Showing posts with label ECIRHorse EC IR PPID. Show all posts
Showing posts with label ECIRHorse EC IR PPID. Show all posts

Friday, September 04, 2015

Figuring Out What Works - and What Doesn't

I frequently enjoy reading David Ramey, DVM's interesting articles on his website and the variety of 
 comments they evoke at his Facebook page. While I identify with Dr. Ramey's common sense approach and his feelings about the many costly yet ineffective treatments and interventions marketed to horse owners, I often can't agree with his blanket approach of throwing out any intervention which isn't totally based on published scientific study.
Equine research is expensive - ask any horse owner how quickly we can go through a huge portion of our income - and unless there is opportunity for a substantial financial return there is little incentive to run original research studies or seek FDA approval.
Unfortunately, this has led to many purveyors of products targeted to horse owners making unsubstantiated claims of effectiveness based on myth, inappropriate use of studies in other species with little or no bearing on equine health and inflation of prices on anything labeled for "equine".
Midas turns his daughter into gold
I once saw a claim by a mineral supplement manufacturer that the sodium (salt) in the supplement would be changed in the gut to potassium.  In alchemy, this is known as transmutation - and has also been known as the "Midas touch".  I would be very hesitant to purchase a supplement from a source which doesn't understand basic chemistry or digestion.
Another (well known and "trusted") manufacturer lists all the intrinsic elements of the base ingredient (flax) in their supplement. This grossly inflates the length of the "analysis" listing, even though these individual substances appear in insignificant amounts.  This makes it easier to justify their high cost and may falsely lead someone to believe they're actually providing all their horse needs. (I use HorseTech for all my custom supplement needs - they list "flax" as simply "flax", not a compendium of 18 or more substances that are intrinsic to flax and not added by them.)
Cross-species extrapolation can be a valuable research tool but needs to be validated in the target species, not just assumed that what is good for one is good for another.  Look at Xylitol - an artificial sweetener which can help reduce cavities in humans but can be a life-threatening toxin to dogs.
One way to validate is by extensive field trial, which has been successful in helping to establish the protocols used by the ECIR Group with Insulin Resistant and Cushing's horses.
Horse owners can objectively validate the usefulness and success of a supplement, feed, medical treatment or alternative intervention by tracking clinical signs, along with taking quality photographs and videos.  Some time ago I developed a simple Clinical Signs Tracker which you can use to observe and track changes in your horse.
You should be specific in defining what you're trying to fix (which requires a proper and specific diagnosis), tin understanding how the intervention (supplement, medicine, treatment, etc.) is supposed to address the issue and how quickly the intervention is expected to resolve or improve the issue. For example, an intervention for ulcers (medical treatment, stress management, changing feeding management) should take your horse from a "3" to an "7" or "8"on the Attitude scale fairly quickly - often within a week, while adjusting the diet for improved hoof quality can take upwards of three months to see significant results and a full hoof growth cycle or more to completely resolve hoof problems.
This won't work if you're looking for a magic bullet but can be very useful in determing if the medication or laser treatment or expensive supplement actually made a difference or just lined someone's pocket. Depending on the intervention, you might track and photograph only on a weekly basis, while for something like wound healing, daily photos - at least initially - might be helpful.
The best reward? Someone asking "When did you get a new horse?" and having the documentation and photos to show your hard work paid off.

With best regards,

Patti
in warm, wet, cloudy Vail AZ

Links
http://www.doctorramey.com/if-you-see-results-what-else-is-there-to-say/
https://www.facebook.com/DRRameyDVM
‪https://www.dropbox.com/.../Clinical%20Signs%20Tracker...‬
http://ecirhorse.org
http://www.horsetech.com





Friday, June 14, 2013

Dr. Kellon Live with ECIR's Jaini Clougher


In case you missed the live interview with Dr. Eleanor Kellon and ECIR Group Inc president Dr. Jaini Clougher, go to http://traffic.libsyn.com/jpr/The_Jefferson_Exchange_06_10_2013_Hour_1A.mp3 to listen to the archived interview.

Jefferson Public Radio covers the Oregon and Northern California area including Jacksonville, where the NO Laminitis! 2013 conference - featuring Eleanor Kellon, VMD and Hoof Physiologist Robert Bowker, VMD, Phd - will be held in September.

