They included a small scoop that holds 1 gram - according to their measurements. By  eye - I divide the total amount of the scoop in half. So I'm feeding at the high end.  I have ordered a milligram scale. I also tried mixing 1 gram  with 50 ml water in a dosing syringe and giving a portion, but I found that it's not easy to get an even distribution in water. It doesn't seem to dissolve.
--
Susan in BC 2020
https://ecir.groups.io/g/CaseHistory/files/Susan%20and%20Copper%20and%20Ella

Kelly,

I don't blame your vet for being uncomfortable. She/he has probably never even heard of it. I have an information file for vets but since your insulin ( in the CH) wasn't horribly high I would try  metformin first.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

Hi Heather,

Your history doesn't document some of this so let's back up a bit. It looks like you started metformin on 3/4 and stopped on 5/7. Do you remember the start date for Invokana? Pergolide started 3/3 at 0.5 mg, up to 1 on 3/6, down to 0.5 again on 4/20.  When did you increase back to 1 mg?

I'm confused on these insulins. The only one in  your case history is 551 uIU/L on 4/28.  Could you please list the dates and results of all insulins and glucose after the laminitis?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

I have a human glucometer. It's accurate enough. Be sure to read all the literature about calibration, use and accuracy before buying. My results have been plus or minus 5 pg/ml of the lab values, so I feel comfortable with the results from my unit. I don't use the lancet to draw blood but rather use a drop of the blood from any blood draw the vet does at the time of testing. You'll have to learn to use the lancet to draw blood through horse hide. 

It is not a money saver. The device itself is cheap, a lost leader for the sale of the supplies. The device is designed to be used at least once a day, every day, so supplies should be used up quickly. The test strips, lancets and calibration fluid are not cheap and can have short expiration dates. It does NOT test insulin.
--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos 

My vet says she is uncomfortable prescribing this...I am so disappointed :(
--
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

Thanks, LJ! I appreciate your input
--
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

LJ-
thank you! A timely response as my vet is coming today. Would using a human glucometer help? This would give me blood sugar values but not sure it would test insulin levels which I believe are the problem....has anyone had success in using a human glucometer?
--
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

Until Dr. kellon  answers, you need a prescription from a veterinarian. With that prescription I think all of us go through Canadian pharmacies and each tablet costs anywhere from two dollars to three dollars depending on where you get it.
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 

I’ve been using this product for over five years. I don’t know why, but I like it. I use  2/3 of a cup which is I believe the recommended dose for a typical 500 kg horse? Something like that.
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 

I listened to the podcast over the weekend. Fantastic job Alicia, Jaini and Kathleen. I feel like I eat, breathe and sleep this stuff ever since Relevante was diagnosed just trying to stay on top of all his issues, but I learned new things from the podcast and heard explanations of what our horses are dealing with in a manner that makes it easy to explain it to other people. (I even had my Mom listen to it and she got it!) I've sent the link to the pros that take care of my boy and will continue to look for opportunities to spread the information around. Thanks again for sharing!
--
Lynn
Beavercreek, Ohio
March 2018
Relevante Case History
Relevante Photo Album

Ω

*****************
Thank you very much Lavinia, Maxine and any others who may reply. I’ve been skimming posts in this group for years, but didn’t recall seeing info about prevention and supplements. Sending good thoughts to all of you for being such a knowledgeable and collaborative group.
--
Alice MacGillivray on Gabriola Island (west coast Canada) 2012

Dr K- --
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

--
Donna Coughlin, Duke, Robin Goodfellow, Ariel Max and Obi over the Rainbow Bridge (5/17)

CT 2009

 

 

Hello,

as it is the fall rise currently I am wondering about what to do for my mare Riosa. She was tested last fall with normal ACTH but as the fall went on she got more and more spooky and her fat deposits and crest kept growing despite tight balanced diet. We had a bought of AWFUL winter laminitis at the end of February.  I had her insulin tested and it was over 500.  We added in prascend to see if it would help and the insulin dropped to just over 400 pmol/l.  We tried metformin but it didn’t work.  At the end of May we started Ivonoka and when we tested her insulin over a month later it had dropped to just over 200 pmol/l which was fantastic news.

