EPI * Exocrine Pancreatic Insufficiency

Hi Carin and Dylan!   I just want to welcome you to the forum.   Managing EPI is a matter of getting your hands around 4 things - food, enzymes, B12 and SIBO.   It sounds like you are on the way, but now it is a matter of finding the right enzymes and figuring out a way to consistently get the tylan into Dylan.    The beginning is the hardest - def keep a log so you can see patterns (i.e - when I do this - this happens).    It is recommended to do one change at a time so you know what it is that may cause things to improve or "go south".     Hang in there - you can do this - this is a wonderful group full of knowledge!   

PS   Dylan really is cute!!!   

Hello Carin -

My non-epi pup is fed premade raw and one of the brands I have used is the Natures Variety premade raw medallions... like you said they are almost like a paste so the bone content is ground into such a fine powder that you *may* not have to adjust for that bone content as folk do that are feeding homemade raw and grinding it themselves or when using other premade raw diets that are more coarsely ground with noticeable bone content. 

I would feel comfortable also feeding a raw diet to my epi pup except he is a bit of problem child when it comes to eating and said "no thanks" to raw when I tried it with him.  Since we struggled to get him to eat the first 2 years of his life without enzymes... adding them to his meals in the normal fashion when he became sick sure did not help us entice him to eat.  So we loaded Pancrea Plus powder enzymes in gel capsules and administered it that way.... while not the tried and true recommended way to use powdered enzymes... it did work for us.  We used size 00 gel caps which hold about 1/4 tsp and with 2 cups of kibble we were using 8 capsules to get 2 tsp of the powder enzyme into him... 3 times a day.  So for feeding a large breed dog it was a bit combersome but with your smaller breed dog meal size requirements being less it may be more doable.  Later we switched to the Creon capsules that Olesia mentions in her post above and they do work for our pup.