The Oregon Veterinary Examining Board has approved the conference program for 13 Continuing Education credits - a great opportunity for your vet or other equine professional to enjoy an informative weekend in a beautiful area.  Lots of points of interest for other members of the family, and a short trip to some of the major BLM Mustang Herd Management areas. Lots more information at http://www.nolaminitis.org.


Best regards,

Patti in Vail AZ
- waiting for summer monsoons



Sunday, May 27, 2012

What is The Emergency Temporary Diet?


The Equine Cushings and Insulin Resistance (ECIR) group, co-owned by equine nutritionist and author Eleanor Kellon, VMD, has long supported using a low sugar/low starch diet for horses showing signs of laminitis, founder, insulin resistance (IR) or Cushing’s disease (PPID - pituitary pars intermedia dysfunction).

The Emergency Temporary Diet by Dr. Eleanor Kellon as posted on the ECIR group is not intended as a long-term complete diet but as an initial measure to bring symptoms under control until hay can be analyzed to check for suitability and mineral balancing. While some horses may begin to show improvement right away when high sugar/high starch triggers are removed from the diet, most won’t show real changes until their diet has been balanced and their trim optimized for a few months.

I have slightly modified the ECIR Group Emergency Diet (with permission from Dr. Kellon) and added some suggestions based on local Southwest availability. The complete article can be read on my website www.desertequinebalance.com and a pdf version is available there to download and print.


Tested low sugar/starch hay
The essentials of the Emergency Diet include:
  • Grass hay - either tested for a total sugar (ESC) plus starch level of <10% or soaked/drained
  • Iodized salt - 1to 2 heaping Tablespoons per day to start
  • Magnesium - 5 grams until hay is tested (about 2 teaspoons of magnesium oxide)
  • Vitamin E - 2,000 IU from natural vitamin E gel caps
  • Flax - either fresh ground flax seed or a stabilized flax product
These are the only basics your horse needs until you have had an opportunity to take a deep breath and sort things out.  Horses lived and evolved for thousands of years on the nutrition basics provided by forage and salt - your horse does not require any additional bagged feed in most circumstances.

However, the “emergency” diet is a temporary measure and will, at some point, need to be mineral balanced.  The ideal way is to have your hay analyzed and use a custom supplement based on the results of the analysis.  The analysis will also give you information on digestible energy (DE - calories/energy) which will help guide the amount you need to feed, and crude protein (CP), sugar, starch and mineral levels.
  
Feeding a custom supplement based on your hay analysis may often cost less than using a quality “off the shelf” supplement. If unable to test your hay there are options for addressing deficiencies and excesses using regional supplements.

Don't spend your hard earned money on expensive specialized supplements until you understand what your horse needs.  There are no magic bullets in a bag or bucket that will take the place of an accurate diagnosis, eliminating excessive sugar and starch from your horse's diet, a correct balanced trim and exercise (summarized by Dr. Kellon as DDTE).  Once DDTE has been addressed you can take your time finding the most appropriate and cost effective supplements for your horse.


Best regards,


Patti
Desert Hoofprints in lovely cool Vail AZ (which won't, unfortunately, last long)


Links
The “Emergency” Temporary Diet with modifications and suggestions for Arizona and the Southwest 
ECIR Group http://pets.groups.yahoo.com/group/EquineCushings/
NRC Plus equine nutrition courses by Eleanor Kellon, VMD
Analyzing Hay and Feeds - http://www.desertequinebalance.com/articles/analyzing-hay-and-feeds














Monday, April 09, 2012

Can My IR Horse Still Live Like a Horse?



Many people feel "a horse's place is in the pasture" and are often dismayed to find out their Insulin Resistant horses shouldn't be grazing on all that lovely green grass.




"A frequent question/concern emerges with the newly diagnosed insulin resistant or Cushings horse: How can my horse enjoy life if he is not living like a
horse? How can he have any quality of life if not allowed to graze? Will he have to be confined, locked away in lonely isolation while the other horses are out in the fields?" 



In How Can My Horse Live Like a Horse  veterinarian and ECIR Group moderator Jaini Clougher explains how you can continue to provide movement and social interaction for your horse without exposing him to the problems associated with grass for IR horses.  You can read Dr. Clougher's article here .


