Date   

Re: Hi calcium in water

 

Hello Jeane,
I know you will find this group to be a source of information and help. My first question for you is do you have a horse that is either Insulin Resistant or Cushings? We welcome all new members but we need to know if you have a horse with "special" needs (laminitis, Cushings, PSSM) as this may change the replies and information given to you.

The ECIR group has additional sub-groups: Case History, Horse keeping and Hoof. The "Main" group is the best forum for advice for equines with IR, Cushings (PPID) and PSSM. Most Main group members are needing assistance with their equines because of a metabolic or Cushing diagnosis. Many members additionally join our Horsekeeping group which is a good place to discuss diet, horse care, etc. The Hoof group is obviously all about hooves and trimming. I belong to all of these groups although my IR horse is deceased.

I am attaching our New Member Information packet below. It is a good source for diet, trim, diagnosis and health information. Please do reply to this greeting message and let us know how we may help you.

Welcome to the group! 

The ECIR Group provides the best, most up to date information on Cushing's (PPID) and Equine Metabolic Syndrome (EMS)/Insulin Resistance (IR). Please explore our website where you'll find tons of great information that will help you to quickly understand the main things you need to know to start helping your horse. Also open any of the links below (in blue font) for more information/instructions that will save you time.

Have you started your Case History? If you haven't done so yet, please join our case history sub-group. We appreciate you following the uploading instructions so your folder is properly set up with the documents inside. Go to this CH message with info on how to use various devices and forms. If you have any trouble, just post a message to let us know where you are stuck.

Orienting information, such as how the different ECIR sections relate to each other, message etiquettewhat goes where and many how-to pages are in the Wiki. There is also an FAQs on our website that will help answer the most common and important questions new members have. 

Below is a general summary of our DDT/E philosophy which is short for Diagnosis, Diet, Trim and Exercise.

 

DIAGNOSIS: There are two conditions dealt with here: Cushings (PPID) and Equine Metabolic Syndrome (EMS)/Insulin Resistance (IR). These are two separate issues that share some overlapping symptoms. An equine may be either PPID or EMS/IR, neither or both. While increasing age is the greatest risk factor for developing PPID, IR can appear at any age and may have a genetic component. Blood work is used for diagnosis as well as monitoring the level of control of each.

PPID is diagnosed using the Endogenous ACTH test, while EMS/IR is diagnosed by testing non-fasting insulin and glucose.

The fat-derived hormone leptin is also usually abnormally elevated in insulin resistance but because there are many other things which can lower or increase leptin ECIR is not recommending routine testing for this hormone. Leptin is the hormone that says "stop eating".

In Europe, adiponectin is tested instead of leptin. Adiponectin helps regulate glucose and fat burning, and maintain insulin sensitivity. Low levels are associated with EMS. It has come to be preferred over leptin because it is not influenced by things like weight or exercise, and also because it was the only factor other than insulin levels that predicted laminitis risk

*Before calling your vet to draw blood for tests, we suggest saving time and wasted money by reading these details and then sharing them with your vet so that everyone is on the same page regarding correct testing and protocols.

*Please remember to request copies of the results of all the tests done rather than just relying on verbal information. Your vet should be able to email these to you. If you have previous test results, please include those as well. All should go in your CH, but if you are having any trouble with the CH, just post in the messages for now. 

Treatment: EMS is a metabolic type - not a disease - that is managed with a low sugar+starch diet and exercise (as able). The super-efficient easy keeper type breeds such as minis, ponies, Morgans, Arabs, Rockies are some of the classic examples. PPID is a progressive disease that is treated with the medication pergolide. Some, but not all, individuals may experience a temporary loss of appetite, lethargy and/or depression when first starting the medication. To avoid this "pergolide veil" (scroll down for side effects), we recommend weaning onto the drug slowly and the use of the product APF. The best long term results are seen when the ACTH is maintained in the middle of the normal range at all times, including during the annual seasonal rise. To accomplish this, the amount of medication may need to increase over time. Neither condition is ever "cured", only properly controlled for the remainder of the equine's life. If your partner is both PPID and IR then both medication and diet management will be needed. 

DIET: Almost all commercial feeds are not suitable - no matter what it says on the bag. Please see the International Safe Feeds List for the safest suggestions.

