Has anyone (in Canada) used the Create Compounding pharmacy (https://createcompounding.ca) to get Pergolide? Prascend from my vet is quite expensive, but I worry if this compounding pharmacy's Pergoli

These have been her ACTH levels: 2018 24 Pmol/L 4.62-11.66 2020 4.23 Pmol/L 2.42-10.22 2021 11 Pmol/L 2.42-10.22 Aug 2022 3.57 Pmol/L 2.42-10.22 The 2021 level was during her laminitis episode. She wa

Is there any literature that talks about the correlation of ventral edema and cushings? My pony developed ventral edema in the fall and a hardening crest, prompting me to increase her Prascend dose (n

I just got the blood results. Triglycerides are 1.97 mmol/L (reference range 0.09-0.58). Is this very elevated?

Soaked Timothy (hay analysis is in my photo album). She gets 3 flakes a day in a hay net (not sure on lbs). She also gets 1.5 cups (before soaking) of the Ontario dehydrated timothy balance cubes with

My pony is currently on Metformin (with uncontrolled insulin). I've been waiting on the blood results to see about starting Invokana, and unfortunately they just came back with a high triglyceride res

Does it matter if it’s given at the same time as Prascend? Is there any contraindication to crushing it and giving it in a syringe?

Is it typically only given once a day, or is splitting the dose to give twice a day better?

Yes

What is the best way to give Invokana? Can it be crushed and given in a syringe? Is it caustic like Metformin/ does milk of magnesia have to be used as a carrier?

Sorry to hear! Sending thoughts your way I'm curious if Dr. Kellon has any insight into this case and why Cayuse is getting worse? Is it a reaction to the Invokana? (I ask because I'm getting ready to

That’s interesting. my pony’s crest is very soft, but when we retested her insulin a couple of weeks ago the level was 1200 (she’s been on Metformin for a while, which was working but no longer seems

My farrier has said that she’s found crest hardness (specifically when it gets hard) to be a good indicator for when a horse might be at risk for a flare up/ relapse of laminitis. Is there any truth t

Just out of curiosity, I thought a horse with PSSM1 couldn’t also be IR? Or are there rare cases where a horse has both?

Hi Dr. Kellon, I emailed you with my vet's name and email. He hasn't heard of these medications before, but I might be interested in trying them for my pony (depending on cost). Would you be able to f

Also, how long does everyone soak their hay for? I've been soaking it for an hour, but my vet suggested I could try soaking it longer. Would I be able to soak it overnight (~11hrs) for the morning fee

Thanks Dr. Kellon! I'll mention the ertugliflozin to my vet and see if he's able to prescribe it/ figure out what the cost would be. It seems to be in the same drug class as Invokana? Is it just a sli

Terri (or anyone else), if you don't mind me asking, how much do you spend on Invokana a month?

I hadn’t looked into empagliflozin, but I just did a quick search on it, and it doesn’t seem too effective? https://holistichorse.com/api/amp/health-care/possible-dangers-of-velagliflozin-in-horses-ge

We just rechecked the insulin on my pony, and it came back at 1200 pmol/L (normal is 28-390). She's been on metformin since the beginning of the year, and while it did work to bring her insulin levels