Please help us educate the public and bring awareness to EPI - - you just might save a dog's life.
Please click on the following PDF link for"visual" FORUM task instructions
1. How to upload pictures in your message on the EPI FORUM.
2. How to upload a picture in your PROFILE for the EPI FORUM.
These instructions, which are really easy to follow, were put together by one of our EPI FORUM members, Frank. Thank you Frank!!!
3. How to upload a video in the VIDEO GALLERY for the EPI FORUM.
This is the inside of the April 2011 tri-fold EPI Brochure:
We are very pleased that Partnar Animal Health http://www.partnaranimalhealth.com/ who now supplies pharmaceutical-grade porcine enzymes for EPI patients (PartnarHealth also contributes a % of sales of their pancreatic enzymes to EPI Research at Clemson University).....has translated (medically correct!) our EPI Brochure into Spanish to better help Spanish-speaking dog owners world-wide better understand how to recognize and effectively treat this condition. Please click here for your SPANISH EPI Brochure:
Insuficiencia PancreÃ¡tica Exocrina.pdf
Below is an EPI Brochure produced by Ann, one of our EPI FORUM members living in the United Kingdom listing EPI resources in the United Kingdom in an effort to help other UK members manage this dreaded condition with resources that are available to them. Thanks Ann!
Please feel free to click on this PDF for a copy of the UK EPI Brochure: MANAGING EPI IN THE UK-FINAL 11-28-2012.pdf
MANAGING EPI IN THE UK
I thought I would chip in with this in the hope that it will help any of the new members and give them an insight into hopefully reducing their costs and insuring that the dog/cat receives the best treatment.
A low fibre diet is best for your dog, i.e. below 4%. Fat need not be restricted unless there is another medical condition. So what do we recommend? Well, a lot of us started with a duck and potatoes product which are manufactured by GA but sold under various names and I have included these below.
Prescription diets are not required unless there is another concurrent condition that the prescription diet, such as hydrolysed food, might address.
We give our dogs 150% of the daily recommended intake initially so a good starting point for a German Shepherd Dog is 3 meals of 200 -250 grams. We continue feeding this until they have reached goal weight.
What other foods are there if you don’t want to use grain free? So okay, we have discussed low fibre and most cereal based foods should be avoided. Can you feed rice? Well, some of our members do but most of these tend to stick to the lamb-based ones. Burgess sensitive/ Burns lamb and rice are two…….. Whatever works for your dog and gives you tootsie roll poops 2-3 times a day and puts weight on your dog without causing any other issues. My dog does well on the Burns high energy lamb and the Barking Heads lamb products. They are more expensive but they suit my dog.
I will issue a warning: a lot of our dogs don’t seem to tolerate chicken ………so give some thought to that.
Raw food again is another option but you have to get the balance right with this one and often it can be expensive.
All of these can be purchased on the internet no prescription is required. Animed direct/Vet.Co.Uk - are a couple of sites that stock the enzymes; you do not need to purchase these from your vets. At the time of publishing some of these are in short supply.
Are all enzymes the same? NO! They all have different strengths (more detail on the enzyme tab of the epi4dogs.com website). Lipase is the main enzyme we look at so I have put those values against each of the major enzymes that we tend to use:
Brand of Enzyme
Amount of Lipase
Cost per Gram or capsule
Approx dose per 100 g food of Dry Food
30,000 per capsule
38,000 per gram
Pancreatin (fka vet powder)
15,000 per gram
5,000 per gram
13,000 per capsule
Creon (Rx required)
Refer to your vet
Raw to go or the butcher
|Chemeyes||20,000 per gram||16p||1.5 Grams|
Most enzymes are different strengths (confusing). So this is the hard part, finding the right balance for your dog……….so what happens?? A box of Lypex doesn’t say what you need per volume of food it refers to the size of the dog for instance I need 1 Lypex per 100 grams of food some need 1.5, some need less. You have to find the right dose for your dog that gives tootsie roll poops 2-3 times per day. With Panzym I need 1.5 ml measure which gives me roundabout the same lipase as two Lypex but at a fraction of the cost this breaks down 200 grams of food… Remember I am referring to dry food here raw or tinned require less. And also what works with my dog!!!! But by giving too little enzymes you will cause problems and likewise so will too much!!!
Initially many of our dogs require these but we have to obtain them from the vets we have to buy Tylan/Metro/Oxyet etc and they should advise you re dosing although we have a good tab on here called SIBO that discusses this. Tylan is the cheapest option and has been proven to work.
