Date   

Re: Dancer updated case history

Patricia Evans
 

Hi Sherry,
You think I need to lower her hay and cube levels even though she is a BCS of 4-per the vet? Her weight has been dropping until I increase her hay and cubes, then it stabilizes. I don't know if she will maintain her weight if I drop her intake much, plus she had started chewing the wood in her stall when she is in for the night. Thoughts?
--
Patricia 
North central Florida
July 7 2018

https://ecir.groups.io/g/CaseHistory/files/Patricia%20and%20Dancer%20and%20Nathan
Dancer:  https://ecir.groups.io/g/CaseHistory/album?id=66069

Nathan:  https://ecir.groups.io/g/CaseHistory/album?id=94152


Re: New Case History - Test Results HELP!!

Eleanor Kellon, VMD
 

Metformin and Thyro-L are not the same thing. Metformin is a medication for IR.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Tetanus shots

Eleanor Kellon, VMD
 

If I had access to a test kit, I would go by  titers.  For an IR/EMS horse other consideration is vaccine reactions. A horse that is  in their teens or older and has been vaccinated yearly more than likely has a very high titers. Many horses were vaccinated more often than that because encephalitis vaccines used to all contain tetanus. In the past, when USDA ran titers, we had members test their horses and find high titers. When titers aren't available, it's the better part of valor to vaccinate but if the horse is having reactions the risk vs benefit ratio may shift toward not vaccinating.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Numbers just in should I increase Pergolide for Pabatsa?

Eleanor Kellon, VMD
 

Where are the numbers and current case history?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: acetyl-L-carnitine

Eleanor Kellon, VMD
 

Hi Stephanie,

There's no leptin deficiency with EMS. Leptin is actually often elevated, with leptin resistance.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Numbers just in should I increase Pergolide for Pabatsa?

Laura and Pabatsa in CA
 

Hi Dr. Kellon/Group,

My vet just sent P's labs from Cornell. As usual, his August numbers went up. Should I increase Pergolide and if so by how much?
--
Laura and Pabatsa in California
Feb 2012
Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa )
Pabatsa's Photos https://ecir.groups.io /g/CaseHistory/album?id=1740 ( https://ecir.groups.io/g/CaseHistory/album?id=1740 )


Re: Tetanus shots

Cheryl Oickle
 

Thank you Dr. Kellon.  In your opinion then, would you boost tetanus once a year for IR/Cushings horses due to their more fragile state?

Cheryl and Jewel

--
Cheryl and Jewel
Oct 2018

https://ecir.groups.io/g/CaseHistory/files/Cheryl%20and%20Jewel

https://ecir.groups.io/g/CaseHistory/album?id=81063


Re: Dancer updated case history

Sherry Morse
 

Hi Patricia,

Thyro-L will not control insulin although it can help with weight loss.  Information on that can be found in this message from Dr. Kellon: https://ecir.groups.io/g/main/message/234632

The only thing that jumps out at me from the updated CH that could be driving her numbers up (and I'm not sure if it's actually an issue or just a possibility) would be the amount of hay + TBC she's getting.  That totals out to 6.5 lbs a day and based on her weight she should be getting 5.5lbs a day total.  That 1lb. may not be making a difference but on such a small pony it could be having a big effect.

Hopefully one of the vets will pop in with some thoughts as well.




Re: Is there an App for that?

Eleanor Kellon, VMD
 

What do you picture it helping you to learn?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Hay Panic

Kathy Thomas
 

Hi, Lavinia,

Hay analysis is now loaded.


--
Kathy 2017 and Donna

Harrowsmith, Ontario

https://ecir.groups.io/g/CaseHistory/files/Kathy%20and%20Donna


Dancer updated case history

Patricia Evans
 

Hi,
I just updated Dancer's case history with her newest lab results; could someone review and comment, please?. My vet wants me to restart her on thyroid medication because her insulin is elevated again, but I am not comfortable doing that since she does not need to lose any more weight. Her feet seem comfortable for now, but since she foundered in July last year, I'm concerned she is at a higher risk this year during the seasonal rise. She is currently at 1 mg Prascend. The blood work tests are too pricey to afford to have them done monthly to monitor her levels, so I've mainly been going on symptoms and her Prascend was increased on 6/15/19 based on symptoms such as increasing crest, goopy eyes, etc. All suggestions are appreciated!
--
Patricia 
North central Florida
July 7 2018

https://ecir.groups.io/g/CaseHistory/files/Patricia%20and%20Dancer%20and%20Nathan
Dancer:  https://ecir.groups.io/g/CaseHistory/album?id=66069

Nathan:  https://ecir.groups.io/g/CaseHistory/album?id=94152


Re: acetyl-L-carnitine

Lorna Cane
 

Hi Stephanie,

Just to agree with Laura,about My Best Horse.
Joan does ship to Canada. She is great to work with.
www.mybesthorse.com


--

Lorna  in Kingston, Ontario, Canada
ECIR Moderator
2002
https://ecir.gro
ups.io/g/main/files/PPID%20and%20IR%20Success%20Stories/Success%20Story%20%233%20-%20Lorna%20and%20Ollies%20Story.pdf


 


Re: acetyl-L-carnitine

gypsylassie
 

Hi Stephanie, 
acetyl-L-carnitine is fine to give to your horse.  There is a company here in the US called My Best Horse where we can buy it, nickname Alcar, and Joan gives the dosage for horses.  You could check her website for the dose and if she sells to Canada. She has a nice line of products a lot of us use for our horses.      mybesthorse.com
Laura K Chappie & Beau over the bridge
2011 N IL


Re: New Case History - Test Results HELP!!

