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Forum Home > General Discussion > TLI vets say different things/antibiotics

Donna
Member
Posts: 947

I would go back to the 1 tsp per cup of food.if your dog has IBD, you are going to need to be careful with food. The hydrolized foods, such as Ultimo and Hills Z/D have had their proteins broken down in a process so that the protein is non recognizable to your dogs body. The thing with IBD is that once the dogs body reacts to a certain protein, it will always react to that protein as the body has deemed it unfit for consumption. iBD is an Anton immune disease, so the body's response it to attack that protein. 

Im making the assumption here that you probably cannot afford and endoscopy now, so what I would suggest (I've had two IBD dogs) is that you find a protein that Lovey has never eaten before (venison, rabbit, kangaroo, quail or bison are just a few that are out there now) in a limited ingredient diet and the fewer ingredients the better. In other words, a single, novel protein and single carb.  I would give that a try first. The reason I am suggesting this is because the hydrolized foods are really pricey. Of course, you may have to go that route anyway, but the novel, single protein and carb are worth a shot, IMHO.

Let us know what you decide to do and know that I'm keeping fingers, toes and paws crossed for you and Lovey!

Donna

October 13, 2017 at 9:50 AM Flag Quote & Reply

lindak
Member
Posts: 80
endoscopy , wants to do....I feel like that is too soon , especially when we are technically asymptotic - only one little thing that I am taking care of naturally though . No really looking forward to the appointment.
--

Linda & Mo ��

October 17, 2017 at 10:54 PM Flag Quote & Reply

lindak
Member
Posts: 80
My comment was posted in a funny way, just half way
--

Linda & Mo ��

October 18, 2017 at 9:52 AM Flag Quote & Reply

LL
Member
Posts: 10

I went back to using the amt of powder in my daily log where she was pooping dark formed poops with wrinkles twice daily and then I held my breathe-- not really -- but waiting to see if a change will have an effect sometimes feels like that. I also did the carrot test again and she is still a 24 hour gal.

I am really determined to only make one change at a time as long as she is not getting worse. The first was Tylan and then Metro. The reason for both is she did not respond to Tylan alone for 11 days so tried Metro then had to use both and that is what both vets agreed upon. It is also what we had to do back in June/July. Of course I would like to not use either and I would prefer Tylan but this is where we are now. The second change after the TLI results was to adjust powder. 

After adjusting the powder within a day or two she was already improving on poops. She is not back where she was in August but they are much better--like 3 on Purina poop chart. But they are not consistently that way. The amount is also going down. She is no longer losing weight and I actually think she is starting to put weight back on - slowly. She is still pooping 4 - 6 times a day which is troubling but there is some comfort because the amount is way less and I can pick them up now without a hose. Also she is back to gobbling her meal down in minutes and that is such a huge relief. I was hand feeding her just to get 3 cups in her a day but now I am able to feed her 2 cups every 5 hours so which is 6 cups a day and that makes me feel WAY better. Her tummy is still gurling quite often.

I am trying to wait to see how much she will improve on this course. If her poops stay grainy- which they are- I am thinking of doing like was mentioned above going to LID using new protein and new veggie to see how that goes. 

We have had another hiccup during all of this. I had to take her back in for a bacteria culture from her paws so we are waiting for those results and it's upsetting because now that most likely means another expensive antibiotic. I truly dread the possibility of her getting a bacteria infection one day that has become resistant to antibiotics. I have shampooed her paws with Maleseb and then few days later bathed her with Sebazole. She is living in socks mostly. 

It is a great thing that it is repeated so much to keep a daily log. It helps. 





--

EPI Dx 10/2016 TLI =1   B12=192   Folate =17.4 Using Enzyme Diane. 66lbs. She has reoccurring bacteria infections. 

Now TLI redone June 27/2017   TLI 8.8   Folate 9  B12 >1000

Currently taking Zeniquin & Doxycycline for bacterial infections. Completed allergy testing and starting SLIT - allergy drops.

LL

October 23, 2017 at 10:27 PM Flag Quote & Reply

Epi4Dogs
Site Owner
Posts: 17124

so sorry you ar dealing with allergies too...... my non-EPi dog has allergies and it was much more difficult to get that under control than the EPI..... i feel for you!


For bathing dogs with bacterial infection.... what you might want to try, after the antibiotics get it under contol... but to keep it under control is to give a rinse with warm water and baking soda.... baking soda actually kills bacteria and because baking soda also  releases CO2 ...... and CO2 inhibits growth of bacteria which requires oxygen to survive. :).


