Date   

Re: metformin for a second try?

LJ Friedman
 

thanks for your reply. My reading tells me that cabergoline is indicated if acth isnt well controlled with pergolide.. When I test soon, after a month or so on his new dose of 14mg, would you still be suggesting cabergoline if Jesse's acth is in the teens?  ( from your last message I got the impression that other issues besides acth , have you suggesting cabergoline?  I read all the post on cabergoline, but didnt find any files on this,...thanks

LJ Friedman  Nov 2014  San Diego, CA

 

https://ecir.groups.io/g/CaseHistory/album?id=2117 

.https://ecir.groups.io/g/CaseHistory/files/LJ%20and%20Jesse


Re: Laminitis Vaccine Offers Horse Owners a Preventive Tool

LeeAnne Bloye <ecir.archives@...>
 

I'll add it to the files. 
--

- ​LeeAnne

ECIR Archivist, Newmarket, Ontario March 2004

Email Me - if link fails use ECIR.Archives at gmail dot com

Is your equine in the Pergolide Dosage Database? View the Pergolide Statistics

  Dawn's 10 Year Case History
     Taken For Granite Art

Quote of the moment: The human spirit must prevail over technology. - Albert Einstein


Re: Help , can I give Stabul Plus to my uncompensated IR mare.

Mimi Costley
 

Hi Jaini,
By exercise I was just thinking of hand walking. Certainly too wobbly to ride. I don't think circles would be good for her. Sometimes she runs when turned out with feed bag or muzzle but not recently. The mule would run her if they went out together but I think that could lead to disaster.
Thanks, Mimi

Mimi and Scarlet Feb 2016
northern VA
https://ecir.groups.io/g/CaseHistory/files/Mimi%20and%20Scarlet


--------------------------------------------

On Thu, 5/18/17, Jaini Clougher <merlin5clougher@gmail.com> wrote:

Subject: Re: [ECIR] Help , can I give Stabul Plus to my uncompensated IR mare.
To: main@ECIR.groups.io
Date: Thursday, May 18, 2017, 4:39 PM

[Edited Message
Follows]
Hi, Mimi - Since she does better on the ranitidine, then
that is definitely to way to go!  Similarly, if you suspect
alfalfa was originally a player in Scarlet's IR,
don't go back there.  It is interesting that she
is still IR even when quite thin. The low leptin suggests
that the IR is PPID driven, but her ACTH looks okay. Still
(and Dr. Kellon can correct me, please) I wonder if upping
her pergolide wouldn't help a little.Scarlet is
tres interesting, because she *isn't* following the
accepted norm of TB's not being prone to IR!  Quite a
juggling act for you. More exercise is always
better, if she can tolerate it. At 35, she will need to be
conditioned slowly. 
--
Jaini Clougher
(BSc,BVSc)Merlin (over the bridge)
,Maggie,Gypsy, Ranger
BC 09ECIR mod/supporthttps://ecir.groups.io/g/CaseHistory/files/Jaini%20and%20Merlin-Maggie-Gypsy


Re: Help , can I give Stabul Plus to my uncompensated IR mare.

Mimi Costley
 

Hi Jaini,
Scarlet's ACTH has always been okay. I am increasing her pergolide fall and early spring associated with what I assume are ulcers since she eats better when I put her back on antacid. I increased her from 3 to 4 mg in March. She has been on APF pro for a couple of years. I just switched to the Jiaugulan a few weeks ago. I do wish there was a way to know how much pergolide she needs especially since the cost is getting quite significant.
I did read somewhere that there is a line of TB's that are prone to Cushings but I guess not the IR. I was pushing oil maybe 1/4 even 1/2 cup per day and the alfalfa to get weight on her before I found out that was bad. so could be I forced her into IR?
She is slow to shed out, but looks like she is getting there.
Thanks, Mimi

--------------------------------------------

On Thu, 5/18/17, Jaini Clougher <merlin5clougher@gmail.com> wrote:

Subject: Re: [ECIR] Help , can I give Stabul Plus to my uncompensated IR mare.
To: main@ECIR.groups.io
Date: Thursday, May 18, 2017, 4:39 PM

