I’m late on this, but Flame has never had ketones in his urine dips.

Thank you Dr. Kellon!

2 more questions- Flame was on 6 tbs of salt during the summer to encourage drinking for hydration & to prevent UTI from the Invokana. What can I drop him to for winter? Should I give his fall shots o

Dr. Kellon, I just re-read your reply from 11/6, I though the entire reply was for Diana. Is this part for Flame- "We have had several horses whose insulin remained high but laminitis resolved. I'll t

Reposting in hopes Dr. Kellon will review & respond.

Dr. Kellon- Both case histories are updated.

Dr. Kellon- reposting in hopes of catching Dr. Kellon’s attention.

Reposting in hopes Dr. Kellon had input on Flame’s labs (he’s on Invokana). Original post: I know I got meds titrated and labs done late this year, but life happened. Here are Cornell results for both

I forgot to ask, should I give fall vaccine (flu/rhino) with Diana’s ACTH high & Flame’s insulin high? Flame did not get spring vaccine because of his high insulin, but realistically his insulin has a

Sherry- I drew their blood 10/10 & my vet spun it & sent next day to Cornell. Ok, I’ll leave Diana on 5mg for the spring & then bump up for next fall. I do spring labs so we’ll be able to see how the

Thanks for your reply Lesley. Diana’s insulin is ok- it’s her ACTH I was concerned & asking about. Flame’s insulin has been not controlled before or after starting Invokana, although it is lower on In

I know I got meds titrated and labs done late this year, but life happened. Here are Cornell results for both horses. Diana (EMS): glucose 88 mg/dl, insulin 25.26 uiu/ml, ACTH 43 pg/ml & leptin 9.06 n

Thanks Nancy! I had completely forgotten about that older message :)

Posted 9/13 but no response: I’ve titrated Flame & Diana up to 5mg of Pergolide for the fall & I’m almost at the end of my 3 weeks on the 5mg. I’m planning on drawing insulin,glucose, ACTH & leptin on

I’ve titrated Flame & Diana up to 5mg of Pergolide for the fall & I’m almost at the end of my 3 weeks on the 5mg. I’m planning on drawing insulin,glucose, ACTH & leptin on both horses. Flame is on Inv

Thank you for the replies. Nancy, what does the pea protein isolate do? Where do you get it and how much do you feed? Even with the l-carnitine I have not been able to get much of a change in Flames t

What are the differences between Invokana & Steglatro? I understand that they are they work similarly but why are some horses on one & others on the other? Are both as easily available? From searching

I forgot to mention that he is on about 1.5 cups of Stabul 1 per day. I can increase it. It’s such a balancing act to make sure he gets all his BP & supplements in. If I give him free choice hay he wi

Sherry- I labeled all of Flame's pics with the date they were taken. I agree- his weight looks better than it did in May. He had a very mild laminitic flare up in Feb or March & becasue of that & his

I drew Flame’s labs last week & sent them to Cornell. I gave 3mg Pergolide & 225mg of Invokana @ 4am & drew labs @ 8am on 7/19. Flame ate and had hay in front of him from the time the meds were given