Almost certainly 7.9% ESC+starch is too high for Dewey unsoaked. Maybe after starting pergolide and invokana you will find he can manage that hay without soaking, but definitely for now keep soaking

I would push the ACTH testing to late July-early August personally, if I had a PPID horse and a choice of when to test. Summer solstice (Jun 20th, 2021) is technically the start of the seasonal rise

I thought I should also note Vinnie is slightly improved from yday so we are making progress ever it be small. I was expecting more soreness today too so that was a nice gift.. I think prascend is

Cass, would you do 10ml twice per day? I am doing 1 time rn and did increase jherb too as gums are a little less pink. Kirsten, I too got soooo much out of that podcast. And then I went in to listen

Thanks Nancy K for sharing your experience and that podcast post...I had listened to it last summer and really got a lot out of it, but had forgotten her story about that one horse... This helped me

Hi Sara, Welcome to the group. You will receiving a formal welcome post later but in the meanwhile, I'll address your current questions. The ESC + starch of the TC Safe Starch Forage is not a

I would not stop the Metformin until you have the Invokana on hand. There can be an element of pain relief from it and since he is sound despite the high insulin, it could be it is helping. See the

Hi Laura, I'd be happy to guide you through the calculations and check your numbers if you are trying to work through it on your own. I have done the course, passed the competency exam, and balanced

I've been following the thread re. TC Timothy Cubes and wondered if the TC Safe Starch Forage is an option for horse with Cushings/IR? The profile of the forage on the TC website is within the

I’d give maximum dose APF twice a day whenever possible. If it’s not possible every day, do it when you can. -- Cass, Sonoma Co., CA 2012 ECIR Group Moderator Cayuse and Diamond Case History

Hi, Need to pick your brains here for some information regarding Samson and ulcers. We have had alot of health issues ongoing for some time now. He was diagnosed Insulin resistant/Cushings/EPM,

You would need to know if there is sugar in the base. The licorice is not safe unless deglycyrrhized. It has ulcer soothing ingredients similar to GUT https://uckele.com/g-u-t-2lbs.html . -- Eleanor

As far as blood letting (aka venisection, phlebotomy), which I know sounds positively medieval, it is an established therapy in both humans and animals with iron overload

Nancy and Cass gave you good links to start reading. Here is a link to our latest paper https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971364/ . Also see

This new study from AU has some good information on seasonal TRH results (table 2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848300/ . I would start him on Prascend but he clearly had EMS long

I am very interested in all of this..innfact just had a brief text conversation with my vet about testing for iron overload in Vinnie. I am going to sign up for the 2021 conference too. I am very

Thank you all so much for your massively helpful responses. It is such a comfort having this group - I finally feel I am starting to make small steps in seeing if there is light at the end of the

Hi Patricia, I agree with Lorna as far as the timing of the testing. Of the three of them Dancer is the one I'd be most concerned with as her insulin is elevated, even with the metformin. Is there a

Thanks Sherry! Nancy -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie

Hi Patricia, If she were mine,because there are numbers for last June,and because at that time of year ,at least the ACTH should be in good range, I would draw again in June this year. My thinking is