Comparable expenses...

This page will be a work in progress that we will add to as we time goes on.... but for now..... we are listing "some" expenses to give you an idea of what some of the costs are in treating and EPI dog in various parts of the world.  This list is by no mean complete, but rather an actual sampling that we hope will give you a real sense of what the possible costs can be.

If you are in need of financial assistance with veterinary expenses... please visit




for a resource of various organizations that offer assistance. Please check to see if you qualify and/or meet their criteria of some of the organizations..... 

If you are in the San Antonio, Texas area.... please contact:  


Maria Alvarado
DaisyCares Program Coordinator


 P.O. Box 90564

Alamo Heights, TX 78209





Food options (in the USA)

The following example of food costs was prepared by Jen.... owned by "Mushko" ... and based on costs reflective of March 2013:

I've been thinking about the cost of dog food and enzymes and decided to spend a little time researching how to minimize the cost while still feeding him quality food (and enzymes). Mushko has been on Nature's Domain most of his life. It's a good food, is grain free, low in fiber, and is very affordable (as long as you have access to a Costco membership). One of the only problems with Nature's Domain (in my opinion) is that it is a relatively low calorie food. Because Mushko is underweight, I've been feeding him 1.5 times what he'd normally eat. Because Nature's Domain is lower in calories, I've been feeding him up to 9 cups per day. On top of food, I've also given him 9 teaspoons of procreatin per day. Obviously, this has been a little expensive. As others have mentioned, I realized that I could probably save money by purchasing a food with a higher calorie content, even if that food was more expensive. I began researching the quality and costs of various foods. I started with a list of approximately 25 dry dog foods (I pulled ideas off of this site and Diane's enzyme site). I eliminated foods that contained gluten, foods with 5% fiber or higher, and foods that had ratings below four stars on http://www.dogfoodadvisor.com/ (I've been a fan of that site for years). I thought I'd eliminated all foods with grain, however, when I looked into one of the foods (Nature's Logic) a second time, I found that it contains millet. I did a little research on millet and from what I can tell, it appears to have a lot of good qualities. If anyone has additional insight on millet, however, please let me know because the Nature's Logic ended up coming out on top. Anyway, removing gluten, high fiber, and questionable ingredients reduced my list to only 11 dry dog foods. Obviously, this is not a complete list and I apologize if missed any. If anyone has any they'd like to recommend/add, please let me know!


Findings: I calculated the cost of food based on what I should feed Mushko when he reaches his normal weight (1600 calories per day instead of the current 2400 calories per day). Much to my surprise, the inexpensive but quality food I buy at Costco ended up in the middle of the list. Also to my surprise, the most expensive food (EVO Red Meat Small Bites) also ended up in the middle of the list. I didn't run any statistical analysis on the food but it looks as though calories per cup is a much better indicator of monthly cost than any other variable. Because of calories and enzymes, the price per cup did not coorelate with price per month. I'm sure this is complete common sense to many of you but I was really surprised with the results. For my 100lb dog, the monthly price of dry food plus enzymes varies among these eleven foods from as low as $81 per month all the way up to $153 per month. In other words, there is a HUGE difference in price. So, if anyone else here is on a budget but also wants to feed their dog high quality food, I suggest you take a look at the results and maybe do a comparison of your own (based on your dog's weight and diet). This is still a work in progress so I'd love to hear what you think!

I know it's a little difficult to read the numbers above. I've attached a link here - hope it's easier to see.



Also....I made an approximation when I converted pounds to cups. In a google search, I found that the average pound of dog food equates to 2.5 cups but this amount will vary from food to food. Still, it was interesting to see the difference in prices! :) 

 (revised) The picture I posted above of the prices is actually a screen shot of the excel file I made. As of right now, only one cell is active. In other words, anyone could simply type in the number of calories their dog requires per day (Mushko is 1600) and then the rest of the table will update automatically to show you the different costs. In addition, if anyone wanted to update any of the other cells (for example, someone may want to update prices), they could simply update the price and every other cell after would also automatically update accordingly. Similarly, if they wanted to update the enzymes to reflect 1/2 teaspoon per day instead of a whole teaspoon per day, it'd be fairly easy to do so. Point is, if anyone wants the excel file so that they can input their own dog's caloric intake and adjustments for comparisons, I'd be happy to email it to them. I'd love to add to it, just to know what everything costs. 

You can contact Jen by sending her an email via her profile:


EnzymeDiane (USA generic enzymes)

Pat. owned by Miss "Moxie" worked out the difference in cost with EnzymeDiane's 6x vs. 8x generic pancreatin:

6x (cost per 1 tsp dose)

250 g $0.54

500 g $0.39

1 kg $0.38


8x (cost per 3/4 tsp dose)

250 g $0.49

500 g $0.35

1 kg $0.34


Based on Diane's estimate of 357 tsp per kilogram. These are for the US prices. 

EPI expenses in the UK

Ann, owned by "Maddie" put together this UK EPI Brochure that lists the costs (2012-2013) of various EPI items (food, supplements, enzymes, etc):

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


 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

60 p

1 capsule


38,000 per gram

18 p

                     1 Gram 

Pancreatin (fka vet powder)

15,000 per gram

22 p

2 Grams


Pancrex Granules

5,000 per gram

17 p

6 Grams



13,000 per capsule

24 p

2 Capsule  

Creon (Rx required)


Refer to your vet


Raw pancreas


Raw to go or the butcher

50 Grams


 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.


 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

 http://www.workinghprs.com/content/duck-and-potato-working-dog-food-30kg Larger quantity. http://www.thenookpetlitter.co.uk/proddetail.asp?navid=2&id=1144&textpage=dogfood&mainpage=dogfood&start=1




 http://www.barkingheads.co.uk.php5-18.dfw1-1.websitetestlink.com/product/fusspot *



 * 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 athttp://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 

Panzym enzymes in the UK

Jean, owned by "Kara" put these values together as they have recently started using Panzym and is very pleased with it:

hello all


I thought I would share this 


we have been on Panzym enzymes for just over two weeks and I am impressed


I have worked out that the cost of Lypex from the vets based on 3 per meal twice a day is £3096.00 per year at £86.00 ish a box of 60


a tub of Panzym




works out at 17p per meal based on one gram per meal (1/4 teaspoon)  plus 1 Lypex which I hope to drop sometime


So that is .34p per day x 365 is £124.10 a year plus Lypex at 2 per day which if you get it on line is so much cheaper but the insurance will pay for that


I cannot believe the difference in cost


this would be so significant to some people who faced with costs would give up and PTS


this is amazing and the difference in cost is frightening


thank you to the UK contingent for giving me the confidence to use it as they do


Gillian and Ann


and thanks to Gee for our talks when I am having a blonde day!!!!!!!!!!!!!!!!!!!!!!!!!!!!!


and Val for support



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