No hay is "safe" until proven so by chemical analysis. The diet that works for IR is:

  • low carb (less than 10% sugar+starch)
  • low fat (4% or less) 
  • mineral balanced  

We use grass hay, tested to be under 10% ESC + starch, with minerals added to balance the excesses and deficiencies in the hay, plus salt, and to replace the fragile ingredients that are lost when grass is cured into hay, we add ground flax seed and Vitamin E. This diet is crucial for an EMS/IR horse, but also supports the delicate immune system of a PPID horse. 

*Until you can get your hay tested and balanced we recommend that you soak your hay and use the emergency diet (scroll down for it).  The emergency diet is not intended for long term use, but addresses some of the most common major deficiencies. Testing your hay and getting the minerals balanced to its excesses and deficiencies is the best way to feed any equine. If you absolutely cannot test your hay and balance the minerals to it, or would like to use a "stop gap" product until you get your hay balanced, here's a list of "acceptable" ration balancers

There is a lot of helpful information in the start here folder so it is important you read all the documents found there. The emergency diet involves soaking your untested hay for an hour in cold water or 30 minutes in hot water. This removes up to 30% of the sugar content, but no starch. Starch is worse than sugar since it converts 100% to glucose while sugar only converts 50%, so starch causes a bigger insulin spike. Make sure you dump the soaking water where the equine(s) can't get to it. 

What you don't feed on the EMS/IR diet is every bit as, if not more important than, what you do feed! No grass. No grain. No sugary treats, including apples and carrots. No brown/red salt blocks which contain iron (and sometimes molasses) which interferes with mineral balancing, so white salt blocks only. 

No products containing molasses. No bagged feeds with a combined sugar and starch of over 10% or starch over about 4%, or fat over about 4%. Unfortunately, even bagged feeds that say they are designed for IR and/or PPID equines are usually too high in sugar, starch and/or fat. It’s really important to know the actual analysis and not be fooled by a name that says it is suitable for EMS/IR individuals.

We do not recommend feeding alfalfa hay to EMS/IR equines as it makes many of them laminitic. Although it tends to be low in sugar, many times the starch is higher and does not soak out. Additionally, protein and calcium are quite high, which can contribute to sore footedness and make mineral balancing very difficult.

TRIM: A proper trim is toes backed and heels lowered so that the hoof capsule closely hugs and supports the internal structures of the foot. Though important for all equines, it's essential for IR and/or PPID equines to have a proper trim in place since they are at increased risk for laminitis. After any potential triggers are removed from the diet, and in PPID individuals, the ACTH is under control, the realigning trim is often the missing link in getting a laminitic equine comfortable. In general, laminitic hooves require more frequent trim adjustments to maintain the proper alignment so we recommend the use of padded boots rather than fixed appliances (i.e. shoes, clogs), at least during the initial phases of treatment.

Sometimes subclinical laminitis can be misdiagnosed as arthritis, navicular, or a host of other problems as the animal attempts to compensate for sore feet. 

You are encouraged to make an album and post hoof pictures and any radiographs you might have so we can to look to see if you have an optimal trim in place. Read this section of the wiki for how to get a hoof evaluation, what photos are needed, and how to get the best hoof shots and radiographs.

EXERCISEThe best IR buster there is, but only if the equine is comfortable and non-laminitic. An individual that has had laminitis needs 6-9 months of correct realigning trims before any serious exercise can begin. Once the equine is moving around comfortably at liberty, hand walking can begin in long straight lines with no tight turns. Do not force a laminitic individual to move, or allow its other companions to do so. It will begin to move once the pain begins to subside. Resting its fragile feet is needed for healing to take place so if the animal wants to lay down, do not encourage it to get up. Place feed and water where it can be reached easily without having to move any more than necessary. Be extremely careful about movement while using NSAIDs (bute, banamine, previcox, etc.) as it masks pain and encourages more movement than these fragile feet are actually able to withstand. Additionally, NSAIDs (and icing) do not work on metabolic laminitis and long term NSAID use interferes with healing. Therefore, we recommend tapering off NSAIDs after the first week or so of use. If after a week's time your equine's comfort level has not increased, then the cause of the laminitis has not been removed and keeping up the NSAIDs isn't the answer - you need to address the underlying cause.

 

There is lots more information in our files and archived messages and also on our website. It is a lot of information, so take some time to go over it and feel free to ask any questions. If you are feeling overwhelmed, don't worry, you will catch on, and we are always here to help you! Once you have your case history uploaded, we can help you help your equine partner even better.