It is not potent enough to cure the problem but it is a good non-mfg chemical way to control it from flaring up again....

--

Olesia, owned by Izzy, a 35lb SWD, Diagnosed at 1.5 years old - TLI results 1.3, Stable 9+ yrs! Once stable, was able to reduce enzymes to only 1/2 tsp of Enzymes (use EnzymeDiane's 6x) with each meal, but after almost 4 years of stabilization... had to increase the amount of enzymes to 3/4 teaspoon with each meal. Fed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane., gave 1 tsp of coconut oil one day and 1 tsp salmon oil next day, and also give canned sardines packed without salt or canned herring for extra omega oils.... until she developed Diabetes and now cannot tolerate higher fat foods.

In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. We also discovered that now, at 8+ years old, she not only has EPI, but also Diabetes, Low Thyroid and High Cholesterol.  Izzy was able to receive excellent care because of the kindness of so many here on epi4dogs and  is currently  doing extra-ordinarily well. If anyone could spend a day with Izzy, they would never guess that she has any health problems!  Because of Izzy's concurrent conditions of Diabetes and High Cholesterol we had to make changes to our daily EPI routine. We had to alter the fiber, type of fiber and the fat content her diet. She is now on an all home-made diet which she does best on and has even been able to reduce the insuline (Vetsulin:pork-based insulin) . Because of the diet change to all home-made i no longer worry about hypoglycemia or hyperglycemia- -she is much more even-keeled with a diet of sweet potato, a lean meat/fish, sometimes a free range egg, cottage cheese,  fish oil+vitamins and bone meal. We tried Novolin N a human synthetic RNA insulin.... but Izzy did not do well on it. aside from all of Izzy's health issues.... she continues to wake up every day full of joy and a great sense of humor!

I am not a vet.  All of my suggestions/recommendations are based on personal expereinces, observations, information gleaned from EPI research, and information shared with me by EPI researchers....that hopefully may help others. Please always share anything and everything recommended on this forum with your vet.

October 24, 2017 at 10:05 AM Flag Quote & Reply

Donna
Member
Posts: 947

It sounds like you're dealing with multiple autoimmune issues,,, this is tough,,,i am glad you are considering a food change as this may or may not be related, but certainly could help...

Fingers, toes and paws crossed for you and Lovey!

Donna

October 24, 2017 at 6:42 PM Flag Quote & Reply

Doc's Mom
Administrator
Posts: 3021

Glad things are starting to get back on track but sorry you are now dealing with a possible allergy.  If it comes back as yeast, ask your vet about using athlete's foot cream.  My vet recommended it to me for Doc and now whenever his paws start to get red I use the cream and it clears up within a few days.

--

MADELON and DOC aka "BUBBY WUBBY"

Nashville, Tennessee

DOB: 4/3/2014 - Diagnosed EPI and SIBO: 5/22/2015
EPI Test Results: 1st test 7/2014 = TLI 16.5, B12 894, Folate > 24; 
2nd test 5/2015 = TLI < .4, B12 406; Folate >24; 3rd test 10/2015   TLI < .4; B12 >1000; Folate 14.4

Weight: 95 (highest 1/2015) - 76 (lowest 5/2015) - goal met 100lb (7/23/15) - 101.8LBS 12/3/15 - CHUNKY MONKEY

History prior to DX:  May/June 2014 (2mos old) - DX coccidia and bladder infection; July 2014 (3mos old) 1st EPI test = TLI 16.5, B12 894, Folate >24 - Diagnosed SIBO not EPI; Feb 2015 thru May 2015 - weight loss only; May  2015 vomitted several times, diarrhea and eating poop.

History since DX: has maintained weight between 95-101lbs since July 2015; extreme yeast and rod infection in ears; yeast infection paws (ongoing); bacterial eye infection; bacterial skin infection on legs; poops LIVE fly larvae; diagnosed with mild, focal superficial pyoderma (bacterial infection) - rare lesions on inner thighs; bacterial and yeast overgrowth lip folds; yeast overgrowth feet and left ear; metacarpal/metatarsal draining tracts/fistulae (infection and/or immune mediated disease; probable underlying allergy (food vs. environmental ); staphylococcus pseudintermedius infection in sores on paws; recurring metatarsal fistula - all issues resolved after NutriScan Food Sensitivity Test and switching foods.

