Parenting-Furkids
Non Species Specific Furkid Topics => Pet Care Websites => Member FAVORITES => Topic started by: Pookie on October 24, 2015, 01:09:23 PM
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I read Dr. Plechner's book, "Pets at Risk - From Allergies to Cancer, Remedies for an Unsuspected Epidemic" several years ago when I was trying to find something to help Pookie's sister. Dr. Plechner developed a protocol to correct hormonal imbalances in pets that were causing or, at least, contributing to allergies, aggression, epilepsy, viral diseases, gastrointestinal problems, vaccine reactions, cancer and other illnesses. He uses low-dose cortisol and usually thyroid medications to balance the hormones.
Let me be clear: he is not talking about the large pharmacological doses that most vets will prescribe. The doses he recommends are to bring the cortisol level back to normal. So for example, let's say on a scale of 1-10, with 10 being the normal amount of cortisol produced by the body, your dog or cat only measures a 6. Instead of giving a large dose of cortisol, Dr. Plechner would prescribe just enough to bring the level back to 10.
His book doesn't really address Addison's, which is why I created a separate thread for him. But the information in his book may be very helpful to people who's pets have other chronic illnesses. He also has a website: http://drplechner.com/ and it includes what your vet would need to test for. Dr. Plechner had retired, but came out of retirement due to demand, so if your vet isn't open to Dr. Plechner's protocol, you can have your vet do the bloodwork and then you (or your vet) can consult with Dr. Plechner.
I haven't completely explored his website yet, but I can tell you in his book that while he is somewhat open to raw feeding, he prefers pets on his protocol be fed a cooked meat diet and/or hypo-allergenic diet. I didn't get the impression that he understands how a grain-based diet can contribute to at least some of the health problems we see in pets.
Personally, I think that feeding a species-inappropriate diet causes stress to our pets' systems, and that may contribute to the kind of hormonal imbalance that Dr. Plechner is treating. His book discusses those issues mostly as a result of breeding, along with toxins, etc.
Please, visit his site, read through it. Perhaps there's something there that will ring true to you, and it might be worth looking into if your pet has health issues that haven't been completed resolved by changing the diet. You can always have the bloodwork done, finances and pet permitting, and then make a decision if you want to pursue the protocol.
One other note: in his book, he finds that his protocol doesn't usually correct food allergies. That's what I thought was going on with Pookie's sister, so I didn't pursue using the protocol. But he does find that the protocol does work very well for other allergies, e.g. environmental, etc. He has also found that every pet with cancer has this hormone-immune imbalance, so this protocol might be helpful in preventing health issues down the road as well as correcting existing ones.
I hope this helps! http://drplechner.com/
http://drplechner.com/learn/miscellaneous-articles/prevention/
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Here's an article from his website that may be helpful:
http://drplechner.com/total-estrogen-is-the-answer-to-many-inflammatory-diseases-in-humans-and-in-animals-yet-it-is-rarely-measured/
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And 2 articles (parts I and II) from his site about adrenal fatigue. This discusses pets as well as humans.
http://drplechner.com/what-is-adrenal-fatigue-part1/
From Part I:
In the majority of canines, felines and equines, the damage to the zona fasiculata and its production of cortisol is genetic and permanent, and that is why adrenal, nutritional support may not work.
Well, there goes my hope that adding some supplements to a pet's diet, short-term, after surgery could help them recover. :( Personally, I don't think it would cause any harm as long as the vitamins are water-soluble, but that's just my opinion.
He seems to believe that this is a genetic issue, but I can't help but wonder if at least some of it is diet-related, since the pet may have been eating a less-than-ideal diet for most/all of it's life. For pets that have been eating a species-appropriate diet all their life and weren't exposed to a lot of vaccines or toxins, and are having chronic health issues, genetics may very well play a role. I don't know if he's ever compared pets that were fed an appropriate diet/few vaccines, etc. to pets that were fed commercial food and regularly vaccinated.
http://drplechner.com/what-is-adrenal-fatigue-part2/
And from Part II:
Hopefully Part 1 of ADRENAL FATIGUE explains to you how a deficient or defective cortisol can lead to elevated total estrogen in humans and in animals.
When this hormone imbalance occurs, the elevated adrenal estrogen may cause the following problems in the body:
It causes a deregulation of the immune system, which leads to a loss of recognition by the immune system of self-tissue, which can lead to allergies, autoimmunity and cancer.
