We don't recommend doing labs after sedation as that can skew the results. Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA

Hi Karen, I agree with testing ACTH, and non fasting insulin and glucose at the same time. A draft-TB cross is a very unlikely combination for having EMS at baseline, although I'm sure it's possible.

No, NSAIDs are not advised while on Invokana, too risky for kidney/liver damage. -- Heather W in WI

Here is what my vet said today:Is this a good plan to start with? The vets are super busy this time of year so the radiographs might have to wait until things have settled down with calving season. I

I use Pure Bulk or Bulk Supplements. -- Barbara Dec 2015, Sequim, WA Ginger's Case History https://ecir.groups.io/g/CaseHistory/files/Barbara%20and%20Ginger NRC Plus 06/2010 CAIR 12/2014 NAMD

This is probably one of those ignorance is bliss situations. The lead is OK but iron and cadmium give me pause. Since horses live so much longer than other farm animals I always use human guidelines

Ah, I didn't realize that it would last overnight dissolved in a syringe, that is super handy. Thank you both for the advice on that! -- Mikaela Tapuska in Calgary AB, 2021 Case History:

Andy's last bloodwork test results came back. Glucose and ACTH were a little high at 139 and 57 respectively, but his insulin was 3.46! Could this be a mistake? He's never had an insulin reading below

is this horse on a different nsaid? -- LJ Friedman Nov 2014 Vista, Northern San Diego, CA Jesse( over the rainbow) and majestic ‘s Case History Jesse's Photos

Hi Michaela and Sherry, I would divide the tablet in half along the break line and add one of the halves to a small measured amount of water, say 4ml. Mix well and then draw up half of that amount

Hi Kimberly, Your case history does not have any bloodwork for 2017 in it. In 2018 Mouse's ACTH was 19.8 which would indicate that his PPID was well controlled on the current dose of Prascend. High

Hi Joy, Please send all the feeding details and the link to the analysis to my kellon@.... As for the urination, I'll bet it corresponds to the new hay. It is very high in sodium. You don't need to

Hi Kimberly, I think we need to take a step back. PPID is diagnosed based on ACTH, not insulin. Uncontrolled PPID can cause high insulin, but uncontrolled IR/EMS cannot cause PPID. High insulin is

Hi Sue, Congratulations on a successful move. Be sure to update your location in your signature if you're not in "NE Utah" anymore:-) Thriving Pets is a distributor, not a pharmacy. Many of our

Hi Angela, You can feed 3x a day and the horses will be fine. Just because they're not eating every second of the day doesn't mean that there's no food making its way through their digestive systems.

Previcox is another NSAID. -- Martha in Vermont ECIR Group Primary Response July 2012 Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR) Martha and Logo

Hi Sue, Good news an making your move successfully. Do you need to change your signature or are you still in NE Utah? There’s been a bit of turnover in the compounding pharmacy availability. I

why is prevacox off the table? -- LJ Friedman Nov 2014 Vista, Northern San Diego, CA Jesse( over the rainbow) and majestic ‘s Case History Jesse's Photos

Hi Jamie, If Metformin doesn't work then we look at the other medication options but the first 3 ways to reduce insulin are: Diet Exercise (when possible) Reduce ACTH if that is elevated as it may be

What is his current weight and how much hay is he eating? -- Eleanor in PA www.drkellon.com EC Owner 2001