Re: Falki's Recent Blood Work - Request Feedback

Eleanor Kellon, VMD

ACTH is considerably higher than it was at this time 5 years ago. The safest course would be to start Prascend now then taper off after it starts to warm up and retest. Alternatively, you could retest late November, early December to see if he needs it. Insulin isn't high enough at the moment to trigger an acute flare up of laminitis but he likely does have smoldering damage that can lead to that cold sensitivity. Do you use Jiaogulan and AAKG then?
Eleanor in PA 
EC Owner 2001

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