How do I start a case file on my Icelandic mare. She is foundering now. She is in good weight. Has been on strict ir diet for years. Gets winter laminitis in past but I wrap her legs and now she does

Terri (or anyone else), if you don't mind me asking, how much do you spend on Invokana a month? -- Helene A. in BC 2021 Photo album: https://ecir.groups.io/g/CaseHistory/album?id=271068 Case

I meant ertugliflozin, not empagliflozin. Sorry. Dose of that being used is 0.05 mg/kg. We had one member try empagliflozin and it stopped working after 3 weeks. -- Eleanor in PA www.drkellon.com

The cost of Invokana is also less if you’re willing to order the larger pills and split them up. I thought I wouldn’t be able to afford to put my ponies on it, but once I checked the price and

--My horse is boarded about 20 miles from where I live. My horse currently has laminitis. His insulin level was 190 2 weeks ago. His ACTH level was 19 so his Cushings is controlled. He has been on

Hi, Renee. Soaking is only needed if you don't have a hay test showing the hay is safe. Many of us find safe grass hay year after year so that we don't need to soak hay. There is no magic to Teff hay,

This study reported at the National Institute of Health showed good results in ponies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136744/ We need Dr Kellon’s input on the appropriate dose

I have a 20 year old horse with Insulin Resistance and Cushings. I am wondering what other members give their horses for hay, when you are unable to soak the hay. I live in a very cold climate. My

Hi Helene, Your case history indicates Rosie is getting 1mg of Prsscend currently. Her blood tests show her ACTH was well controlled by the dose of pergolide she was on two months ago. While.you

I would take that article with a healthy grain of salt and wouldn't hesitate to try it even if it did stop working eventually. Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary

I hadn’t looked into empagliflozin, but I just did a quick search on it, and it doesn’t seem too effective?

Oh I see, because a whole root product would be less concentrated than an extract. That makes sense, thank you for clarifying. -- Mikaela Tapuska in Calgary AB, 2021 Case History:

I wouldn't stop the metformin because there is some evidence it helps with neuropathic pain so may be contributing to her comfort even though the insulin is still high. Have you looked into

Yes, it's safe. Please let us know if it helps your horse. -- Eleanor in PA www.drkellon.com EC Owner 2001

Whether he turns out to have EMS or not, the trim needs to be corrected and kept corrected because mechanical factors could tear the laminae. The 25 grams is within reasonable for a whole root

Linda, The key is to know how much she is eating. Are you weighing your hay to know how much she's eating when "free-fed"? IME a horse can only eat so much in 24 hours. That amount may vary by a

Checking to see if there is anything in this product (meant for joint pain) that would not be good for PPID/IR horses. Main ingredient is Resverasyn and Sodium Hyaluronate. Even inactive ingredients

We just rechecked the insulin on my pony, and it came back at 1200 pmol/L (normal is 28-390). She's been on metformin since the beginning of the year, and while it did work to bring her insulin levels

Hi Melanie, CH or not you're still not providing needed information. Current weight of horse? Ideal weight of horse? Height of horse? Breed of horse? Age of horse? Amount of hay being fed in

Kirsten and Dr. K, that is a great point about the capsular rotation and shorter trim cycles! Last July was when Zahr's current farrier started working with him. fFr the first couple of trims she was