Were the ACTH and Insulin tests also done non-fasting or just the glucose? Understand how trying it can be when the vet isn't on the same page. At least he is "humoring you" to some extent with the IR. That's a start.
I was basing my work load comments on his case history. This is why keeping case histories current is of enormous benefit.The current light work is still more than just hanging out eating all day so is contributing to keeping his propensity for IR in check as a Morgan of any lineage is going to be in the higher risk category. When they stop work for any reason they are at high risk for developing full-blown IR. This may be part of the explanation for the bug bite reactions, goopy eyes, vax reactions, cresty neck, recurrent abscesses and fluctuating energy levels you were seeing. Early PPID may also be playing a role, where pergolide may only be needed during the seasonal rise period. Only way to know on that will be to retest his ACTH during the seasonal rise period. Diet imbalances would be the other contributing factor.
The Brooks-Unti nutritional analysis is only a partial listing of the "headline" items. Same with the ingredient list they provide. The pdf actually says to contact them directly for a full ingredient list. The product is NOT suitable for an IR equine as the fat level at 10% is too high and is has an inverted Omega 3:6 ratio due to the rice bran. RB also has an average ESC+Starch of 27.8%. Plus, high fat diets will induce IR over time. It's touted as low NSC but they won't provide the NSC unless you contact them directly - hmmm.
Know you're working on getting the hay analysis. That's a solid step toward getting Bounce's diet balanced for optimum health.
Based on these xrays I don't see any need to take any more in the near future.
Overall, the trim is pretty good but there is room for improvement. The xrays do not show rotation in the common sense. They do show coffin bones that are virtually ground parallel, with toes a bit too long and soles a bit too thin. This GP coffin bone orientation puts them at risk of going negative plane at the slightest insult and when in motion. It also stresses all the tendons and ligaments by putting them under constant load. Backing the toes to the white line would likely lower the height at the toes by removing that tiny lip of excess toe height that is providing the hollow space at the dorsal rim of the hoof, thereby raising the palmer processes of the CB into a more correct orientation. This would also help develop a thicker sole over time. Will be interesting to see if the farrier has done this since the xrays were taken once you have a chance to get current hoof pics.
Lavinia, Dante, George Too and Peanut
Jan 05, RI
EC Support Team