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November 17th 2014

Our vet came out to take bloods from Leo and to x-ray all 4 hooves  following my suspicions that he may have PPID / EMS due to lack of winter coat shedding ,cresty neck, fat pads on eyes and re-curring bouts of laminitis / footiness

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PPID EXPLAINED BELOW

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PPID, short for Pituitary Pars Intermedia Dysfunction (formerly called Equine Cushing's Disease), should be considered for any horse with laminitis, particularly if the horse is aged 10 or older or if laminitis occurs in the autumn.  Diagnosis of PPID should be made on the history, clinical signs and blood tests.  PPID is treated with a daily dose of pergolide, available as Prascend or compounded pergolide (depending on country).  NB a horse can have EMS and PPID.

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Two blood tests are commonly used to diagnose PPID (please see the individual tests for instructions):
         
ACTH test (resting plasma ACTH concentration) - no risk of  laminitis, advisable for monitoring pergolide dosage, single vet visit and blood draw, can be used at any time of the day and year and is the only reliable test during the autumn seasonal rise (if a seasonally adjusted reference range is used).


         Dexamethasone Suppression Test (DST) - possible risk of laminitis, doesn't specifically measure ACTH reduction due to pergolide, more expensive as requires two vet visits (unless the owner administers the dexamethasone), cannot be used during the autumn seasonal rise.

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On the ACTH test, a normal reading should be less than 47. Leos levels were 107!

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Pergolide, a dopamine agonist, is the drug most vets prescribe to control PPID.  Pergolide acts to replace the dopamine missing in horses with PPID, inhibiting the over-production and release of the POMC-derived hormones, α-MSH, β-endorphin, CLIP and ACTH. 

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Equine Metabolic Syndrome - Insensitivity to Insulin

(Insulin dysregulation syndrome, Equine syndrome X, Peripheral Cushing Disease.

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Equine metabolic syndrome is a condition that usually affects horses between 8 and 18 years of age. Affected horses are often overweight. Horses with this condition develop fat deposits much like those found in Cushing’s disease in horses. Fat may be deposited on the shoulders, loins, neck, tailhead, and just above the eyes. Some horses grow a pot belly. The horse may have bouts of equine laminitis, affecting the hooves. Horses with equine metabolic syndrome often drink more water and urinate more often than healthy animals. In people, this condition is sometimes referred to as pre-diabetes. If measures are not taken to control this syndrome, it can progress to insulin resistant diabetes.

Equine insulin resistance is one of the main characteristics of this disorder. In other words, the horse’s blood sugar runs on the high. There are several tests that your equine veterinary specialist can use to diagnose or rule out equine metabolic syndrome. The veterinarian will want to rule out equine Cushing’s syndrome and hypothyroidism. Unfortunately, these tests are expensive because they cannot be conducted in the field. The horse will be given an intravenous drip and blood samples are taken at regular intervals.

There is no cure or medical treatment for equine metabolic syndrome. There are, however, two things you can do to help control the condition-nutrition and exercise. Your veterinarian can tell you if your horse is overweight. You may have to restrict the amount of food you give to your horse and eliminate or limit pasture grazing time. The second thing is to increase the amount of exercise your horse gets. Just like you, your horse should get exercise on an almost daily basis. You can lead your horse by hand on a walk, long-line the horse, or go for a ride. The exercise and time together will benefit both you and your horse.

The drug metformin can also be prescribed and tried.

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pedal bone

the distal phalanx of ungulates, especially the horse.

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pedal bone rotation

causing penetration of the sole of the horse's foot; a characteristic of severe laminitis.

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pedal fracture

fractures of the pedal bone occur most commonly in horses. They may involve a wing or extensor process. They are usually transverse in cattle.

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pedal osteitis

a rarefying osteitis of the pedal bone in the foot of the horse. Causes local pain and lameness.

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And so we have it! Leos results came back positive in relation to all of the above.  Having chatted in depth with our vet, we agreed that quality of life over quantity was paramount for us and that we would decline veterinary medications and allow Leo to enjoy life with Hudson on a carefully "Managed" feeding regime and would treat Hudson the same as a "preventative measure"

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Managed Regime - little to no grass, soaked hay (ad lib), regular re-alignment trims every 8weeks, body score on the thinner side 2.5 - 3, weight maitained by additional feed morning & night - Sugar free, mollasses free alfalfa apporved by the laminitic trust for ponies not working.

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Leo

Leo

July 18th 2017 Footsore/ racing digital pulse in both front fetlocks Danillon (Anti-inflammatory) prescribed

Leo

Leo

July 18th 2017 Footsore/ racing digital pulse in both front fetlocks Danillon (Anti-inflammatory) prescribed

Leo

Leo

July 18th 2017 Footsore/ racing digital pulse in both front fetlocks Danillon (Anti-inflammatory) prescribed

Leo

Leo

July 18th 2017 Footsore/ racing digital pulse in both front fetlocks Danillon (Anti-inflammatory) prescribed

Leo

Leo

July 18th 2017 Footsore/ racing digital pulse in both front fetlocks Danillon (Anti-inflammatory) prescribed

Leo

Leo

4th Reiki session

Leo

Leo

Reiki with Yvonne Starrs

Leo

Leo

Reiki with Yvonne Starrs

Leo

Leo

Reiki with Yvonne Starrs

Leo

Leo

Reiki with Yvonne Starrs

Leo

Leo

Reiki with Yvonne Starrs

Leo

Leo

Reiki with Yvonne Starrs

Leo

Leo

November 17th 2014 Left Front

Leo

Leo

November 17th 2014 Right Front

Leo

Leo

November 17th 2014 Left Hind

Leo

Leo

November 17th 2014 Right Hind

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