NUTRISCAN Food Sensitivity Test (12/2015): reactive to chicken, turkey, white fish, wheat, white potato (mild), venison, soy (mild), pork (mild), duck (mild), corn - switching food based on test resolved all skin issues.

Serum Allergy Test (5/2016): Too many to mention

CURRENTLY :  6 cups Forza10 Legend Skin - Diane 6x 1tsp per cup; 1 WonderLab PetFactor B12 2x day; 2 scoops TotalBiotics 1x day; 600mg vitamin E; 1 Zyrtec 10mg 2x day; Milk Thistle during heartworm/flea/tick meds

I am not a vet.  All of my suggestions are based on my personal experiences, information gleaned from EPI research and information from other EPI owners.  Please always share anything and everything recommended on this forum with your vet

SO THANKfUL FOR OUR EPI4DOGS GUARDIAN ANGELS!!!!!!!!

YOUR PAWS LEFT PRINTS ON MY HEART (in loving memory of Bugsy aka Boo Boo - Boston Terrier 14yrs - not EPI but medically challenging and totally worth it)


October 24, 2017 at 8:32 PM Flag Quote & Reply

LL
Member
Posts: 10

I have been so busy with holidays and continual trips to the vet with Lovey. We have been through another round of potent antibiotics for 3 bacterias all 2+ from culture. That antibiotic was very yucky and effected her appetite and poos. She lost weight. We got through that and she has started putting the weight back on. She has been eating pretty well. Then she got a urinary infection which meant another antibiotic. Also she is still on Metro and Tylan. I am so exasperated from giving this poor puupy so many medications. After that antibiotic she now has had two urine samples where her PH has gone from 4.5 to 9. We tried potassium tablets big enough to feed a horse. I told the vet I did not think her body was absorbing the potassium because of the specks from the tablets in her poop. So now we are trying potassium granules.

My question is does anyone have experience with PH levels?

Also can the potassium tablets or the extra fillers in the potassium be effecting her GI system. She is now pooping 5 times a day again and was farting and gurgling. The vet had me give her Prilosec (20 mg per day) and we have been trying that for almost a week and it seems to be helping her stomach. Has anyone tried this or have any knowledge about Prilosec use for dogs? He also gave us Centrine for stomach spasms when she was not eating. Has anyone tried this drug?

The vet still thinks we keep her on the same food for now because her poops are mostly 3s and sometimes 2s before all these other infections. I do give her allergy serum daily from dermatologist and I bath her weekly to try keep the bacteria and licking at bay. It is a daily battle on top of EPI. 

It would be so great to not have to go the vet for 3 weeks or longer. It has been so challenging. 

--

EPI Dx 10/2016 TLI =1   B12=192   Folate =17.4 Using Enzyme Diane. 66lbs. She has reoccurring bacteria infections. 

Now TLI redone June 27/2017   TLI 8.8   Folate 9  B12 >1000

Currently taking Zeniquin & Doxycycline for bacterial infections. Completed allergy testing and starting SLIT - allergy drops.

LL

December 10, 2017 at 10:02 PM Flag Quote & Reply

Epi4Dogs
Site Owner
Posts: 17124

Hoi Lovey's mom..... First, i must say, Lovely is so very lucky to have YOU as her mom.... you certainly are giving her the best care possible in the face of one problem after another cropping up...


Regarding giving her Prilosec..... YES!!!!  They are now discovering (ore re-discovering) that there is a bile issue with our EPI dogs and that many of these dogs need acid-reflux meds... well.... years ago they used to prescribe cholestyramine for EPI dogs and it fixed the problem....

 Cholestyramine is a bile acid sequestrant, which binds bile in the gastrointestinal tract to prevent its reabsorption.

Today, Omeprazole is widely recommended for this in our EPI dogs. Good call on your vet's part :)... and  this ties in with the pH levels being messed up.... but i don't think it has anything to do with Urine pH levels.... i think it jsut related to the digestive tract pH range which typical in a dog is around 1- -i do not know what the typical urine pH level is in a dog and i am not familiarwith urine pH and drug interactions....


Next... just to try, as it won't hurt anything.... the very next thing you might want to try for 3 to 5 days to seee if this makes any difference... is............use the exact same amount of enzymes you are giving right now... but.... allow the enzymes to incubate an additional 10 to 15 minutes more.....................see if this helps.

