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compounding pharmacy
gschiel1
I had been getting my horses’s pergolide from Thriving Pets but they recently moved and are no longer fulling prescriptions. They recommended Pet Health in Arizona. I wondered if anyone in the group has experience with this pharmacy or is you have any other suggestions for reputable compounding pharmacies.
Thanks in advance, Gail Schiel
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Re: Floss's Xrays
Lavinia Fiscaletti
Thanks, Tori. Will have those for you soon. Jan 05, RI EC Support Team
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Re: Nutritional powder exposed to moisture
Karin & Inky <ksherbin@...>
From Patty: Could you have the TC30 and Nutritional Powder together in one container or Baggie, and the beet pulp and oil soaked and mixed together in a bucket? And then at feeding time just have him thoroughly mix the dry and wet together? That's what I do, but I'm not at a busy barn. I have a big mixing spoon in the barn. __________________________
I can try. Previously when I have left colanders for r/s/r of beet pulp, or big spoons and big containers for mixing, they have not been used. That is why I try to make things as simple as possible.
Based on the group’s feedback I went out and got a small fridge for the feed room so I could prepare beet pulp in advance that is r/s/r. Usually I can’t get to the barn except on weekends. Someone had said a few days worth of BP could be stored in the fridge, as well as frozen BP that would thaw by the time the merely cold portions are used up.
Currently I have stored 14 meals for the week, the TC 30 and nutritional powder in containers together. I suspect the farmhand is pouring the CocoSoya into the container after the feeding shift is done, i.e., 8 to 12 hours before the next feeding. So after the evening feed, the farmhand prepares the meal for the morning feed. Same routine after the morning feed, prepares for evening feed.
I will see if the farmhand is willing to mix the two components right before feeding as you suggest if no one can say that the nutritional supplement will retain its value if mixed with oil or water products for any length of time.
Karin & Inky Forest, VA IR/Cushing's July 27, 2015 https://ecir.groups.io/g/CaseHistory/files/Karen%20and%20Inky https://ecir.groups.io/g/CaseHistory/album?id=1979
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Re: Nutritional powder exposed to moisture
Hi, I don't know the answer about the powder and moisture. Could you have the TC30 and Nutritional Powder together in one container or Baggie, and the beet pulp and oil soaked and mixed together in a bucket? And then at feeding time just have him thoroughly mix the dry and wet together? That's what I do, but I'm not at a busy barn. I have a big mixing spoon in the barn. I don't think a week at a time would work. I believe beet pulp when wet/soaked is only supposed to be refrigerated for a couple days at a time. Any longer and supposed to be frozen. I'm thinking if you soaked the powder for 9-12 hrs, it would make all the feed taste bad if it's the taste he doesn't like. But could be worth a try if it's ok to do with the powder. I've also read here that some people have to top dress the minerals rather than mix in. Good luck! -- Sept 2016 Kernersville, NC Rated G Case History: https://ecir.groups.io/g/CaseHistory/files/Patty%20and%20Rated%20G Rated G Photos: https://ecir.groups.io/g/CaseHistory/album?id=1908
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Re: Floss Blood Work
On Wed, Jan 25, 2017 at 10:01 pm, <toriadore@...> wrote:
Can I copy and paste it here or is it better to add it to my Case History? Hi Tori, That's great news that you have a vet who is more willing to work with you! Please add the results to your case history and fill in the IR calculation results section as well. If you have specific questions about the results, you can post that here. Bucks County, PA, USA ECIR Primary Response NRCplus 2011 ECIR 2014 https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Cory https://ecir.groups.io/g/CaseHistory/album?id=1624 https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Onyx
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Re: Splash Lab results
LeeAnne Bloye <ecir.archives@...>
On Wed, Jan 25, 2017 at 03:55 pm, k frog wrote:
(to be updated soon by LeeAnne 'Tis done: https://ecir.groups.io/g/CaseHistory/files/Karen%20and%20Splash - LeeAnne, Newmarket, Ontario - Email me (If link doesn't work use ECIR.Archives at gmail dot com) ECIR Archivist March,2004
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Nutritional powder exposed to moisture
Karin & Inky <ksherbin@...>
I am trying to figure out a way to get my horse to eat his full dose of nutritional powder without reducing the efficacy of the supplement. He is boarded and the farmhand makes up the meals 9 to 12 hours in advance.
I have tried leaving a small amount of the powder mixed in with TC30 pellets and work up to the full dose of the nutritional powder, custom-mixed by HorseTech. However, when I reach a certain point, not close to the full dose, the horse refuses to eat his meal of TC 30. I am considering adding beet pulp to the meal to further dilute the taste of the powder.
