Thank you Dr. Kellon. So if I understand correctly, my vet must order the Metformin. Is there a standard dosage? -- Deb and Scotty I/R Probably PPID Pecatonica Illinois, May 13, 2019 Case History:

The group's experience has been that to minimize laminitis risk the horse's ACTH should be well within normal range going into the seasonal rise and any rise minimized. He's already above normal in

I just re-uploaded the CH file. -- Laura and Pabatsa in California Feb 2012 Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa (

-- Laura and Pabatsa in California Feb 2012 Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa

I'm a visual learner so I envision some sort of graph that would change size and color when you changed foodstuffs or quantities. I do well with charts and graphs, things that are colorful...just how

There's not enough lysine in Insulinwise to make a difference. -- Eleanor in PA www.drkellon.com EC Owner 2001

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