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I reviewed and tabulated the case history. Thank you for all your ideas/suggestions. She is shod with rocker shoes and padding covered with a plastic plate by reputable farrier who works with the vet clinic. I reviewed my hay content and submitted it in the CH and it is lower than I reported earlier. Tested and sold by reputable ranch distributor
As already indicted by both Martha and Dr. Kellon bute and gabapentin are not going to help with a laminitis caused by an endocrine issue and your hay is too high in ESC+starch to be fed to a horse in crisis. Once you have a case history completed we'll be able to better help you but for a horse that's still eating and drinking I would not be considering euthanasia. I would be considering ways to make her more comfortable which would include putting her in boots, no longer forcing her to move if she doesn't want to and not allowing her to eat any grass until her insulin is under better control. I would also stop the Platinum Performance as the base is not suitable for an IR horse.