For members outside North America, there are country specific folders in the files and many international lists in the wiki to help you find local resources.

If you have any technical difficulties, please let us know so we can help you. 

--
Bonnie Snodgrass 07-2016

ECIR Group Primary Response 

White Cloud, Michigan, USA

Mouse Case History, Photo Album Deceased


Re: Acute laminitis

 

Jessi-ra,
I would not feed the WellSolve-WC to a horse with laminitis. The first ingredient listed is alfalfa which is NOT recommended for IR horses. Since your horse has Laminitis it is safest at this point to feed him/her the diet safest for an IR horse. The emergency diet is your best first step.

I found that ANY alfalfa in my IR horse's diet would trigger foot soreness and increased pulses. A lot of our local "grass" hay comes from fields that have some alfalfa growing in it, and even a small amount (hard to see) was too much for him.
--
Bonnie Snodgrass 07-2016

ECIR Group Primary Response 

White Cloud, Michigan, USA

Mouse Case History, Photo Album Deceased


Re: Vermont Blend

 

Sandy,
When I had a hard time getting my IR horse to eat his powdered supplements I added a small amount of CocoSoya Oil for flavor AND to be sure there was enough oil in his diet to mix the Vit E into. The CocoSoya is very tasty and binds the various supplements into his feed. It is sold at Tractor Supply and many feed stores. 
--
Bonnie Snodgrass 07-2016

ECIR Group Primary Response 

White Cloud, Michigan, USA

Mouse Case History, Photo Album Deceased


Hi calcium in water

Jeanoanderson@...
 

Hello. We recently had our water softener repaired and while the repair person was working on it he tested the water for hardness. He found no iron in our water, but a very high concentration of calcium. The calcium level was 300 ml/L. I’m worried about the effects this will have on my horses. My horses are on California Trace Plus, timothy pellets, magnesium, vitamin E, flax and salt. They have free choice grass hay in hay nets. Currently are in dry lot. In summer they are in pasture from 5:00 am-10:00 am or 9:00 pm - 5:00 am depending on my work schedule. It there anything I need to do to balance the high levels of calcium?  It is not possible to hook up our automatic drinker to our water softener. Thank you. 
--
Jeane Anderson in WI 2019


Re: Peg / 9YO PREG MARE / Cohuna VIC AUS

Nancy C
 
Edited

Hi Katie

I think you know this now, but keep her off the grass and keep her on teff, if it has tested safe for ESC and Starch.  She still needs adequate but SAFE calories. Here's a good blog from Dr Kellon.

https://drkhorsesense.wordpress.com/2016/02/09/feeding-the-heavily-pregnant-mare/

Good that your hay is tested. I agree contacting Carol for balancing your forage and adding a safe concentrate for needed protein and minerals through her pregnancy and nursing.
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2020-2021
Join us at the 2021 NO Laminitis! Conference, August 13-15, ECIR Virtual Conference Room


Re: Now what

Nancy C
 

Hi Lorna

I am finding a .pages version, that you may not see.

Daune -- Most folks cannot read a pages version. That is why we ask for a .pdf version. Can you convert to .pdf and upload please?

You do this by opening the the pages doc, the open FILE window at the top of your screen.  Scroll down to EXPORT TO and then choose .pdf.  Follow the prompts from there.
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2020-2021
Join us at the 2021 NO Laminitis! Conference, August 13-15, ECIR Virtual Conference Room


Re: Now what

Nancy C
 

HI Daune

Would you please add the link to your CH to your signature. This saves your hardworking volunteers a bunch of time in not having to look it up for questions.

Here are the instructions

Copy your Case History link https://ecir.groups.io/g/CaseHistory/files/Daune%20and%20Monty

Go to this link on the ECIR web page  https://ecir.groups.io/g/main/editsub

Scroll down to where your signature is and paste the link into your signature window.  Hit ENTER/RETURN so the link becomes active (blue)

HIT SAVE.

Thank for your help during this very busy time.

--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2020-2021
Join us at the 2021 NO Laminitis! Conference, August 13-15, ECIR Virtual Conference Room


Re: Now what

Lorna Cane
 

Hi Duane,

Here is the link to your CH.
https://ecir.groups.io/g/CaseHistory/files/Daune%20and%20Monty

But there is no case history there.

Can you check out what might have gone wrong?

Did you forget to Save,for example?


