I really need help😔

[Farshid]

Hi every one
First of all i want to Apologize for my broken weak english
I am farshid from iran
My german shepherd dog in hana and she is about 2 years old
When she was at 9 month we understand she has epi due to her symptoms and labs
Since that time i use all of the guides in this site but my dogs cant gain weight
She is only 35 pounds(half of her real weight)
Some times one pound up or down but she cant gain weight and has loose stool and very poor coat
She is also very energetic but cant gain
And i tried every thing in this site (chnging things or add some )but still problem is here
Here is What I am doing now:
Enzyme: one scoop per meal from pntenex(before this i used biocase plus and not any change)

Diet:4 or 5 meals in a day
All meals are same:160 gerams of raw calf meat with a little of pumpkin
(I tried boiled chiken, turkey, royal canin hypo allergenic even fish but still not any change)

B12: one shot sq every week

Tylosin:since the disease was confirmed i use tylosin(its about one year) due to this site dosage
Sometime oxytet or metronidazole but still loose stool persist

During this time i use some supplemets for her like mct oil, coconut oil, fish oil, calcium, vitamines

But
Despite all of these
Still she cant gain weight

I beg of you pls help us

[Farshid]

And i use famotidine for her before meal 1 and 5
And i used some course of prednisolone and budesonide for her and still they didnt work

[Jean]

Good Afternoon from the UK

Your English is fine

the famitadine you use, is that for acid reflux ?

are you using enzymes for EVERYTHING that goes into her mouth except medication and water

how much Tylan are you giving, for her weight this is the doseage chart

https://epi4dogs.com/antibiotics/

and it should be given twice daily, morning feed and evening feed

You may not be giving enough calories

this is the analysis of Pan Tenex

https://www.pantenexdogenzymes.com/product-description

it doesnt specify the amount of food per dose of enzyme

other enzymes state 1 teaspoon per cup of kibble (which is 8 ounces of food)

160 grams is about 6 ounces ish which I personally dont think is sufficient, are you able to get commercial dog kibble over there ?

5 meals is fine but again I am not sure the amount of enzymes is enough

Can I say that My Kara was 39 pounds at her lowest weight at 14 months old and a GSD so I have been in your shoes, and I feel for you

keep a diary on everything you do

and have a look at our new templates

https://epi4dogs.com/epi-log/?fbclid=Iw ... T-ed7hxG84

we gave her 5 meals a day for several months she recovered but slowly

[Sorela]

Hi Farshid,
may I ask ... you said you use tylosin, what is the content(the strength), for the tartrate powder , per 100 gr of this Tylosin that you use?and from what brand is this Tylosin?

For my dogs, I had to adapt the wright dose of the tylosin tartrate strenght , because in my country - Romania ,I could only find a Tylosin that has 58% tartrate powder for every 100 gr of powder.

Sorela

[Farshid]

Hi jean
I appreciate for your time
Famotidine because she had morning vomiting(just her gastric acid before feeding)
And due to this site advice i used famotidine that fix the problem
I use enzyme for every meal exactly one scoop for about 160 gr raw food (as i said increased and decrease and change the brand and no Improvement)
I gave her tylosin two times with meal 1 and 5 in right dosage and my tylosin powder in 100 percent tylosin
And about callories i dont know how much these food have but i give her about 800 gerams of mmeat in day and i think thats may be enough
About commercial food as i said i use royal canin hypo allergenic for 4 weeks and no improvment

Its about 3 months i am writing every thing i do
But still no weight gain and loose stool
Her stool is dark,oily,with a bad smell and once in a day

[Barb]

Hello Farshid. A warm welcome to you and Hana. The beginning stages are always the hardest until you get everything in balance. I don't know what measurement your scoop is that you use for enzymes each meal. We recommend 1 teaspoon of enzymes per cup of food...which would be one of our commercial brands of kibble. It sounds like you may need more calories to get Hana to put on weight. Can you get commercial dog food where you live so that you could measure the food and the enzymes more accurately until she gains some weight?

Don't be discouraged. You are doing a good job with her and this can be worked out. Definitely keep a journal of everything she eats each day and the resulting poos. This will give you information about what is working or needs to be adjusted.

I think you also mentioned that your other dogs are under weight also. Did I read that correctly?

Barb

[Farshid]

Hi barb
Thanks for your time
I have just one dog (hana)
All Commercial dog foods unfortunetly isnt Available in iran
But some like royal canin is here
Be sure i use the exact amount of enzyme for every meal
Now i am thinking that only thing i never changed was her fat in her food
I think hana”s digestion is very sensitive to fat
And because of her very poor coat i never reduce fat
But i think may be this is the solution

[Montgomery]

Are you using anything to balance out the raw calf meat and pumpkin? If that is her only food, she is going to be missing out on some things she needs.

[Olesia711]

good point V !!!

[Michaela]

Hi Farshid,

breaks my heart to read Hanah is still not doing well. If I'm reading this correct, she was diagnosed over a year ago?

I'm going to touch on some things that stand out to me. I realize that you have limited options in your country, but her diet is really unbalanced, and I am not a fan of raw meat, I know that some people don't like to hear this. I would really like to see her on a good kibble, and you can add canned food. Can you tell us what is available in your country? I would like to see her on a diet for GI issues to see if she improves. Can your vet get this one, Nikki does fine on it. https://www.royalcanin.com/us/dogs/prod ... d-dog-food

When she was eating the Royal Canin food previously did her poops improve at all?

At minimum I would reduce some of the fat in her diet and cook her meat, EPI dogs do really well with sweet potato, can you get those? She may even need a little bit of grain, how about adding some over-cooked (mushy) white rice? The unbalance diet still doesn't explain the inability for her to gain weight, just seems like something else is going on. If you continue to feed this unbalanced diet, she's going to come down with other issues eventually.

Have any other tests been done at all? It just seems like something else is going on for her not to gain weight. Did your vet check for parasites, giardia, etc? I would run the IDEXX Real PCR Diarrhea panel just to rule out some things if she was my dog. https://cms4.netnews.cz/files/attachmen ... panels.pdf

https://www.akc.org/expert-advice/healt ... a-in-dogs/
https://www.ncbi.nlm.nih.gov/pmc/articl ... testinalis.

The enzymes you are using should be fine, we use Pan-Tenex and no problems. Can you get raw beef pancreas in your country? You can't cook it, or it won't work, it has to fed raw but worth a try, I guess.

Do you know her B12 levels, have they been checked lately?

There is a Facebook group where veterinarians answer questions from pet owners, they get a ton of requests, so there is no guarantee you will get an answer but worth a try. There are specialists in this group and if you decide to post start your post with "Hello Vets". Here is the link: https://www.facebook.com/groups/337421456457048

Here are two calculators where you can look up calories but from your post it seems she gets enough. Hanah and Nikki are about the same size and Nikki needs about 1200 calories a day. Hana would need about 50% more until she is at her regular weight. https://your-calories.com/cooked-ground ... he%20table.

https://nutritiondata.self.com/foods-sw ... 00000.html

Hopefully someone else will chime in with some ideas for you, I really hope you can figure this out soon

Michaela