Re: Vinnie and Invokana update 8/2022

Eleanor Kellon, VMD

With the amount of food he's eating, even before the alfalfa, the fact he could lose weight and still have TG that high suggests he's not fermenting fiber well. I would move him to a soaked diet and replace his hay with OD cubes, soaked. You could also try alternating 200 mg with 225 mg Invokana, retest insulin and TG in 7 to 10 days. Is there a reason you are using TC Senior instead of Stabul 1? It is high fat and that fat is high omega-6.
Eleanor in PA 
EC Owner 2001
The first step to wisdom is "I don't know."

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