Nancy, I would hold for now and let him settle down in his new location. Scent is a big trigger too so if I didn't mention this before try heavy Vicks in his nostrils two or three times a day. --

I have another on whey protein. You can use either but pea is less expensive. Also show your vet this article https://pubmed.ncbi.nlm.nih.gov/23663085/ . Elevated TG in metabolic horses is

Update, we did get Vinnie moved into Summer's stall and she comes home from her ovarectomy surgery this afternoon, so I hope she tolerates the new location with that mare next door. Vinnie's pulses

Karen, make sure your vet knows the correct blood handling protocol—the right tubes, chill them spin within four hours of collecting (sooner if possible), freeze overnight then send the next day so

Hello, First of all, I'm sorry if my english isn't always very understandable : I'm french. My pony (21yo pottok) started a laminitis episode on may 14th. He had a lot of trouble walking and was in a

Is hind end lamness associated to PPID or EMS? Thanks -- Chatycady in the Midwest 2022

Thank you, will look into pea protein, if palatable will proceed with that. Any other Invokana horses on this? Yes, most days he does eat all that. He doesn’t fit the picture of a horse with

At least the pea protein should be palatable. He's doing OK. His TG are staying in a reasonable range but lower is always better as long as the bigger picture of attitude and foot comfort are

Thanks Dr Kellon, yep I do remember that about the lactate. He is eating his full dose of L-Carnitine and I will get some pea protein to add. I have him eating BP again but it has to be smaller

I think it's worth a try, with the carnitine. Something isn't functioning correctly - whether too much glucose lost because glycogen stores are low, or difficulty processing the triglycerides because

No, both positives and negatives Cass. And many thanks to all of you who have replied. -- Eleanor in PA www.drkellon.com EC Owner 2001

Frances, Have you tried a liquid, like https://emeraldvalleyequine.com/product/btb-plus/ ? -- Eleanor in PA www.drkellon.com EC Owner 2001

Dr Kellon, for those of us like me with Vinnien who have been battling elevated tryglicerides, should we add pea protein? Thanks Nan -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov

I should have mentiohned that pyruvate is the source of oxaloacetate, the flame for burning fats. -- Eleanor in PA www.drkellon.com EC Owner 2001

Despite all the hype recently about ketogenic diets and how ketone bodies are good to have, they are not. In humans, production of ketone bodies mean the body is breaking down fat faster than it can

P.S. Please get a urine dipstick reading for ketones. -- Eleanor in PA www.drkellon.com EC Owner 2001

Agree 225 is too high and I agree with holding it for a couple days then restart at 150. Assuming he actually eats all that, he should be getting adequate calories. Insulin sensitivity is needed to

Hi Hilary, My vet out of Vanderhoof was able to find a source of TRH a few years ago but it was going to cost 700-800$ so I declined to test. Another option is a domperidone stimulation test, which

Yes, it's worth testing it now. Make sure you get insulin and glucose, too. -- Kirsten and Shaku (IR + PPID) - 2019 Kitimat, BC, Canada ECIR Group Moderator Shaku's Case History Shaku's Photo Album

Hi Stacy, With an insulin that high your mare is at risk of another acute laminitis. Anything above 80 uIU/ml is in the danger zone for this. I would do whatever you have to do to block her access