--

Olesia, owned by Izzy, a 35lb SWD, Diagnosed at 1.5 years old - TLI results 1.3, Stable 9+ yrs! Once stable, was able to reduce enzymes to only 1/2 tsp of Enzymes (use EnzymeDiane's 6x) with each meal, but after almost 4 years of stabilization... had to increase the amount of enzymes to 3/4 teaspoon with each meal. Fed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane., gave 1 tsp of coconut oil one day and 1 tsp salmon oil next day, and also give canned sardines packed without salt or canned herring for extra omega oils.... until she developed Diabetes and now cannot tolerate higher fat foods.

In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. We also discovered that now, at 8+ years old, she not only has EPI, but also Diabetes, Low Thyroid and High Cholesterol.  Izzy was able to receive excellent care because of the kindness of so many here on epi4dogs and  is currently  doing extra-ordinarily well. If anyone could spend a day with Izzy, they would never guess that she has any health problems!  Because of Izzy's concurrent conditions of Diabetes and High Cholesterol we had to make changes to our daily EPI routine. We had to alter the fiber, type of fiber and the fat content her diet. She is now on an all home-made diet which she does best on and has even been able to reduce the insuline (Vetsulin:pork-based insulin) . Because of the diet change to all home-made i no longer worry about hypoglycemia or hyperglycemia- -she is much more even-keeled with a diet of sweet potato, a lean meat/fish, sometimes a free range egg, cottage cheese,  fish oil+vitamins and bone meal. We tried Novolin N a human synthetic RNA insulin.... but Izzy did not do well on it. aside from all of Izzy's health issues.... she continues to wake up every day full of joy and a great sense of humor!

I am not a vet.  All of my suggestions/recommendations are based on personal expereinces, observations, information gleaned from EPI research, and information shared with me by EPI researchers....that hopefully may help others. Please always share anything and everything recommended on this forum with your vet.

December 11, 2017 at 12:48 PM Flag Quote & Reply

Judith
Member
Posts: 428

Hi Lovey's mom, 

Have you had her electrolytes (sodium, chloride and potassium) checked? If you are supplementing potassium you need to keep very careful wathc on blood/serum potassium levels. Have you checked her cortisol levels? 

--

Nate 2 year old Pembroke Welsh Corgi. DOB 5/5/2014 

EPI and Addison's Disease and Idopathic Epilepsy

TLi 2.1 June 13, 2016 TLi 2.0

Coblamin and folate could not be done

Clinically diagnosed with Addison's disease on June 23, 2016

Diet 1.25 cup Royal Canin Ultamino every 12 hours 

2 Chemeyes capsules given with each meal

.45ml hydroxocobalamin (B12) once a week

.33ml Percorten-V every 28 days Addison's Disease

.5mg prednisolone in the morning for Addison's Disease

100mg Zonisamide every 12 hours for seizures

December 11, 2017 at 4:45 PM Flag Quote & Reply

LL
Member
Posts: 10

Thank you thank you for the responses. I did not even think about the potassium she is taking effecting her blood serum or electrolytes. I did however begin to wonder if the potassium is why she is pooping so much while on Metro and Tylan. Nothing else has changed. Can the ingredients or fillers with the potassium be part of our current puzzle?

The hives in her ears is puzzling me as well. It is not bad but it is definitely visible but not all day. One ear has gotten very dry. Do I just leave it alone or use a baby wipe with aloe? I assume the hives are not from Metro since she as been on that for months now. OH a thought maybe one of the fillers in potassium.

This urine PH issue is becoming quite a mess and expensive as well taking the tablets for 2 weeks to no avail now taking granules. I so often feel like I am torturing this precious puppy all day long as she sits at the window with socks on all four paws. Prevention--I hope. 

When the urine infection came on she was drinking like 14 to 16 cups of water daily which is what clued me in as well as peeing over and over again one morning. She has stopped drinking so much water and is back to a more normal intake of 8 - 10 cups. 

She is starting to pant heavily at night again. I have still not truly figured out the panting. I have always thought it is related and means pain or discomfort. But I have also read that some dogs are panters. It still bothers me when it is in the middle of the night.

She is still pooping WAY TOO MUCH but it is still 3s- formed brown to dark brown sections and a few wrinkles at times. The sections in the morning are fatter and grainier but as the day goes on the sections are more normal in size. I am currently feeding her 150% meaning 2 cups 3 times a day which might also be contributing to the amount a little. I am trying to get her back up to 70 pounds. I just wish I knew what to worry about and what we can coast through. I feel like I have been in constant fight or flight mode with her for over a year starting with the cancer and radiation last summer. 

