Tipper - adrenal tumor/breathing issues

Hi Everyone:
Well it would seem Tipper had a good nite. I was not the best Cush mom last nite as I was tired and really slept, so I did not hear too much which scares me. I usually do not sleep like that as I am checking on Tipper. It was really windy yesterday and it is really dark this morning looking like rain. Tipper did walk once this morning already. She seemed to be clingy this morning for some reason. She is usually Miss Independent I'll do everything for myself thank you. Don't know what all that was about. I got a card in the mail from my neighbor who was sick, his daughter. She thanked me for helping her dad when he had the flu. She lives about 2 hours away and works so she could not help him. It was nice of her to send me a card. I am composing a letter to send somehow to the IMS since I still cannot get thru to the hospital. I am gong to ask her opinion on the oxygen also. Since 2 of the 3 people I asked about Tipper's blood work said I am right about the situation with the Reticulocytes I am not ready to let it go. I need to positively know 100% that my girl is safe. I got her this far and I plan on taking her much further. Hope everyone has a good weekend with their babies. Blessings
Patti

Picture alert everyone. I tried to take so more pictures of the kids in their Halloween outfits on and neither one would comply. But here they are anyway. Blessings
Patti

Love the pics Patti!

hugs,
Sharlene and Molly Muffin

Hi Everyone:
Tipper had a descent nite. She has been sleeping next to me in the bed since it got cooler. We are to get a cold front today and be in the 30's. I am glad, we have no storms to worry about when winter sets in with the exception of some snow thunder which is rare. I am still going over all the information on Tipper an deciding what to do. I composed a letter to the IMS and put it in the mail yesterday. I should hear back from her by Friday. I want to know based on Tipper's pulse ox readings if she feels that it is necessary for blood gases. I am not putting this dog thru anything she does not absolutely need. Also I had another thought. Since Tipper has trouble at nite breathing and all these tests are done in the day time, could it be her oxygen level is ok in the day, but at nite that is where the problem is??? Any way I will get to the bottom of this like I said. I cut some more out of Tipper's food in another effort to get weight off of her. She has been walking 2-3 times a day also so if she does not drop some ounces there is some kind of problem here. Blessings
Patti

Hi Everyone:
Tipper slept well, some wheezing though. Both my dogs and cats are having a hard time adjusting to this time change. Tipper and Toby conked out yesterday evening around 6pm, so unfortunately Tipper was hungry and got up before 5am this morning. I am going to try my best to keep them up longer tonite. Now Tipper's food schedule is really screwed up since she ate around 5:15. I am going to have to stretch her lunch out, and supper until we get this back to normal. She is already miserable enough with me cutting more of her food out. This is like a juggling act with all this stuff. It was 28 here last nite and really cold this morning. I guess we are well on the way to those big heating bills. M rescue cat needs some blood work taken as he is on the Ursidiol and has to be checked every 6 months. It will have to be a little longer this time as I have too many bills going out and coming up with Tipper this month. She has her eye Dr. and Cardiologist visits at the end of the month, plus adequan shots coming up. I just need to get another income, but I do not want to take time away from Tipper to work at home. That would make me very unhappy to have to do that. I is a double edged sword. Blessings
Patti

Patti I had the same issue with the time change! Trixie is so tuned in to her body clock. She always gets up from napping at 10pm, does a shake out and stares at me for her pills and snack. Last night she was just off because of the time. Today she was better than yesterday but I definitely notice a difference with the time change.
Tomorrow we are having an acth test. Ugh. Can't wait for it to be over! Hope Tipper and your others have a good night.

Barbara

Hi Everyone:
Tipper had a good nite last nite. I kept these two dogs up until they couldn't hold their eyes open. Tipper made it to 5:30 this morning so in a few days maybe we will have this time change problem licked. Tomorrow we go for blood pressure. No one has even called me back from the vets office concerning the oxygen concentrator. How soon we forget! So much for the standing O. Every year around this time I get such bad dry skin and it cracks and is painful. It seems to be in the same places every year. It is starting and I have to gob on moisturizer every day. My lips are chapped from November to April. They really can get bad. The dermatologist has had me try so many things, most do not work, and it is painful to even eat with this. I happened upon a tube of Nivea Smoothness I the drug store. I thought what the heck. It is wonderful and has prevented the chapping so far. The tubes are huge, so it is a lot of product. I went back and got 5 more. I keep them everywhere now. I can't believe it has worked so well when nothing else will. Than God I found something, so if any one has this problem try some you will love it. Tipper has had some extra energy with this cold weather, it is just so much better for them. I can't take her out in winter months unless it is above 32 because of her heart condition, and breathing issue. This is just the perfect time of year for her now. Blessings
Patti