It reduces the B lymphocytes ability to produce immunoglobulins and when the mucous immunoglobulin (IgA) in a human or animal is below a certain level, intestinal malabsorption may occur. An example of this is when a human or animal is in the hospital and is receiving intravenous or intramuscular medication and are improving, but when they are sent home on the same medication, in an oral form, their original disease begins to return. This may happen because they were unable to absorb the oral medication due to an IgA deficiency and the turmoil that happens in an unprotected gut. Please remember, immunoglobulin A is designed to protect all the mucous membranes in the body, including all those systems which contain mucous membranes.
This includes the mucous membranes of the mouth, gums and the rest of the digestive tract, including the respiratory tract, the urogenital track and in many areas of the skeletal system in their joints. Note: An IgA test level, should be standard for all patients that have general blood tests done, to ensure that the patient, can absorb oral medication, if is prescribed.
Elevated adrenal estrogen in canines and equines binds the receptor sites of T3 and T4. This usually is not a significant finding in a feline, unless they have Feline Infectious Peritonitis (FIP).
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He seems to believe that this is a genetic issue, but I can't help but wonder if at least some of it is diet-related, since the pet may have been eating a less-than-ideal diet for most/all of it's life.
They've known for a while now that Addison's has a genetic component to it. That's why so many GOOD breeders get really, really upset when they get their first Addisonian offspring. There is research going on right now in Cali, NC, and in the UK. Standard Poodles are really bad about it, but so are West Highland Whites, Portuguese Water dogs, Rottweilers, and a few other breeds that seem to have it occurring higher than average than other breeds.
Some of these breeds are the ones that are being researched in some of the studies. There's talk with some in the BRTCA (breed club) of having Black Russians like Vlad added to the research, but the BRTCA has to come up with grant money for it.
I talked to one researcher in North Carolina, and he'd be more than willing to take Vlad's blood on the side, but I have to pay for everything to get it to him. Let's just say that it's not going to be happening right now at the moment so close to the giant bills we've already had. If he were a Standard Poodle, then it would all be free because their breed club is paying for the grant. http://www.ncstatevets.org/addisonsstudy/
The reason I contacted him was b/c of a notice like this one that was confused by other people: http://www.akcchf.org/research/participate-in-research/Samples-Needed-for-Addison-s-Disease-Study.html
The confusion came about where it says "all dogs" before the "Standard Poodle," so people in the BRTCA thought it was for any dog. I'm not too worried about the BRTCA coming up with a grant, b/c if they find the gene in one breed, then they'll know where to look in every breed, and a test can be developed for breeding stock.
The Estrogen thing. I don't think Vlad's adrenals can make estrogen at all anymore. If it can't make aldosterone to regulate the potassium and sodium, and it can't make cortisol, then I don't think it can make estrogen at all either. I'll have to ask about that on the 6th at his next appointment. I'll put it on the question list right now.
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Thanks, DeeDee. Would you mind including that information in the Addison's thread? As mentioned in an earlier post, this thread really doesn't pertain to Addison's -- Dr. Plechner's protocol isn't for that particular disease. I agree there probably is a genetic component to Addison's, however my point for this thread was that this particular vet blames a lot of the (non-Addison's) hormone imbalances on genetics, and doesn't seem to consider other factors, like diet. His book mentions diet, toxins, etc. briefly, but for the most part, he blames genetics, and while I'm sure that may be part of it, I wouldn't be at all surprised if these hormonal imbalances can be caused by other things as well.
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I honestly DO think that things like thyroid conditions are in the genes, but I'm not sure what sets them off. A lot of dogs with Addison's also end up with hypothyroidism, and other hormonal imbalances.
Is it something that's set off by vaccinations or bad food? I don't know. I know a lot of breeders seem to think that things like vaccinations can set off things like Addison's or thyroid problems, but that wasn't the case with Vlad. He's not had any vaccinations since he was a puppy. A lot of them just don't want to admit that it's heredity because that would mean that they've done something wrong.
Personally, I think that the animal already had the problem, and it just hadn't finished the immuno-attack on the gland or organ that secretes those hormones that are the problem. But getting a vaccination helped the body finish the attack, and suddenly the animal is ill.
In Vlad's case, I think he had the problem a long time, his body was attacking the adrenals, and then the stress of his life being changed so much (by my situation with my parents) finally completely stressed his adrenals out to put him in crisis.
I think that stress of some sort might be a huge factor with a lot of these things going into full-blown problems. Now is it stressed caused by bad nutrition, vaccinations, being left alone all day? That's my big question.