So should I give her more than two weeks of Prilosec? Or finish the 2 weeks and see it how it goes?

Again thanks for helping





--

EPI Dx 10/2016 TLI =1   B12=192   Folate =17.4 Using Enzyme Diane. 66lbs. She has reoccurring bacteria infections. 

Now TLI redone June 27/2017   TLI 8.8   Folate 9  B12 >1000

Currently taking Zeniquin & Doxycycline for bacterial infections. Completed allergy testing and starting SLIT - allergy drops.

LL

December 12, 2017 at 10:58 AM Flag Quote & Reply

Judith
Member
Posts: 428

Hi

Giving potassium to a dog that does not have low blood potassium (hypokalemia) can cause hyperkalemia which is life threatening. Whilst supplementing potassium the serum electrolytes must be monitored weekly or bi-weekly to make sure it there is not too much in the blood. Symptoms are diarrhea, lethargy, loss of appetitie, low heart rate, colllapse. You really need to monitor her kidneys as well. 

--

Nate 2 year old Pembroke Welsh Corgi. DOB 5/5/2014 

EPI and Addison's Disease and Idopathic Epilepsy

TLi 2.1 June 13, 2016 TLi 2.0

Coblamin and folate could not be done

Clinically diagnosed with Addison's disease on June 23, 2016

Diet 1.25 cup Royal Canin Ultamino every 12 hours 

2 Chemeyes capsules given with each meal

.45ml hydroxocobalamin (B12) once a week

.33ml Percorten-V every 28 days Addison's Disease

.5mg prednisolone in the morning for Addison's Disease

100mg Zonisamide every 12 hours for seizures

December 12, 2017 at 3:28 PM Flag Quote & Reply

Buddy & Wendy
Member
Posts: 640

Why is your baby on Potassium?  Is she on a diaretic?  Hyperkalemia can also so the heart rate down.  Maybe that's causing the panting.  You wrote something about fillers.  What are the fillers?

--

Wendy

December 12, 2017 at 5:00 PM Flag Quote & Reply

LL
Member
Posts: 10

She had blood in her urine 5 weeks ago and took Clavamox now her urine PH has gone from 4.5 to 9. The tablets were taken for two weeks and here are ingredients

Active ingredients are  Potassium Citrate and Cranberry Extract  Inactive ingredients:Cellulose, Hydrolyzed Vegetable Protein, Iron Oxide, Liver Powder, Magnesium Stearate, Silicone Dioxide, Stearic Acid, Sucrose, and Whey

The granules she is getting now are also for two weeks:

Active ingredients: Potassium Citrate – 300 mg Cranberry Extract – 50 mg Essential Fatty Acids – 423 mg Inactive ingredients:

calcium phosphate,Choline Chloride, Hydrolyzed Vegetable Protein, Marine Lipid Concentrates, Natural Chicken Flavor, Silicone Dioxide, Stearic Acid, Sucrose, Vegetable Oil and Whey

I assume the vet knows this but better to inquire about potassium and the serum electrolytes.

We have had a tough time lately with her licking her paws. It is constant vigilance to avoid another bacterial infection. 

I have tried the suggestion to let the food incubate longer with no change to the amount of powder so time will tell. Oh she has been on Merrick Grain free beef since June.  



--

EPI Dx 10/2016 TLI =1   B12=192   Folate =17.4 Using Enzyme Diane. 66lbs. She has reoccurring bacteria infections. 

Now TLI redone June 27/2017   TLI 8.8   Folate 9  B12 >1000

Currently taking Zeniquin & Doxycycline for bacterial infections. Completed allergy testing and starting SLIT - allergy drops.

LL

December 13, 2017 at 10:53 PM Flag Quote & Reply

Jill
Administrator
Posts: 3648
What is the name of the product you are using for the urine that contains both potassiun citrate and cranberry? The potassium citrate is a urine alkalinizer so it seems normal the ph would be 9. Just curious. Thanks.
--

   Jill-  Washington State

Mickey 6/21/99 - 8/29/2014 

17.5 lb  jack russell, chronic pancreatitis, hyperuricosuria,high blood pressure, hypothyroid, spinal stenosis

diet of  hard boiled eggs, macaroni,  RC Hepatic, mashed potato

2 #2 Dianes enzymes 6x premeal

 2.5 mg Amlodipine, .15mg soloxine am/pm, 100mg ursodiol started for gall bladder thinning

arthritis:  6.25mg tramadol 1x/day, 12.5mg gabapentin every 12 hrs,  Assisi soft loop used on back and elbow, 1- 540meq potassium citrate nightly

Denamarin once a day, 1/16 t tylan (150mg)  2x/day ,  Senilife started 12/14/13, Trixsyn sirup for arthritis, .1mg Adequan weekly by shot. 75mg Tylan 2x./day for SIBO

Optimmune for Dry eyes

 Kiya is Mickeys sister, 3/4 aussie, 1/4 blue heeler born 9/2006.  She thinks she is a 44 lb jack russell who tries to heel Mickey!!