--

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


Re: Now what

Daune Gatenby
 


--
Daune and Monty
Southeastern Massachusetts 
2021
  thank you .   I dont know what you mean by more information.   Monty’s history is there.    How can i be more transparent?


Re: Now what

Daune Gatenby
 


--
Daune and Monty
Southeastern Massachusetts 
2021


Re: Weight discrepancy and Metformin dose

Lorna Cane
 

That does sound strange,Mara.
When was the last time you taped before this new tape?
Long shot ,  but could  he have less coat now, as opposed to winter coat , enough to make such a big difference?

Are you in a position to borrow another tape for comparison ?

Would like to hear what others would do wrt what to believe. I guess I'd rely on my eye to determine if he's actually looking too light right now,and go from there.


--

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


Weight discrepancy and Metformin dose

Mara
 

Wondering which weight to go with. Lost the weight tape I had been using. My guy had been consistently taping at 935 lbs. With the new one he tapes at 793 lbs. He did not lose that kind of weight between tapings. What weight should I go with? Something in between?

Thanks!
--
Mara
NJ
2020
https://ecir.groups.io/g/CaseHistory/files/Mara%20and%20Enzo/?ord=dirname&d=asc


Re: Recent bloodwork concerns

Lorna Cane
 

Hi Michele,

You can read about the group's findings on this approach by doing an archive search. It comes up often.

--

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


Re: Free feeding tested hay

coffincomplex@...
 

There are automatic feeders available for hay. Perhaps you could invest in something like that, to spread her feedings out across more times of the day? Have you tried giving her a treat dispensing toy, that she could roll around to get small bits of safe treats or hay cubes out of, all while getting a little exercise?
--
Alanna
May 2018
Los Angeles, CA
Buster's case history: https://ecir.groups.io/g/CaseHistory/files/Alanna%20and%20Buster  .


Re: Boarding in San Diego area?

coffincomplex@...
 

Thanks, LJ. I won't have a place to live picked out until I know where the horses will live (priorities you know...). Just trying to stay as close to La Jolla as possible.

I've posted on a couple of Facebook groups, including that one, and gotten a few recommendations but so far none of them have panned out. Hoping to keep beating the bushes until the right fit appears.
--
Alanna
May 2018
Los Angeles, CA
Buster's case history: https://ecir.groups.io/g/CaseHistory/files/Alanna%20and%20Buster  .


Re: Free feeding tested hay

Sara Gooch
 

 Bobbi,
With the Abler granules, make sure you follow the protocol of not getting the granules wet by feeding in any sort of a mash.  Best results by dosing with any omeprazole first thing in the morning with the smallest amount of carrier you can, and on an empty stomach, then withhold their breakfast for I think it is 30-40 minutes, maybe an hour, I forget, but do some research on the timing. This ulcer discussion should be on Horsekeeping, so if you have more questions, ask there ☺.
Good luck,
Sara, 2011, Northeast California


Re: Peg / 9YO PREG MARE / Cohuna VIC AUS

Cindy Q
 

Hello Katie

Welcome to the group and I'm very sorry that you have a mare in crisis. I think Peg is her name?

I'm going to share our official welcome letter below. The Emergency Diet is linked below (you can find it at the bottom of the linked page). You asked about supplements. In Australia, Carol Layton is recommended and she helps teach a portion of Dr Kellon's NRC Plus course, her website is 
https://balancedequine.com.au/ and she sells a few premixes that are safe (very affordable, no fillers, best guess but can be started quickly or in the interim - I ship them from Australia all the time) and also offers paid custom feeding plan advice in line with the recommendations of this group (customised to your tested hay is the top recommendation here for feeding). In Australia, Hygain also makes Micrbeet which is unmolassed quick-soaking beet flakes which also make a safe carrier if fed rinse-soaked-rinsed (to remove surface iron) and can help to provide more calories (beet is mentioned in the Emergency Diet) - see Dr Kellon's posts here on feeding laminitic pregnant mares https://ecir.groups.io/g/main/message/254788 and https://ecir.groups.io/g/main/message/233869

Sorry, I'm not experienced with pregnant mares but I am sure other volunteers and members will chime in. In the meantime, read through the welcome letter carefully and the details of the Emergency Diet. You mentioned your latest hay was tested, if it is not below 10% ESC and starch combined, you would want to be soak it for an hour and drain the water away well before feeding.

