Sherry, So, during the spring, I should do a TSH stim test (off pergolide 3 weeks) to see if she has an abnormal reaction to that test and if she does, she will be on pergolide year-round and if she

Yes, she was "normalish" ATCH in June but not now and its a seasonal rise. We do have seasons here, horses grow winter coats, deciduous trees loose their leaves, even if its January 1st when they do

For a PPID horse you want the ACTH in the upper teens to low 20s year round. The odds are you will not see a result that low now as you started medication during the rise. Thanks, Sherry and Scutch

With medication and retest in 2 weeks, am I looking for ATCH number to be below 50 (currently 66) or am I looking to bring ATCH down to less than 20? Someone said ideally less than 20 year round. --

Ed, That is hard to read/follow but I think the insulin on Gunner, although in the normal reference range for the lab, would be considered high as I think the preferred range is under 20? If he was

Thats what I thought, we are nowhere near the equator ;) Get Outlook for Android

My 12-year old Holsteiner mare needs more energy. I just got her results back from Cornell and she is not IR or Cushing's like my gelding Pabatsa. Generally speaking, what would be best to give her

Hi Leslie, We recommend 3 weeks to be sure the therapeutic dosage is effective. It's splitting the difference between the 2 - 4 week recommendation in the link Nancy shared. As far as your vet

Atticus is in much better shape metabolically than the other horse. That horse probably needs a diet overhaul and I would be very careful about putting him out on grass. Is he in work?

Is Clover on medication for his PPID? Do you have the complete hay analysis (including the information at the top on type of hay and what test was run)? The ongoing foot soreness could be caused by

Hi Lesley. Your vet is correct. In Nancy's link it states that the pergolide can be tested between 2-4 weeks. https://www.ecirhorse.org/pergolide.php I usually use 3 weeks. As for the seasonal

Thank you very much for the replies! So am I interpreting this correctly? As long as their insulin stays within the reference range there is no immediate threat of endocrinopathic laminitis, despite

Kathy, I am so sorry to read this. But I am glad Vanna had you as an owner. You tried to help her and when she needed you to make a decision, you did that for her too. Not to many horses get to have

Question regarding testing efficacy after starting pergolide. My vet said we could retest ATCH after 2 weeks on desired dose of pergolide vs 3 weeks. Also said Cornell does not consider Arizona as

Here are two links with info for metabolic horses back in work https://www.ecirhorse.org/DDT+E-exercise.php https://www.ecirhorse.org/feeding-recovered-laminitics.php -- Nancy C in NH ECIR Moderator

Yes Clover is PPID, his results from April are in there and we are testing him in November. Thank you for your help, I will look to the balancer list and follow the emergency diet. -- Jess in

Hi Jess, Is Clover UR, PPID or both? Do you have blood work? Do you have a case history? If he's IR or PPID the Purina products need to be stopped. Without knowing his current/ideal weight we can't

I added my hay analysis to my profile, but I am not sure how to interpret it. I need to update Clover's images for both body and feet which I will do this weekend. I am also going to schedule to get

Sorry to hear your sad news, Kathy. You did your best and gave Vanna a chance, and when it didn't work out you recognized that and ended her suffering. I'm sure she is grateful. -- Kirsten and

Debbie, Free choice hay will cover needed calories for horses except those at the highest levels of work. Calories are calories, whether they are safe or not, and it is calories that determine weight.