Advice before testing for epi

Epi4Dogs Foundation Inc.’s mission is the advancement of science and education relating to EPI (Exocrine Pancreatic Insufficiency), yielding useful insights and positive outcomes in better managing EPI in dogs and cats. Our goals are to support and/or collaborate with veterinary EPI research and researchers, and to promote EPI awareness by educating the general public, pet owners, pet organizations, rescue and shelter organizations, veterinary schools and veterinarians.
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Kzh
Member
Posts: 62
Country: Malta

Advice before testing for epi

Post by Kzh » 07 Oct 2018, 02:52

Hi
I am going to do the test for Epi tomorrow morning. I am giving Creon at the moment. Vet told me not to give Creon for 24 hours otherwise the test will not be accurate. Is this right? I just fed him this morning with Creon.

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Jean
Staff
Posts: 650
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara
My name: Jean

Re: Advice before testing for epi

Post by Jean » 07 Oct 2018, 04:44

According to TAMU oral enzym,es do not affect the cTLI test

http://vetmed.tamu.edu/gilab/service/assays/tli

scroll down too special considerations, maybe print off, and share with your vet

these people are the big guns as far as cTLI is concerned

but you must fast for 12 hours

Good luck and let us know the outcome

Jean
My name is Jean we live in Liverpool in Uk

My Kara born 21 July 2009 diagnosed with EPI by cTLI test August 2010 TLI = <1...folate 14 Cobalamin 408, shot down to 94, b12 injections every other day

Lowest weight 39 pounds

We use Panzym enzymes, Tylan and Chemeyes b12 capsules

Sadly, on 10th May 2019, we lost her to DM


Jeanx

Kzh
Member
Posts: 62
Country: Malta

Re: Advice before testing for epi

Post by Kzh » 07 Oct 2018, 07:13

Hi Jean
Thanks for your prompt reply. Can't wait to take the test. I so desperately need a diagnosis so I can deal with wathever is wrong. It's the not knowing that gets to you.
The vet said the results should take about a week.
❤️

Barb
Staff
Posts: 326
Country: United States
State: New Jersey

Re: Advice before testing for epi

Post by Barb » 07 Oct 2018, 08:51

Yes, the worst is not knowing. Once you have a diagnosis, you can proceed. If your pup has EPI, you can treat and manage it. There are many knowledgeable and generous people here to help you.

Please let us know the results. Hang in there.

Barb

Kzh
Member
Posts: 62
Country: Malta

Re: Advice before testing for epi

Post by Kzh » 07 Oct 2018, 15:32

Thanks Barb!👍

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Madelon
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Posts: 601
Location: Nashville, TN
Country: United States
State: Tennessee
Pet name: Doc

Re: Advice before testing for epi

Post by Madelon » 07 Oct 2018, 16:26

Hi. Yes the waiting is the worst. As Jean said, be sure your dog is fasted for at least 12 hrs before the test and be sure they test B12 and Folate as well. While no one wants EPI, compared to some of the other dog conditions/diseases it's not so bad - totally affordable and manageable and we will be here to help guide you along the way.
MADELON and Doc. DX EPI and SIBO: 5/22/2015
Test Results: (1st) 7/2014 = TLI 16.5, B12 894, Folate > 24; (2nd) 5/2015 = TLI < .4, B12 406; Folate >24; (3rd) 10/2015 TLI < .4; B12 >1000; Folate 14.4. Prior to DX: May 2014 (2mos) - DX coccidia/bladder infection; July 2014 (3mos) 1st EPI test = TLI 16.5, B12 894, Folate >24 - Dx SIBO not EPI; Feb 2015 thru May 2015 - weight loss only; May 2015 vomitted several times, diarrhea and eating poop. Regimen: 4 cups Sport Dog Food Elite Herding - Diane 6x 1tsp per cup; 1 WonderLab PetFactor B12 2x day; 1/2tsp Slippery Elm 2xday; Multivitamin; 1 Zyrtec 10mg 2x day; Salmon Oil

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Olesia711
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Posts: 914
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy

Re: Advice before testing for epi

Post by Olesia711 » 07 Oct 2018, 18:30

It is perfectly fine to give pancreatic enzymes with meals before the EPI "TLI" blood test... just be sure to withhold food for 12 hrs prior to the test.....

Glad you are having it done.

Be sure to let us know what the results are.
Good Luck!
Olesia, owned by Izzy, a 35lb Spanish Water Dog (SWD), Diagnosed at 1.5 years old - TLI results 1.3, Doing great 12+ years later! Once stable at 3+ months, was able to reduce enzymes to only 1/2 tsp of Enzymes (use EnzymeDiane's 6x) with each cup of food, but as she aged- -had to go back 1 tsp enzymes per cup of food. Fed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane., gave 1 tsp of coconut oil / fish oil daily .... until she developed Diabetes and she now cannot tolerate higher fat foods. Currently feed an 80% home-made diet of sweet potato, a lean meat/fish, 1/3 of a raw egg, fat free cottage cheese, fish oil+vitamins and bone meal with 20% Annamaet Lean & Grain Free kibble. This combo has regulated her Diabetes (takes Vetsulin) and EPI and is very well managed. In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. This is when we discovered that she also developed Diabetes & Low Thyroid. Izzy was able to receive excellent care because of the generosity of folks on Epi4dogs! Izzy continues to wake up every day full of joy. I am not a vet. All of my suggestions/recommendations are based on personal experiences, observations, information gleaned from EPI researchers & pet parents alike, and EPI research. Please share with your vet everything we suggest.

Kzh
Member
Posts: 62
Country: Malta

Re: Advice before testing for epi

Post by Kzh » 10 Oct 2018, 14:21

Thankyou you were a great help!

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Olesia711
Founder
Posts: 914
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy

Re: Advice before testing for epi

Post by Olesia711 » 17 Oct 2018, 22:45

Please keep us updated! And if you need us to reach out to others in Italy to maybe help you out.
Olesia, owned by Izzy, a 35lb Spanish Water Dog (SWD), Diagnosed at 1.5 years old - TLI results 1.3, Doing great 12+ years later! Once stable at 3+ months, was able to reduce enzymes to only 1/2 tsp of Enzymes (use EnzymeDiane's 6x) with each cup of food, but as she aged- -had to go back 1 tsp enzymes per cup of food. Fed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane., gave 1 tsp of coconut oil / fish oil daily .... until she developed Diabetes and she now cannot tolerate higher fat foods. Currently feed an 80% home-made diet of sweet potato, a lean meat/fish, 1/3 of a raw egg, fat free cottage cheese, fish oil+vitamins and bone meal with 20% Annamaet Lean & Grain Free kibble. This combo has regulated her Diabetes (takes Vetsulin) and EPI and is very well managed. In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. This is when we discovered that she also developed Diabetes & Low Thyroid. Izzy was able to receive excellent care because of the generosity of folks on Epi4dogs! Izzy continues to wake up every day full of joy. I am not a vet. All of my suggestions/recommendations are based on personal experiences, observations, information gleaned from EPI researchers & pet parents alike, and EPI research. Please share with your vet everything we suggest.

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