It’s so stressful

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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Bilbo
Member
Posts: 1
Country: United States
State: Louisiana
Pet name: Bilbo
My name: Bonnie

It’s so stressful

Post by Bilbo » 08 Jun 2020, 23:24

My boy has been on b12 and pantenex for about 2 years now. We really haven’t been successful, usually his score is a 6. I’m trying pro and prebiotic. Hopefully we can make process, it’s frustrating at this point. Anything else I could try, I’m out of ideas. Thanks

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jilbert57
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Posts: 995
Country: United States
State: Washington

Re: It’s so stressful

Post by jilbert57 » 08 Jun 2020, 23:38

Hi. Would you like to provide us with some information on your pup?
What was the result of the Tli test?
Was the B12 and folate tested?
What food is your pup on and how much a day?
How are you preparing the food with the enzymes?
What medications is your dog on?
4 things must come together before an EPI dog will thrive:
1. Enzymes
2. Diet. Usually grainfree with 4% or less fiber
3. Antibiotic
4. B12 shots

Here is the Quick guide for USA:

https://epi4dogs.com/epi-quick-guide-usa/

Jill
My name is Jill and I live on the Hood Canal in Washington State. I have two dogs: Kiya is an aussie/blue heeler and is 13, TJ is a 4 year old Jack Russell. They keep me on my toes.
Mickey and his pancreatitis brought me to Epi4dogs.com site in 2012 to help manage it.

Mickey, Jack Russell. Chronic Pancreatitis. Dianes enzymes, 1/8t 3x/day with meals.
6/1999 - 8/2014

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Jean
Staff
Posts: 1048
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: It’s so stressful

Post by Jean » 09 Jun 2020, 07:36

I agree we need your journey so that we can give some advice
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 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
Posts: 1363
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy

Re: It’s so stressful

Post by Olesia711 » 10 Jun 2020, 09:23

Hi BOnnie, Unfortunately, sometimes it is difficult to find the right balance of things to manage an EPI dog.... a little more or a little less of the 4 cornerstones of treating EPI:
  • Enzymes
    Diet
    SID/SIBO
    B12
And then sometimes you have to try different products of the 4 cornerstones .

AND THEN (and this is what i am wondering if it may be a possibility with why you are having difficulty) if the poos continue to be loose, no matter what you try, sometimes it is because your dog has a combo of EPI + IBD (or some sort of food sensitivity)... We do see this often in EPI dogs. SOOOOOOOOOoooooo... although i don't have any details with your situation (so i cannot tell if this is even the problem) .... if your dog continues to have loose stools.... AND
1. If you are giving B12 in case the B12 is low (B12)
2. If you have tried multiple low fiber content foods (something with less than 4% fiber content) (DIET)
3. if your has already tried Tylan antibiotic for 45 days/twice a day.... and if that didn't work, (for SID)
4. if your vet then proceeded to try Metronidazole for 30 days/twice a day...
5. if you have tried adding a prebiotic like SLippery Elm powder.....and if it is loose stools that are still persisting..... what you might want to try next is
6. a true Hydrolyzed food.... the one that seems to work well with these EPI dogs is Royal Canine "Ultamino"

Not sure if this is helpful but hope so!
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
President
Posts: 988
Location: Nashville, TN
Country: United States
State: Tennessee
Pet name: Doc

Re: It’s so stressful

Post by Madelon » 28 Jun 2020, 10:18

Hi Bonnie - Just wanted to check in and see how things are going. Hoping no news is good news :)
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

Barb
Staff
Posts: 487
Country: United States
State: New Jersey

Re: It’s so stressful

Post by Barb » 30 Jun 2020, 21:06

I am wondering, too.

Barb

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Jean
Staff
Posts: 1048
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: It’s so stressful

Post by Jean » 01 Jul 2020, 06:17

I will email, maybe she didnt click on the notify reply box
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 used Panzym enzymes, Tylan and Chemeyes b12 capsules

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


Jeanx

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