Date   

Re: gut problem

kansteen5545@...
 

Thanks Dr. Kellon -
Is there a vaccine for horses for this? I know there is for dogs.
Karen
Scarborough,ME
May 2014

---- "drkellon@... [EquineCushings]" <EquineCushings@...> wrote:

To clarify this further, coronavirus infection is also characterized by a very high fever. Around 25% can develop neurological signs caused by liver damage and high blood ammonia.


Re: gut problem

Eleanor Kellon, VMD
 


---In EquineCushings@..., <kansteen5545@...> wrote :

Hi
Just wanted to throw this out there. I was just reading the Nov. copy of Horse and Rider and it had an article in it about the Corona Virus now becoming a problem for horses, causing lack of appetite, lethargy and loose stools.

= = = = = = =

To clarify this further, coronavirus infection is also characterized by a very high fever.  Around 25% can develop neurological signs caused by liver damage and high blood ammonia.

This condition either clears or kills.  It does not become a chronic, on-going problem.

Eleanor in PA
www.drkellon.com
EC Co-owner
Feb 2001


Price and sources for Pergolide

chealseburger
 

Dear Friends,
I have gotten feed back about my severely IR, Cushings and diabetic pony (thank you Lavinia). He needs 3mg of Pergolide per day. My question is about the price. I pay $144. per box of 60 tablets which will treat him for 20 days. Is this the going rate for this product or is there a cheaper source for the same thing. I will willingly pay what is necessary, but I dont want to be foolish. I do understand that this product must be ordered through my vet. I have replaced the red salt block with a white one and will start him on the Pergolide (reduced dose), vitamine E and ground flax seed today. Thanks for the help of this list. I look forward to a happier pony.
Carol and Beatle
https://groups.yahoo.com/neo/groups/echistory8/files/Beatle.doc



Re: Updated Case History, Suggestions Needed

Kendra
 

>Insulin is not a stagnant number.  It goes up and down in response to the glucose.  Again, the "normal" used by the labs are too high for use in determining IR<


I normally have the vet draw insulin/glucose with spring/fall checkups but this fall we haven't yet. The vet felt tat due to the laminitis we wouldn't be able to get an accurate level. As soon as we notice a difference he will have his levels drawn again. I really think that the increase from 13 to 24 was due to the diet change I was unaware of at that time. The deal that was made is I prep his beet pulp with the rinse/soak/rinse method and he will not be taken off the beet pulp and nothing will be added in.


>I am confused about is Opie's ACTH.  You state that his levels (plural) have always been "well within the normal range", but I only see one ACTH in his CH.  It says "24?"<


I apologize. He has only had the one ACTH level done. I couldn't remember the exact level but know it was in the 24's and in the low normal range. The vet office is emailing me with all of his labs so I can properly input them. The levels were sent to the barn owner instead of me with that test. The plan was to do ACTH levels every 2 years as long as he did not show any symptoms. Unfortunately, he does seem to have symptoms. However, I'm not sure if it is due to potential early PPID or to prolonged stall rest for rehab of his torn check ligaments.


>The fact that Opie's crest "continues to flair up" and that he has laminitis (which actually started during the seasonal rise period) means that something is driving his insulin up, either his diet, or a high ACTH.  If Opie is early PPID, which is suggested by the fact that he is doing better on the Prascend, after your 60 day trial period, we will be out of the seasonal rise period.  That, in combination with the Prascend may make his ACTH when you recheck it, come back normal.  Some early PPID horses only need pergolide during the seasonal rise.  Please go back to my original post and reread the information in all the links I sent you.  There's lots of information in those links that will help you to manage Opie.  IR and PPID are progressive diseases and require constant adjustment in management.<


Like I said, it's hard knowing whether the flair ups are caused by early PPID (which I am inclined to think due to immediate changes on the Prascend) or from his IR and prolonged stall rest. He went from working 6 days a week to very strict confinement for several months. I will ask the barn owner if one of the vets are coming out earlier to possibly draw a new ACTH but regardless if he doesn't get it for 60 days he will still get spring testing during that seasonal rise, on top of the 60 day testing. With his IR I tend to be highly neurotic and check him over daily during grooming for any potential changes. We have only had these issues since stall rest and it is so frustrating! I also forwarded all of the info to the vet so we can make an appropriate plan. The vet is very supportive of this site and speaks highly of it. :)


>As far as the multi vitamin supplement goes, I'm not sure why you feel like you need it.<


Even without balancing the hay I do know it is HIGHLY deficient in pretty much everything. Due to our boarding and inability to do the analysis the vet felt that a multi vitamin would be the best bet when we took him off the ration balancer for the stall rest. I am looking more towards one of two vitamins that are produced specifically for the PNW tight now so it is more targeted towards the actual deficiencies rather than an abundance of everything. Once I get the ingredient list it will be easier to decide.


