New to EPI - Food Recommendations?

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.
Tuckaboo Pam
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Country: United States
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Pet name: Tucker
My name: Pam H.

Re: New to EPI - Food Recommendations?

Post by Tuckaboo Pam » 01 Feb 2025, 08:16

Hi Rachel. Welcome to you & Brownie Bear. I'm thinking the three little ones had a hand in naming him?

So, the things you've been told are exactly what I would advise, too.

I just want to add this---You are on the right track, and everything you are doing is going to help him get well, even if it's not all exactly perfect(I'm not saying it isn't!). Over time you will be tweaking his routine because there can be fluctuations along the way.

As far as the dog sitter goes, just label the lids of everything, have them feed him twice daily, and also write the routine down on a card. Just emphasize that everything he eats has to be enzymed. I hardly ever leave town, but when I do, even my husband is able to follow my directions, and that is saying a lot. The occasional slip up happens, and I don't stress too much over that. I'm thinking your dog sitter will prefer the addition of supplements over picking up mounds of sloppy yellow poop. Maybe just be generous with your tip after the end of the ten days!

Like Jill said, ask all the questions, and maybe share this thread with your sitter in case something comes up while you are gone.

Take Care---Pam & Nina
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. We have had this heart healer since April 2024. TLI 1.0 B12 323. Taste of the Wild Pacific Stream 4c/day, 4 teaspoons 6X Enzyme Diane/day, 1 Wonderlabs B12/day. 2 T cottage cheese a.m., 1 boiled egg p.m.

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mommabear
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Country: United States
State: California
Pet name: Brownie Bear
My name: Rachel

Re: New to EPI - Food Recommendations?

Post by mommabear » 01 Feb 2025, 12:41

Thank you Jill, Andrea, and Pam for your words of support and encouragement.

And, yes Pam - our kids are responsible for his name. ;) He looked like a little brown bear cub when we first fostered him (see attached pic), so the name was appropriate.

I am still waiting for the Epizyme to arrive & I put in an order for EnzymeDiane as well. I talked to Chewy this morning and the Epizyme ships today so I likely won't get until Monday at the earliest. So I am currently trying to bide my time with supplements from the drugstore. I was only able to find the Pancreatin by Solaray yesterday, so we started him on that using Enzyme Diane's conversion recommendation on her website. But at 9 capsules per cup of food (according to her conversion for 6x) - we already went through most of the bottle on a little lunch serving yesterday (1 cup = 9 capsules), dinner (2 cups = 18), & breakfast this morning (2 cups = 18 capsules)! No improvement to stool yet... in fact it's a little worse. But this could be the introduction of the new kibble? I added in 1/8 cup last night & 1/4 cup this morning to his ground turkey and potato.

I was able to order some porcine Pancreatin by Now on Amazon which arrives today & I will give him for dinner (& maybe even a small lunch serving if it arrives on time). Could anyone help me with the conversion per cup of food? On Diane's website she says 7-9 capsules of Pancreatin 4x by Now = 1 tsp 6x, but on the bottle it says Pancreatin 10x...

Thanks again everyone!
Rachel

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jilbert57
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Re: New to EPI - Food Recommendations?

Post by jilbert57 » 01 Feb 2025, 15:02

I am not home right now but it's the amount of Lipase you are looking for. Did you order 6x or 8x from Diane? See how much lipase is in 1 teasp compared to lipase in 1- 10x NOW cap.

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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mommabear
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Country: United States
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Pet name: Brownie Bear
My name: Rachel

Re: New to EPI - Food Recommendations?

Post by mommabear » 01 Feb 2025, 15:48

I ordered 6x from Diane. But those likely won’t arrive until late next week.

So, I’m super confused… on her website under emergency enzymes she said that “ Pancreatin 4x by Now Porcine based 7-9 tablets or capsules crushed or sprinkled on the food with warm water will equal a teaspoon of Enzyme Diane® Pancreatin 6x in potency or 3/4 teaspoons of Enzyme Diane® Pancreatin 8x in potency.”

But if I do the calculations based on Lipase, each capsule only has 4,000 Lipase. To get to an equivalent strength of 1tsp of 6x of 77,880 I would need 19 capsules… so 38 capsules for 2 cups of food?!?

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jilbert57
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Re: New to EPI - Food Recommendations?

Post by jilbert57 » 01 Feb 2025, 16:52

Here is info from our site:
https://epi4dogs.com/emergency-enzymes/

For now just do what Dianes instructions are for emergency enzymes. It will be better than none.

I was sure I was told Lipase was the most important enzyme that you needed to try to get the same between different enzymes but I cannot verify this right now.

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.

Tuckaboo Pam
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Posts: 1716
Country: United States
State: Florida
Pet name: Tucker
My name: Pam H.

Re: New to EPI - Food Recommendations?

