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Thread: My big boy Gable

  1. #331
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    Default Re: My big boy Gable

    Thanks, Lori...I'll think about that.
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

  2. #332
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    Default Re: My big boy Gable

    The vet called after he spoke again with the specialist and the suggestion was to add an additional 5mg at night, so that he would be on 10mg in the am and then 10 at night. At first I thought we should wait until we get back from our trip to Williamsburg (9/26 - 9/30), but then decided we would start it the other day and I'll have him tested before we leave. So far, so good. No change that I can see, but I did get him a cooling vest, which he loves!, and does seem more comfortable. He actually lets me put it on without any fuss and then lays down and enjoys it.

    So we shall see around the 19th or 20th whether the extra 5mg is doing anything.
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

  3. #333
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    Default Re: My big boy Gable

    Hi Joan, that’s great about the cooling vest, and we’ll all be hoping the increase will help some, too. Per the guidelines associated with pre-pill testing, an increase is indeed consistent with Gable’s resting cortisol level in the face of unresolved symptoms. I know it’s been quite a roller-coaster with him and his cortisol levels, though. Hopefully this dose will finally turn out to be just right! We’ll be watching for further updates, that’s for sure.

    Marianne

  4. #334
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    Default Re: My big boy Gable

    Yes Marianne, I remembered you had said that before, so I figured we would go for it.

    My son Jeremy is watching them all while we are away and I know he will be keeping a close eye on him. He's already been told he has to pick up the poop in the backyard every day so he can be sure Gable doesn't get diarrhea (I really just said that so he wouldn't leave me five days of poop to clean up when I got home!)
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

  5. #335
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    Default Re: My big boy Gable

    Well, I came home to a mess Wednesday after work...poop in the kitchen and vomit in the back room by the door. Wasn't sure who did the pooping, but Gable always throws up at the back door. He didn't want dinner, so no pills for him. But I decided that since I had raised him to the extra 5mg a week ago last Monday or Tuesday, bringing him to 10am and 10pm, I would run to the vet and have them do a resting cortisol test. He called me last night to let me know it was 1.5. So now I don't know if Gable did the pooping or Cooper. Gable would throw up, thinking I would hit the ceiling with the mess in the kitchen, and he would be too upset to eat.

    Vet recommended we stay on the 10 and 10. What are your thoughts? He's still drinking like crazy and he did eat breakfast and a lot for dinner yesterday, some breakfast this morning.
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

  6. #336
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    Default Re: My big boy Gable

    Well darn :-((((. Honestly, Joan, if it was me, I’d probably discontinue the added 5 mg. again, at least until after you’re back from your trip. Gable has shown himself to be quite sensitive to increases in the past, and the drop in two weeks from 4.2 to 1.5 is pretty dramatic. Plus, 1.5 is the “basement” — you don’t want him going any lower at all. I just wouldn’t want to risk a crash in your absence, so I think your original instinct was the best one — just leave him at his original dosing level for the time being, and then reconsider the path forward when you’re home again.

  7. #337
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    Default Re: My big boy Gable

    That's exactly what I thought, Marianne. When I said that it was a huge jump and that it would continue to go down, I think he got offended and said we should still do it!

    No way....I gave him 10 this morning and 5 with dinner tonight. I'm not taking any chances and I don't want Jeremy to have to deal with an emergency when we are away.

    Came home tonight to no messes and two full water bowls...I am losing confidence in my vet. If it wasn't for you all, and how much I've learned since Lena died, I would've done what he said. It makes me wonder how many have been misinformed by them...and that makes me very mad.
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

  8. #338
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    Default Re: My big boy Gable

    Marianne, remind me how the pre pill testing goes with twice daily dosing. I think you just do it before the morning pill, and not skip the pill the night before? That would not have made a difference from the test results the other day since I thought it was an emergency and he had his morning pill, but I can't remember how I did the one before where it was 4.2. I know I waited until after to give him the morning pill and I think I gave it to him the night before, but now am wondering...
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

  9. #339
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    Default Re: My big boy Gable

    Joan, my understanding is that for a dog dosed twice daily, you’d give the evening dose as usual prior to a morning pre-pill test. So if you didn’t give the evening dose prior to the 4.2 reading, that could account for the higher result. Also, now that I’m rereading what you had written about the resting cortisol taken this week, it sounds as though it was taken during the afternoon after having been given his morning dose. How close it would have been to his normally scheduled evening dose would determine how accurately it would have reflected a pre-pill reading. For instance, if it was only 4-6 hours after his morning dose as opposed to eleven hours, you’d expect it to be a lower cortisol reading because the medication was still most active in his system. If it was closer to eleven hours, it would more accurately reflect his pre-pill status. Hope that makes sense!

  10. #340
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    Default Re: My big boy Gable

    It does. I think I gave him his evening pill before the test that gave the 4.2 reading. And the last test was probably close to 12 hours after his morning dose.
    Joan, mom to my Angel Lena, Doree, Gable, Cooper, Angel Phoenix and now Sibble.

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