The ECIR Group provides the best, most up to date information on Cushing's (PPID) and Equine Metabolic Syndrome (EMS)/Insulin Resistance (IR). Please explore our website where you'll find tons of great information that will help you to quickly understand the main things you need to know to start helping your horse. Also open any of the links below (in blue font) for more information/instructions that will save you time.

Have you started your Case History? If you haven't done so yet, please join our case history sub-group. We appreciate you following the uploading instructions so your folder is properly set up with the documents inside. Go to this CH message with info on how to use various devices and forms. If you have any trouble, just post a message to let us know where you are stuck.

Orienting information, such as how the different ECIR sections relate to each other, message etiquettewhat goes where and many how-to pages are in the Wiki. There is also an FAQs on our website that will help answer the most common and important questions new members have. 

Below is a general summary of our DDT/E philosophy which is short for Diagnosis, Diet, Trim and Exercise.

 

DIAGNOSIS: There are two conditions dealt with here: Cushings (PPID) and Equine Metabolic Syndrome (EMS)/Insulin Resistance (IR). These are two separate issues that share some overlapping symptoms. An equine may be either PPID or EMS/IR, neither or both. While increasing age is the greatest risk factor for developing PPID, IR can appear at any age and may have a genetic component. Blood work is used for diagnosis as well as monitoring the level of control of each.

PPID is diagnosed using the Endogenous ACTH test, while EMS/IR is diagnosed by testing non-fasting insulin and glucose.

The fat-derived hormone leptin is also usually abnormally elevated in insulin resistance but because there are many other things which can lower or increase leptin ECIR is not recommending routine testing for this hormone. Leptin is the hormone that says "stop eating".

In Europe, adiponectin is tested instead of leptin. Adiponectin helps regulate glucose and fat burning, and maintain insulin sensitivity. Low levels are associated with EMS. It has come to be preferred over leptin because it is not influenced by things like weight or exercise, and also because it was the only factor other than insulin levels that predicted laminitis risk

*Before calling your vet to draw blood for tests, we suggest saving time and wasted money by reading these details and then sharing them with your vet so that everyone is on the same page regarding correct testing and protocols.

*Please remember to request copies of the results of all the tests done rather than just relying on verbal information. Your vet should be able to email these to you. If you have previous test results, please include those as well. All should go in your CH, but if you are having any trouble with the CH, just post in the messages for now. 

Treatment: EMS is a metabolic type - not a disease - that is managed with a low sugar+starch diet and exercise (as able). The super-efficient easy keeper type breeds such as minis, ponies, Morgans, Arabs, Rockies are some of the classic examples. PPID is a progressive disease that is treated with the medication pergolide. Some, but not all, individuals may experience a temporary loss of appetite, lethargy and/or depression when first starting the medication. To avoid this "pergolide veil" (scroll down for side effects), we recommend weaning onto the drug slowly and the use of the product APF. The best long term results are seen when the ACTH is maintained in the middle of the normal range at all times, including during the annual seasonal rise. To accomplish this, the amount of medication may need to increase over time. Neither condition is ever "cured", only properly controlled for the remainder of the equine's life. If your partner is both PPID and IR then both medication and diet management will be needed. 

DIET: Almost all commercial feeds are not suitable - no matter what it says on the bag. Please see the International Safe Feeds List for the safest suggestions.

No hay is "safe" until proven so by chemical analysis. The diet that works for IR is:

  • low carb (less than 10% sugar+starch)
  • low fat (4% or less) 
  • mineral balanced  

We use grass hay, tested to be under 10% ESC + starch, with minerals added to balance the excesses and deficiencies in the hay, plus salt, and to replace the fragile ingredients that are lost when grass is cured into hay, we add ground flax seed and Vitamin E. This diet is crucial for an EMS/IR horse, but also supports the delicate immune system of a PPID horse. 

*Until you can get your hay tested and balanced we recommend that you soak your hay and use the emergency diet (scroll down for it).  The emergency diet is not intended for long term use, but addresses some of the most common major deficiencies. Testing your hay and getting the minerals balanced to its excesses and deficiencies is the best way to feed any equine. If you absolutely cannot test your hay and balance the minerals to it, or would like to use a "stop gap" product until you get your hay balanced, here's a list of "acceptable" ration balancers

There is a lot of helpful information in the start here folder so it is important you read all the documents found there. The emergency diet involves soaking your untested hay for an hour in cold water or 30 minutes in hot water. This removes up to 30% of the sugar content, but no starch. Starch is worse than sugar since it converts 100% to glucose while sugar only converts 50%, so starch causes a bigger insulin spike. Make sure you dump the soaking water where the equine(s) can't get to it. 