If you suspect your horse may have Insulin Resistance/Equine Metabolic Syndrome or Cushing's Disease/PPID, you can get detailed information and support from the ECIR Group and their information website ECIRHorse.org.  

Sunday, April 01, 2012

Leptin Baseline Testing for EMS

Leptin baseline testing has been added to the available test panels at the New York Animal Health Diagnostic Center Endocrinology Section at Cornell University for horses being tested for Equine Metabolic Syndrome (EMS), formerly known as Insulin Resistance (IR). See the protocol outline at

http://ahdc.vet.cornell.edu/Sects/Endo/testinfo.cfm under Equine Metabolic Syndrome Tests.
"Leptin is a hormone produced by adipocytes. Leptin is useful for separating hyperinsulinemia caused by EMS or Cushing’s syndrome from other causes, such as laminitis, stress, or non-fasted samples. This test can be performed on the same sample used for the Insulin baseline or ACTH/Insulin combination test."


According to Eleanor Kellon, VMD "The addition of leptin testing to the proxies greatly improves sensitivity. "  


Advantages of the Leptin/Insulin baseline or Leptin/ACTH/Insulin combination tests are they only require a single blood draw (though samples do require special handling and overnight shipping for accurate results).


The Leptin/Insulin baseline or Leptin/ACTH/Insulin combination panels are currently only available through the lab at Cornell, so your veterinarian will need to have an account with Cornell.


For more information, help and support for you and your horse with IR/EMS or PPID (Cushing's) you can join the ECIR Yahoo group at http://pets.groups.yahoo.com/group/EquineCushings/ (the digest or reading web-based posts is recommended as there may be 50 or more messages a day).

Friday, April 22, 2011

ECIR Group NO LAMINITIS! Conference Registration


Registration is now open for the First Annual
ECIR Group NO LAMINITIS! Conference.

When: August 5, 6 & 7, 2011
Where: Syracuse, New York

Featured Speakers :
  • Eleanor M. Kellon, VMD
  • Robert M. Bowker, VMD, PhD
  • Members of the ECIR Group Support Team

Registrations received by June 5 qualify for an Early Bird ticket discount price of $150.00. Registration after June 5 will be $175.00

Many plans have been finalized including the Friday Night Meet and Greet and a Saturday Night BBQ thanks to our Gold Benefactors, which currently include Auburn Labs - APF, HorseTech Equine Supplements, Triple Crown Nutrition and Uckele Equine Nutrition.
Please say thanks to these companies next time you contact them.

The NO LAMINITIS! Conference is being hosted by DeMario Farms and Black Horse Consulting in Chittenango, NY. A block of rooms has been set aside at the Days Inn about ten minutes away from DeMario Farms - let them know you are with the ECIR Group when you make your reservation for a ten percent lodging discount. Check out the Where to Stay button for this and other options including camping areas.

Complete conference details are at NoLaminitis.org
ECIRHorse.com - your reference source for Insulin Resistance and Cushing's disease
The ECIR Group - help and support for you and your horse
You can also visit the ECIR Group on Facebook.

Wednesday, February 23, 2011

NO Laminitis! Tee Shirts

Now that the sun is starting to shine in parts of the country, I can finally wear my NO Laminitis! Tee shirt without a jacket over it - and share the message that laminitis can be prevented.

These tee shirts will help support the ECIR Horse web site and the development of a data base for case histories which are currently spread over several sites. These case histories are the largest repository of information on horses with Cushing's disease (PPID) and Insulin Resistance (IR) in the world. Getting them in to a single data base will be a huge step in developing data on these conditions.

More and more horse owners are making changes in their horses's diets and lifestyles before their horses have any problems. Laminitis is often the first visible sign that brings a Cushing's or IR horse to veterinary care - education and up to date information on ECIR Horse and at the Equine Cushings and Insulin Resistance group helps both horse owners and their vets be proactive in avoiding endocrinopathic (hormonal/metabolic) laminitis.

Stop in at the NO Laminitis! site and get your tee shirt in time for spring - and think about surprising your veterinarian at your spring check up appointment with a tee shirt of their own.

Tuesday, November 30, 2010

"Allergies" - breaking the inflammatory cycle with a proprietary blend...

