Hi Kim

It's really too bad you feel phobic about this.  Helping your horse is what this groups is here for and as stated previously, the fundamental message may seem harsh but will not be changed. The group is about the welfare of the horse and avoiding laminitis. 

Your ACTH is going down now, perhaps, as a result of the declining seasonal rise. Maybe it's your pergolide dose. Either way the past two blood draws show her PPID is not controlled.

I've been trying to understand why you posted at all.   I guess it was so Dr Kellon could review your Chemistry and CBC lab results.  Is that right?

Recommend while you wait that you research anemia driven by chronic disease. This is common in horses with uncontrolled PPID and/or IR.  Try googling Complete Blood count for more info.  Same for Chemistry Panel. Many web sites offer info.

Lots of discussion in the archives here as well.

There is a glucose result in the chemistry portion of your lab results. It was normal.

We know she is on liquid pergolide. Your vet should be able to tell you how much actual daily drug/pergolide she is getting - in mg - if it is not on the bottle. Storing liquid correctly is imperative to keep it as viable as possible. Prascend is far more reliable than liquid as Pauline pointed out.

Uncontrolled IR and uncontrolled PPID will give you the body you describe. 

This is the internet so let me say clearly that personally I am not about attacking you, so take that off the table please. Like 99% of the members here, I am about helping your horse avoid what uncontrolled metabolic conditions can do to them. You have stated pretty categorically why you can't do many/most things ECIR recommends. That is not going to change our responses when you write and ask for input.

It may help to know that the vast majority of  members have come through here thinking they could not possibly do what this group recommends. Thankfully most of them caught on, sometimes before a medical catastrophe.  The owners that don't are the most heart breaking for us.

I'm with Kerry that 21 is not old but it does require you to address issues that come with aging.

I know you are stressed. Hope you've been able tor ed what soem of teh others on this group are going through right now.  It helps to see what is possible and offers an extraordinary opportunity to learn to help you whole herd.

Please make sure you sign your posts.

Nancy C in NH
ECIR Moderator 2003

FACT:  The fall seasonal ACTH rise was first documented by an ECIR Group member and her veterinarian after noticing her horse had repeated bouts of fall laminitis. Fall laminitis is now recognized as an early sign of PPID.  See  E. M. Kellon, VMD, The Internet as an Epidemiological Tool, 2013 NO Laminitis! Proceedings, Equine Cushing's and Insulin Resistance Group Inc.