I’m so sorry to hear this - I’m keeping everything crossed for you and Mattie.

Just before Quest came down with laminitis I'd got a new bag of Thunderbrook organic meadow nuts - very low sugar and starch. I'd been feeding 60-100g as treats or mixed with feed (dry or wet). I trie

So there isn't an exact number or anything to follow for sugar & starch for a horse that just has PPID then? I'm working on the pergolide, hopefully it helps. He hasn't had alfalfa in a couple years,

Hi Brittany, As Buddy has had alfalfa before without issues, I wouldn’t be concerned about adding them to his beet pulp. I would focus on increasing pergolide. With my horse, Logo, I could cater to an

Thinking positive thoughts for you Carol.

Rooting for Mattie and you!

No, he's not on APF. I know I saw that mentioned somewhere before, but didn't focus in on it since he luckily didn't seem to have an issue with the veil when he started pergolide with me just increasi

They don't have to be eating constantly, just have it available. Pain alone can cause weight loss and tooth pain of course also affects eating. The infections are related to his uncontrolled PPID. Do

No. Human work has shown mixing SGLT2 inhibitors and NSAIDs increases the risk of kidney damage.

It wasn't fasted, he had hay available 24/7 before the test, but he ate a little and then took a break for a while several times in the hours before the blood draw. So not sure if that makes a differe

Thanks for the info. Can Joker have bute while on steglatro?

OK. He's likely to need more than 1.5 pergolide but if that insulin wasn't fasted I'd try giving him the first hay unsoaked and a few pounds of Stabul 1. However, his weight loss may be due to the unc

Oh, I'm sorry. I meant to go back and update it on the computer, I haven't been able to do it on my phone. Glucose - 93 (wasn't given unit type?) Insulin - 12.89 uIU/mL ACTH - 364 pg/mL - Currently sl

What are his lab values? They're not in his case history.

Thank you everyone who has chimed in. I really appreciate the sources that I can share with my vet to support the metformin dose increase. I am optimistic that we can get that increase approved and ho

I'm so sorry Carol. Sending all my hopes for the best outcome. Hugs for your girl.

Since it now appears as if Buddy is not IR, but is PPID and really needs to gain weight, I have a couple questions about diet... - What does that mean in terms of how strict the ESC and starch percent

It's with tears that I write this. Each day post op that goes by, her ileus worsens, and I'm starting to lose hope she'll recover. They are tubing 4-5 liters of reflux out every 4 hours. She didn't to

Jennifer, With circulatory issues, movement is also a large part of the picture. The more the move, the better they get.

The best alternative is Devil's Claw. Phyto-Quench pellets are also rich in antiinflammatory antioxidants https://www.uckele.com/phyto-quench-pellet.html . You can safely double or even quadruple the