Does moisture over the course of hours or days affect the efficacy of the nutritional powder? Here are two thoughts I had:
1. The farmhand, who prepares the meals 9-12 hours in advance of feeding, pours Cocosoya oil on the TC 30 and HorseTech mixture and adds beet pulp that is already saturated with water. In other words, the powder is mixed in with Cocosoya oil and moist beet pulp for up to 12 hours.
2. I prepare the meals for seven days and leave them in the refrigerator I just installed in the feed room. The meals would be a mixture of TC30, the Cocosoya oil , beet pulp and HorseTech supplement. That means the nutritional powder would be mixed in with foodstuffs prepared with oil and water for up to a week. I would do this to ensure that the food is thoroughly mixed and make it easier for the farmhand, who may or may not cut corners depending on how slammed he is.
I also bought peppermint oil but have not asked the farmhand to pour that into the mix. The same question would apply: would leaving the powder in food that contains peppermint oil mixed with water affect the value of the supplement?
I do have a message out to Rod at HorseTech but in case he doesn’t know the answer I thought I’d ask in case anyone here has been in a similar situation. Thanks!
Karin & Inky Forest, VA IR/Cushing's July 27, 2015 https://ecir.groups.io/g/CaseHistory/files/Karen%20and%20Inky
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Re: Was IR Increase -Now Toe tenderness/pulse Improved
Digital pulse back to normal, toe tenderness reduced/gone(?) but I still have him in padded EasyCare Transition boots. Will remove boots to check his movement and possibly keep him booted a bit longer. He is perky again and feeling better. Continuing to work on tightening his diet. Charles County, Maryland
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Re: treating laminitis correctly,
I'm guessing you've already shown them to her,LJ.
Lorna in Eastern Ontario, Canada
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Re: new member, trim evaluation request
kguest@...
Thank you Lavinia! Kristen
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Re: Floss Blood Work
I have finally found a fabulous vet who is really onboard and knowledgable about laminitis and have had a full blood work up done for Floss. Can I copy and paste it here or is it better to add it to my Case History? Cheers Tori December, 2016 Adelaide Australia Case History https://ecir.groups.io/g/CaseHistory/files/Tori%20and%20Floss https://ecir.groups.io/g/CaseHistory/album?id=3347
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Re: Floss Blood Work
Thanks for all your replies :-) I have spoken to the vet twice. The bloods were tested in house at the vet clinic. He told me he didn't know where to send the sample to get a result for The results have been emailed to me and are on a piece of the vet practices letterhead and say exactly what I wrote in my first message. The vet wrote * In-house Glucose test carried out on Accu-check Performa Unit and Glucose Score is 5.5mmol/l on 22/12/2016. The normal range Glucose for Equine is 0.56 - 38.85mmol/l so Floss is within low to normal range* It sounds to me like I need to copy off the recommendations of Paulines to get all the results I need. I'm beginning to feel more and more that the vets in my part of the world are clueless :-(
December, 2016 Adelaide Australia Case History https://ecir.groups.io/g/CaseHistory/files/Tori%20and%20Floss
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Re: Floss's Xrays
Hey Lavinia, I have now added all relevant photos to Floss's album so hopefully can do a mark-up now. https://ecir.groups.io/g/CaseHistory/album?id=3347 Thank you!