Post by Tuckaboo Pam » 01 Feb 2025, 20:01

Just do your best. How do you get nine pills into him? FYI, I have also ordered Pantenex from Amazon, and it works well. It says 10X, but I have found I still need to use one teaspoon per one cup of kibble. ---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. We have had this heart healer since April 2024. TLI 1.0 B12 323. Taste of the Wild Pacific Stream 4c/day, 4 teaspoons 6X Enzyme Diane/day, 1 Wonderlabs B12/day. 2 T cottage cheese a.m., 1 boiled egg p.m.

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Diane S
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State: Ohio

Re: New to EPI - Food Recommendations?

Post by Diane S » 02 Feb 2025, 06:38

mommabear wrote: 01 Feb 2025, 15:48 I ordered 6x from Diane. But those likely won’t arrive until late next week.

So, I’m super confused… on her website under emergency enzymes she said that “ Pancreatin 4x by Now Porcine based 7-9 tablets or capsules crushed or sprinkled on the food with warm water will equal a teaspoon of Enzyme Diane® Pancreatin 6x in potency or 3/4 teaspoons of Enzyme Diane® Pancreatin 8x in potency.”

But if I do the calculations based on Lipase, each capsule only has 4,000 Lipase. To get to an equivalent strength of 1tsp of 6x of 77,880 I would need 19 capsules… so 38 capsules for 2 cups of food?!?
The tablets do work differently. You should be fine with 7-9 to get some digestion going. I was able to use 5 but needed a teaspoon of 6x for 2 cups of food.
Diane S.
Executive Vice President, EPI4Dogs Foundation
Chardon, Ohio, USA

Chance
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Country: Canada
Pet name: Chance
My name: Andrea

Re: New to EPI - Food Recommendations?

Post by Chance » 02 Feb 2025, 08:31

You should be OK with about 9 capsules per cup of food.

The lipase units is what you are focusing most on. That breaks down fats. Fats are usually the hardest to break down.

The numbers are confusing if you try to compare the other brands to Diane's though. Diane labels the packaging based on the numbers specs at time of manufacturing. (Ie: the highest possible in that bag. Diane does this because some dogs are sensitive and want exact doses their body needs. So if you buy a bag, and determine exactly what your dog wants, you can compare numbers on the next bag, and adjust amounts accordingly). So numbers listed are at manufacturing time....the time they are at their highest.

The bottles you are looking at are listing MINIMUM values. Essentially the numbers anticipated at expiry date. Almost always though you get a bottle well within date, and not exposed to too much heat or cold. So numbers are almost always higher than what is labeled. So it's safe to go by the 7 to 9 caps that Diane recommends.

I hope this makes sense!
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.

Tuckaboo Pam
Member
Posts: 1716
Country: United States
State: Florida
Pet name: Tucker
My name: Pam H.

Re: New to EPI - Food Recommendations?

Post by Tuckaboo Pam » 02 Feb 2025, 09:32

Not sure about CA, but just now I put a jar of Pantenex in my cart (just to see) & I was offered free overnight delivery. Pantenex contains what you need, and it would be fed as would Diane's. I have used it six times, according to my ordering history, and while I greatly prefer Diane, I have had good results from Pantenex. ---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. We have had this heart healer since April 2024. TLI 1.0 B12 323. Taste of the Wild Pacific Stream 4c/day, 4 teaspoons 6X Enzyme Diane/day, 1 Wonderlabs B12/day. 2 T cottage cheese a.m., 1 boiled egg p.m.

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mommabear
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Pet name: Brownie Bear
My name: Rachel

Re: New to EPI - Food Recommendations?

Post by mommabear » 02 Feb 2025, 11:22

Thank you Jill, Andrea, Diane, and Pam! This is all such incredibly helpful insightl

I ended up giving him 16 capsules worth of the Pancreatin by Now yesterday with his 2 cups of wet + dry kibble combo food & again this morning and he only pooped once yesterday & not yet today. It's not yet normal stool, but we are moving in the right direction. We've been dealing with 4-6 terrible poops a day for the past 2 months, so I seriously can't even express how optimistic I'm feeling. He also has so much more energy - back to his puppy self wanting to play & run around. Melted my momma heart last night to watch him playing fetch with the kids in the backyard. <3

The Epizyme will arrive today, so I'm looking forward to not having to break apart all of these capsules by hand. But, great tip about the Pantanex Pam! I will certainly make sure to avoid this situation in the future where I don't have enough enzymes on hand. Speaking of enzymes, in general what is the shelf life once opened? Do people generally stock up/order several months worth at a time? With my Epizyme and EnzymeDiane orders, I should have enough for a few months. But wondering if it makes sense to buy in bulk for the year?

Again - can't thank you enough for taking time to share your advice. Truly so grateful.

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