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Re: Invokana questions
-- do a search of invokana on this site. you just started today and want to know when/ if you can lower the dose? jesse has been on invokana 300 mg since 8/19/19. blood work looks good. urine strip testing ( get the full test strip) looks good and no signs of infection or stop go urination. thought of lowering dose is not something i think about often. LJ Friedman Nov 2014 Vista, Northern San Diego, CA Jesse and majestic ‘s Case History
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Re: Laminitis plus trembling??? (was Acute Laminitis Vitals)
if this is pain not due to an abscess, i would try banamine for a few days. i see no downside to a trial. full disclosure. not a vet. not even that bright. all the best.
-- LJ Friedman Nov 2014 Vista, Northern San Diego, CA Jesse and majestic ‘s Case History
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Re: Any new studies on Nosodes?
Hi, Heidi.
From the National Institute of Health: "Certain homeopathic products (called “nosodes” or “homeopathic immunizations”) have been promoted by some as substitutes for conventional immunizations, but the U.S. Centers for Disease Control and Prevention says there’s no credible scientific evidence to support such claims. " Also: "A 2015 comprehensive assessment of evidence by the Australian government’s National Health and Medical Research Council concluded that there is no reliable evidence that homeopathy is effective for any health condition. " https://nccih.nih.gov/health/homeopathy -- Cass, Sonoma Co., CA 2012 ECIR Group Moderator Cayuse Case History Folder Cayuse Photos Diamond Case History Folder Diamond Photos |
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Re: Laminitis plus trembling??? (was Acute Laminitis Vitals)
Ok, so I’m still getting mixed messages (from this group) about when it is ok/valuable to test. I realize the best answer is 2+ weeks ago, but that is passed and now we are in the moment. This group states under Diagnosis that it is not good to test for IR during acute Laminitis, and yet I am being told that I can’t do/know anything until I test. He didn’t get into the grain bin, I am almost certain he is IR and his feed is tested but he may be reacting to alfalfa (tested safe levels of sugar/starch). My sense in this moment is that NSAIDs are not of use in this circumstance, correct? I’m sorry I haven’t had a chance to review the proceedings from the 2017 conference, I’ve been checking throughout the day between jobs and talking to vets and labs trying to figure out if I can get an accurate test initiated tomorrow. Even still, it will be days before test results are in and by that time we are out of the 72 hour window when NSAIDs might be beneficial in cases where they might be beneficial.
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Either way, the vet is coming tomorrow. I’d like to know what will be the most valuable use of his time. Joule On Mar 5, 2020, at 3:09 PM, celestinefarm <celestinefarm@...> wrote:
-- Joule Tallman Barefoot Trimmer Saskatchewan, Canada 🇨🇦 Member since 2019 |
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Re: Any new studies on Nosodes?
Here's the article on nosodes my friend forwarded to me. https://
-- Heidi Wright joined Aug 15, 2018 5130 State Route 38 Malta, IL 60150 815-761-2341 https://ecir.groups.io/g/CaseHistory/files/Heidi%20and%20Skyler https://ecir.groups.io/g/CaseHistory/album?id=69604 |
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Any new studies on Nosodes?
A friend of mine sent me this article on nosodes. She is considering using them instead of vaccines. I did a search on this site and most of the info was quite old, and a link to an article that Dr. Kellon provided no longer works.
I was wondering if there is any new thinking on the use of nosodes instead of vaccinations? If you had an IR horse that you were reluctant to vaccinate, would nosodes provide at least some protection? I have not been able to find any studies in my internet search that demonstrates effectiveness of nosodes. -- Heidi Wright joined Aug 15, 2018 5130 State Route 38 Malta, IL 60150 815-761-2341 https://ecir.groups.io/g/CaseHistory/files/Heidi%20and%20Skyler https://ecir.groups.io/g/CaseHistory/album?id=69604 |
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Invokana questions
Nancy Kitchen
Smoke has started 300 mg of Invokana today. We have failed to control anything with all recommendations including 2 weeks on Metformin.
