I think I have read these passages probably 50 times and finally I am beginning to get a better understanding:) thank. This thread helped so much!

This may be a dumb question, but how does insulin come to play in this myriad of hormones? Is it related to the elevated cortisol?

I love Neurogan too. I am not sure if helps with laminitic pain, but I think it has helped Vinnie's overall comfort level. I use it for my Summer too, she can be a little spicy sometimes and it has he

I am reading the other post about the same,and my take away is that TRH stim is not the way to go ans really for Vinnie it is insulin insulin insulin with context in acth perhaps?

I have an appt March 8th for a recheck for both horses. Since Vinnie is on prascend now should we do the trh stim test or just test acth and aim to have this number in the low end of the range to mid

Thanks Dr Kellon, will do. :)

Just as a side note there are other signs he is PPID because he also developed guard hairs in the 32 days off prascend which I thought was super weird. Based on the pulses in all 4 feet I feel like th

Thanks Dr Kellon!

I too posted the same question about how to determine if the current dose of prascend pergolide is sufficient when the bloodwork was always normal for endogenous acth. Thx following as well. Nancy

Hi Dr Kellon, I just wanted to remind Vinnie has never had elevates acth even during the rise off prascend it was 24. When he was on prascend during Dec bloodwork his acth was 20.2 with insulin at 198

Ok thanks Dr Kellon, I am waiting on an appt.

Hi there, I tried to search the files but couldn't find the answer. When a horse is sore with pulses when one increases a pergolide dose how long would you wait to determine if that dose is the right

Update, today Vinnie's pulses and soreness about the same as yesterday. Wondering if I should continue to tirtrate up to 1.0mg prascend He was on .50 praswcnd in Dec when his acth was 20.2.

Thanks Dr Kellon:)

Thanks Trish, I was just thinking that because it a vasodilator that perhaps it's action could increase the pulse? I have that read it can decrease pulses. But I suppose that is the action of addressi

Thanks Cass, knock wood right now he js eating heartily..no changes. Today will.be day 2 on .50, last time I noticed a change right away. It seems like Vinnie is like Cayuse where he needs higher dose

I thought I should also note Vinnie is slightly improved from yday so we are making progress ever it be small. I was expecting more soreness today too so that was a nice gift.. I think prascend is wor

Cass, would you do 10ml twice per day? I am doing 1 time rn and did increase jherb too as gums are a little less pink. Kirsten, I too got soooo much out of that podcast. And then I went in to listen t

I am very interested in all of this..innfact just had a brief text conversation with my vet about testing for iron overload in Vinnie. I am going to sign up for the 2021 conference too. I am very exci

Thanks Sherry! Nancy