I don't often reply/post on many of the on-line groups I'm subscribed to as I'm not often able to get back to follow-up. But recent discussions on "allergies" and herbal remedies (for "allergy" and other inflammatory conditions) on the EC/IR group and other groups caught my attention.

The discussions on allergies made me think of my asthma - I really think many horses are not "allergic" but simply get caught up an inflammatory response - if the inflammatory cycle can be stopped, the "triggers" will cease to cause problems (or not as much). I didn't initially understand why I wasn't "allergic" to all the stuff that caused breathing problems, red eyes, runny nose and itching - my allergy tests were all negative. But, working with the allergist, I learned that "triggers" are not the same thing as allergies and I found these triggers (ranging from perfume to dust to cold to kitties to pollens, etc.) don't affect me as much if I take care of the baseline anti-inflammation stuff - like taking my
magnesium and Singulair (which is very similar to Spirulina in the way it acts), staying hydrated, getting enough rest, eating a balanced diet. If I do all these things I can stay off the inhaled steroids. In fact when I really pay attention to what I eat and drink and get enough rest I can actually pet and play with the barn kitties without turning into a mass of itchy red eyed sniffles.

Flax, spirulina, chondroitin etc (in addition to the baseline mineral balanced diet) all help improve the inflammatory threshold so the horse doesn't respond to triggers by mounting a major inflammatory response. But once an inflammatory cascade is started it seems more and more things will act as triggers until our horse is in a bubble of inflammation - with many systems affected. It can take something fairly significant (such as steroids and antihistamines) in large enough doses taken for a long enough period of time to stop the inflammatory response spiral and hold it off long enough for the immune system to regroup.

I think this is why some of these herbal concoctions are successful - if you put a large enough variety of herbal ingredients with anti-inflammatory properties in a high enough potency to stop the inflammatory cascade plus some adaptogens to help improve circulation, etc., something's bound to work. The "proprietary blend" or, IMO, "kitchen sink" approach.

If someone uses one of these blends and it works, the cost and accompanying rhetoric is irrelevant and we become a fan. Few of us actually take the time to figure out what made it work. If it doesn't work, we tend to just walk away and start searching for something else - we rarely go somewhere to discuss the downside - that it may have gotten in the way of appropriate diagnosis and resulted in the wrong treatment for the wrong thing.

At times some people have seemed to feel that the main Equine Cushings list is "anti-herbal". It isn't but the group has always advocated:

  • Knowing and understanding what you're giving your horse; what it is and what is it meant to do.
  • Being responsible for what gets put in your horse's body.
  • Understanding that any herb or homeopathic that is potent enough to effect change is potent enough to possibly produce side effects or toxicity, the same as any other "medicine".
  • Understanding that "natural" does not equal "safe".
  • When you give "kitchen sink" mixtures, you have no idea what worked and what didn't.
  • If it looks like magic, there's probably some sleight of hand involved, especially if it costs a lot (this is my personal opinion).
  • Any medications - western, non-traditional, herbal, energy modalities, etc. need to be administered after a sound nutritional base is established; often the appropriate balanced nutrition provides a sound base and some conditions that previously required medication are eliminated.

It's necessary for the EC main list to remain tightly focused so in depth discussions that aren't directly related to EC/IR are referred to EC Horsekeeping - that doesn't mean they are "anti-xyz", just that it may be distracting for many newcomers.

There are a lot of herbal resources on-line and in bookstores - where you can look up an herb, see its properties and what it's expected to do and determine if this is something appropriate for your horse. You don't need a pharmacy or medical degree to decide if you want or need to give your horse something that will cause him to pee more or make his liver work harder or if a mild anti-inflammatory will make him more comfortable after work - many of these decisions are simply common sense; you may want some guidance to determine if you want to give your horse an immune stimulant or something that supports his immune system (a vast difference).

If you really want to get a handle on changing the course of the inflammatory cycle, check out Dr. Kellon's Nutrition as Therapy course.

Saturday, November 27, 2010

Equine Pituitary Dysfunction Test Choices Analyzed by New Bolton Center's Jill Beech VMD

From Fran Jurga`s Hoof Blog: Up-to-the Minute News from Hoofcare & Lameness Journal: Equine Pituitary Dysfunction Test Choices Analyzed...: "In our new age of horses as companion animals, a significant proportion of our equine population would be considered into or at least approaching the geriatric phase of life. Equine pituitary disease and disorders are a concern in the horse-owning public..."

