Re: What please

Eleanor Kellon, VMD

Well, it isn't an acute insulin issue and isn't a major trim problem either. Other possibilities include vasospasm/poor perfusion worsened by the NSAIDs or neuropathic pain. I would suggest seeing is your vet is willing to switch to Tramadol for pain relief (5 mg/kg orally twice a day) and once off NSAIDs start Jiaogulan. I would also start acetyl-L-carnitine 1 g/100 lbs bodyweight ASAP for neuropathic pain.
Eleanor in PA 
EC Owner 2001

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