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Dr Kellon. Bloodwork back after starting invokana and it’s not good
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Suzy Berkowitz
Thank you Lavinia
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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Suzy Berkowitz
Thank you Maxine
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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Lavinia Fiscaletti
Any non-molasses beet pulp is fine.
You'll need to rinse/soak/rinse any variety to remove dirt/iron. -- Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR) Nappi, George and Dante Over the Bridge Jan 05, RI Moderator ECIR |
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Hi Suzy
There is an entire folder on beet pulp in the “Core Diet” section of the Files. -- Maxine and Indy (PPID) and Dangles (PPID) Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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Suzy Berkowitz
I have never used beet pulp before. Is there a list of safe ones somewhere? How long do I rinse/soak/rinse?thank you
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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The triglycerides are still only mildly elevated. The most important thing for getting them down is food - no soaking, free choice hay/cubes, as much beet pulp as he will eat and add Stabul 1 to the mix. Adding whey protein may help too, 25 grams twice a day. Most amino acids are glucogenic when metabolized.
-- Eleanor in PA www.drkellon.com |
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Suzy Berkowitz
I spoke with a local compounding pharmacist, he said he couldn’t accept my pills but I weighed the pill for him and he figured out how much 110mg would weigh, so I will start him on that dose this evening. Is there anything that can be done to get the triglycerides down? Thank you.
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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Suzy Berkowitz
He is eating his 1.5 cups of stabul 1 mixed with a 1/2 ounce of the flaxen flow and 1 ounce of the flix flax treats. He really likes the flaxen flow so I think that helps but maybe the 15 months on metformin bothered his mouth more than I thought and that’s feeling better. He seems more interested in the balance cubes as well but since he shares them I have no way of knowing if he’s eating more of them. He gets 1 equipocket L/S for his pills.
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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I don't know if it's even permitted for you to supply the tablets but if it is they would crush them and mix with a carrier then give you instructions on how much of the mixture to use. Otherwise, do the best you can to cut the quarter in half to add to the quarter you are currently feeding. You mentioned he is eating better. How much is he eating?
-- Eleanor in PA www.drkellon.com |
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Suzy Berkowitz
How does that work? I bring them the tablets and then what do they do?
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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I'd settle for 100 but even that would be difficult to gauge with an oval. Do you have a compounding pharmacy in your area? If you do, you could ask them if they will compound it for you so that you can easily measure a 110 mg dose.
-- Eleanor in PA www.drkellon.com |
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Suzy Berkowitz
I will increase his prascend from 4 tablets to 5 this evening. The invokana tablet is 300mg oval. Where would I cut it to get the correct 110mg dosage? His appetite seems better.
-- Suzy in Fl 2020 Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20Scout Scout Photos: https://ecir.groups.io/g/CaseHistory/album?id=260915 |
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How is he doing? You need to increase his pergolide. If he weighs 400 lbs, the 75 mg is a little low. Should be 110 mg. It's up to you and your vet whether to go back on metformin.
-- Eleanor in PA www.drkellon.com |
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Suzy Berkowitz
Scout had been on invokana 8 days and the L-carnitine 5 days when we pulled blood. -- |
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