Can someone help me with a timeline of when to retest metabolic panel after starting Invokana? I see Urine test needed at about 2 weeks? Is there any other testing that he will need? How long does it take to see results, for him to be more comfortable in his feet if this will work and if next blood test shows good results can the dosage be lowered? I have updated our CH and xrays are up to date. -- Nancy K and Smoke November 2018, Lakeville MA Smoke Case History https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Smoke Smoke Photo Album https://ecir.groups.io/g/CaseHistory/album?id=94122 |
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Re: Mouth ulcers / Lethargy
Added to the former questions about vit C and lethargy not improving I would like to say that the runny eyes are still being a problem and getting a bit worse.
I know this is related to uncontroled PPID but in his case he has never ever had runny eyes, at least since the almost 8 years I know him and it all started almost inmediately after Prascend, since then his eyes has always been watering and now that he is in a higher dose it is getting worse with thicker secretions. I don't relate it to uncontrolled ACTH as he never had it before and his ACTH is controlled or almost controled. I guess he must be now even lower than 31 pg/ml. The vit C I would like to use is this https://www.amazon.es/dp/B07N13QTMY/?coliid=IE7BO3SOKX9A6&colid=126GSIAV6HK9Z&psc=1&ref_=lv_ov_lig_dp_it Is it fine to use it? Thank you! -- María Durán Navarro Dec 2017 Madrid (Spain) Plutón´s Case History Plutón´s Photo Album _._,_._,_ |
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Re: Glory Abscess
Hi Ellen,
Not Jeanne, but I believe that only the RF appears to be booted is because Jeanne was taking a series of pix of the LF. -- Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR) Nappi, George and Dante Over the Bridge Jan 05, RI Moderator ECIR |
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Re: Glory Abscess
Hi Jeanne! Glory is
such a cutie!
Not a moderator, but in the
photos noticed you are only booting one front foot?? Please boot both
fronts.
-- Ellen Pal & Savvy N. Alabama Aug 2013 Case History |
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Re: Update on Riosa -
But she is only stiff in the am and not weight shifting as she was earlier when first started in pergolide.
-- Heather August 5, 2017, Brandon, Manitoba, Canada Riosa Case History Photos https://ecir.groups.io/g/CaseHistory/album?id=8819&p=pcreated,,,20,2,0,0 . Case History
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Re: Update on Riosa -
Sorry I should clarify when she was on estradiol she was better in the am then got worse as the day went on.
-- Riosa Case History Photos https://ecir.groups.io/g/CaseHistory/album?id=8819&p=pcreated,,,20,2,0,0 . Case History
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Re: Laminitis plus trembling??? (was Acute Laminitis Vitals)
celestinefarm
Joule,
Dr.Kellon is referring to laminitis that is induced due to uncontrolled insulin resistance or uncontrolled PPID which is driving insulin resistance irrespective of what the horse is being fed. That is what she means by IR/PPID induced. I believe what she is meaning by feed induced laminitis is when laminitis occurs due to the horse getting into a feed bin full of grain. A horse who got into the grain bin could benefit from activated charcoal administration, anti inflammatories such as banamine IV, etc. as the laminitis is occurring due to a huge die off of bacteria in the hind gut, causing major inflammation, releasing toxins, etc. into the blood stream. It's a different biological process causing the laminitis in that case. -- Dawn Wagstaff and Tipperary Saline, MI 2003 Tipperary Case History |
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Cody's TRH numbers, titrating Prascend
Hi All,
Cody's Trh numbers cam back at 527 pg/ml (reference interval 9-110). I will get his case history updated today. We started him on Prascend a week ago, giving 1/2 tab every other day with his third dose being yesterday. He is also on Ideal Animal Health Kaolin Pectin Suspension for approximately 6 months of ongoing diarrhea which had gotten worse about 10 days ago. We have tried everything, Ration Plus, Yea Sacc, Probios, ABCs Plus, his teeth were floated, plus a few other things tried. He has been on the Kaolin pectin for almost 3 days and his manure is looking better. We make sure several hours pass between his Prascend and his "pink stuff", anyway today he doesn't want to eat and is very listless and lethargic so I need to get the APF (will order it this afternoon) and will not give him his 1/2 Prascend tomorrow. Did we start his doses too quickly? How many days should he be on the APF before beginning the Prascend again? I also started him back on Tri-Amino yesterday. (He was eating fine until today.) It scares me that he won't eat, he'll be okay, right? Should we continue to give him the Kaolin Pectin?
