Cavalier King Charles with EPI

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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JJinOhio
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Country: United States
State: Ohio
Pet name: William

Re: Cavalier King Charles with EPI

Post by JJinOhio » 23 Nov 2024, 14:38

Thank you both!!! 💙
William 💙 Cavalier King Charles Hearthrob who wants to rule the coop. The coop: Me & Dash (older Cav who is aloof & happy).

William is a rescue who I’ve had since he was 3. In April 2024, I was told he needed to lose weight (20lbs), fast forward to Oct 2024 Image[/img]And he lost 25pct body weight in 2 months and started eating all sorts of things he shouldn’t. Now navigating life of EPI. Not yet stable but in it to find his perfect “cocktail” w the support of this group.

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JJinOhio
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Country: United States
State: Ohio
Pet name: William

Re: Cavalier King Charles with EPI

Post by JJinOhio » 31 Jan 2025, 09:08

Hi all with an update on William... He had a PERFECT two weeks once we started the Tylan powder (1/8 tsp 2xdaily), and either a micrazym 10000 or encapsulated powder (4 size 1 pills). He is 17 lbs and gets 1/2 food 2x daily. Within 24 hours of starting the Tylan it was like I had a brand new dog.

However, with nothing changed, he has started to have occasional diarrhea. I'd say 40% of the time he is normal, 50% normalish but on the softer side with OCCASSIONAL mucus lining and then 10% loose. His gas has returned too (audible gas and burps) although less than before.

Can they get used to the Tylan powder? His weight and energy all seem great! Label says give 1/16 tsp but I am doing 1/8 tsp based on what I read on here. Maybe I am giving too much?

While I am seeking input...

I understand William should have 1/2 tsp of the pancreatic powder with his 1/2 cup food but I can do 1/4 tsp becuase I am encapsulating it. I fill up 4 size 1 capsules. Does this sound right?

Thank you!
William 💙 Cavalier King Charles Hearthrob who wants to rule the coop. The coop: Me & Dash (older Cav who is aloof & happy).

William is a rescue who I’ve had since he was 3. In April 2024, I was told he needed to lose weight (20lbs), fast forward to Oct 2024 Image[/img]And he lost 25pct body weight in 2 months and started eating all sorts of things he shouldn’t. Now navigating life of EPI. Not yet stable but in it to find his perfect “cocktail” w the support of this group.

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jilbert57
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Re: Cavalier King Charles with EPI

Post by jilbert57 » 31 Jan 2025, 10:08

Personally at 17# I would drop to the 1/16 t 2x/day.
Are you noticing loose stools after microzym AND powdered enzymes ?
I would keep things the same and drop to the suggested dose forhis weight.
Is he still eating Natural Balance?

Jill

https://epi4dogs.com/antibiotics/


Tylan (Tylosin Tartrate) Dosage Guide

13kg/30 lb – 1/8 tsp
27kg/60 lb – 1/4 tsp
41kg/90 lb – 3/8 tsp
54kg/120 lb – 1/2 tsp
twice per day
My name is Jill and we live on the Hood Canal in Washington State. We currently have 2 Jack russells, TJ is 9 and Sadie is 3.

Mickey and his pancreatitis brought me to Epi4dogs.com site in 2012 to help manage it.
He lived from 6/99 - 8/2014

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

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JJinOhio
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State: Ohio
Pet name: William

Re: Cavalier King Charles with EPI

Post by JJinOhio » 31 Jan 2025, 14:50

Yes, same food (natural balance). I switched back to the encapsulated powder in case it was the micrazym. Did that for a week but still having the inconsistency so then went back to micrazym this week to see if one made a difference.

I did see in the micrazym thread, opening the pill worked better than giving the capsule. I’ll try that too but know he’s having the same issue w the powder form.

Will definitely cut back to 1/16th tylan! Thank you.
William 💙 Cavalier King Charles Hearthrob who wants to rule the coop. The coop: Me & Dash (older Cav who is aloof & happy).

William is a rescue who I’ve had since he was 3. In April 2024, I was told he needed to lose weight (20lbs), fast forward to Oct 2024 Image[/img]And he lost 25pct body weight in 2 months and started eating all sorts of things he shouldn’t. Now navigating life of EPI. Not yet stable but in it to find his perfect “cocktail” w the support of this group.

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jilbert57
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Country: United States
State: Washington

Re: Cavalier King Charles with EPI

Post by jilbert57 » 31 Jan 2025, 15:41

Yes, open the capsule and have your pup eat right then. Maybe that will help.
Let us know.

Jill
My name is Jill and we live on the Hood Canal in Washington State. We currently have 2 Jack russells, TJ is 9 and Sadie is 3.

Mickey and his pancreatitis brought me to Epi4dogs.com site in 2012 to help manage it.
He lived from 6/99 - 8/2014

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

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JJinOhio
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Posts: 17
Country: United States
State: Ohio
Pet name: William

Re: Cavalier King Charles with EPI

Post by JJinOhio » 01 Feb 2025, 09:04

Thanks, Jill. Will do!
William 💙 Cavalier King Charles Hearthrob who wants to rule the coop. The coop: Me & Dash (older Cav who is aloof & happy).

William is a rescue who I’ve had since he was 3. In April 2024, I was told he needed to lose weight (20lbs), fast forward to Oct 2024 Image[/img]And he lost 25pct body weight in 2 months and started eating all sorts of things he shouldn’t. Now navigating life of EPI. Not yet stable but in it to find his perfect “cocktail” w the support of this group.

