Date   

Re: Is there an App for that?

Debra
 

I'm a visual learner so I envision some sort of graph that would change size and color when you changed foodstuffs or quantities. I do well with charts and graphs, things that are colorful...just how my brain works best :-)
--
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: acetyl-L-carnitine

Eleanor Kellon, VMD
 

There's not enough lysine in Insulinwise to  make a difference.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Increasing CP

Eleanor Kellon, VMD
 

There's no easy answer to the pergolide question. If you wait to see clear signs it's too late. Talk to your vet about how much of an " insurance" increase during the rise may be warranted. You can plan to lower dose again late winter and retest.

I'm assuming this is weight loss he didn't need. It's important to keep him separated from the other horses long enough to eat his full daily requirement. Another option depending on how large the dry lot is would be to divide the daily hay into nets, one more net than there are horses, and hang these as far apart as possible. Riding him when he's undernourished is a stress and only makes weight gain harder.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: acetyl-L-carnitine

Stephanie Boyles
 

Thank you for this information!

One more quick question... I read a report by Dr. Kellon that states L Carintine is derived from Lysine.
https://drkhorsesense.wordpress.com/2019/03/23/acetyl-l-carnitine-the-powerful-versatile-nutrient-you-never-heard-of/
My horse receives Lysine via Insulin Wise. 
http://www.kppvet.com/insulinwise/
Does that mean he is also getting the l carintine from this?

Steph
--
Stephanie

 

Joined March, 2017

Ontario, Canada

 


Increasing CP

Karin Sherbin
 

Hi gurus,

My apologies, I cannot figure out how to provide my case history link on a different computer. Hoping not necessary for this question.

My horse Inky just got his ACTH results: 25.7 pg/mL. He is now on 6.5 mg of compounded pergolide. He tested last year this time at 24.1.  In 2017 he tested at 17.7' Over the rise this past winter his sheath swelled, and he had one abscess.  Is it reasonable to increase his pergolide this year, or wait and see if anything happens like the sheath swells or he gets another abscess? Those incidents may have been coincidental? 

Other info: he has moved and is now in a place that keeps him in a dry lot during the day and allows him out on a scrubby pasture overnight. His test results came back as compensated IR. He has become a finicky eater so we just started syringing the copper/zinc and trying to get him to eat the other vitamins/supplements in his food, which is soy hull pellets or beet pulp, with Sentinel low starch pellets mixed in enough to make him eat (not an approved feed but best can find around here). 

He has lost a lost of muscle/weight (100 pounds) as he figures out his place in the herd. He had been alone in a dry lot for 3 years and now the other horses keep him away from the hay in the dry lot a good amount. We are just trying to separate him from the herd at hay time to see if he can regain weight/muscle.

The good news: the barn manager is riding Inky one or two times a week, and so far no crow-hopping or bucking. Not doing a lot of work because he hasn't been worked in 3 years, but he does W/T/C. 

If you need the case history link to answer this question, I will have access to my work computer on Monday and can re-send the query with the link. 

Karin & Inky
Virginia
2015


Re: PPID and dental / sinus issues

Eleanor Kellon, VMD
 

Hi Susan,

There's really no way the hypersalivation is related to hormone levels. It's a separate medical condition and any improvement or worsening in parallel with hormone tests is coincidence.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


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

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