Deb Walker
 

Thank you Dr. Kellon. I have printed this all out and sending to my vet. I am blessed to have both my vet, and the new trimmer today, on board with ECIR guidelines.

I have ordered the Uckele Tri-Amino. Is Metformin the same as Thryo-L? Every site I searched came up with that; please advise.

I will double the dose of his pergolide medi-melts, and ask my vet to respond to your questions. Meanwhile, R/S/R beet pulp and will continue with his ODHTBC.

Stopping Stabul 1 (he will not be happy!!)

We were using Prascend and it was just pricey. WAY pricey. But they were pretty small tablets and I could get him to eat them up with a little bit of Stabul 1; no need to syringe.

I hate to think that we did this 2 years of torture to have him end up in the same place...even the new farrier today commented on how perky he was for a horse of his age.


--
Deb and Scotty I/R Probably PPID
Pecatonica Illinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


acetyl-L-carnitine

Stephanie Boyles
 


Hello,
I am reading more about the value of adding acetyl-L-carnitine to the IR horses diet to assist with leptin deficiencies.
I also found this link on the ECIR site:
https://www.canadianprotein.com/acetyl-l-carnitine
This link is a human product, so my question is twofold.... is there any risk to trying this product with my horse?  And secondly, how do I convert this powder to a dose appropriate for my horse?  (1170pds)
Your guidance is always appreciated!
Stephanie

 

Joined March, 2017

Ontario, Canada

 


Re: Is there an App for that?

Debra
 

Yes, I agree Dr. Kellon. I would never  propose someone use technology w/o having some idea of what the results should be, however I do also think it would be a useful tool for to help with the learning process.

I am a proponent of always checking a map before implicitly trusting GPS. :-) I have yet to wind up on some dirt road...headed to the unknown.
--
Debra Doerfler
San Marcos (San Diego County), California
Lady Sierra Snarf n' Snort AKA "Sierra"
2009 TB rescue mare, adopted 2017
Member since March 2019
https://ecir.groups.io/g/CaseHistory/files/Debra%20and%20Sierra

https://ecir.groups.io/g/CaseHistory/album?id=91011


Re: PPID and dental / sinus issues

Sherry Morse
 

Thanks for the update Susan and glad to hear Knight is putting on weight.  I would suspect his ACTH is driving the insulin up and hence why you're seeing signs of a crest and fat pockets but hopefully that will level out once the ACTH is under control.  Hoping for good news from the dentist as well!




Re: Hay results and started on prascend- 2nd try

kellyandbella
 

Maybe the prascend is helping! She seems less itchy too. 

My apologies for not being able to get it to load in PDF- I will try again and will get the exact wording if it doesn’t work. I was so excited when I finally got it loaded at all! Will try to get the PDF up tomorrow. 
--
-Kelly

November 10, 2018, Grandview PEI Canada

Bella case history:  https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Bella

Photo album: https://ecir.groups.io/g/CaseHistory/album?id=81257


Re: 8yo welsh pony mare - on going inflamation - desperate

Sherry Morse
 




Re: PPID and dental / sinus issues

norcalpintabians
 

Update:
I have increased Knight's pergolide every three days with no ill effects; He is now at 4mg. I will continue to increase .25 mg every 3 days until I see the hypersalivation and other symptoms subside.
(I believe the hypersalivation is directly related to his hormone levels. It had completely gone away until the seasonal rise began. Now it is back, but not as bad as when it first started many months ago.)
Knight has gained another 20 lbs on his current diet making his weight 890 lbs today. He looks much , much better. 
We have an appointment with the equine dentist, who is also a DVM, next Thursday at 2pm. He will do xrays to see if teeth are causing the recurring snotty nose (left side only). 
I will post an update (and update Knights case history, complete with new photos) after the appointment with the dentist.

Knight continues to be in good spirits and eats well. He still doesnt clean up his hay (free choice) but Im hoping the dental work will help with that. He has no signs of sore feet, but I have noticed the occasional, very minor, swelling in his crest and/or fat pads on his shoulders. There have been NO changes in his diet, except the addition of beet pulp, which made him have loose stools, so I discontinued it. It made no difference in the "IR symptoms". We are going through summer heat waves, so Im not exercising him right now. I will continue our "slow start" exercise program once it cools off. (less than 100 degrees would be nice )




--
Susan Morgan
June 30, 2018
Ione, California
Case History: https://ecir.groups.io/g/CaseHistory/files/Susan%20and%20Knight

Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=71655

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