>Still, balancing your hay is the best way to feed Opie.  Lots of members have found innovative ways to store hay that they purchase and store for their own horses.<


I will speak with the barn owner today to see if we can make one area specifically for the storage of Opie's hay. I really don't have any other options if we can't. I should have an answer today on that. If it works out and I can get storage and analysis I am very poor at math and will need lots of hand holding lol.


Do IR horses suffer from seasonal rises in insulin without having PPID? Can they respond favorably to Prascend if they are just IR? The stall rest has taken so much out of him. I will have time to dig through all of the links tonight for more specifics. I am also hopeful to load pics in tonight into his file. He really has gone through a huge change since coming to us. He taped at 850lbs on his pre purchase exam (13.1hh) and is now taping at 685lbs. You are correct that we do not know how long he suffered from high insulin prior to purchase. He was constantly on grass and fed grain before I bought him.


Kendra and Opie

Washington

July 2013

https://groups.yahoo.com/neo/groups/echistory7/files/Kendra-Washington/
 


  





Re: Low numbers, sick horse

hinecedark@...
 


ECIR FILES - SEARCH-AND-CLICK TABLE OF CONTENTS

ThePitchforkPrincess@...
 

To quickly find information in the files use the ECIR Files Table of Content

Note: the above link takes you to a Dropbox document containing the latest PDF version of the TOC.

 

The ECIR Table of Contents (TOC) lists all documents in the all ECIR Groups Files sections. Case Histories, Hay Analysis, Member Work Sheets and Photos have been excluded.  In the TOC you will also find "Also See" sections linking to information that cannot be found in the files. 

Links to the ECIR files go to folders, not the exact documents.  Therefore after clicking you'll have to scroll through the folder to find and open the specific document you are looking for.


File inquiries, comments, suggestions, reports of broken links or missing documents can be sent to LeeAnne at ECIR.Archives <at> gmail <dot> com or posted in the ECIR Group.

Many of the ECIR Groups' files are in PDF format requiring Adobe Reader to view them. Get a  free version here


Some files are in Microsoft Excel format. Get a free reader here

If you have difficulty opening files, contact the EquineCushings-owner@ yahoogroups.com 

Thank you for your cooperation.

Owners, Moderators & Primary Response Teams of the Equine Cushings Lists



Re: Updated Case History, Suggestions Needed

Maggie
 

Hi Kendra,
 
I'm not confused.  Insulin is not a stagnant number.  It goes up and down in response to the glucose.  Again, the "normal" used by the labs are too high for use in determining IR.  Our numbers are based on the pony field study which I linked to before.  You can search the archives for more information on that.   
 
I am confused about is Opie's ACTH.  You state that his levels (plural) have always been "well within the normal range", but I only see one ACTH in his CH.  It says "24?"  and it was over a year ago, in July 2013.  Do you have any other ACTH's?  Any during the seasonal rise?  All horses have a natural rise in their ACTH during the seasonal rise, but PPID horse can have an exaggerated rise in their ACTH, causing a risk for fall laminitis.
 
The fact that Opie's crest "continues to flair up" and that he has laminitis (which actually started during the seasonal rise period) means that something is driving his insulin up, either his diet, or a high ACTH.  If Opie is early PPID, which is suggested by the fact that he is doing better on the Prascend, after your 60 day trial period, we will be out of the seasonal rise period.  That, in combination with the Prascend may make his ACTH when you recheck it, come back normal.  Some early PPID horses only need pergolide during the seasonal rise.  Please go back to my original post and reread the information in all the links I sent you.  There's lots of information in those links that will help you to manage Opie.  IR and PPID are progressive diseases and require constant adjustment in management.  There's lots of information in our files and archived messages on the subject.  Several of the volunteers, as well as other members, frequently post wrt making these adjustments. 
 
