I know. I really get it. 
14yro QH gelding. Came into my care 6yrs ago with the past history of founder and changes in hoof evident. He was exercised daily for at least 20 mins 5/wk and on daily turnout on large dry pad with two other horses, He and the other gelding stayed pretty active throughout day. He was previously able to tolerate 20-30mins of turnout on grass. Never tried more than that. Was always slow fed free-choice grass hay. He was adopted out twice and both times came back to us for lack of care one time showing signs of laminitis again. They had put him full-time on grass pasture. 

No radiographs ever done due to cost.
Moved to Colorado in March 2017. On mix grass hay not sure of type of grass. Six to eight weeks after being in CO is when the above history starts:
"Horse is showing signs of laminitis in all four feet but front worse. Developed crusty neck, and very pendulous stomach developed about the same time-6-8 wks before blood work

Excellent balanced hoof care, was wearing Clouds now 24/7, hand walked 20-30 mins a day 6-7 days a week, always in a dry paddock. Was eating from slow feeder at time of and prior to testing.........."

Signs of laminitis include bilateral lameness first front, then hind. Lame at a trot, toe first landing. Resistant to walking on any hard surfaces or rough surfaces. Soles are a little softer than would like to see and tender with a hoof tester. Stands in atypical stretched out position. Similar to a horse that has colic. But he has always taken that position when suspected laminitis flare, especially if in soft ground where he can dig his toes in and get sole support. (Does not do this with front feet when Clouds and wedge cushions are on or soft DIM is used.) Also lays down a lot and has mild but pulse (1 out of 3) bilaterally in front is the only place I can detect.
The ACTH sample was gently inverted several times per Cornells instructions, chilled and then vet said "spun within 45mins"

I will just emphasize he only receives 1.5% of bodyweight in grass hay fed through a slow feeder ( which he can eat quite quickly) and he will ONLY eat one supply of hay that is soaked for no more than 15mins. Otherwise he completely refuses to eat for 24hrs at which point we switch back to unsealed slow fed hay for risk of colic.

Hoping to get at least front hoof pics today and shooting for case history to be done this weekend.

Thank you very much

LM-Shiney's Little Pistol
March 2013
Ohio/Colorado