Sherry, Feb 2018, Gates, NC https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Cody https://ecir.groups.io/g/DustyHoof/album?id=38179 https://ecir.groups.io/g/BlueHoof/album?id=38486 https://ecir.groups.io/g/CaseHistory/album?id=38227 |
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Re: Laminitis plus trembling??? (was Acute Laminitis Vitals)
Thank you Dr K! Vet is involved, just won’t see pony til tomorrow. I have read (here) several times to not test insulin during acute phase as it may be elevated due to acute pain/stress/inflammation. My vet has already said bute or banamine, so I know I will have to be very specific about what tests I want done tomorrow, essentially acting director. Lyme, endogenous ACTH, and insulin? And rads of course. Also, on ACTH, I know you recommend Guelph, but do you know that the U of S is not adequate? If it is unknown, what do I have to ask to determine if the are equipped to do the test appropriately? I’m afraid the literature here vs info in emails is confusing. My understanding is that IR is metabolic, PPID is its own thing which can exist with or without IR (and vice versa) and those are both hormonal, and that carb overload (as in got into the grain bin) is a different animal. In your email response I feel like you are using the terms metabolic/feed induced to describe carb overload in your first paragraph? Thanks again, Joule On Mar 5, 2020, at 11:37 AM, Eleanor Kellon, VMD <drkellon@...> wrote:
-- Joule Tallman Barefoot Trimmer Saskatchewan, Canada 🇨🇦 Member since 2019 |
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Re: Update on Wixie
Sherry Morse
Hi Anna, With regard to the bute since Wixie has been on it long term you will need to taper her off of it slowly or she will experience a rebound effect. We usually do that by increasing the period between doses over several days and/or cutting down the amount given at a time. I know from the CH that you've been giving her 1gram a day - is that in one dose or 2?
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891 |
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Re: Mov-ease via syringe with mag oxide?
Thank you Dr Kellon.
-- Maxine and Indy (PPID) and Dangles (PPID) Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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Re: Glory Abscess
Lavinia Fiscaletti
Hi Jeanne,
If the trims have lowered the heels on the RF as was needed, then the rotation has been eased considerably - a good thing. Nerve blocks will only allow her to stand comfortably for having the radiographs done. They aren't going to worsen the situation. Just confine her to deep bedding and/or have her in padded boots after until it wears off so she doesn't move around excessively. As always, I bow to Dr. Kellon's take on this if it differs. -- Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR) Nappi, George and Dante Over the Bridge Jan 05, RI Moderator ECIR |
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Re: Chronic laminitis Shetland pony
Lavinia Fiscaletti
Hi Cindy,
Yes, there is a fair amount of "tilt" in that view so the view is thru the wings of the coffin bone, which is distorting things quite a bit. Everything below the blue line running horizontally along the lower part of the rad is actually part of the sole and medial wall. It makes it difficult to determine relative sole depth and wall length accurately. -- Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR) Nappi, George and Dante Over the Bridge Jan 05, RI Moderator ECIR |
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Re: Update on Riosa -
I'm sorry, I got that backwards!
Prolactin drops for the first six hours after administration then starts to climb back up again. -- Eleanor in PA www.drkellon.com |
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