As far as the multi vitamin supplement goes, I'm not sure why you feel like you need it.  In addition to balanced minerals, horses on a hay only diet need Vit E, salt and ground flax seed to replace the Omega 3 and 6 FA's that are lost in the hay curing process.  If your hay is older than a year, you may need Vit A.  Horses make their own Vit C and B vitamins, so no need to supplement those, and like I said previously, there are B vitamins contained in that Smartpac mix that you need to avoid in an IR horse.  Have you looked at California Trace or Arizona Copper Complete to help balance your hay?  Though they won't "balance" your hay without testing it, they do contain more Cu and Zn than what you are using, which are usually the most lacking minerals in hay. Here's a link:  http://www.californiatrace.com/ingredients.html  and  http://www.desertequinebalance.com/az-copper-complete  Still, balancing your hay is the best way to feed Opie.  Lots of members have found innovative ways to store hay that they purchase and store for their own horses. Scroll down in this folder to find the "hay-finding and storing" file:  https://groups.yahoo.com/neo/groups/EquineCushings/files/8%20Pulling%20it%20Together/
  
Here's the link to your CH:  https://groups.yahoo.com/neo/groups/echistory7/files/Kendra-Washington/  If you put it in your signature each time that you post, it really helps us to find it faster.
 
Maggie, Chancey and Spiral in VA
March 2011
EC Primary Response
http://pets.groups.yahoo.com/group/ECHistory4/files/maggie%20in%20virginia/


Re: gut problem

kansteen5545@...
 

Hi
Just wanted to throw this out there. I was just reading the Nov. copy of Horse and Rider and it had an article in it about the Corona Virus now becoming a problem for horses, causing lack of appetite, lethargy and loose stools. They have a test for it so you could have it checked out - your vet should know about it.
Karen
Scarborough,ME
May 2014


Re: Updated Case History, Suggestions Needed

Kendra
 

>You also state that "He is in a controlled IR and his spring insulin level was 24.3, also in the normal range."  Here is a link to the IR calculator. http://www.freil.com/~mlf/IR/ir.html  Plug in your numbers to see that an insulin of 24.3 puts Opie in the "severely IR" category.  You didn't say what his glucose was, but just to give you an idea, I put it in as 80 and then again as 100 with the insulin of 24.3, and both times it comes back "severely IR".  The labs normals are too high.  The freil calculator is based on the IR pony field study, 7th file down in this "insulin resistance" folder:<

I am going to confuse everyone as much as I confuse myself at times.

During his spring insulin testing, the barn owner pulled him off his feed (3/4lb beet pulp, 3/4lb Enrich32 plus supplements) and placed him on 1 1/2lbs of Safe Choice without my knowledge. He was on the Safe Choice for approximately 3 weeks prior to his labs and I found out his feed was switched a week later when his labs came back with the insulin increase. I had to look back through my notes to verify this morning. The feed switch caused a huge argument between myself and the barn owner who felt that since the insulin levels were normal it was perfectly fine to place him on the feed the other horses get. The vet got involved and he was removed from the Safe Choice and put back on his diet.

Once he was injured and placed on stall rest all forms of grain/balancers were removed from his diet and he was started immediately on a beet pulp and hay diet with his supplements. I think the Safe Choice is what caused his insulin to increase by 11 points.
 

Kendra and Opie
Washington
July 2013

  



 



Re: gut problem

cjjacoby@...
 


Hi Bonnie,

Sorry I'm just getting around to answering about the psyllium amounts .  How is your horse's manure currently?  Were you able to find a good pre and probiotic?  We use l/2 c (1/4 for each feeding)  metamucil unsweetened mixed in with minerals for 2-3 days in a row.  Ari doesn't have a problem eating it.  We have sand clear in the cabinet, but it contains molasses. Some folks may use more psyllium and someone may want to chime in here to give a better idea for dosages , but since we have just started this I don't want to make any fast changes.  Ari has no more runnies, so if we continue to use it it will as a prophylactic against sand.  This will be more important as he eats more hay in the winter. 

Carol, Aristotle in TX
August 2013
http://pets.groups.yahoo.com/group/echistory7/files/cjjtexas/ 

 


Re: Switching To Compounded Pergolide(and questions!)