TJ is the newest addition.  He is in the bottom picture with Kiya.  He was born 7/05/2015. 

I am not a vet, just a pet owner sharing what experiences I have had in helping my dogs with other pet owners.  If you have an emergency please call your vet.





December 14, 2017 at 10:39 AM Flag Quote & Reply

Epi4Dogs
Site Owner
Posts: 17124

My personal experience has been to always do my own research no matter what the vet recommends. 


Real quick- -I had a vet that literally saved my dog's life when no one else knew what to do (my dog had not only EPI... but she developed IMHA (a killer blood disease) and Diabetes and Low Thyroid all at once)  ANYWAY.... my vet was awesome ....if it wasn't for him, she'd be dead today.......BUT as great as he was, he still prescribed stuff, that although good, actually caused some adverse effects in my dog that he was not aware of- - i STRONGLY ADVISE.... do your own research.  Vets only have so many hours in a day to handle/research everything.... there is just no way they can know everything about everything.


What i did when faced with multiple conditions (like you with your dog)  is when a new product was introduced by my vet to "help"... i researched each individual ingredient in that product and read about possible "rare" adverse reactions and/or any conflicts with other meds or health conditions.


OMG... i discovered (twice) that a good drug recommended by the vet was causing unexpected adverse reactions in my dog with one of her other health conditions.... the vet did not believe me at first, i had to bring in the research AND i had to "proof" my claims (take the dog off the durg and then put the dog back on it to see if the same adverse reaction happened)... we pulled my dog off the medication that i thought was causing the problem and my dog was fine afterwards....... finally i was further vindicated when the drug/med company printed a warning advising about the possible adverse effect that i had pointed out to my vet.


Problem is a lot of meds do not have ALL possible adverse effects listed in the drug's disclosure information, (just the most prevalent ones that showed up in testing/client trials)  until after the fact.... this is why i research each individual ingredient of a product myself :)


 

--

Olesia, owned by Izzy, a 35lb SWD, Diagnosed at 1.5 years old - TLI results 1.3, Stable 9+ yrs! Once stable, was able to reduce enzymes to only 1/2 tsp of Enzymes (use EnzymeDiane's 6x) with each meal, but after almost 4 years of stabilization... had to increase the amount of enzymes to 3/4 teaspoon with each meal. Fed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane., gave 1 tsp of coconut oil one day and 1 tsp salmon oil next day, and also give canned sardines packed without salt or canned herring for extra omega oils.... until she developed Diabetes and now cannot tolerate higher fat foods.

In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. We also discovered that now, at 8+ years old, she not only has EPI, but also Diabetes, Low Thyroid and High Cholesterol.  Izzy was able to receive excellent care because of the kindness of so many here on epi4dogs and  is currently  doing extra-ordinarily well. If anyone could spend a day with Izzy, they would never guess that she has any health problems!  Because of Izzy's concurrent conditions of Diabetes and High Cholesterol we had to make changes to our daily EPI routine. We had to alter the fiber, type of fiber and the fat content her diet. She is now on an all home-made diet which she does best on and has even been able to reduce the insuline (Vetsulin:pork-based insulin) . Because of the diet change to all home-made i no longer worry about hypoglycemia or hyperglycemia- -she is much more even-keeled with a diet of sweet potato, a lean meat/fish, sometimes a free range egg, cottage cheese,  fish oil+vitamins and bone meal. We tried Novolin N a human synthetic RNA insulin.... but Izzy did not do well on it. aside from all of Izzy's health issues.... she continues to wake up every day full of joy and a great sense of humor!

I am not a vet.  All of my suggestions/recommendations are based on personal expereinces, observations, information gleaned from EPI research, and information shared with me by EPI researchers....that hopefully may help others. Please always share anything and everything recommended on this forum with your vet.

December 14, 2017 at 10:42 AM Flag Quote & Reply

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