Hi, Mimi - Since she
does better on the ranitidine, then that is definitely to
way to go!  Similarly, if you suspect alfalfa was
originally a player in Scarlet's IR, don't go back
there.  It is interesting that she is still IR even
when quite thin. The low leptin suggests that the IR is PPID
driven, but her ACTH looks okay. Still (and Dr. Kellon can
correct me, please) I wonder if upping her pergolide
wouldn't help a little.Scarlet is tres
interesting, because she *isn't* following the accepted
norm of TB's not being prone to IR!  Quite a juggling
act for you. 
--
Jaini
Clougher (BSc,BVSc)Merlin (over
the bridge) ,Maggie,Gypsy, Ranger
BC
09ECIR
mod/supporthttps://ecir.groups.io/g/CaseHistory/files/Jaini%20and%20Merlin-Maggie-Gypsy


Re: DP Xray & hoof photo added(repost)

Eleanor Kellon, VMD
 

This is an example of the view needed to assess bone loss better:

http://horsesidevetguide.com/hsvg/OnlineDatabase/media/71.png
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: Laminitis Vaccine Offers Horse Owners a Preventive Tool

Eleanor Kellon, VMD
 

Absolutely may quote me. Spread it around!
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: Laminitis Vaccine Offers Horse Owners a Preventive Tool

Sandy Carr
 

Dr. Kellon...may I quote you?  I have a few friends who are all excited about this vaccine and you put the reason why it won't work so much better than I.  
--
Sandy

March 2017, Corona, New Mexico, USA

Case History:  https://ecir.groups.io/g/CaseHistory/files/Sandy%20and%20Andy . 


Re: Is there an affordable machine to grind hay?

 

Just as an FYI, the garden shredder I tried was pretty much a complete fail due to the hay clogging it up so frequently.   http://www.canadiantire.ca/en/pdp/yardworks-15a-electric-garden-shredder-0603779p.html#srp The weed-whacker inside the metal garbage can was not too bad, but very noisy. My electric mower worked not too badly, but was time consuming.  
--

Jaini Clougher (BSc,BVSc)

Merlin (over the bridge) ,Maggie,Gypsy, Ranger

BC 09
ECIR mod/support

https://ecir.groups.io/g/CaseHistory/files/Jaini%20and%20Merlin-Maggie-Gypsy




Re: Help , can I give Stabul Plus to my uncompensated IR mare.

 
Edited

Hi, Mimi - Since she does better on the ranitidine, then that is definitely to way to go!  Similarly, if you suspect alfalfa was originally a player in Scarlet's IR, don't go back there.  

It is interesting that she is still IR even when quite thin. The low leptin suggests that the IR is PPID driven, but her ACTH looks okay. Still (and Dr. Kellon can correct me, please) I wonder if upping her pergolide wouldn't help a little.

Scarlet is tres interesting, because she *isn't* following the accepted norm of TB's not being prone to IR!  Quite a juggling act for you. 

More exercise is always better, if she can tolerate it. At 35, she will need to be conditioned slowly. 
--

Jaini Clougher (BSc,BVSc)

Merlin (over the bridge) ,Maggie,Gypsy, Ranger

BC 09
ECIR mod/support

https://ecir.groups.io/g/CaseHistory/files/Jaini%20and%20Merlin-Maggie-Gypsy




Re: Please, please advise on getting IR controlled - Toons RH Meniscus Re-Injured

 

Hi, Robyn - Toons will be getting about 2.3 mg iodine in his iodized salt;  one and a half times the NRC requirement for his weight is 4.5 mg, so you can add another 2.2 mg to his supplements.  That would be 1/3 of a scoop of Source:  http://www.4source.com/products/sourceoriginal.shtml Just so you know, adult horses can *tolerate* up to 50 mgs of iodine daily (except for pregnant mares, where toxicity to foals starts at about 40 mg/day per horse), so there is a fairly wide safety margin.   

Metformin is a prescription drug; most human pharmacies have it in stock. Just get your vet to write a script. The dose is 30 mg/kg twice daily, so for Toons that would be 13 grams (not milligrams) twice daily.
--

Jaini Clougher (BSc,BVSc)

Merlin (over the bridge) ,Maggie,Gypsy, Ranger

BC 09
ECIR mod/support

https://ecir.groups.io/g/CaseHistory/files/Jaini%20and%20Merlin-Maggie-Gypsy




Re: Please, please advise on getting IR controlled - Toons RH Meniscus Re-Injured

 

Thank you Dr. Kellon,

Can you advice on how much iodine I should supplement?