Tina Martin
 

"My last thing was to give it in a slice of carrot that I hollowed out the middle a bit and stuck the capsule in.  So far he has liked that, but probably shouldn't even give him that much carrot, as he has laminitis again...  If someone else has some brilliant ideas, let us know!!!
Ferne Fedeli"



Ferne,

I use roasted and salted peanuts.  Crack the shell, stick the pill in it and feed it.  All of my horses love those peanuts and love to eat them including the shell.  It's a great safe treat.  No sugar and lots of protein!

Tina
Atlanta, May 2011


Re: Updated Case History, Suggestions Needed

Kendra
 

>Kendra, several things in your note jump out at me that suggest that Opie is PPID.<
>Great to hear that Opie is feeling better on the Prascend!  There is really no need to wait for 60 days of a trial period.  We recommend testing after 2 to 4 weeks on the target dose to see if the ACTH is well controlled.<

The vet felt that he probably did have early signs even though his ACTH levels have been well within the normal range. That's why he wanted to do the 60 day trial. He comes back out in 60 days for rehab check but not before then.



>I noticed in your CH on Opie that you have him on SmartVite Thrive.  This product contains Vit C and B vitamins that are not recommended for IR horses.  Also, added manganese, which you may or may not need to balance your hay, and not enough copper, zinc, biotin and methionine to even begin to do any good.  The best thing you can do is to have your hay tested and balanced.<

We board in a 30 horse show barn and I am unable to test the hay. New hay is delivered every 2-4 weeks. That's why he is on a multi-vitamin. He also gets an extra 50mg of Biotin with the biotin supplement he is on. If you have a better suggestion for a multivitamin I will gladly switch! SmartPaks are highly preferred because of our boarding situation.

>Here is a link to the IR calculator.<

His glucose is 83 and his insulin is well within the normal range. I'm not sure how he is calculating as severe. He was on Enrich32 the last time he was tested and ate about 1 1/2 hours prior to testing instead of hay only so I think his insulin would have been lower. His previous one before that was 13.something on hay only. He is no longer on Enrich32 because we pulled everything when he got injured.

>I may be confused, but are you currently hand walking and trotting Opie?  A laminitic horse should never be forced to move.<

He isn't forced lol. He is very gladly moving and keeps trying to go faster. I have to fight him from canter attempts. He gets hand walked and trotted on very soft footing and gets boots when walked on harder ground. He is never trotted on hard footing. If he shows any signs of tenderness it is stopped immediately. He never gets pushed past his current ability. It is very hard trying to find a proper balance for a rehab IR pony that was stuck on stall rest for close to 5 months.

 


From: "spiral1957@... [EquineCushings]"
To: EquineCushings@...
Sent: Monday, November 3, 2014 6:26 AM
Subject: Re: [EquineCushings] Updated Case History, Suggestions Needed

 





 



Re: Updated Case History, Suggestions Needed

Maggie
 

>>In the 3rd paragraph that was supposed to say he gets no hay unless soaked, not no hay....
 
Whew!  When I read that my fingers started to twitch!  Glad to hear that was a typo!  :)
 
>>We have been fighting laminitis now since August so he does not currently have a fall insulin level.
 
Kendra, several things in your note jump out at me that suggest that Opie is PPID. 
 
1)  Fall laminitis is often the first sign of PPID due to the seasonal rise.  For more information have a read on our website here: http://ecirhorse.org/index.php/cushing-s-disease/seasonal-rise Great place to send your vet as well.
3)  Opie is feeling better since starting on the Prascend,
4)  Opie's age of 15
5)  There is some thinking that the oxidative stress of IR over the long term, can lead to PPID.  You know that Opie was IR when you purchased him and who knows how long before that. Here's a post by Dr Kellon on that matter:  https://groups.yahoo.com/neo/groups/EquineCushings/conversations/messages/178825  Pay special attention to this statement:  "On one level, IR horses may seem at higher risk because they are at higher risk to develop laminitis early in the course of PPID."
 