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I agree. I think that our genes are like light switches, and everything may be ok until something (poor diet, stress, vaccines, environmental toxins, etc.) flips the switch and causes a problem like hypothyroid, etc. I don't know that the genes themselves start out "defective," but that's not to say that they're NEVER "defective." I think it depends on the animal. Some may be fine genetically until they're exposed to something that "flips the switch," and I think some are born with the switch already flipped. I'm re-reading Dr. Plechner's book again, and he does mention that these immune problems can be caused by other factors like diet and toxins, he just leans a lot more towards genetics. I personally would love it if he could have tested the animal at birth to see if they had the hormone imbalance that he's looking for, and then tested them again at various points in their life. If they didn't have it at birth, but developed it later, that would tell me that the cause wasn't necessarily genetic as much as something they were exposed to. But he doesn't have data like that.
I think in Vlad's case, you're right that it's genetic. I know how careful you are about what he eats and what he's exposed to, and I really hope you don't blame yourself because I don't think there's anything you could have done. You are a PAWSOME Mommy, and he is very lucky to have you!
It's my hope that posting about Dr. Plechner helps other people to treat immune problems in their own pets. Just to re-emphasize, his protocol does NOT treat Addison's (I'm not sure about Cushing's), but he has used it on thousands of patients to treat skin allergies, vaccine reactions (or vaccines not being effective), aggression, and other inflammatory diseases like arthritis and ibd. He's also used it to reduce the risk of cancer, or in cancer patients, to improve their quality of life.
IMO, if changing the diet hasn't worked, and you don't know what else to do, this protocol is worth looking into. Just my 2cents.
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Thank you so much! :-* I try. That's all I can do. Try my best. I DO think it was stress from being away from me so much more than normal that set it off. This really isn't a breed for people that are going to have the whole family away the whole day. They're VERY family oriented and want to be with their human always. They're natural protection dogs, and it makes them nervous to not be able to see you to protect you.
From the first when I started having to drive them everywhere, he started getting pushy when I was trying to go out the door. Trying to go with me. Sort of a panicked look in his eyes. I know now that part of it was not having enough cortisol because it mostly completely stopped once he started getting prednisone. There are days like today though, he gets that pushy thing going, not wanting me to leave without him.
I'm sure this is part of what finally flipped the switch on him. Total mental stress from not being able to be there to protect me all the time--though it would have finished happening sooner or later.
So, I definitely think that mental stress can flip a switch on a lot of these dogs that get sick. Like every female in my family getting Hashimoto's thyroid disease. Especially those dogs with separation anxiety. Mix genetics, environmental/immunological issues, and stress, and you have a recipe for illness.
Stress as a factor is going to have to be considered along with vaccinations and bad food/environment.
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Stress as a factor is going to have to be considered along with vaccinations and bad food/environment.
Yep, Dr. Plechner does include stress as a factor. BTW, I just finished re-reading the section on dogs, and he claims his protocol has resolved separation anxiety as well as aggression. *Sigh* I can't help but wonder if his protocol would have helped my parent's dog with his aggression issues, at least somewhat, or if it would have helped boost Pookie's immune system so he wouldn't have gotten cancer. I'll never know, and I just have to take it on faith that everything happens for a reason. But I do kind of kick myself for completely forgetting about this book and treatment (I read it over 5 years ago), and only thinking of it now when it's too late for my (family's) pets. :(
Live and learn, I guess. Hopefully, someone else who sees this thread will benefit from the information. fingerscrossed If you see anything on his website that you think may be helpful, would you mind Tweeting it, Dee? Maybe the animal protocol page or something? (There's a similar protocol for humans, too, and a book about it called "Safe Uses of Cortisol" by Dr. William Jefferies. I haven't had a chance to read it yet.)
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thumbsup1
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Thank you!
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The Estrogen thing. I don't think Vlad's adrenals can make estrogen at all anymore. If it can't make aldosterone to regulate the potassium and sodium, and it can't make cortisol, then I don't think it can make estrogen at all either. I'll have to ask about that on the 6th at his next appointment. I'll put it on the question list right now.
I just remembered that I asked about it yesterday. I was told that the body also converted some testosterone to the estrogen it needs, and since Vlad hasn't been deprived of his testosterone, he really saw no reason to worry about him not having enough estrogen. If Vlad were neutered, we might look into the possibility of some of those other hormonal issues.
