He is moving without apparent pain in his run-out. When would it be safe to hand walk? Worried about getting insulin levels down. also- metformin or SGLT2- which is better at controlling insulin?

Dr Kellon, I put the TRH stim results into my case study. I am having bloodwork taken tomorrow and I am just praying we can make heads or tails out of the results given the time of year. Thank you

I will add ASAP but I am traveling for work and away from the file needed..... 3/14/2009 TRH Stim pre 21.6pg/mL (range 1-40) post 185 pg/mL (range 9-110) added 1 mg prascend repeat TRH 6/21/2019 pre;

Hi, l am having metabolic panel at Cornell run again, an ACTH and a repeat TRH stim along with the iron stuff from KSU. We just had a laminitic episode and I pulled him off pasture and am only feeding

So, can someone help me understand how to use a repeat TRH stim to adjust Pergolide dose of 𝐍eeded? No vets in my area can help and I am Most likely going to have to explain to them. Also, does a TRH

Hi Lorna, I updated all the lab values I have. I welcome your advice.

How soon after an episode can horse be hand walked?

#incretins

Could the heat have caused this? We had seversal days of 100+ temps and Nothing changed in his management.....need advice- would you soak the hay whose analysis I have left in my case study even thoug

I need advice on hay- wondering if I can attach a hay analysis and ask whether it needs to be soaked. I know it is esc+starch under 10 but I can’t figure out how to place an attachment in this group t

#photo

Yes please

What is known about steaming hay relative to hay analysis? I wonder if studies have been done before steaming and after steaming to determine any changes?

My 19 y o Morgan gelding was tested positive via TRH stim although we had a normal resting ACTH. He was placed on 1 mg Pergolide. what tests should be run to determine if this dose is working and to d