Great to hear that Opie is feeling better on the Prascend!  There is really no need to wait for 60 days of a trial period.  We recommend testing after 2 to 4 weeks on the target dose to see if the ACTH is well controlled.  Here's a post by Dr. Jaini that addresses that:  https://groups.yahoo.com/neo/groups/EquineCushings/conversations/messages/190147  And a bunch of information on pergolide:  http://ecirhorse.org/index.php/cushing-s-disease/pergolide  Embedded in that link is also a message from Patti on using a scale of symptoms to help determine if you are at your target dose:  https://groups.yahoo.com/neo/groups/EquineCushings/conversations/topics/111988?threaded=1&l=1
 
I noticed in your CH on Opie that you have him on SmartVite Thrive.  This product contains Vit C and B vitamins that are not recommended for IR horses.  Also, added manganese, which you may or may not need to balance your hay, and not enough copper, zinc, biotin and methionine to even begin to do any good.  The best thing you can do is to have your hay tested and balanced.  Here's a link to "help with mineral balancing"  https://groups.yahoo.com/neo/groups/EquineCushings/files/7%20Help%20with%20Mineral%20Balancing/  Please read the "nutritional needs for insulin resistance" by Dr Kellon, the last file in that folder. Also noticed that Opie has a "severe allergy to flies."   I can just tell you from experience that Chancey used to have the WORST sweet itch (hypersensitivity to Culicoides aka midges)  ever.  He would scratch his belly raw and bleeding.  After finding this group and starting first the emergency diet and then balancing his hay, he no longer has any signs of sweet itch!
 
You also state that "He is in a controlled IR and his spring insulin level was 24.3, also in the normal range."  Here is a link to the IR calculator. http://www.freil.com/~mlf/IR/ir.html  Plug in your numbers to see that an insulin of 24.3 puts Opie in the "severely IR" category.  You didn't say what his glucose was, but just to give you an idea, I put it in as 80 and then again as 100 with the insulin of 24.3, and both times it comes back "severely IR".  The labs normals are too high.  The freil calculator is based on the IR pony field study, 7th file down in this "insulin resistance" folder:  https://groups.yahoo.com/neo/groups/EquineCushings/files/Insulin%20Resistance/
 
I may be confused, but are you currently hand walking and trotting Opie?  A laminitic horse should never be forced to move.  You don't want to compromise the fragile new lamina connections.  It would be very helpful if you could post some pictures of Opie's feet for one of our hoof gurus to have a look.  Here's a site that shows how too take good hoof photos:  http://www.all-natural-horse-care.com/good-hoof-photos.html

Maggie, Chancey and Spiral in VA
March 2011
EC Primary Response
http://pets.groups.yahoo.com/group/ECHistory4/files/maggie%20in%20virginia/


 


Re: Switching To Compounded Pergolide(and questions!)

Nancy C
 

Hi Stephanie

I have switched directly one from or to the other without issue. At the time I went from compound to Prascend the dose was lower.  8 mg Compound to 5 mg Prascend if I remember correctly. When going the other way, went one-for-one, and if increase was needed, then went on with titrating up. 

As I've said before 5 mg of Prascend did not control the ACTH.

Nancy C in NH
ECIR Moderator 2003
Learn the facts about IR, PPID, equine nutrition, exercise and the foot.
www.ECIRhorse.org
Check out the FACTS on Facebook
https://www.facebook.com/ECIRGroup
Support the ECIR Group Inc., the nonprofit arm of the ECIR Group
Equine Cushing's and Insulin Resistance Group Inc.

 





 





Re: gut problem

janieclougher@...
 


Oh, Ethlyn. I am so sorry for your loss.  Fly free, dear Dakota.

Jaini and crew
BC 09
ECIR mod/support


Re: when to re-test ACTH

janieclougher@...
 

Hi, Erin - Virtually all horses will have responded to the pergolide by 17 days (some much sooner) so you can re-test in 3 weeks to find out if the dose is controlling her ACTH. Meaning, you can re-test now; it's not too soon.

Glad she is feelng better!  And yes, the new Neo makes many basic tasks on the list (like searching) difficult or impossible.

Jaini and crew
BC 09
EC mod/support


-


If I can get a new vet to come out in the next week or two, is that too soon to recheck her ACTH?


Erin

ME

2014

https://groups.yahoo.com/neo/groups/echistory8/files/Bella/




Re: Updated Case History, Suggestions Needed

Kendra
 

In the 3rd paragraph that was supposed to say he gets no hay unless soaked, not no hay. I apologize.
 


From: "jaggirl47@... [EquineCushings]"
To: EquineCushings@...
Sent: Sunday, November 2, 2014 6:44 PM
Subject: [EquineCushings] Updated Case History, Suggestions Needed

 
I just updated Opie's case history. He has been doing rehab for check ligament tears for the past 6 months and is still not able to be ridden. I am very strict on his diet and when he initially went into rehab we took away pretty much any extra item that might contain sugar. His diet is in his case history.

