Re: Laminitis still not under control

Kirsten Rasmussen

Hi Mary,

First most obvious thing is that ACTH is too high for this time of year.  You need to increase pergolide until it ACTH no higher than the low 20s.

Second, it's possible the Metformin isn't getting in to him, or that it's no longer effective.  It's best to syringe it in, then follow that with a big rinse of water do there's no Metformin residue left on the mouth tissues. 

Your Case History is missing start dates for these meds. 

Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
Shaku's Case History
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