New EPI diagnosis

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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Olesia711
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Location: North Carolina
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Re: New EPI diagnosis

Post by Olesia711 » 18 Jun 2022, 20:30

for now... see if you can add Dr. Goodpet plant enzymes with the little bit of real enzymes that you are giving her... see if that helps

You and i already talked privately about the CREON, so we have that covered.

Regarding real raw green tripe..... you can get some from California https://www.greentripe.com/ .... UNLESS you know of ANYONE near you who raises cattle, or butchers Moose or Elk or lamb... as you can use the raw tripe from these animals too.

Technically it is illegal to purchase the actual raw tripe from a butchered animal that goes to the processing plant... BUT....... if you know a 'farmer" who does butcher elk, moose or beef for themselves and/or friends, ask them to save you the raw green tripe for your dog.

Just be forewarned it STINKS... and i mean REALLY stinks!

here is a good website that explains a LOT about Raw Green Tripe and the analysis; https://4rawpets.com/tripe/

And here is the analysis: Image
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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.........

CaliGirl
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Country: United States
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Pet name: Cali
My name: Nicole

Re: New EPI diagnosis

Post by CaliGirl » 19 Jun 2022, 13:28

Again thank you so much! Just one last question, will I need to incubate with the plant enzymes?
I am ordering them today!

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Olesia711
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Location: North Carolina
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Re: New EPI diagnosis

Post by Olesia711 » 20 Jun 2022, 10:08

yes, i would still incubate the green tripe with the plant enzymes......although green tripe has a lot of natural enzymes.... it is not solely digestive enzymes.. it just has a lot of natural digestive enzymes in it.
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.........

CaliGirl
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Country: United States
State: California
Pet name: Cali
My name: Nicole

Re: New EPI diagnosis

Post by CaliGirl » 17 Oct 2024, 21:00

Hi. I haven’t been on here in a while. My Cali has been doing amazing. I now have a 4 year old little girl and have been able to manage both her EPI and diabetes pretty well. My latest hiccup comes from her enzymes. She had been on creon 10 for the last few years and was doing AMAZING! I recently had a problem ordering them / I get them from Canada, as there is apparently some shortage with medications. I loved these cause Cali had so few problems on them and even though they were expensive, she did great on them. I had to get different enzymes due to this shortage and ended up getting pantanex . I will say her poops are good, maybe even better than on the creon, but she is right back to the drinking a TON of water after eating, regurgitating, and now she has a TERRIBLE odor. Just super stinky. I use to bathe her like once a month /6 weeks, now she can barely make it a week. This is new. Before when she was on powder enzymes everything else happened with the water and regurgitating but not this smell. Does anyone know of non powder enzymes I can try? I really think the powder once are just too harsh for her, or bother her or something. When we made the switch to the creon she had been on pancreplus , sooo it is definitely something with the powder, in the very beginning we were doing enzyme Diane…. So I have tried others, and the only thing that ever made her comfortable was the creon. I don’t know what to do…..

Chance
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Re: New EPI diagnosis

Post by Chance » 17 Oct 2024, 22:28

Glad to hear things have been doing really well...until the odor!

There has been a shortage of Creon worldwide, which has made things more of a challenge to be sure.

Usually when Creon 10 isn't available, there is the 25's. That is more expensive though :/ BUT you might be able to find that and maybe use half capsule.

Another option, if Pantenex is working, would be to buy some enteric coated (a.k.a delayed release) capsules. Put your powdered enzymes in that. You'd need about half the dose of enzymes that you are currently using. Pill the dog, then feed as you would a normal dog. Apparently many have noted that the odor was eliminated with this technique. I'm not sure if you could effectively pill Cali or not? I've never tried to pill a Pug! lol
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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Olesia711
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Location: North Carolina
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Re: New EPI diagnosis

Post by Olesia711 » 17 Oct 2024, 22:52

Hi Nicole,

Sorry to hear that Cali now has an unpleasant odor to her.... unfortunately, it is the enzymes.