The problem I am having is his crest continues to flair up, he now has mild laminitis in all 4 hooves (no rotation), and we have been having occasional abscesses for the past couple of months. We drew ACTH levels last year and they were well within the normal ranges. He is in a controlled IR and his spring insulin level was 24.3, also in the normal range. I have to put that in his case history because I completely forgot.

We have been fighting laminitis now since August so he does not currently have a fall insulin level. We were trying to fight that prior to drawing a new lab so we can get an accurate level rather than an increase due to the laminitis. Soaking the hay hasn't made a difference and he is on beet pulp with vitamins and minerals, no grain whatsoever. He gets no hay.

The vet feels like he may be showing pre-Cushing's so we have started on Prascend at 0.5mg total daily for 60 days for a trial. I did notice his personality, which has been rather depressed the past few weeks, has snapped back very close to his normal pony-tude after starting the Prascend. No change in the hooves or crest as of yet but he just started Monday and has had a total of 7 doses.

The vet's plan is to redraw the ACTH and send to Cornell if the trial works. He has had no actual signs of Cushing's aside from what I just explained. Can Prascend work on IR horses that are non-responsive to diet measures even if they do not have Cushing's? Is there anything I may be missing to bring up at our next vet appointment?

Oh, he is seeing the farrier every 3 weeks. He is barefoot and gets rasped every 3 weeks instead of a trim every 6 due to the way his hooves grow. He has a few confirmation issues we have to stay on top of unrelated to the IR.

Here is his case history link. It is still bare but I will work to get pics loaded into it.

Kendra and Opie
Washington
7/2013



Updated Case History, Suggestions Needed

Kendra
 

I just updated Opie's case history. He has been doing rehab for check ligament tears for the past 6 months and is still not able to be ridden. I am very strict on his diet and when he initially went into rehab we took away pretty much any extra item that might contain sugar. His diet is in his case history.


The problem I am having is his crest continues to flair up, he now has mild laminitis in all 4 hooves (no rotation), and we have been having occasional abscesses for the past couple of months. We drew ACTH levels last year and they were well within the normal ranges. He is in a controlled IR and his spring insulin level was 24.3, also in the normal range. I have to put that in his case history because I completely forgot.


We have been fighting laminitis now since August so he does not currently have a fall insulin level. We were trying to fight that prior to drawing a new lab so we can get an accurate level rather than an increase due to the laminitis. Soaking the hay hasn't made a difference and he is on beet pulp with vitamins and minerals, no grain whatsoever. He gets no hay.


The vet feels like he may be showing pre-Cushing's so we have started on Prascend at 0.5mg total daily for 60 days for a trial. I did notice his personality, which has been rather depressed the past few weeks, has snapped back very close to his normal pony-tude after starting the Prascend. No change in the hooves or crest as of yet but he just started Monday and has had a total of 7 doses.


The vet's plan is to redraw the ACTH and send to Cornell if the trial works. He has had no actual signs of Cushing's aside from what I just explained. Can Prascend work on IR horses that are non-responsive to diet measures even if they do not have Cushing's? Is there anything I may be missing to bring up at our next vet appointment?


Oh, he is seeing the farrier every 3 weeks. He is barefoot and gets rasped every 3 weeks instead of a trim every 6 due to the way his hooves grow. He has a few confirmation issues we have to stay on top of unrelated to the IR.


Here is his case history link. It is still bare but I will work to get pics loaded into it.

https://groups.yahoo.com/neo/groups/echistory7/files/Kendra-Washington/


Kendra and Opie

Washington

7/2013


Re: Switching To Compounded Pergolide(and questions!)

Stephanie Stout
 

PS: I started him on APF and it is definitely helping. He is more alert and perky! So, thanks to everyone that mentioned it!


Re: Switching To Compounded Pergolide(and questions!)

Stephanie Stout
 

Thank you all for replying. I am going to do my research and get some compounded ordered tomorrow. Would you guys switch slowly(half Prascend/half compounded) for a couple days or just switch full on(one day all Prascend, next day all compounded)? He's on 2.5mg of Prascend right now, and I'm thinking I might have to raise him up to 3mg in the next couple days to make sure this laminitis stops and get his levels down.

Thanks again.
Stephanie & King
Member since Oct 2014
Oregon




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