Because it is a late sign, laminitis is a poor "diagnostic" indicator for PPID (Cushing's disease). Testing ACTH (with Cornell as our lab of choice), despite the difficulties in handling and shipping and the possibility of false negatives or positives is immensely better than waiting until your horse has laminitis or has foundered.
It's always good news when our knowledge base about diagnosing this disease is broadened or - as here - confirmed.

Sunday, August 01, 2010

Freitag Entwicklung


This is an awesome example of the rehabilitation that's possible with mineral balancing, supportive nutrition, correct trims and a dedicated owner (Equine Cushings List member in Germany) who respected the light in her horse's eyes. Freitag, previously diagnosed with PPID, had sole penetration following a trim; the pain resulted in weight loss and overloading his hind legs.



Wednesday, October 28, 2009

Equine Support and Research Group

Celebrates Ten Year History and 8000+ Members

New Web Site Launched - Success Stories Unveiled

Health, longevity and quality of life for horses is an ever increasing concern among owners. Whether acting proactively or trying to help an animal with a history of chronic health conditions, public awareness of equine metabolic syndromes and diseases is on the rise. An all volunteer, non-profit group rising to support horses and their owners, the Equine Cushing’s and Insulin Resistance Group is a beacon on the internet to reach that awareness.

The EC and IR Group is formed to sort myth from reality....

In the late 1990’s, a young scientist, Robin Siskel, was seeking information to help her life long companion and Cushing’s mare, Night Flight, and became dissatisfied with the knowledge available. Little was known then about Equine Cushing’s Syndrome now more accurately described as Pituitary Pars Intermedia Dysfunction (PPID).

“Horse Owners were drowning in bad or no advice. Insulin Resistance wasn’t even recognized back then,” said Siskel in a recent interview. She established a small internet bulletin board to trade information and experience among horse owners that was scientific, specific and medically oriented.

A BS in Biochemistry and a Masters in Health Physics from Texas A&M helped keep Siskel on the path she set for the EC and IR Group. Experiences of horses owners were shared, digging into the details with a scientific medical look. Protocols and marketing claims were required to be backed by evidence. The human owner part of the equation was also key and emotional support for owners was included, but Siskel insisted on digging out the information to fully address any issue.

In December of 1999 Siskel moved the Equine Cushing’s and Insulin Resistance Group to Yahoo. For some time she had been communicating with noted author and veterinarian, Eleanor M. Kellon, VMD. Siskel knew Dr. Kellon as a leader in the fields of nutrition and nutraceuticals. She was also fascinated by Dr. Kellon’s sensible and effective approach using the concepts of Linus Pauling’s Orthomolecular Biology. (http://lpi.oregonstate.edu/) Robin wanted to get Dr. Kellon on board with the EC and IR Group.

“I was aware of Robin’s group and intrigued but at the time, due to other commitments, I could not accept Robin’s invitation” said Dr. Kellon.

Siskel adds, “Eleanor did say I could run any of the hardest veterinary issues or toughest problems past her within reason. And after a while of me teasing and tempting her with the most interesting ones, she gave in and joined the group as a full member in 2001.”

Dr. Kellon became co-owner of the group with Siskel in 2004.

How the EC and IR Group works and what makes it different...

In the ten years since it’s inception, the EC and IR Group has become the largest field trial of it’s kind with current membership of over 8200 horse owners, vets, nutritionists, feed companies, farriers and trimmers.

A clearing house for clinical information and formal study results, most of the leading veterinary Universities also have members on the EC and IR Group who keep their finger on the pulse of what horse owners in the trenches are doing. Grants for formal research have been written based on the anecdotal findings of the group. Researchers who are on the forefront of equine metabolic issues in turn inform the group with the deep background of their findings.

Historical milestones include discovery that soaked hay reduced sugar content beneficial to IR horses, early recognition of PPID/Cushing’s seasonal rise, establishment of the Diagnosis, Diet, Trim and Exercise protocol, FDA approval of compounded pergolide as a veterinary drug, early concern of efficacy of some forms of pergolide, early recognition of high insulin and the compromised hoof, use of herbal and nutraceutical treatments with documented positive outcome, and most importantly, thousands of better informed owners with healthy horses leading productive lives.