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Olesia711
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My name: olesia

Re: Cavalier King Charles with EPI

Post by Olesia711 » 03 Feb 2025, 08:23

What you are describing does sound like SID....... typically, what we try to start with is:

1. SLightly increase the amount of enzymes.... to compensate for the possibility that the food is not ideal.
2. Give Tylan Even giving a "little" more is acceptable, but i agree, back down to 1/16 tsp twice a day.

BUT............ you are already doing this :) so we need to fine tune something!

Based on what you are doing, YES, open the micrazym, sprinkle on the damp food and see if that slightly improves the poo... if yes, but still not perfect..... go ahead and give a little more micrazyme (open another capsule and add approx 1/4 of the micrazym little pellets to the meal... see if increased enzyme help.

ALso.... want to mention the B12..... he is still getting B12, yes? his B12 was very low and sometimes low B12 can also display with loose stools.... just saying!

ANd last but not least... what you might need to do if the above "tweaks" don't fix things, is that i would look at changing the food......when SID keeps getting out of control, more times than not, it is that something in the diet simply is not agreeing.... even if it was agreeable in the past.

Are you still feeding "Natural Balance Limited Ingredient Grain-Free Salmon & Sweet Potato Small Breed Bites Recipe Dry Dog Food" (which is really a great food.....so it might be hard to find something else... but maybe you can try a small sample of other foods??)

i am wondering if it is possible that the sweet potato in this product might not be so agreeable. Usually sweet potatoes are EXCELLENT... but every so often, along comes a dog that just doesn't do well on sweet potatoes (like my current dogs) and i was working with a GSD EPI dog a few years back and it took kept having bouts of out of control SID, no matter what we tried.... turns out that dog also had issues with the sweet potato ingredient. I am not saying tat this is what is going on... but i have also learned to never say never............
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.........

Eddiespaghetti
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My name: Jeremy

Re: Cavalier King Charles with EPI

Post by Eddiespaghetti » 03 Feb 2025, 15:21

What is his ideal weight? One cup a day is on the lower end of what a 17 pound pupper needs.
What I would try is, increasing to 3/4th cup twice and day and give (2) micrazym with each meal.
While I love micrazym, it is really hard to accurately give 1.5 capsules.
I was the one who made the micrazym post and with Eddie, I think find it better to open the capsules. I am not sure why it is like that though.

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Olesia711
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Posts: 4805
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy
My name: olesia

Re: Cavalier King Charles with EPI

Post by Olesia711 » 03 Feb 2025, 18:36

been thinking some more about little William ... and "sometimes" when having a little difficulty getting iffy SID under control.... if you give SAMe that often helps. It's like extra strength Milk thistle (cleanse the liver).

I personally give my dog VetriScience SAMe.... you can give it until the poos improve ... or (according to my vet) it can be given on a steady basis).
If interested.... call your vet and ask if it would be okay to try:

Dose is by dog's weight ... here is an example:
https://www.chewy.com/vetriscience-vetr ... EgQAvD_BwE
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.........

Chance
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Pet name: Chance
My name: Andrea

Re: Cavalier King Charles with EPI

Post by Chance » 06 Feb 2025, 01:19

It can take a little trial and error with the enzyme dose. Sometimes it seems "good" when just giving tiny doses of enzymes in the beginning; like the body says "ooooh, enzymes! Yay"! Then it realizes, oh, I need a little more!

I haven't tried Micrazym, but I've had 2 dogs on Creon (which is supposed to be virtually identical; but the jury is still out on that).

With both of my monsters, I've tried various methods of giving it. I've tried opening capsules and sprinkling (no mixing) and feeding immediately. I've tried giving pills and waiting 5 minutes. I've tried giving pills and immediately feeding. And when I've been stupid and forgot a dose, I've given pills right after a meal. Also done that when I have dropped food and had it hoovered almost before it hit the ground. With each method, I've had exactly the same results. So ultimately I've found it easier to just pill and feed. But every dog is different. Some have reported different results with one method vs another. Sooo... it *might* make all the difference. But I'm not convinced yet.

But definitely try opening and sprinkling. If you don't see improvement within a couple of days, I would also suggest increasing the dose. Giving half pills can be a pain in the bitt, but sometimes it's necessary. It doesn't have to be exact. It doesn't need to look perfect. I've gotten quite adept at working with half capsules! I personally keep the "empties", just for such occasion. So I always have full capsules and half caps on hand. The half capsules are good with meals; but also when I give treats! I don't want to give full doses for treats, so having halves all ready is handy. (I give 1.5 caps of Creon 25,000).
Chance was my 4 legged soul mate. My mobility assist service dog. Pure yellow Lab, 75 lbs. After struggling with weight all his life, finally dx with EPI. cTLI < 1, folate and B12 very low. Fed Raw. Maintained with Creon, Garden of Life probiotic and intermittent calcium bentonite clay. (Tylosin was a big nightmare for him)!

Rylee is Chance's successor; also pure Yellow/Fox red Lab. Started with symptoms at 8 weeks. At 6 months of age, also prescribed Creon due to suspected EPI (due to passing large amounts of undigested food). Currently suspected of blockages in pancreatic ducts. She is maintained VERY nicely on Creon and probiotics. Also raw fed.

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