Hello Again:
I am having to leave Tipper in my room and stay here in my office as she is bound and determined to get food. Cutting her food back again, and dealing with the time change messing up her eating times as she is getting up early has really got me in a tither today. I hate to see her like this and can't help her. I am waiting until the 5:00 dose of trilostane and then maybe it will get her thru until 6:00 for her food. When I worked the people I worked with used to say our job was harder than a brain surgeons because of the responsibility, let me tell you it was nothing compared to the day in and day out job of handling all this. I know if I was starving and someone would not give me food how I would feel. I hope I can steer clear of her until 5:00 and dose her. This is do hard to watch this baby you love dearly struggle with this. God help us all.
Patti

Its horrible watching them think they are being starved, they just don,t understand its for their own good. I hope you manage to stay clear of Tipper till feeding time, I have to admit when Woody gets like this I have on occasion given in oops :p

Someone on the facebook page was saying that the vet is giving their dog viagra for heart hypertension and that the dogs breathing got better very quickly.

Quote:

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Marlo was also diagnosis end pulmonary hypertension and placed on Viagra ( it helps the blood vessels in the lungs) and plaviox. I noticed a difference in her breathing after the second dose of viagra

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Not at all sure that it would be relevant for Tipper, but thought I'd bring it to your attention if you weren't aware of it. (you might have already looked into that).

hugs,
Sharlene and Molly Muffin

Sharlene:
No I had not heard that, but now will research it. Tipper had a good nite last nite. I can see her becoming uncomfortable certain ways she lays. I think it is all the displacement of her organs etc. from this Cushings, and something may be pressing on something else. I see that as her only discomfort at the time. We were to go for blood pressure this morning, but something came up at the vets and we have to go tomorrow morning. It is going to be 60 something today, and next week go to the 30's and 40's. I do not see any weight dropping off of Tipper and I am really frustrated with this one. This dog is eating practically nothing for her size and still no success. If any one has any ideas other than tying her on a treadmill all day let me know, as I have tried everything and there is no break thru. Last nite in bed I watched the reality show with the Roloff family on their Oregon farm. They had a Mastiff named Rocky for 13 years. He developed a tumor and got very sick. He waited until all the children in the family came home from college break and died. The vet said the cancer would take him fast and in a matter of days he was gone. One morning one of the older kids found him in the rain dead in the yard. I was so overwhelmed I am crying right now typing this. I woke my Tipper up out of a sleep with my crying. I felt terrible this big loyal majestic dog dies alone with no one beside him. It was heartbreaking. I kept looking at my Tipper and I was up most of the nite crying over this dog. It sounds stupid, but it really affected me the way her died, all alone. I am still feeling the afterthoughts of it today. I don't know if any of you saw it, but it crushed me. Blessings
Patti

The Viagra post made me giggle. I can just see all these little pups running around with four hour erections! Yes, immature, but funny none the less! :D:D

Kathy:
You are too funny!!

Hi Patti,

I hope you and Tipper are adjusting to the time change. Zoe is making it to almost 5am (she was sleeping until six) but she is like Tipper, she cant understand why she has to wait for breakfast and dinner.

Hopefully we will all be adjusted in another week! Cold front is coming through tonite and then probably headed your way. Stay warm.

hahaha, that is hilarious Kathy!

The pup put on viagra, also has cushings. (just an FYI)

hugs,
Sharlene and Molly Muffin

I just started reading this thread today and I was a little shocked!! I guess I have not been through it before because it was so long and I don't like getting in on the end of something so started this morning on/off reading and am only on page 40.
Now that I am zeroed in on the starting Cushings treatments, I can do some more concentrating on the other issues and boy - gee whiz!!!! What a ride you have had so far. I also worry about my girl's snoring and she also gags at times and used to gag more at night, but very seldom hear it now at night. She is gagging more when she drinks water. It is a horrible gag sound. It isn't all the time. So I have this in the back of my mind, but not on the front burner yet.
So reading all this to page 40 so far has brought a few things to highlight. Thanks for sharing your trials. Being a nurse, I know that Drs. aren't all knowing but I would rather go to one that admits to it and willing to learn or work with you than one that fluffs their chest out trying to make you think they are all knowing and make mistakes. My vet told me sometime back for me not to feel guilty about going to a specialist as he was very good with it. I don't feel guilty.
I may take a few days to get through all this, but please feel God wrapping his arms around you and your little one. Jan W.