The EC and IR group now manages four additional sister groups, ECPhotos, ECHoof, ECHistory and ECHistory2. As of today group archives contain 135,000 messages with over 1000 Case Histories. New members arrive at the rate of 30-50 per week. In recent years similar equine groups for horses diagnosed with Degenerative Suspensory Ligament Desmitis (DSLD) and Equine Polysaccharide Storage Myopathy (EPSM) have been formed to support owners. These groups function similarly to the EC and IR Group with volunteer nonprofit support. They also establish protocols, report clinical signs, and keep track of success as well as areas of needed improvement or further exploration.

Dr. Kellon explains, “The EC and IR Group is an example of the internet working like it should. By collecting histories and laboratory data from thousands of horses with PPID and IR, we have been able to carefully monitor responses to treatment and management changes, both good and bad. This is real life, in the barn research at its best. There are no fees charged or products being sold - it's all about the horses and the dedicated people who own them.”

A new Web Site to celebrate the work of ten years past and into the future...

The EC and IR Group has formed extensive libraries of files, photos, data and archived messages. It can be a daunting exercise for members to get through and understand the material, especially if the owner has the added worry of a horse in crisis. With the help of a dedicated support team, a new or existing member is guided through potential diagnosis and diet issues, trim and exercise suggestions.

To simplify the learning curve, in October 2009 the EC and IR Group launched a new intensive and well-organized web site www.ecirhorse.com

“This is really to help all the new members just coming on board and all the old members seeking new information. It's about providing organized access to information. It’s a place for people to send vets that doesn't require joining anything. I wanted information that was simple enough for the new member who needs to breathe deeply and be armed with enough information to clearly interact with their local professionals,” notes volunteer web designer Amberlee Ficociello of Canada.

EC and IR Group’s new web site explains in detail the signs, symptoms and physiology of Cushing’s/PPID and Insulin Resistance. Detailed information on various testing procedures and treatment is available. For equine professionals and for owners wishing to learn all they can, detailed supporting studies and back up data are also given.

Says Ficociello, “We’ve really just scratched the surface for the potential help this site can offer to owners and their horses. We expect to have much more information up in the coming months.”

A Success Stories section on the new web site illustrates with photos, narrative and data the rehabilitation of several horses through various stages of PPID/Cushing's, IR, laminitis episodes, founder and other health issues.

“The format is the same for all EC and IR Group Case Histories and Success Stories. We stick to sound nutritional and physiological equine science and factual, measurable responses. We’re following Robin’s original tradition of taking apart the confounding factors of the most difficult cases and sharing the info freely,” says volunteer Nancy Collins of New Hampshire, who formats the Success Stories. “There are six Success Stories with updates now posted on the site and many more on deck to be organized and shared. After ten years and a library of thousands of case histories, it's really easy to find them,” Collins continues.

A complete approach to getting results....

“Today people use the term holistic but don't realize that in the truest sense of the word the EC and IR group is probably the most holistic of any horse or nutrition group around,” says long time volunteer member and equine nutritionist, Patti Kuvik of Arizona.

“The group looks at the whole horse. His head, his feet, his insides, his urine and manure, his diet, his environment, the weather. We have a basic healthy diet that addresses all of the horses' requirements. There are modifications available for when the horse is no longer in crisis mode and for return to work,” says Kuvik.

When asked to comment on her continued dedicated contribution of time and skill to the EC and IR Group, Dr Kellon replied, “You know those credit card commercials that run through a bunch of things with price tags and end with a moment that's "priceless"? That is truly how I feel every time a new member comes here frazzled or wired and strung out after being told their horse, pony, donkey or mule should be euthanized and then later tells us about the light coming back in their eyes, those first voluntary steps out of a stall, the first spontaneous trot, buck or canter or when the feet start to concave and a hundred other positive signs of getting well. Most of all, it's about the animals.”

Volunteer Web Master Ficociello concludes, “We look forward to the EC and IR Group’s new site getting lots of use and hope visitors will make ample use of our feedback email address.”

The feedback address is ecirhorse@gmail.com

For more information about PPID/Equine Cushing’s and Insulin Resistance on the web go to

www.ecirhorse.com

and

http://pets.groups.yahoo.com/group/EquineCushings/