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

Thank you for this information! One more quick question... I read a report by Dr. Kellon that states L Carintine is derived from

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

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. --

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

Metformin and Thyro-L are not the same thing. Metformin is a medication for IR. -- Eleanor in PA www.drkellon.com EC Owner 2001

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

Where are the numbers and current case history? -- Eleanor in PA www.drkellon.com EC Owner 2001

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

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

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

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

What do you picture it helping you to learn? -- Eleanor in PA www.drkellon.com EC Owner 2001

Hi, Lavinia, Hay analysis is now loaded. -- Kathy 2017 and Donna Harrowsmith, Ontario https://ecir.groups.io/g/CaseHistory/files/Kathy%20and%20Donna

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

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

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

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

Hello, I am reading more about the value of adding acetyl-L-carnitine to the IR horses diet to assist with leptin deficiencies. I also found this link on the ECIR

Yes, I agree Dr. Kellon. I would never propose someone use technology w/o having some idea of what the results should be, however I do also think it would be a useful tool for to help with the