Hi Julie,
When you hear barking it's best to think dog first rather than werewolf.
The fat pads, crest, overweight, tripping, hind end soreness are classic for subclinical laminitis. Was the high glucose actually above normal range or still within the labs normal ranges? If outside normal, that's diabetic by definition. Is there any distortion in the hoof walls - rings, steeper wall growth just below the coronary band? Has the vet done nerve blocks on the front feet to whether this makes the horse sounder? XRays of feet? obviously, insulin/glucose/leptin blood work is indicated.
These would be the simplest, most cost effective, most obvious diagnostics to perform before chasing werewolves.
Obviously recommending feeding high fat to treat EPM (EPSM?) when the test results were negative makes no sense. Neither does recommending a high s/s feed along with low s/s hay.
Sounds like you may be on to something with the reasons behind this owner's (and vet's) continued obsession with finding an obscure diagnosis without eliminating the basics first.
Only you can decide when it is time to disengage for the sake of your sanity. There is only so much you can do for someone else's animal when they won't listen.
Lavinia, Dante, George Too and Peanut
Jan 05, RI
EC Suppoprt Team