Re: Flame (on Invokana) fall labs- Dr. Kellon

Eleanor Kellon, VMD

Hi Beth,

Diana's ACTH will still be coming down over this month. Since she's asymptomatic, I'd be inclined to retest sometime in December.  We have had several horses whose insulin remained high but laminitis resolved. I'll take it. Only more exercise is likely to lower it but you should do a double test on the next pull, sending insulin to both BET and Cornell.

Please update your case histories.
Eleanor in PA 
EC Owner 2001
The first step to wisdom is "I don't know."

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