No photos as I've never had them done.  Not sure why there is even a file on it. 
I guess I've never really thought I needed to.  He's never been really lame, but has had 2 foot sore episodes.  My farrier did say if it happens again she will want x-rays to see what's going on and to make sure she isn't missing anything and trimming properly.   
I understand LJ has great help with Ivanaka. 
If DR. Kellon thinks this is a route to take, I'm willing to give it serious thought. 

Ps....while waiting for a reply and me updating my CH, I did up his prascend 5mg.  Figured it wouldn't hurt.  

Just want to do what is best for him.  He's my Guy and the best ride I've ever had.   Lol 
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album

 

Trying to balance my hay.
 My Calcium is 88 and magnesium is 20 which when calculated means I need to 24 g of magnesium...... that means a 2lb would only last me 37 days instead of 360 days...something seems off. I have added my hay analysis. 
--
Nikkibob
Wisconsin, Sept 2018
https://ecir.groups.io/g/CaseHistory/files/Nikki%20and%20Darby 
https://ecir.groups.io/g/CaseHistory/album?id=77396

Thanks!
--

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
Snickers https://ecir.groups.io/g/CaseHistory/album?id=241740 

Kelly,

You don't need to pull endogenous ACTH in addition to  the TRH stim test as you will already have that value as the pre-stim value.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR

I am hand walking my mare who is recovering from Lamaitis.
I started in boots on soft flat ground we are now up to 3 miles. 
today when I took her to the fair grounds to walk the track, I turned her out so she could roll, and she took off.
Bucking, then cantering with flying lead changes, and then the most beautiful floating trot.
I did change her from hoof boots to Formahoof and what a change.
Your horse will let you know when they are ready for more.
--
Vanessa Register
Yucaipa, CA

Jan 2011

https://ecir.groups.io/g/CaseHistory/files/Cadie%20and%20Vanessa

--sglt2?   what is that, i wondered?  it’s invokana  
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 

Amy, I see reference to a photo album in your signature but there isn’t a link.  Is there a photo album with a broken link or just no photos?  It would help if we had access to hoof photos.
I don’t see any harm in increasing his pergolide but that might not affect the insulin.  If you decide to do that, sooner is better.  
As LJ says, there is another drug being used to control insulin, but only if everything else is in order.  Dr. Kellon would be the one to contact about it’s value in your situation.  LJ is an enthusiastic supporter.
--

He is moving without apparent pain in his run-out. When would it be safe to hand walk? Worried about getting insulin levels down.

also- metformin or SGLT2- which is better at controlling insulin? 
--
Kelly Gilmartin/Buddy
Western Massachusetts 
member since 2019
https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Apostrophe%20GCH/BuddyCaseHistoryAug2020.pdf

https://ecir.groups.io/g/CaseHistory/album?id=251736

That’s pretty nifty, Jennifer.  I don’t think I’ve ever seen one like that before.
--

Photos are never as good as being there but I don't see anything abnormal, just some peeling periople on the wall.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

I posted the hind lateral sole plain post trim pictures. Internet problems so had to post using my phone - sorry for messy writing. 
--

 

Judy and Bugsy

Regina, Saskatchewan, Canada

Feb. 25, 2020

https://ecir.groups.io/g/CaseHistory/files/Judy%20and%20Bugsy
https://ecir.groups.io/g/CaseHistory/album?id=243358

 

Hi Dr Kellon and Lavinia,
I took these photos this morning before I saw the post about taping up the hair but I did pull back the hair on one or two of them. The band is just as clean and pretty as I could ask for, IMO. I don't know what she was referring to unless it was the little scallop shaped pieces that I always thought was part of the surface of the hoof. You can see the new growth coming down that is very smooth and clean. I changed to Amino Trace + a couple of months ago and was attributing the look of the new growth to that.  

We're doing bloodwork on Dancer in about a month so I can ask her to clarify what she was referring to but she seldom returns my calls unless it's an emergency. Regardless, I'm not putting dex paste on him. He has never been lame and I'm not pressing my luck. 

The only thing I could find online was pemphigus, and I don't think his hooves looks anything like any of the pictures I saw, but I'm not an expert by any means. I'm just trying to find out what other people have seen so I can research things. 

Thanks so much!

--

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
Snickers https://ecir.groups.io/g/CaseHistory/album?id=241740 

Some horses just have refractory insulin. You can do everything and try everything and things don’t help. That’s when you need Invokana. Jesse has been on invokana for just shy of one year. 
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 

I've had good luck with this pill grinder.
Sometimes I have to shake it with larger pills, like Metformin, to get them to slide down into the grinding area, but cutting the pill in half first helps.  For smaller pills it works great just tossing them in whole.
--
Jennifer in NH
2020

CH - https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Flea

Photo album - https://ecir.groups.io/g/CaseHistory/album?id=251041&p=Name,,,20,1,0,0

Dr Kellon,
I put the TRH stim results into my case study. I am having bloodwork taken tomorrow and I am just praying we can make heads or tails out of the results given the time of year. Thank you 
--
Kelly Gilmartin/Buddy
Western Massachusetts 
member since 2019
https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Apostrophe%20GCH/BuddyCaseHistoryAug2020.pdf

https://ecir.groups.io/g/CaseHistory/album?id=251736

I have a very cheap coffee grinder from Walmart that I've been using 2x daily for well over a year with no issues (knock on wood).
--


Kristen and Jasper, Prince George BC
December 2016
Case History: https://ecir.groups.io/g/CaseHistory/files/Kristen%20and%20Jasper .
Jasper Photos: https://ecir.groups.io/g/CaseHistory/album?id=3346 .

Lorna, I have updated my CH. 

Please let me know what you think about increasing the Prascend. 
And not sure what to do about his insulin. 
It seems like it gets really high June/July and has been foot sore 2019 & 2020 around the same time.

Thanks!
--
- Amy 10-2016

Mooresville, Indiana 

Stormy, Case History, Photo Album

 

Thank you, Dr. Kellon, for the links.

Clare, this is the coffee grinder I’ve been using to grind pills.  For some reason, it’s not available on Amazon now, which is unusual; I think they’re pretty popular.  That said, I’m comfortable using a mortar and pestle and keep one of those in the barn as well.  As it’s been awhile since I’ve used metformin, I’m not sure which tool was more successful.  I don’t think I’ve ever broken a grinder although I’ve had one get stuck and then work fine again after some cleaning.

 

If you’re not sure whether metformin is helping your mare, you could discontinue it, testing insulin before and after, by a week.  Another possibility would be to test before, cut the dosage in half and test again. Based on that information, you can decide whether to remain at half dose, discontinue entirely or return to the original dose.  Keep in mind that it maybe helping with foot pain issues, even if isn’t helping her insulin.

--