Hi Carrie,
Josie (in the profile pic) looks like such a sweetie !!! Glad to hear that things are starting coming together.... HOWEVER.... one itty bitty correction might help.
i am assuming from your post that you are tossing the Pancreaplus pills "whole" into her food.... please crush the pills, and add 1 more pill to the mix.. and then add something "wet" to the Sport Elite kibble (that's what i used) so that she is not licking up dry powder from the crushed pills. You can add a tablespoon of cottage cheese, or a little broth mixed in the food or a tablespoon of canned food, whatever agrees with her.... you can even just bake a sweet potato, skin and mash it and use a table spoon or two of the mashed sweet potato mixed in the food with the crushed enzymes pills. And although vets will tell you you don't have too, if you can let the food with the enzymes incubate for 20 minutes that usually helps most of these dogs too.
This should further improve things.
Regarding the Tylan after 45 days..... what we have observed is at the end of the 45 days... many of these dog do much better and the SID doesn't so readily return IF... you slowly withdraw the Tylan after the 45th day. In other words 1 week after 45 days.... do something like give 1/2 the Tylan dose morning and night for a week, then the next week, give 1/2 dose only once a day, then the next week give that 1/2 dose of Tylan once every other day and then stop completely.
Sometimes this crazy slow withdraw from Tylan helps the SID stay in control rather then returning shortly there after and then you have to do the 45 day regimen all over again. Of course, this is no guarantee that the SID won't return in short order... but it is worth trying.
And just so you know, usually with these dogs, (and sometimes it is years later) they sometimes have a relapse with SID getting uncontrolled again in which case when at the later date what you can try first is a prebiotic, SLippery Elm powder before reaching for the Tylan and sometimes that is just enough to where you don't ahve to use Tylan again.
And then there are some dogs that are on a very small dose of Tylan for life.... but we try everything in our book of trick first before we succumb to this ...........
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.........
She is pooping 5 or 6 times a day the size is smaller but they are 2's and 3's. She eats 1 cup of sport dog elite with 2 pancreplus tablets in it 4xs a day, she is also still on the b12 shots once a week after her next appointment we will be looking into a pill form of the b12 she is getting probiotics 1x, and tylan 2x a day. 
Glad for you Carrie and Josie ..your Josie has the sweetest face. Hoping she stays well.