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I just remembered that I asked about it yesterday. I was told that the body also converted some testosterone to the estrogen it needs, and since Vlad hasn't been deprived of his testosterone, he really saw no reason to worry about him not having enough estrogen. If Vlad were neutered, we might look into the possibility of some of those other hormonal issues.
Since Vlad has Addison's, and Dr. Plechner's protocol doesn't address that, I can't really speak to Vlad's condition and how estrogen may or may not play a role. But to clarify for others about Dr. Plechner's program, he doesn't look at testosterone. He found that low cortisol = high total estrogen (inflammation) and low antibodies (immunity), and this was the case whether the animal was spayed/neutered or intact, because the adrenals also produce estrogen (not just the reproductive system). Giving the animal a low (physiological) dose of cortisol would bring the system into balance by lowering estrogen and improving the immune system.
I hope this helps!
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However, it should be noted, that if the animal has low cortisol, it should also have it's potassium and sodium watched closely. Part of Addison's disease is the inability to make cortisol as well as aldosterone.
It's pretty much accepted by everyone that the cortisol is what goes first because there's a Secondary Addison's that is a lack of cortisol, but they still make the aldosterone. In Secondary Addison's, they only need the prednisone to replace the cortisol, and they don't need the Percorten V or Florinef to replace the aldosterone.
It's not uncommon at all though for the animal to progress into Primary Addison's later, so their potassium and sodium still have to be observed closely.
I still can't help but think that the low cortisol Plechner is talking about is the beginning of Addison's in a lot of cases, but giving the animal cortisol-replacement therapy might help the adrenals not be overworked so much and hold Addison's off for a while or even permanently.
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Thanks, DeeDee. Would you mind posting that information in the Addison's section as well?
I still can't help but think that the low cortisol Plechner is talking about is the beginning of Addison's in a lot of cases, but giving the animal cortisol-replacement therapy might help the adrenals not be overworked so much and hold Addison's off for a while or even permanently.
That didn't seem to be the case in all the examples his book mentions. These were all animals that had allergies, UTIs, kidney issues, ibd, cancer, behavior issues, epilepsy, vaccine reactions, etc., and those issues were corrected once their cortisol levels were brought into balance. Their ages varied from kittens/puppies to 8 years old or older. And cats don't seem to get Addison's, at least, it's my understanding that it's rare, but he used this program to treat cats as well for the issues listed above.
It's possible that eventually maybe some of these animals would have developed Addison's, but he literally treated thousands this way. In Vlad's case, did he have any other issues going on, like allergies (rash, ear infections, that sort of thing)? My impression he was doing great and then not acting like himself and then he crashed, but that was just an impression.
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No. It was exactly that. He seemed like himself (though looking back now, a lot of things were odd for at least a year), then things started going really wrong from April until June when he crashed. I have my suspicions that during that time before he crashed, he was probably in secondary Addison's during that year, but it just wasn't found until he went into primary and crashed.
But there ARE a lot of people that think that Addison's disease is greatly under-diagnosed just because it's so hard to diagnose. They usually can't really find it, or don't, until the animal crashes, and then, in a lot of cases, it's too late. Vlad and the other BRT in Maryland that crashed on Memorial Day weekend were both REALLY lucky. We've both been told that a lot of times after people looked over their clinical notes from ER.
I also know that in a lot of the other cases of Addison's, the dogs have multiple problems like allergies, kidney disease, pancreatitis, etc. Vlad's pancreatitis thing seems to be controlled now with ACV and turmeric that the vet said I could try with him (after he talked to the herbalist there). The turmeric finished doing what the ACV didn't completely do alone.
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I also know that in a lot of the other cases of Addison's, the dogs have multiple problems like allergies, kidney disease, pancreatitis, etc. Vlad's pancreatitis thing seems to be controlled now with ACV and turmeric that the vet said I could try with him (after he talked to the herbalist there). The turmeric finished doing what the ACV didn't completely do alone.
I didn't know Vlad had pancreatitis! :o :( I'm glad the ACV and turmeric are helping.
That info about Addison dogs also having the other health problems is good to know. Maybe Dr. Plechner's test would be helpful in preventing Addison's, I don't know. He doesn't test for aldosterone, that's why I'm not sure. But even if it didn't, I wonder if his program would be helpful for those dogs (that have the allergies, etc.), but I don't know if it could be done in conjuction with the treatment for Addison's. :-\
I think his program would definitely be helpful for breeds that, for lack of a better way of putting it, may be more prone to Addison's. To your point earlier, maybe it would help prevent things before they become problematic. Other than the cost (and convincing a vet to do the tests and try the program), it certainly doesn't hurt to have the testing done and see if there is an imbalance.
