Hi Bobbie,

Both toes really need to come back more. Hind toes likely need to come back as well but no specific pix available to be certain.

LF heel height looks OK, RF - depends on what the alignment looks like. Might be able to lower them a little bit, but not much. A number of the pictures aren't labeled so I can't tell which foot is in the photo - sorry.

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

I can't open Flyte's case history either.

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

So,Kathie, just to be clear, the trimmer you have now is not the same one as the one who did your work in March ? ( sorry , Lyme brain )

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Lorna  in Eastern  Ontario
2002
Check out FAQ : https://www.ecirhorse.org/FAQ.php

Yes I now have a new farrier who is trying to fix the mess the trimmer made in 2019. Target had no foot to work with and we have been waiting for hoof to grow. The Sept rads were taken both before the trim and after. I might have only been able to send one or the other. I will check to see which ones were uploaded
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Kathie with Libby and Sweet P
Cobble Hill, BC, Canada
Aug 2018
Case Histories
Target Photos
Sweet P Photos
Addy Photos
Cherokee Photos

Two thoughts for consideration –
It may be wishful thinking that his PPID will still be controlled by 20 mg of pergolide.
If he’s doing well on the present protocol, I’d be hesitant to change, other than fine tuning.
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Opens for me,too.

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Lorna  in Eastern  Ontario
2002
Check out FAQ : https://www.ecirhorse.org/FAQ.php

Does my hay analysis and blood work file open?
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Lecia Flyte and Flame
Alberta, Canada

Hi Martha,  I just went in and it shows pdf file and I could open it. Beyond that I'm not sure what to do.  I am techno challenged to be sure.
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Lecia Flyte and Flame
Alberta, Canada

Kathie,

I'm sorry, but I forget if you are giving Target Jiaogulan (J-Herb) for improved circulation in her hooves?


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Helen Connor and Blessing (IR/PPID)
Scappoose, OR
Member since May 2017
Case History:  https://ecir.groups.io/g/CaseHistory/files/Helen%20and%20Blessing
Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=6847

Hi Lecia,
I cannot open Flyte’s Case History.  Are you able to open it?  If so, what program does it open in?  You’ve labeled it as though it is a pdf file but for me it tries unsuccessfully to open in Word.  Could you please take a look and see if it’s actually a pdf you tried to upload?
Flame’s opens fine. 
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Hi all,  I am looking for guidance regarding diet.  Flyte has been out of sorts since early August.  Case history is up to date, have posted hay analysis and most recent bloodwork.  He has been steadily losing weight, and has had intermittent diarrhea for almost a month.  His appetite is good, always has been a voracious eater.  He is sound. But I am concerned and am wondering which way to go now.   He has been thru 6 tubes of Biosponge,  I recently, in the last 3 days added 1 lb dry weight beet pulp to his hay cubes to see if that would help. Could someone take a look at his file and tell me if anything jumps out.  Vet is thinking leaky gut,  I am still waiting for fecal analysis.    I would think that if it is my hay, then Flame would be in the same way, but he is doing fine.  My thoughts are to stop everything, and start from scratch.   Any thoughts or comments would be appreciated.  Thank you.
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Lecia Flyte and Flame
Alberta, Canada

Thanks Dr Kellon, i will  titrate back up when I get him past this little hiccup.
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Nancy and Vinnie and Summer
Oakley, Ca
Joined Nov 2018
https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie 
https://ecir.groups.io/g/CaseHistory/album?id=245855

Summer
https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer 
https://ecir.groups.io/g/CaseHistory/album?id=249104

I suggest a week. If it's going to work (doesn't always) you will have peak effect by then. No point continuing it if it isn't having a satisfactory effect. Some have reported insulins going down over a longer time frame but it's more likely that was from other changes made, not the metformin.
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Eleanor in PA

www.drkellon.com 
EC Owner 2001

The vet did an ADTH test it came out 39. She had a trim on Tuesday and I was going to take pictures to post but didn't have time before I had to be at work.  I am hoping to be there tomorrow and take pictures to post.
Cherie Bandrowski in SE Michigan 2020
https://ecir.groups.io/g/CaseHistory/files/Cherie%20and%20Lexi
https://ecir.groups.io/g/CaseHistory/album?id=254084

Jesse's labs have improved..  , after 3 cycles of cabergoline at 2.5ml q 10 days.  ( will post to ch) Labs were taken at day 6 of the 10 day interval.

acth   55.0     9-35
insulin 36.88    10-40
glucose  96     71-122

High nitrates still show..   though I think??? the color  change has been less of a dramatic shift??  

So, what to do next?  Paying $10   a day for 2.5ml q 10 is high..  also, some appetite veil, not a large issue,, and some reluctance to being injected. also not a large issue.  I can return to 20 mg cp at aprox half the cost and hopefully eliminate the veil and injection displeasure.

I have 2.0ml remaining.. I was considering to use the 2.0 ml at day 10 and start 20 mg cp , how many days after I give the 2.0ml?  ( will use apf for several days) I can also  use 2.5ml /q10 days forever... but dont want to..  current thoughts /options based on these labs?  thanks..

Jesse is very happy and engaged and well clipped with this summer heat. 


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LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 

Hi Kelly,
Here’s a link to a write up addressing the most frequently asked questions about metformin.  It suggests retesting 1 week after starting metformin.
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Cindy, Oden, and Eeyore, North Texas
On ECIR protocol since 2/19
https://www.facebook.com/LifeWithOden/
History: https://ecir.groups.io/g/CaseHistory/files/Cindy%20and%20Oden
Photos:  https://ecir.groups.io/g/CaseHistory/album?id=91125

Splitting the dose to accommodate a short half life doesn’t make any sense to me.  If the effectiveness of the drug is directly related to the concentration of pergolide in the blood, it would only serve to divide the dose in half.  If it weren’t directly related, which is the more likely case, the short half life of pergolide becomes less relevant.
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