However. Andrea gave you 2 great other options to try and i have even a 3rd suggestion. ... but my 3rd option is only based on the following. When you open the jar of Pan-tenex does it have a slight odor to it? if so then you might be able to avoid the body odor by simply switching powdered enzyme brands. Sometimes some of the powdered enzyme companies use acetone in processing their enzymes....when this is done, when you open the container you will get a wiff of something that smells a little like cat pee. If this is what is happening with the jar of Pan-tenex, then i suggest that you try a "sample" bag of powdered 6x enzymes from EnzymeDiane https://enzymediane.com/product/pancrea ... e-product/ select the sample for $28 to try .... as her is processed without acetone... so no smell.
HOWEVER... if when you open the jar of Pan-tenex and there is no odor..... then this is not the problem and switching the source of powdered enzymes most likely will not help much in which case go with one of the 2 options that Andrea suggested .
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.........

CaliGirl
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Pet name: Cali
My name: Nicole

Re: New EPI diagnosis

Post by CaliGirl » 18 Oct 2024, 07:55

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Ok. So these are the empty capsules-hopefully this image attached?- And you’re saying to fill with the pantanex but half the amount? She gets 1/2 tsp now, so half of that? Give her the pill and then feed her normal with no incubation? Don’t wait anytime between giving her the pill and feeding her?

Also have you ever heard of or seen the second attachment of enzymes? Someone told me they were similar to the creon but I have not tried it. Thoughts on that?

Thank you both very much for the information.

Tuckaboo Pam
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My name: Pam H.

Re: New EPI diagnosis

Post by Tuckaboo Pam » 18 Oct 2024, 10:17

Yes, just give her the capsule before you feed her. I am able to force my dogs to take pills, just by placing the pill in the back of their throats. Of course I follow the procedure with something yummy, as an apology. You can also buy a pill shooter, but there are varying degrees of success, according to those who use them.

Those are the correct capsules.

Nina weighs 82 pounds, and she takes 2 teaspoons of enzymes put straight onto her food, twice a day. When I use the capsules, I fill four of them 5/8 full. I could probably fill three all the way, but I am just now considering this.

The cat pee smell...YES, I had never identified it before, Olesia! Diane's do NOT smell that way, so it must be the Pantenex that I buy when I get Amazon GCs. WOW. Always learning. With five dogs, I never know which one of them I am smelling, so I'm not sure if it's the enzymes. --- Pam
Tucker was a shepherd mix--- TLI 1.3, Folate 9.7, Cobalamin 666, Lipase 38. Diane's Enzymes 4 t/day, B12 1 capsule/day, and Tylan 1/16 teaspoon/day. Taste of the Wild High Prairie, 4 c/day. 60 to 85 pounds! Tucker succumbed to hemangiosarcoma Nov. 2023. I will always, always miss my sweet big boy.

Now there's Nina. 5 year old GSD. TLI 1.0 B12 323. We are still tweaking her routine, and getting lots of help from the forum. She is klutzy and goofy, and we love her dearly, too.

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Olesia711
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Location: North Carolina
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Re: New EPI diagnosis

Post by Olesia711 » 18 Oct 2024, 11:06

Hi NIcole,

Thank you SOOOooo much for posting about Micrazym...... it is the right stuff :) It is an enteric coated product so NEVER incubate, just sprinkle on moist food (to give it something to stick to) and serve immediately. HOWEVER....This is equivalent to CREON 25. Since you were using CREON 10 in the past, then just open and divide the pellets to almost equal the amount of CREON you previously used. In Cali's situation... and since you discovered that the powder works even better for her poop-wise.. but unfortunatly shte now has an odor to her.... i would like to suggest, if you do decide to use Micrazym... is to just divide in half the pellets from one capsule. This way you are giving just a pinch more than CREON 10 but not over-doing it, and this might be the little extra boost of enzymes she needs.

Regarding the enteric coated capsules... YES!!! those are the correct capsules. And yes, to keep it simple but also when first trying to figure out how much to fill the capsules with, start with only 1/2 the amount of powder you would normally use and fill that amount in the enteric coated capsule.

Again, i would like to thank you for posting about MICRAZYM..... i will be putting this information on our Enzyme Product page... to help others that have to deal with the CREON shortage. oh.... and FYI... here is some additional information about MICRAZYM https://www.micrazym.com/home
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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Olesia711
Founder & Research Director
Posts: 4532
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy
My name: olesia

Re: New EPI diagnosis

Post by Olesia711 » 18 Oct 2024, 11:18

ahhhh... just checked on AMazon and you can get MICRAZYM 10... which is the equivalent to CREON 10 that you were giving Cali. However.... based on your posts... i think i would try the MICRAZYM25 and just split it in half :) Here is the Amazon Link: https://www.amazon.com/AVVA-Pharm%D0%B0 ... hdGY&psc=1
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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