December, 2016 Adelaide Australia Case History https://ecir.groups.io/g/CaseHistory/files/Tori%20and%20Floss https://ecir.groups.io/g/CaseHistory/album?id=3347
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Re: new member, trim evaluation request
Lavinia Fiscaletti
Hi Kristen, Here's a link to one: https://ecir.groups.io/g/main/photo/1755/0?p=Name,,,20,1,0,0 The reason he has flared, pancake feet is that the toes are being left too long horizontally and the walls are being ALLOWED to flare instead of being kept tightly beveled inward. Same goes for his mum. It is fixable on both of them but someone needs to do the fixing and then maintain it. How long to wait before starting formal exercise is going to depend on how long it takes to get the trim set up correctly so the feet start to actually heal. Once the template is in place - and being maintained there - need to wait until there is at least half of the damaged hoof grown out. This is especially important in a horse as big as Jasper because gravity is working against you. A pony/small horse will usually come back much more quickly. If there is no active laminitis, adding Jiaogulan to the supplements will help increase circulation and that will increase the rate of growth. Jan 05, RI EC Support Team
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Re: Splash Lab results
On Wed, Jan 25, 2017 at 03:55 pm, k frog wrote:
Hi Karen, The results indicate that insulin is not controlled, so you have your diagnosis part of the DDTE protocol. Now you are questioning your diet, which is the right thing to do. Looking at your hay analysis, it ought to soak out well. I had a similar hay, soaked 7 lbs in a 15 gallon tub filled with well water, soaked for an hour, drained well, and when I dried a sample and sent it for testing, it came back about 6% ESC + starch. The starch won't change because it isn't very water soluble, but the ESC should come down 30% or more. How much water are you using? Are you draining it well? You could dry a sample and get that retested along side a new hay test of the unsoaked. Retesting the hay is a good idea, using the trainer's package. Is she getting any grass? Unauthorized treats? Exercise is the best IR buster there is, but only to the extent that she is comfortable and walking correctly, For more information: http://ecirhorse.org/index.php/ddt-overview/ddt-exercise It's best to test both insulin and glucose to monitor her IR status, but I wouldn't retest until you've made some changes that may be improving her insulin. Cornell is the recommended lab for this blood work. Bucks County, PA, USA ECIR Primary Response NRCplus 2011 ECIR 2014 https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Cory https://ecir.groups.io/g/CaseHistory/album?id=1624 https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Onyx
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Re: new member, trim evaluation request
On Wed, Jan 25, 2017 at 05:39 pm, <kguest@...> wrote:
I also want to be clear about exercise right now. Are we looking at nothing for 6-9 months from the time these feet finally achieves their proper shape? He's about halfway grown out from the laminitis episode last May. Hi Kristen, Exercise is an important part of recovery. Please see this summary from our ECIRhorse.org site, which describes the progression to follow for a recovering laminitic horse. http://ecirhorse.org/index.php/ddt-overview/ddt-exercise
Bucks County, PA, USA ECIR Primary Response NRCplus 2011 ECIR 2014 https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Cory https://ecir.groups.io/g/CaseHistory/album?id=1624 https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Onyx
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Re: treating laminitis correctly,
I'd love to show her a study that icing doesnt help... I thought dr kellon posted a few... will look thru posts
-- LJ Friedman San Diego Npv 2014 https://ecir.groups.io/g/CaseHistory/files/LJ%20and%20Jesse
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Re: new member, trim evaluation request
kguest@...
Thank you Lavinia. The farrier is coming Friday; I have the vet coming on Feb. 10th and will do x-rays (and bloodwork), then have the farrier back immediately after that. For Friday, do you have a picture of a snubbed off toe I can show my farrier? Jasper has always had flared pancake feet (like his mum), but the length issue has come about since last spring (my regular farrier is battling a serious illness and so I've had someone else kindly step up in the interim). It would help if I could show him what the final product we're aiming for looks like, in addition to the marked up photos. I also want to be clear about exercise right now. Are we looking at nothing for 6-9 months from the time these feet finally achieves their proper shape? He's about halfway grown out from the laminitis episode last May. Kristen and Jasper December 16, BC Canada
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Re: treating laminitis correctly,
On Wed, Jan 25, 2017 at 02:56 pm, LJ Friedman wrote:
So, that will be my rule . But, what to say to the trainer that thinks the icing helped, based on her observations with Jesse? He's my horse.
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Splash Lab results
k frog
Hi All, I have the results from the ACTH 13.5 pg/mL, Insulin 45.12 uIU/mL, Leptin 10.04 ng/mL, Glucose 90mg/dL testing back on Splash. Please see her case history (to be updated soon by LeeAnne) for results. My interpretation is that she is uncompensated I/R and not PPID. Please correct me if I am wrong. In light of these results I would love some advice. Is my diet not tight enough? My hay tests at 10.3% ESC/Starch and I am soaking it for one hour. I am thinking of retesting this hay to verify the results that were given to me by the hay dealer at the time of purchase. Does this seem a reasonable path to investigate? I have enough of this hay in my loft for the rest of this season. Is it possible that even soaking this hay is not going to work for her? Exercise? I will have radiographs taken again in a few weeks. If those show that her feet are back in balance, and she is travelling sound, would it be possible to start her back into some kind of exercise? I realize ideally her feet need a full year to rebuild the damaged capsule, but without exercise? When should I retest her Insulin and/or not, Glucose? And can I retest those values at a different lab?(I can run those tests at Antech through my work at a discount) I am so glad I have the depth of knowledge that is here to help me navigate my way through this. Splash and I thank you for your help. October 2013 Molalla, Oregon Case History for Splash: https://ecir.groups.io/g/CaseHistory/files/Karen%20and%20Splash Photo Album for Splash: https://ecir.groups.io/g/CaseHistory/album?id=1994
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