The last blood result for T4 was 0.05 from Cornell.

Can someone recommend where to purchase metformin. I am in Northern CA. 
--
Robyn & Toons 

North Bay, CA

April 2016

https://ecir.groups.io/g/CaseHistory/files/Robyn%20and%20Toons





Re: DP Xray & hoof photo added(repost)

Stephanie Stout
 

Hi Dr. Kellon, 

Thanks for the reply. I requested a DP xray and this is what the vet took.  

https://ecir.groups.io/g/CaseHistory/photo/1402/6?p=Name,,,20,1,0,0

Is this the wrong angle? 

Thanks!!!
--
Stephanie & King
October 2014
Oregon
Case History 


Re: magnesium or maganese for muscle loss?

Eleanor Kellon, VMD
 

You are describing a horse with muscle tension that is probably from shifting weight off his front feet. There are no minerals that help with muscle loss, although magnesium deficiency may worsen IR. If his mix doesn't have any its because his diet already has a sufficient amount. More is not better.  Reduced exercise always causes loss of muscle mass. So does PPID so rechecking ACTH a good idea.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: metformin for a second try?

Eleanor Kellon, VMD
 

I think you can let yourself off the hoof about the Equimax.

If he's comfortable in the Clouds, go ahead and exercise him in them. He still had excess toe in the April photos so likely still has poor ground clearance/sole depth and that could be a big part of his discomfort. You don't want to take any more foot off the bottom, just back up the toe by rasping it back with the foot on a hoof stand.

You could restart the Metformin but it's only a temporary fix. Also need to make sure the ACTH is now controlled. He may be a cabergoline candidate.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: Concentration of split Prasend tablets kept outside of foil environment

Lorna Cane
 

>>I have just had a similar conversation with a BC pharmacy that is selling me a compounded form of pracend.


Just to be clear, the pharmacy is sending the compounded form of pergolide.

Prascend is the name of the pergolide tablets sold commercially.

I agree.Can be very confusing.

--

Lorna in Eastern Ontario, Canada
ECIR Moderator 2002




Re: Laminitis Vaccine Offers Horse Owners a Preventive Tool

Eleanor Kellon, VMD
 

To put this in perspective, it is estimated from hospital records that 9 of 10 laminitis cases are caused by insulin resistance. The VA Polytechnic field laminitis study of mixed breed ponies found pasture laminitis is caused by IR and several other studies since then point to a horse's insulin level as the best predictor of laminitis risk. Conversely, no one has ever proven that intake of grass can result in the same situation of colic, fever, colitis, diarrhea, Strep overgrowth in the colon as happens with huge amounts (8 lbs) of pure chickory fructan by stomach tube or in grain overload. The vaccine won't work.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: MSM and IR

Eleanor Kellon, VMD
 

There is no medically/scientifically established reason to think MSM would make IR worse. There is a precaution that if bacteria metabolize the sulfur in MSM to sulfate there could be interference with trace mineral absorption, especially copper.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: DP Xray & hoof photo added(repost)

Eleanor Kellon, VMD
 

On Thu, May 18, 2017 at 09:37 am, Stephanie Stout wrote:
https://ecir.groups.io/g/CaseHistory/album?id=1402

 I needed the dorsoproximal-palmarodistal view that shows the outline of the coffin bone.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: Concentration of split Prasend tablets kept outside of foil environment

Eleanor Kellon, VMD
 

I would call them back and ask why the pergolide mesylate in Prascend tablets would be any different from the loose pergolide they use to make your capsules.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001


Re: Sea Salt

Eleanor Kellon, VMD
 

There is nothing new.

No benefit to feeding unrefined sea salt and you pay a premium for what is basically "dirty" salt.  Sea salt is also potentially highly contaminated with all the problematic chemicals found in the rivers that dump into it and make the fish living in those rivers dangerous to eat.
--
Eleanor in PA

www.drkellon.com 

EC Owner 2001

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