labs for friend/dr kellon

Daisy Shepherd

with these labs should i refer her to ecir:  warmblood gelding , low work load, about 16years, lives on pasture, tall, normal weight , normal coat, low energy, no fat deposits, hx or sore feet through the summer; labs done 10/01/19: at Cornell,insulin 20.55, glucose 90 leptin 4.10, ratio 4.4 uncompensated ir,risqi 0.22 compensated ir, mirg 9.0  high insulin responder, mirg >5.6 means ir,  acth 74.5 local vet started prascend 1mg daily. what should i recommend owner to do. thank you, daisy and tiko
Daisy, Tiko and Whisper
CO, April 2019
Case History: 
Photo Album:,,,20,2,0,0

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