Because I haven't read anywhere enough of your thread - just take what I'm about to add as fodder if it doesn't apply to you throw it out. Somewhere I found out that a reticulocyte count can be connected to Addison's disease - not sure if increased or decreased - but what are we doing with our guys on the trilostane---decreasing their cortisol levels which is moving toward Addisons. Just a thought -- not sure if lowering the cortisol could cause an increase or decrease in a reticulocyte count but if it could raise it this would make some sense. Maybe someone younger or with better memory than I can chime in here. Or my dementia may be setting in - not sure.
Also I saw something about pulmonary hypertension and not sure what this has to do with anything, but a co-worker of mine had pulmonary hypertension issues and her Dr. told her that flax seed may be causing some increase in her pulmonary hypertension. Don't know if it had to do with the flax seed or oil or what, or just the type of omega fatty acid. Jan W.

Hi Patti I have not seen that episode yet of the Roloff family dog but every time I would watch it I would see the dog and wonder when the time would come. He looked old and grew up with the kids since they've been on tv. That is so sad that he died alone. I'm not sure if I can watch that episode knowing how it happens. Very sad

I wanted to also let you know the dog I had that had mitral Valve disease was on Viagra and it's very expensive. When you think of Viagra you certainly don't think of helping a dogs breathing. It was one of the last medicines the cardiologist prescribed for him before he died.

So some of them would be five legged pups :)
I just HAD to throw that in.

Patti, I was at a friend's fixing her computer and she had that episode on. As soon as we realized that Rocky was going to die on that episode we changed the channel. Neither of us was up for watching this. Many animals go off alone to die. It's as if they know how heartbroken their people will be. Cats are especially known for doing this so it is of no fault of the Roloff family. Rocky chose for them not to see him die. I really believe that.

Me again. I was going to ask you what you feed Tipper. She does have a heart problem along with the cushings correct? I have my Buddy on a 6 am feeding of royal canin early cardiac dry and he gets 2 other feedings of cooked beef/pasta/ carrots with supplements prescribed by the holistic vet that put him on his homeopathic remedies. But he hasn't been wanting to eat his medicines so we've had to become creative and he's not wanting to eat his 6am feeding and the other feedings he doesn't want the homemade right now so I've opened a can of wellness beef stew and he dove into it. Don't know if he just wants to be picky or wants to change permanently. It concerns me because he seemed healthier on the homemade diet and now I don't know what canned food to feed him. What is better than others that is lower sodium for the heart. You usually have to watch the salt intake with heart problems. Do you need to watch salt intake too? I'm sure not knowing what to feed our Cush dogs drives us all crazy. T

Okay seriously now, I did hear that Viagra was being used successfully to open blood vessels in the lungs, resulting in freer breathing. :)

Sorry about my tasteless joke. I have been watching too many Viagra commercials. ;):eek: But, IT WAS FUNNY!!!:o. Xxxx

Hi Patti,

Wow, reading the last month of posts on Tipper. And Tipper has a high Hematocrit and taking some blood away would certainly lower that. I am thinking that recitulocyte count might be a good test to add to the regimen of tests done on Cushing Dogs. I don't believe our Lulu had one. I am going to check her folder and see. It's an easy enough test.

ONE thing, and I know the more red cells you make, the more iron you need. Now, I don't know if an iron test was done, but by checking the dogs eyelids you can get a ballpark idea if she is anemic with respect.

You can also see iron deficiency anemia under the microscope. The red cells will be very pale, normally they have a red hue with a little bit of white.

The iron would be an issue if she is continually making red cells, but of course you would be also losing them very quickly too.

I had iron deficiency anemia when I had my ulcerative colitis the first serious bout I had. I had lost blood to the point that I depleted my iron reserves. It was very noticeable under the microscope as I worked in a lab at the time, and looked for myself. I also was tired when I jogged just a small bit or around someone smoking.

