Need some advice

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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Jean
Forum Director
Posts: 1707
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: Need some advice

Post by Jean » 14 Feb 2019, 15:36

thanks Olesia

we have three, in uk

j
My name is Jean we live in Liverpool in Uk

I am the Forum Director which I am very proud of

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 used Panzym enzymes, Tylan and Chemeyes b12 capsules

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


Jeanx

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Olesia711
Founder & Research Director
Posts: 3858
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy
My name: olesia

Re: Need some advice

Post by Olesia711 » 14 Feb 2019, 17:43

to answer your diabetes question.... yes some EPI dogs do develop diabetes.... but not as often as you would expect. The only reason why we mention checking checking cor diabetes is when there is excessive drinking and peeing... Our first thought is that it is the enzymes that a newly diagnosed EPI is placed on... and the excessive drinking and peeing does subside in time..... BUT..... we have learned to not to always assume that everything is EPI related.... so when a dog continues to drink/pee excessively and quite a bit of time has gone by since they started the enzymes.... we suggest asking the vet to check for UTI's and possible Diabetes.... just in case :)

Better safe than sorry!
Olesia, was owned by Izzy, a 35lb Spanish Water Dog (SWD), Diagnosed at 1.5 years old - TLI results 1.. Izzy passed away on February 13, 2020 at 15 years old. She lived with EPI for 13+1/2 years. It was because of Izzy that Epi4Dogs was started... she was the inspiration. May her legacy of helping others with EPI continue for as long as needed.........

Judith
Member
Posts: 24
Country: United States
State: Delaware

Re: Need some advice

Post by Judith » 14 Feb 2019, 22:27

Hi

Antech is the other lab in the US that does the cTLI, folate and cobalamin.
Nate and Raymi's mom
Nate 4 year old Pembroke Welsh Corgi
EPI, typical Addison's disease and epilepsy
TLI 2.0 June 2016
Chemeyes enzyme capsules
Hydroxocobalamin injections weekly
0.5mg prednisolone daily for Addison's
Percorten-V/Zycortal injection every 28 days for Addison's
Zonisamide 2x for epilepsy

Raymi 6 year old Pembroke Welsh Corgi
Allergic to chicken and turkey

Eats Canine Caviar Venison kibble 3x

Nate and Raymi happily live in Bogotá, Colombia and Dover, Delaware.

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Olesia711
Founder & Research Director
Posts: 3858
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy
My name: olesia

Re: Need some advice

Post by Olesia711 » 14 Feb 2019, 22:39

that's it ... Antech is the 3rd lab that runs EPI tests (TLI and B12)
Thanks Judith!
Olesia, was owned by Izzy, a 35lb Spanish Water Dog (SWD), Diagnosed at 1.5 years old - TLI results 1.. Izzy passed away on February 13, 2020 at 15 years old. She lived with EPI for 13+1/2 years. It was because of Izzy that Epi4Dogs was started... she was the inspiration. May her legacy of helping others with EPI continue for as long as needed.........

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Madelon
Staff
Posts: 1317
Location: Nashville, TN
Country: United States
State: Tennessee
Pet name: Doc

Re: Need some advice

Post by Madelon » 16 Feb 2019, 12:10

Hi Linda. Just wanted to mention so everyone knew the amount of B12 your were giving was 1/4 of the WonderLabs pill. It might be that Pearl needs 1/2 of the WonderLabs pill for her weight BUT it could also be she is one of the few that the oral pills simply do not work right for. Once you get the B12 retested, please post the results here. If the B12 level has gone up since the last test and you've been giving 1/4 of the pill it might just be that she needs 1/2 instead of a 1/4. If the level has not gone up at all then I would definitely switch to the shots. Please remember however B12 supplementing is for life with these dogs - you just have to figure out how much supplementing your dog needs. My big boy (95lbs) requires more than what is actually recommended - he gets 2 WonderLabs pills a day. When he was first diagnosed I gave him two pills a day (my vet didn't think he needed B12 and he is a turd at the vet's office so shots were not an option for us) - well after a year of 2 pills a day I reduced to 1 pill a day - he dropped 6lbs in 2 months (it was during winter and no other changes were made) SO I went back to 2 pills a day and he gained the 6lbs back in 2 weeks. I have not tried to reduce the B12 since.
Madelon, owned by DOC. DOC dx EPI 5/2015 = TLI < .4, B12 406; Folate >24. DOC taught me so much and together we battled and overcame EPI, food sensitivies, environmental allergies but we lost the cancer battle. DOC was dx with hemangiosarcoma 5/2022 and crossed the rainbow bridge July 24, 2022. He is and always will be the love of my life, my soulmate, my heart dog.

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Jean
Forum Director
Posts: 1707
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: Need some advice

Post by Jean » 16 Feb 2019, 12:48

hi

I would agree with what Madelon has said, we still get monthly b12 injections she has 2 capsules per day of b12 from Chemeyes in UK

She cannot hold her b12 levels

just remember, its a 12 hour fasted blood test for Cobalamin, and let us know

Jean
My name is Jean we live in Liverpool in Uk

I am the Forum Director which I am very proud of

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 used Panzym enzymes, Tylan and Chemeyes b12 capsules

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


Jeanx

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