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I didn't know Vlad had pancreatitis! :o :( I'm glad the ACV and turmeric are helping.
Yeah. He tested positive for it in ER anyway. He's not been tested again, but I've been going on his rotten-egg-scented burps since then. That and the fact that it seems that too much fatty foods bother him now. It's slowly gotten better to the point that he's not burping anymore. It's why I was wanting to try the tumeric so badly--because of the reports that it (and ACV) could help pancreatitis. Nothing to do with pain at all. Just the stomach issues.
I can't see that his protocol (if very much over treating with cortisol [prednisone/prenisonosolone/hydrocortisone]) could hurt a dog with Addison's since his protocol of giving cortisol is part of the Addison's treatment. It sounds like he's more or less treating adrenal fatigue when Addison's is adrenal death.
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I can't see that his protocol (if very much over treating with cortisol [prednisone/prenisonosolone/hydrocortisone]) could hurt a dog with Addison's since his protocol of giving cortisol is part of the Addison's treatment. It sounds like he's more or less treating adrenal fatigue when Addison's is adrenal death.
That's exactly why I looked at his book again. Remember in another thread I had been wondering if pets get adrenal fatigue and if glandulars would help? That's when I remembered his book. In humans, adrenal fatigue can show up as a person being very susceptible to colds or the flu, so reduced immune function is a result. Maybe in pets, adrenal fatigue shows up as some of the other issues he's addressing, but he didn't look at it as adrenal fatigue. He really was focusing on the bloodwork and the imbalance, and blamed most of the problem on genetics. To me, adrenal fatigue is more something that develops over time due to stresses (surgeries, illnesses, etc.), but maybe that's just semantics on my part.
I look at it this way: Other than cost, it doesn't hurt to have the test done to see if the imbalance exists. If it doesn't, great. If it does, you can make a decision whether or not to treat it, but at least if problems show up, you know what you're dealing with. But treating it may prevent future problems.
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A family member has a dog that is allergic to... who knows what. All kinds of tests have been run. The brand of kibble has been changed several times. The vet casually mentioned raw. Her SO told me, not her. She would NEVER have told me that.
Since this person won't even consider raw... meds were recommended, more tests, yadda, yadda, yadda.
Honestly, we don't have a lot of in-depth conversation about it because she is not open to ANY suggestions. Any info I may have to offer, I got from "kooks on the internet."
However, her significant other IS a reader. Do you think this book is written for the average Joe?
Do you think the odds are good that the average Joe would ask the vet to test for Endocrine-Immune Imbalance?
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However, her spouse IS a reader. Do you think this book is written for the average Joe?
Yes. I was having problems putting some of the dots together until I got that book and read it. Once I figured out what all cortisol actually does, everything that was going wrong made sense.
Do you think the odds are good that the average Joe would ask the vet to test for Endocrine-Immune Imbalance?
Not so sure that "the average joe" is as demanding as I can be.
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However, her significant other IS a reader. Do you think this book is written for the average Joe?
Definitely, yes. There's not a lot of "medical speak" in it, and he does an excellent job explaining things in a way that the "average Joe" can understand.
Do you think the odds are good that the average Joe would ask the vet to test for Endocrine-Immune Imbalance?
Not so sure that "the average joe" is as demanding as I can be.
funny2 Love DeeDee's response!
It depends on the Joe. Only "kooks" like us go to the effort to find out WHY there's a problem and figure out how to treat it. So if the Joe is a "kook" (sorry, that cracked me up), then they'll ask. If the pet is "just a cat/dog" then maybe not.
I doubt most vets are familiar with this Imbalance, which is where the book can also comes in handy. I just recently bought a used copy from Amazon for $4.00 and gave it to my vet. Whether she's reading it or using it for a coaster, I don't know. I told her, read the first 3 chapters and if you think it's bogus, let me know and I'll take it back, otherwise please keep it.
Anyway, having the book when talking to the vet can be helpful, because of the explanations that Dr. Plechner goes into. He also goes into detail about HOW he discovered the imbalance, the connections estrogen has with cortisol and auto-immune problems, and the labs to ask for. So the pet parent (and vet) has a much clearer understanding of what's going on and why. His website . . . isn't as clear, I suspect because the book had an editor and the website doesn't. The website is helpful if you're just looking to get the information on what to test for.
