worked beautifully for about 3 months, and I was able to drop from 3 scoops of thyrol-l to 1 (symptomatically based, not blood tested). Then I had to increase the cypro dose, and finally it seemed to quit working that I could tell. That was after about 6 months total on it. Wish I'd known about the thyroid link to its effectiveness, I'd've tried increasing the thyrol-l supplement to see if it would have made the cypro effective again and kept her on it if it was.... Also, I had heard that pergolide can trigger laminitis in someThis is one I haven't heard before... Carla, can you recall where you heard it and how reliable the source might be? None of my vets have ever mentioned it -- and its certainly something we ALL should know if its true... Also, I'm considering starting Tina on pergolide and sure would like to know how closely I need to watch for onset symptoms and so on.... well until the last three weeks or so. I am wondering if the cyproisif it degrades faster than the Company says??? Or, is the Cushingsprogressing??? Seems like either is possible... also, are you shaking the bottle like mad? Thinking here that it might just be less concentrated now than before if it wasn't evenly mixed all along... ALSO NOTE ABOVE WHAT BET TOLD ME REGARDING THE LINK BETWEEN THYROID LEVELS AND CYPRO EFFECTIVENESS.... I'll be doing more bloodwork very soon!Will be curious to hear what you wind up testing for and results... I am also contemplating adding aCan Pergolide and cypro be used at the same time? I was under the impression that it was always an either or question, that both worked along the same pathways and you couldn't 'double up' safely... not sure if that's correct tho.... will be normally warm while other areas will be extremely cold tothe touch. (would love to hear anyone's comments on this!)Inability to regulate heat AND cold as well as prior to cushings is a noted and well known side effect/symptom of Cushings -- you are both probably right on the money with what you've noted. Its my understanding that this is a function of all the excess cortisol their body is producing... As to warm/cold areas on the same horse at the same time, I'd think that patchy fat and also just the lack of good thermoregulation might be the answer... <3. My vet would like to keep her without shoes if possible. Mypasture is flat and fairly rock free and I had her barefoot until March when I thought I would be taking her out to shows. What is the consensus about shoes?> I have to agree with Carla... Shoes if needed, barefoot if not... totally dependent on the particular horse. I've kept Tina barefoot until she foundered last fall, now she's in natural balance shoes without pads (for the last two shoeings, before that she had wedge pads and a 'fake' frog to distribute pressure on the frog while in the shoes AND unload the apex of the coffin bone). <4. I've seen a lot of you mention Thyrol. I'm beginning to wonder if lowering her dose may have triggered this latest flare up. >something. Robin, What do you think?Personally, I'm pretty convinced although I don't have any proof. I can say that many people suspect a tie between low thyroid levels and laminitis, but its not proven yet. Tina had a single bout of mild laminitis in her last pregnancy (year before diagnosis) when lush spring grass came in -- and I was likely feeding her more than really needed too, since I was overworried about her being in the last month... That was SIX years ago, no founder/laminitis since... until the barn manager dropped her thyrol-l supplement from three scoops a day to ONE without telling me. Two to three weeks later, in 115 degree temps (yes, 115, Las Vegas gets HOT, no puns intended!!! ;o)) a FULL WINTER COAT starts coming in... I question barn manager and tell her to go back to three scoops over a few days... she took a few WEEKS instead and presto, Tina founders and rotates 2 degress on one foot, 4 on the other.... and has founder rings (minor) behind also, even tho the vet never mentioned founder behind. The timing on the founder just seems awfully coincidental to me... <5. Speaking of flare ups-are there any clues to watch for or willshe just be sound one day and lame the next? I think you just have to always be on the lookout for any changes... does she seem a little stiff today? does she seem to be avoiding moving more than normal? Any digital pulse? That sort of thing. Just watch them like a hawk out of habit, without worrying... then jump on anything suspicious quick! If you can catch laminitis as its first starting (before they're really lame), you can go a long way toward minimizing the severity... Also, is there any hope of riding her again? She was doing so wellIf the prognosis on the founder itself is good, I'd think sure... and it would be good for her too. I don't recall how much you said she rotated... but talk to your vet. And there is ALWAYS HOPE, its just a question of how much hope is reasonable.... some horses recover amazingly well from seemingly bad founder, others get minor cases and never seem to get back to normal... I was told that with Tina at 2 & 4 degrees, there was good chance that she'd not only go back to being barefoot eventually, but be fairly sound... As far as testing, several people have suggested trying theCushings Assay that BET labs offers. I'm heading this direction myself... and had posted you guys a very long one with information they'd told me over the phone, so check out the archived messages if interested... Ditto on Carla's "Good Luck!" and hope this has helped some... Robin Desert Springs Sport Horses http://www.Sportshorses.homestead.com (best viewed in explorer 4.x or newer)
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