Hello Zoe and so sorry you are going through all of this.... reading your post brought me back 14 years ago, when my gal was first diagnosed.... TWO WEEKS after doing everything right (or so we thought) there was not one ounce of improvement..... and then we changed one itty bitty thing and within 24 hours, my dog had normal poos and we started our healing journey... of course there were set backs over time, but once you understand how to manage EPI, you learn how to manage the bumps... SO............. thank you for all the info you provided.... it helps we know some of what you are doing. I will list what you need to start with.
1. The powdered enzymes.... check to see what the label says for ingredients and post here. First i want to make sure you have the correct type of enzymes (porcine, not plant). Second i need to know what the USP units are. For the powder enzymes.... you should see on the label something that says
33,600 to 71,400 USP of Lipase (needed to digest fats and oils)
280,000 to 495,000 USP of Protease (needed to digest proteins)
280,000 to 495,000 USP of Amylase needed to digest carbohydrates
Give 1 tsp per 1 cup of food, add enough liquid to make sure the enzymes are moistened in the food, let sit for 20 minutes. then serve.
2. The food you are feeding sounds appropriate. Serve 150% of what is required BUT serve in smaller meals. 3 or 4 meals a day (instead of 2) is ideal, if you can do this with your schedule.
3. THe Metronidazole the vet gave you is an an antibiotic and your vet gave it to you to treat SID. My guess is that this could be the main problem. It isn't working. THis is what happened to me and my dog. We thought for 2 whole weeks the enzymes were not working... but they were! the problem was SID, which displays in bad poo. My vet called me every day to ask if there was any improvement yet. Finally he said stop the Metronidazole and let's try Tylam (Tylosin Tartrate soluble powder) antibiotic. Withint 24 hours, we had normal poo.! I don't know if this is the problem with your situation, since i do not know if you have the right enzymes and are preparing things correctly... but this is a possibility of why things may not be going according to plan. In any case... call your vet and ask him to swap out the Metro for Tylosin Tartrate
https://www.medi-vet.com/VetOne-Tylosin ... /19172.htm. THe dosing instructions are here:
https://epi4dogs.com/antibiotics/
4. The B12. They used to advise cyanocobalamin injections.... however, now research has proven that high dose B12 pills work. We strongly recommend Wonderlabs Pet Factor B12 over other B12 brands simply because this particular product uses 1000mcg Methylcobalamin B12, 800mcg Folate and 400 mg Intrinsic Factor. This often works better than the injections and it's cheap too.
https://www.wonderlabs.com/itemleft.php?itemnum=K9688
I hope this helps!
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.........
