This page is divided into TWO sections:
DOWNLOADS: Brochures in multiple languages, and brochures specific to certain countries around the world, Visual Instructions such as how to upload pictures, B12 availability in Australia, an EPI Log template with an actual example and Informational points that you can offer to help us better help you.
LINKS: Various other URL website links and/or informational sites that may be of some benefit to someone with and EPI patient.
Please click on this PDF to read about various tips and tricks to easily navigate and use the FORUM"
If you would like a copy of the new 2015 four-flap EPI Brochure to hand out and help bring better awareness to EPI....
download your own brochure now from this PDF:
go to EnzymeDiane's website ...scroll to bottom of Diane's "orders-USA' page http://www.enzymediane.com/ordersusa.htm
you live in the UK or Australia, or need a brochure translated in Spanish or French or Portuguese, South AFrica ... please scroll further down on this page for PDFs of those EPI Brochures.
This is the inside of the 2015 four-flap EPI Brochure:
If you have any difficulty downloading anything, just email me at firstname.lastname@example.org and I will personally email it to you.
Please help us educate the public and bring awareness to EPI - - you just might save a dog's life.
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
|20,000 per gram||16p|
For anyone outside of the UK using Chemeyes Capsules and not measuring their EPI pet's food in grams the dosing is:
1/2 cup 1-2 capsules
1 cup 3-4 capsules
1 1/2 cups 5-6 capsules
2 cups 7-8 capsules
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 used to import from the states for £50.00 the Wonder Labs b12 product with intrinsic factor (Trinfac B) http://www.wonderlabs.com/itemleft.php?itemnum=6881 .....However, as of April 2014 Chemeyes http://www.chemeyes.co.uk/#!gut-health/c1xam in the UK now also carries "Trinfac B" that has the same specifications as the USA Wonderlabs Trinfac. The specifications are:Chemeyes' TRINFAC-B provides Intrinsic Factor, Folate and Methylcobalamin B-12 for enhanced absorption and utilization of orally administered Vitamin B-12
Intrinsic Factor - 40mg
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 10-2015
Below is a 6-page EPI Brochure originally produced by Craig and revised 8-2015. Craig is one of our EPI FORUM members living in Australia and has listed specific EPI resources in Australia in an effort to help other Australians better manage this dreaded condition. Click on the following link for your copy of this comprehensive 6 page brochure and share it with your vet: Aussie EPI Brochure (Version: 24th February 2016).
A shortened version - the Australian EPI Quick Guide - is also available on the EPI Quick Guide page.
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!
March 20, 2014 : "Petceutics" A recommended website (by one of our members, Deb via Stephanie) to order Tylan in Australia http://www.petceutics.com.au/tylan-sol-powder-100g.html
August 25, 2015: A short term supply problem with Creon 40,000 is currently being experienced b the manufacturer. They expect to have this issue resolved soon. Thanks to Deb for the heads up.
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 FRENCH 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
The following has been submitted by one of our members, Melissa, with EPI "Maddie" from South America... a slide show / Brochure in PORTUGUESE with veterinarian information about EPI:
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.
IF you live in South Africa and would like to know how and what resources are available to you, please feel free to download this brochure put together by one of our SA members, Cheri McDougall (Thank you Cheri!!!) : SA EPI Brochure.pdf
Chemeyes, LLC has just started working with a UK veterinary diagnostic laboratory who are offering tests for TLI, Folate and Cobalamin levels. The company generally work directly with vets who charge the consumers a high fee for processing the test (which involves sending the sample to the lab and relaying the results), by working directly with consumers Chemeyes, LLC will be able to offer a significant cost saving. Soon Chemeyes, LLC will submit the finalized details but they expect that the way it will work will be:
1. Request vet to take a blood sample - there is no obligation or regulatory requirement for the vet to process the sample for testing
2. Test can be ordered from the http://www.chemeyes.co.uk/ website, we'll send out the prepaid envelope with a form to you, you'll complete the form with details of your pet etc (this will be very simple) and freepost the sample directly to the lab
3. You'll receive test results directly from the lab by email
There will be an update when everything is in place ....but if you have any questions in the meantime please contact Chemeyes, LLC via email at: email@example.com
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)
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:
epi4dogs now has it's own FaceBook page.... please feel free to visit and post /chat with others. We showcase an EPI dog and it's EPI journey every 1st and 15th of each month: http://www.facebook.com/pages/epi4dogscom/424586920926094
If you are interested in sharing your EPI experiences, reading about other personal EPI experiences or are just seeking to learn more about EPI from other EPI owners, please feel free to join the epi4dogs "Forum" on this site: http://www.epi4dogs.com/apps/forums/
If you are from New Zealand and would like personal help managing your EPI patient, someone to help guide you, show you where to get appropriate EPI products in New Zealand, please feel free to contact Denise Z. her home number is 09 443-2204 and her cell is 0274 581 428.
As of October 2011....Drs. Leigh Anne Clark and Kate Tsai's now have their own genetics research "Clemson Canine Genetics" Please feel free to visit their FaceBook page
In 2007, AKC-CH awarded a grant to Dr. Leigh Anne Clark for EPI research. This research was conducted by Dr. Clark while she was still at Texas A&M University Canine Genetics Lab to identify the genetic marker(s) for this insidious disease. Now....Dr. Leigh Anne Clark is now continuing this research at Clemson University.
If you have an EPI diagnosed dog and are interested in ordering discounted bulk-priced supplemental enzymes, they can be directly purchased from http://www.enzymediane.com/
If you would like to read more about EPI, a concise and easy to understand another EPI website worth visiting is http://www.globalspan.net/epi.htm
If you would like to receive EPI management suggestions from another EPI support group (who also now allows members of the veterinarian community to join) and who has partnered with this website, please feel free to fill out an application to join the yahoo group k9-EPIGLOBAL
Pet Health Questions???
Need Insurance check out "PetPlan" on EPI (they cover it!)
Check out "Veterinary Answer" http://veterinary.answers.com/
This Veterinary Answer site was recommended to epi4dogs by students at http://nwhsg.org/ who were doing a pet and animal research project with epi4dogs. Thank you to all the students for your great recommendation!
On-Line Educational Medical Health Courses (free) is an Open Education Database (OEDb.org) with a comprehensive OpenCourseWare (OCW) portal featuring courses from leading universities in an array of topics. http://oedb.org/open/subjects/health-medical/page/8/
The FATsecret website (see chicken breast as an example): https://www.fatsecret.com/calories-nutrition/generic/chicken-breast-roasted-broiled-or-baked-skin-not-eaten has a great ingredient breakdown for all foods. Great for preparing home-made meals.
The Nutrition Calculator http://www.nutritiondata.com/ Please take a moment to visit this excellent site. It has the most comprehensive data about food composition and excellent tools to manuever within the website. Although designed for human....it is a very helpful tool to use to determine what percentages of what appropriate food to feed an EPI dog.