BTW, for any cynic-vets out there, Dr. Plechner is retired and doesn't charge for advice or guidance when he's consulted. He has no financial interest in any of the labs that run these tests. So there is no financial gain for him in this.
Sorry, I think I rambled. :-[ Do you think the SO would be willing to 1) read it and 2) pursue discussing it with the family member and/or vet?
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By the way I did buy this book. It is sitting here waiting to be read. I haven't even started flipping through it yet. Blame it on the stack of good library books. I do plan to have it read before Mazy cat's next check up. I want to start her on the pred I think. If vet insists on the specif blood panels first then okay.
But diet alone is just not doing it for her.
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When is Mazy's next check-up?
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Yes. I was having problems putting some of the dots together until I got that book and read it. Once I figured out what all cortisol actually does, everything that was going wrong made sense.
So you had the test done, and then...? I know you talked about it elsewhere, but dumb it down for me. :)
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When is Mazy's next check-up?
July. I haven't scheduled it yet. Trying to work out the best day, workwise. I have dr appointments for myself I'm trying to fit in too.
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So you had the test done, and then...? I know you talked about it elsewhere, but dumb it down for me. :)
There were so many things going wrong with Vlad on top of the Addison's, and until I read the book, I had no clue ALL of it could be caused by lack of cortisol. In HIS case, I wasn't doing him any favors by trying to lower his prednisone dose as the Addison's group thought it should be.
We knew he wasn't making cortisol b/c of his Addison's testing so no further testing was done, but lowering it from 5 mg where his vet wanted him was only causing the other problems to continue--digestion/pancreatitis issues especially. Dr. Plechner talks about digestion in the book too along with other issues that Vlad was having.
As far as the estrogen issues go with Plechner Syndrome, the prostate supplement he takes lowers estrogen. He gets a more complete supplement now (instead of saw palmetto alone) that contains all of the things that Dr. Karen Becker recommends trying for BPH: http://healthypets.mercola.com/sites/healthypets/archive/2014/04/21/benign-prostatic-hyperplasia.aspx
What Dr. Plechner talks about is adrenal exhaustion or insufficiency, which is just a less drastic form of what Vlad has (adrenal death), but it can cause the same symptoms on a lesser level that can all be attributed to high estrogen caused by low cortisol. Now that Vlad is being kept on a higher dose of prednisone that works for him along with the estrogen lowering herbal supplement, none of the other things are an issue unless he gets stressed and needs more cortisol replacement for that day.
So, Vlad's getting treated for high estrogen anyway, and it's worked, so no further testing has been done. If the herbal supplement quits working, I'll have more testing done to look at other prescription meds. That way he can keep his testes and not screw up his hormones even more on top of his cortisol hormone being gone.
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Here's a simpler breakdown of how his protocol works. NOTE that it is based on blood tests, to determine the appropriate dose of pred needed for the individual animal:
estrogen = inflammation
cortisol = reduces inflammation (that's why it's used for injuries, it reduces swelling and inflammation).
Low cortisol is low = high estrogen (inflammation) resulting in auto-immune issues (e.g. allergies, IBD, cancer, etc.). Increasing cortisol (based on blood work) to normal = lower estrogen (inflammation) to normal levels. Immune issues resolve because the hormones are now in balance. Life is good. :)
BTW, I was at the bake sale for the rescue I recently joined, and one of the other ladies mentioned her cat having inflammed gums. I gave her card with the link to our forum and also discussed diet with her, as well as Dr. Plechner's protocol. Another person stopped by and asked about stomatitis. I gave her the card and also the name of Dr. Plecher's book and the link to my website.
By the way I did buy this book. It is sitting here waiting to be read. I haven't even started flipping through it yet. Blame it on the stack of good library books. I do plan to have it read before Mazy cat's next check up. I want to start her on the pred I think. If vet insists on the specif blood panels first then okay.
But diet alone is just not doing it for her.
multistars multistars multistars YOU JUST MADE MY DAY!!
The vet will need to do specific blood panels. Not all of the tests needed are standard, but they need to be done to determine the correct dose for Mazy. The dose that works for one animal may be too high or too low for another. To be fair, the tests may be pricey (I don't know the actual cost) but that said, in the long run it may be worth it if it helps Mazy. fingerscrossed fingerscrossed fingerscrossed
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Super happy you got the book, MC!
Thanks a million Pookie and DeeDee for your input.