She is continuing to do well and her fat deposits are almost all gone except for her crest and rump areas. Her udder is almost non existent now too.  We are doing handwalking and she is moving sound at the walk and at these trot (we only do a few little stretches of trots on our walks).  

Dr. Kellon had said to monitor Rio’s udder as that might give me signed as to if I should increase pergolide as she doesn’t test positive with fall ACTH.  Her udder is good but I noticed today that I thought her crest is perhaps increasing as well as before she would get a puffy area on the underside of her neck.  This puffiness had gone down but it has also reappeared.  Could these be signs her insulin has increased and if so would the fall rise perhaps be driving it up.  She is on 1mg prascend and I wonder should I increase the pergolide to see if her crest and puffy neck goes down?

I asked my vet to come pull insulin but she has not given me an appointment yet and I fear that I might be chasing the rise if I don’t act sooner than later?

I am terrified of going through laminitis again this winter.

We are getting cooler weather now with the fall and some nights are around 10C with a few dips below 10C.  For those nights should I be wrapping and adding socks to her boots?  I have not been blanketing her as I want her to grow as much winter coat as she can for winter.

Looking forward to hearing your feedback and thoughts on my questions.  

Thanks!

--
Heather
August 5, 2017, Brandon, Manitoba, Canada

Riosa Case History
https://ecir.groups.io/g/CaseHistory/files/Heather%20and%20Riosa

 Photos

https://ecir.groups.io/g/CaseHistory/album?id=8819&p=pcreated,,,20,2,0,0  .


Storm

photos

 

Nancy,

That's correct. Only vitamin C has the iron absorption effect.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

I think I found it...

https://www.sciencedaily.com/releases/2010/07/100719111951.htm

L-methionine lowers the pH of the urine

Drug treatment is often targeted towards the muscles involved in the storage of urine and the emptying of the bladder. The agent L-methionine, which has been on the market for some 30 years, has a different mode of action, achieving its effect by the acidification of urine. The lower pH aims to prevent bacterial growth and the adherence of bacteria to the bladder wall, thus contributing to the healing of existing UTIs and the prevention of new ones. In addition, it aims to prevent the formation of urinary stones and improve the effects of antibiotics with an optimum impact in acidic urine.

--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2019-2020
Join us at the 2021 NO Laminitis! Conference, August 12-15, Harrisburg, PA

Hi Dr Kellon

In reviewing this message...
https://ecir.groups.io/g/main/topic/1052879#156541

...you suggest methionine to acidify the urinary tract vs Vitamin C @ 1 to 1.2 grams/100 pounds.

Is this suggested because Vitamin C can raise iron absorption in the stomach and small intestine vs methionine which maybe works solely in the urinary tract? To put it another way, a lot of us feed methionine, but we've never heard that it is an issue in increasing iron absorption like Vitamin C. I'm wondering how the two differ.

Thanks
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2019-2020
Join us at the 2021 NO Laminitis! Conference, August 12-15, Harrisburg, PA

No worries Kelly. Whether owners or companies, folks do often think ECIR has an approved list of xyz.  I appreciate you  for letting me be clear. Hope the flax info helps.
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2019-2020
Join us at the 2021 NO Laminitis! Conference, August 12-15, Harrisburg, PA

I' usually use a grinder to add bevels to the treads of boots - it's a lot faster and easier than rasping them manually.

Adding bevels shouldn't impact the life of the boots if you are careful to only add them to the treads.

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

Ok thanks Nancy. I will use different language next time- sorry by “approved” what i really meant to ask was,”what has been members experience with....”

I appreciate your help
--
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