What you don't feed on the EMS/IR diet is every bit as, if not more important than, what you do feed! No grass. No grain. No sugary treats, including apples and carrots. No brown/red salt blocks which contain iron (and sometimes molasses) which interferes with mineral balancing, so white salt blocks only. 

No products containing molasses. No bagged feeds with a combined sugar and starch of over 10% or starch over about 4%, or fat over about 4%. Unfortunately, even bagged feeds that say they are designed for IR and/or PPID equines are usually too high in sugar, starch and/or fat. It’s really important to know the actual analysis and not be fooled by a name that says it is suitable for EMS/IR individuals.

We do not recommend feeding alfalfa hay to EMS/IR equines as it makes many of them laminitic. Although it tends to be low in sugar, many times the starch is higher and does not soak out. Additionally, protein and calcium are quite high, which can contribute to sore footedness and make mineral balancing very difficult.

TRIM: A proper trim is toes backed and heels lowered so that the hoof capsule closely hugs and supports the internal structures of the foot. Though important for all equines, it's essential for IR and/or PPID equines to have a proper trim in place since they are at increased risk for laminitis. After any potential triggers are removed from the diet, and in PPID individuals, the ACTH is under control, the realigning trim is often the missing link in getting a laminitic equine comfortable. In general, laminitic hooves require more frequent trim adjustments to maintain the proper alignment so we recommend the use of padded boots rather than fixed appliances (i.e. shoes, clogs), at least during the initial phases of treatment.

Sometimes subclinical laminitis can be misdiagnosed as arthritis, navicular, or a host of other problems as the animal attempts to compensate for sore feet. 

You are encouraged to make an album and post hoof pictures and any radiographs you might have so we can to look to see if you have an optimal trim in place. Read this section of the wiki for how to get a hoof evaluation, what photos are needed, and how to get the best hoof shots and radiographs.

EXERCISEThe best IR buster there is, but only if the equine is comfortable and non-laminitic. An individual that has had laminitis needs 6-9 months of correct realigning trims before any serious exercise can begin. Once the equine is moving around comfortably at liberty, hand walking can begin in long straight lines with no tight turns. Do not force a laminitic individual to move, or allow its other companions to do so. It will begin to move once the pain begins to subside. Resting its fragile feet is needed for healing to take place so if the animal wants to lay down, do not encourage it to get up. Place feed and water where it can be reached easily without having to move any more than necessary. Be extremely careful about movement while using NSAIDs (bute, banamine, previcox, etc.) as it masks pain and encourages more movement than these fragile feet are actually able to withstand. Additionally, NSAIDs (and icing) do not work on metabolic laminitis and long term NSAID use interferes with healing. Therefore, we recommend tapering off NSAIDs after the first week or so of use. If after a week's time your equine's comfort level has not increased, then the cause of the laminitis has not been removed and keeping up the NSAIDs isn't the answer - you need to address the underlying cause.

 

There is lots more information in our files and archived messages and also on our website. It is a lot of information, so take some time to go over it and feel free to ask any questions. If you are feeling overwhelmed, don't worry, you will catch on, and we are always here to help you! Once you have your case history uploaded, we can help you help your equine partner even better.

For members outside North America, there are country specific folders in the files and many international lists in the wiki to help you find local resources.

If you have any technical difficulties, please let us know so we can help you. 

 

--
Cindy and Glow - Sep 2017, Singapore
ECIR Primary Response





Re: Recent bloodwork concerns

 

Hi Sherry ...my vet just advised me to increase my horses dose from 2 1/2 mg to 3mg...he’s suggesting that I do not give it all at once ..he’s suggesting 1.5 twice/day 
--
Michele Goldberg
Bernville, Pa 
joined 5/19/2016


Re: early ppid question

LJ Friedman
 

Is it OK to test now or is it a benefit to wait for June July? Thank you
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse( over the rainbow) and majestic ‘s Case History 
Jesse's Photos

 


Re: Free feeding tested hay

gypsylassie
 

Hi Pat, one thing you can do to help her is to give her a small meal of hay before you ride or exercise her.   That will help the part of the stomach that doesn't have protection from acid splashing up when a horse trots and canters.   
Laura K Chappie & Beau over the bridge
2011 N IL 

2081 - 2100 of 262151