Re: Help with newly diagnosed horse with PPID -- higher meds or different management?
My suggestion would be to completely eliminate triggers in the diet, such as winter grass, if you haven't already. Then watch for signs of discomfort. If he is still tender, try soaking the hay. You should see a reduction in pain in 24-72 hours but it can be subtle at first. Similarly, onset of pain from a diet indiscretion is usually within 24 hours, but may also be subtle at first.
Your Steve Brown hay actually tested at 10.0% ESC + starch As Fed (after moisture in the hay is accounted for) so it's a bit lower than the Dry Matter number reported. Your Anderson hay is actually 9.5%. The difference in these is negligible. Also note that your ESC and starch analyses were done by NIR, methods, which is less accurate than the wet chemistry methods we recommend. Often NIR under estimates sugars in hay, so you could easily be dealing with hay a couple % over 10% ESC +starch.
Safe ways to add forage-based calories include rinsed, soaked, rinsed beet pulp (Cindy suggested Speedbeet in her welcome letter, but unmollassed beet pulp pellets are fine, too), soy hull pellets, ground flaxseed, and Triple Crown Naturals Timothy Balance cubes, which are guaranteed to be <10% ESC + starch. Beet pulp has high calcium so if you feed over 1lb (dry weight) a day you may need to adjust the minerals you feed with it, but the TC Timothy Balance cubes are already mineral balanced and can be fed in as high of an amount as you need to keep weight on your horse. 3 lbs of TC cubes = 4 lbs hay in terms of calories.
Great job on your Case History timeline!
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
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