In Tipper's case her hematocrit is up, mine was very low. :)

I have fed Tipper the same diet for years so I never changed it except the chicken part. She eats 4 small mini meals a day to keep her going and try to control her hunger. She has a heart murmur from a leaky valve that is ever so slight according to the Cardiologist. The told me about Royal Canin food, but there have been so many recalls on it I will not use it. I feed Tipper Newmans Own and have personally spoken to Paul Newmans vet 3 times about it. It is Organic human grade chicken and had never had a recall. It is lower in fat than a lot of the other foods, not too much salt. I give her 3/4 cup of that divided into 4 meals. With that I give her organic chicken, because all other chicken on the market is shot up with saline solutions, this Gerber Amish chicken is fresh and no additives. I add a little bit of cooked lentils to this mixture to fill her up without the calories of more dog food. Paul Newman's vet told me to do this, as they are low n carbs etc. I buy them dry and cook them. Tipper takes a supplement for her heart called Cardio Strength form Vetri Science and it has many good reviews. I also give her Hawthorne which is really good for heart ailments and has been known to help many dogs. Her blood pressure today was 110, so I know from her flow chart I keep she does not have hypertension. I record every weeks weight and blood pressure on her chart. She has had very few moderate blood pressures most were normal. She did however lose 4 ounces Yeah!!!!! I have been waiting and hoping to get some off her. So I will continue on with the cut down version of her food. She slept well last nite, it rained all nite and she was ok with it. I think she now realizes with the cooler weather the thunder goes away. I was on the heating pad last nite as I started having pains in that breast again form being squeezed to death from that mammogram test. It is still bothering me today and is the worst feeling. It is raining lightly here, but I did manage to get one walk in for Tipper and Toby. Today is a good day to make a pot of Chili so that is what I am going to do. Blessings
Patti

Hi Patti,

You asked about melatonin- I use Nature's Bounty which I purchase at Walgreens. I use 5mgs when I am trying to reset Zoe's inner clock, otherwise I will use 1mg to help her sleep here and there as the higher dose bothers her dry eye disease. It also causes her to drink more water. It usually take 5 - 7 days to reset her clock;)

You want plain melatonin, no time release, nothing else. It is okay to use with Vetoryl, I checked with our doggie pharmacist. He did say to give it 2- 3 hours apart from Tramadol. I have never given her both Tramadol and Melatonin in one night.

Hope this helps!

Hi Everyone:
Pretty quiet nite here. Tipper walked 3 times yesterday and I don't know if that is why she conked out early or not, but she wanted up at 5 and I would not let her get up. It sounds cruel, but to keep her on schedule with eating etc. I had to do it. Otherwise she is hungry and begging for food. I have been bringing up the fact that a lot of dogs on here have spleen troubles and what is the connection to Cushings. Well I think Diana may have put the missing piece in the puzzle yesterday. She said her Teddy got a nodule on his spleen from too many RBC's. The same trouble Tipper is having, too many RBC's. I think the Cush dogs need to have their Reticulocytes checked. So is this the cause of everyone's spleen troubles? Could Be. Any one with a dog with spleen troubles , please check you blood work and tell us if there are high RBC's or Reticulocyte counts. I am hoping Tipper does not start with this trouble too. At last check she had nothing wrong with her spleen on the US. We have snow on the ground and Tipper loves it. Blessings
Patti

Hi Everyone:
Well no one has contacted me from the vet's office about the oxygen yet. They are really on the ball aren't they? She wheezed quite a bit last nite. She is going to bed too early and waking too early. It is very hard to keep her up. Since I have cut her food down, she gets hungry too, that makes me a nervous wreck. Tipper is not your typical dog in so much as she not only begs, she jumps on you, she barks at you, she stomps her feet, she starts looking for crumbs on the floor, and she will keep drinking water as a last resort to fill herself up. Those things are quite hard to deal with for any length of time. I am going to have to make her stay out of my room tonite so she does not go to sleep early again. I am still researching her issues, and the oxygen. Yesterday for the first time I read somewhere that too much Coconut oil can be harmful too, so anyone using it beware. I use it, but I do not give my dogs that much every day. Blessings
Patti

Oh dear Patti, you've got your handful with little Tipper's more than healthy appetite, huh? I can't imagine what you are describing of her regarding foods from a 17 lbs tiny body of hers. Was it even worse for her with eating problem before the treatment? I've got it lucky in that dept. with all my babies except for the wild one Stella (about 17lbs.) though she doesn't yet know how to be persistent as long as she is not around foods. But boy, doesn't she live for food!
I hope Tipper will adjust to the time change soon so you can enjoy each other more instead of being apart from each other. In my house it was almost not noticeable. :p
About RBC, Ginger's RBC is 6.94 (5.5-8.5 M/uL) and Reticulocyte is 104 (10-110 K/uL) which I don't think quite supports your post I read though there appears to be some kind of connection between cushings and spleen. And Ginger too has a spleen mass. Hope you and Ripper have a good day. :) Song.

Haha, I really meant to say Tipper. ;)

Quote:

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Originally Posted by My sweet Ginger

And Ginger too has a spleen mass.

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Hi I chat to Patti too, and she and Tipper are wonderful, I noticed you mention that your Ginger has a spleen mass, Have they said where it is in / on the spleen and have they ever taken any biospy, Teddy was said to have cushings, then not, but I am not convinced he hasn't for sure.

That is another issue, I am interested in the Spleen mass, Teddy has a 1cm nodule at the tail end of his spleen.

I have got the diagnosis of the exact type in his notes.

I would be interested to know more about Gingers Spleen, If you don't mind sharing.

Take care Diana & Teddy x

Morning

Hoping Tipper had a better night last night, they can be so stubborn and determined it is hard as you are only keeping her away from the food for her own good

That vet of yours is very hit and miss, I had hoped they would be better after they realised you were right the other week but clearly not. It must be that they are just very busy and mean to do something but don't get around to it in a timely manner!

Boyce would love having snow, I am glad it is cooler so you don't have to worry about the heat or the storms, made me smile to read she is back by your side

Hope your feeling ok and not still sore from that exam

Big hug, kisses for Tipper the Ripper

Mel
Xxxx

P.S Hope Toby and Elvis are doing well x

Patti

I am sorry that no one has contacted me from the vet's office about the oxygen yet. It is not good at all is it.

It must be so hard for you with her wanting food and drinking water to fill herself up.

How was she in your room last night, I hope you both got a better nights sleep.

I didn't know that some people give their babies Coconut oil what do you give it for?

Take care Patti

Love to you and all your babies

Diana & Teddy x

Diana:
The reason I use the coconut oil is it antibacterial, balances the thyroid so dogs can lose weight, elevates the metabolism, and helps with many skin disorders. It is a medium chain triglyceride. I try to give Tipper anything that will help her with this disease. This soil is very beneficial, and even people take it for those reasons. Anything I give her is well researched, well though out and I weigh the benefits of it before giving it to her. I am hoping that by using supplements etc. to support her various systems that it will keep this disease from doing any more damage. I am sorry that you have so many health issues, but you have a positive manner in dealing with them. To have that many things to contend with is daunting, but you handle it well. You and Teddy are so alike, all these health issues but you have one another. It is good that you have a supportive husband to help you through all this. Hugs and Kisses to you and Teddy.
Patti

Oh I see that is very interesting, I didn't know it was used for that, You are so good at your research and for doing all you can for Tipper, I know we all do our best, but I know the time it takes to research and then to get vets to work with you, it is a real battle at times isn't it. I hope they come back to you about the Oxygen tent soon too.

Love Diana & Teddy x

Hi Everyone:
I have been still researching the oxygen for Tipper. I have found out that if using it you must have moisture also as the dogs corneas, and lining of the throat can dry out quickly. I will be at the vets on Wed. for the blood pressure and I am going to ask who dropped the ball about calling me on the oxygen concentrator?? Can't wait to hear that answer as the vet will be there to give Tipper her Adequan injection. I will get to the bottom of it then. The IMS emailed me and at the top of her email it said re: Dear,sweet, beautiful Tipper. It made me cry. She said when I bring Tipper for her heart and eye check up on the 25th that she will be working and if I want her to she will do the blood gases. I am torn on that one. I want no more pain than necessary for her, and I am worried it will show nothing, as I think the oxygen level is low only at nite when she struggles to breathe. So that would be a waste. I would like some opinions on this please. Tipper slept well and walked this morning. We have about 60mph winds right now and the temperature is rapidly dropping. Today is a good day for a bowl of hot soup! I am hoping Tipper keeps this weight loss off when we get back to the vets on Wednesday as I am watching every nugget she eats. I need to get some more off her without her getting so hungry though. I have had pains in my back all morning and hope it is not this kidney stone I never had removed starting up again. I have to make time and get it done, just now when things are so up in the air with Tipper. I think I will call next week and schedule and appointment. I am going to take it easy today, just in case this is starting up. Blessings
Patti

Quote:

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I ordered the wild salmon oil in the link Glynda sent me. I am wondering since they say you can overdo this and cause problems if giving this every day as they say on the website is advisable? Do you know anything about this?

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You asked this on Squirt's thread and I'm answering here. :p

I'm not sure which oil you bought, but I've used the Kronch in the past and was very satisfied with it. The things to look for in fish oils are the amount of EPA and DHA - you want the highest you can find in these two. Also watch the Omega 6 - you do NOT want very much of this included. Most feeds contain plenty of Omega 6 and tho this is an EFA (essential fatty acid), too much is pro-inflammatory, ie it causes inflammation.

As for why too much could be bad - this is an oil, a fat, so for one it can cause weight gain; two it can be too much fat for a cush pup or a pup with pancreas issues; three adding these oils can cause diarrhea so if a high dose is the end goal, you start with a low dose and slowly add more until the stools start to loosen. This is the maximum dose until the pup adjusts. If the loose stools persist, you cut the dose back to the last amount that did not cause digestive upset.

Something else to keep in mind when adding oils - you don't want the oils to oxidize, causing free radicals, so I always add Vitamin E oil along with the fish oil even when antioxidants are included in the oil itself as with the Kronch -

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Ingredients - Salmon Oil and Antioxidants (extracts of natural origin containing strong tocopherol, 6-palmityl-L-ascorbic acid, olive extract and rosemary extract)

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Hope this helps!
Hugs,
Leslie and the gang

I agree with Squirt's mom - if giving fish oil you do need extra vitamin E unless you are feeding grass fed meat. Most fish oils come with some kind of preservative like Vit. E but not enough. Then there is great controversy about fish oils and I am currently using Carlson's liquid and keep it refrigerated to keep it fresher. It does not smell bad nor taste fishy and I think it does not get rancid as easily as the others. I'm not an expert here, and am sure there are others better but the cost is pretty high.
As far as coconut oil, I use it sparingly and as Squirt's mom said start out with low amount, but you also need to be careful of the type you use per Whole Dog Journal - I'm not sure why as can't remember but it should be in a glass jar rather than a plastic jar and probably organic virgin oil. Whole Dog Journal mentioned all their reasoning but don't have the article handy. I even take a bite of the coconut oil once in a while myself.
As far as the elevated Reticulocyte count - I get concerns about these medication causing bone marrow problems although I don't see any mentioned for trilostane - I did find one that mentioned Lysodren having this as an adverse reaction.
My dogs tend to run high hematocrit and hemoglobin normally due to their diet. Jan W.

Leslie:
Sorry we kind of hijacked your thread. I will have to check the Omega's in the Kronch oil. I intend on giving her small amounts, as I do not want to deal with pancreatitis ever. Thanks for your help, I know you would know what to do. Blessings
Patti

Jan:
I have been giving the coconut oil to Tipper about a teaspoon every morning. I will look for the organic and see if I can find any. Gee I did not know that about the glass jars either, you learn so much from others on here it is a God send. Thank you for your help. Blessings
Patti

Regarding omega 6-
A healthy diet contains a balance of omega-3 and omega-6 fatty acids. Omega-3 fatty acids help reduce inflammation, and some omega-6 fatty acids tend to promote inflammation. In fact, some studies suggest that elevated intakes of omega-6 fatty acids may play a role in Complex Regional Pain Syndrome. The typical American diet tends to contain 14 - 25 times more omega-6 fatty acids than omega-3 fatty acids.

Source: Omega-6 fatty acids | University of Maryland Medical Center http://umm.edu/health/medical/altmed...#ixzz2kGwkgoDP
University of Maryland Medical Center
Follow us: @UMMC on Twitter | MedCenter on Facebook

Hi Everyone:
Thanks for all the help with the fish oil. I am going to give it to her in small amounts and not every day. I want to see if I can get these triglycerides down. Her highest was 629 and the lowest was the one we just did of 394 so they really need to come down. I will talk to the vet about it on Wednesday and the vet hospital at the end of the month. Blessings
Patti