I just returned from the regular vet and she was very receptive to Dr. Peterson's article and she wanted to keep it and read it more at her leisure. She was not aware of this routine. She has no problems with following those guidelines and she was comfortable with compounding pharmacies and wrote down all the information from my trilostane bottle so she could have the information for Diamondback. They have used compounding pharmacies and had not heard of Diamondback.
We discussed possible other health problems and she did not feel the things I mentioned could be a possible cause of false positives for Cushings and I was pretty sure she would feel that way but just wanted another opinion. One of the things I brought up was the lipomas they found on her spleen and she felt that they were able to distinguish between a lipoma vs a tumor and the lipomas would not cause the cortisol issues.
She was in agreement with my wanting a B-12 and folate level done and understood why I wanted it - I don't anticipate any problems but will relieve my mind. I will feel good if her bowels have no malabsorption issues. So I am awaiting those results and the ACTH results. If ACTH is positive then we will begin the trilostane on Monday. She wanted to wait until Monday so she would be available. We discussed the prednisone issues and dosage if I determine we are in trouble.
I think she will work with me well. I left the clinic feeling up. If the trilostane doesn't work out for us, we could try the other or just let it go. One step at a time!! I will let you know the outcome. Jan W.