How important is this? VERY IMPORTANT and sadly often overlooked. Why is it important? Well please read the B12 tab for more information but this being low can cause countless issues. So what do we do? Initially I would ask my vet for a 6 week course of injections now some UK vets will sell you that vial of b12 and the needles and let you do this at home…….because B12 can be important for the rest of their lives I import from the states for £50.00 the Wonder Labs b12 product with intrinsic factor (TrinfacB) this gives me a year’s supply. Please see the link below there is another b12 product in the UK which you can use but most of us have seen a better success with this one (normal B12 tablets – without intrinsic factor - don’t work).
Soon to be released (February 2013) Chemeyes in the UK will be releasing a B12 capsule with the intrinsic factor included- -this product closely resembles the USA Wonderlabs "Trinfac" B12 produce with the intrinsic factor included.
Work with them...point them to this site it contains all the most recent research.OTHER
Probiotics and the like: Look at a company called Protexin they carry a good animal range of probiotics and prebiotics http://www.protexin.com/categories/dogs/24
Dorwest also carry some good products such as slippery elm etc.
FOOD - UK Options grain free
* This company is in the process of launching a new food and I will update the forum when I have more details
There are also some overseas imports and if anybody uses anything that I have missed please check out this thread on the epi4dogs forum at http://www.epi4dogs.com/apps/forums/ and feel free to add to this thread: http://www.epi4dogs.com/apps/forums/topics/show/8209542-epi-in-the-uk
I hope this helps! Ann in the UK
EPI BROCHURE FOR AUSTRALIANS
Below is an EPI Brochure produced by Craig, one of our EPI FORUM members living in Australia listing EPI resources in Australia in an effort to help other Australians managing this dreaded condition. EPI Management for Australian Dogs.pdf
Download it by clicking on one of the preview images above or this link: EPI Management for Australian Dogs.pdf
The EPI medications used in the USA for treating EPI are simply not always available elsewhere in the world... We often have to research what IS available elsewhere and modify recommended EPI treatment with what is available (such as enzymes, antibiotics, grain-free food, B12 supplementation) in other countries.
This is a wonderful EPI Brochure geared towards treatment and products that ARE available in Australia to treat EPI. A huge thank you to Craig and of course, his EPI gal, Lulu!
B12 Injections now available in Australia
There is now a B12 injectable liquid available in Australia which can be purchased from various pet stores and online sources. Many vets that give your EPI dog a B12 injection will already be using this particular brand and product - It is made by Troy and its composition is Cyanocobalamin 1.0mg/mL. It is not a multi-plex B12 or other strain of the vitamin.
Some dogs may require ongoing injections (weekly, fortnightly or monthly) if they are unable to keep a high enough B12 level utilising Wonderlabs Trinfac B12 pill. Needles and syringes can be purchased directly from your vet or from a local pharmacy, as well as the needle disposal bin for a small fee of under $10.
A few online sources of Vitamin B12 are:
Be sure to discuss this avenue with your vet if this is something you would like to partake in.
Depending on where you source the needles and syringes from, you are looking at approximately $40-$50 which will include the B12 liquid, needles, syringes and the needle disposal bin. Prices are subject to change depending on where you make the purchases from and will vary from state to state.
As per Texas A&M Gastroenterology Lab posted on http://www.epi4dogs.com/b12.htm the recommended dosages of Cobalamin for EPI dogs and cats is as follows:
Animal Bodyweight Range (Dose/injection)
· Cats, dogs up to 5 kg (10 lb) 250 µg (0.25mL)
· Dogs, 5-15kg (10-30 lb) 400 µg (0.4mL)
· Dogs, 15-30 kg (30-65 lb) 800 µg (0.8mL)
· Dogs, 30-45 kg (65-100 lb) 1200 µg (1.2mL)
· Dogs above 45 kg (100 lb) 1500 µg (1.5mL)
The following has been submitted by one of our members, Melissa, with EPI "Maddie" from South America... a slide show in Portuguese with veterinarian information about EPI:
Please feel free to down load the following EPI LOG, created by Lanie in honor of her EPI dog, "Milo"
Keeping an EPI journal or log will help you determine what does and does not work for your dog. It will also help you better identify the cause or trigger of possible future EPI flare-ups. EPI Dog Log2.pdf
~ Information to mention in your EPI FORUM post ~
Some information to mention to us.... if you can or want to... this is not required.... that may help us better help you and your dog: