iPet’s Ally Weekly Q&A Round-up 01-11-21: Sam-e or Milk Thistle: Why would one vet advise one over the other?

iPets Ally Q&A Round-up 01-11-21

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Hey! I’m Dr. Ruth Roberts, your pet’s ally. I hope that you all have had a marvelous weekend and life is good. I’ve got a bunch of great questions, so I’m going to pop over to the Facebook page.

1. Meloxicam vs T – Relief: What is the difference in terms of pain relief?

Suppose your pup has existing liver disease, T – relief is absolutely safe for them. But assuming your vet wants to give your pup meloxicam, you do want to be very careful with it especially considering that with existing liver disease, non – steroidal drugs are precarious to say the least. However, if you cannot find relief any other way, I would suggest you try the T – relief first. You can also try a high dose curcumin product. There’s a whole host of other options but just remember that if your pup is having a really bad day, a dose of meloxicam or even a dose a week is not going to be the end of the world.

One of the upsides of meloxicam and its liquid form is that it makes it easier to titrate the dose down because it’s based on body weight. What you can do is we give your pup tons of fluid extra for that day and just really load up your pup’s food with water to help flush it out. In a situation where there is a presence of liver disease, what you may do is increase the amount of milk thistle, liposomal glutathione or something of that nature to help flush the liver out. I hope that’s helpful.

2. SAM – e or Milk Thistle: Why would one vet advise one over the other?

Speaking about liver, one might wonder why some vets recommend SAM – e and others milk thistle, what’s the difference between the two, and why would one vet advise one over the other?

Here’s the deal in my research; milk thistle is actually the thing that does the job and this comes from the study that’s probably 2 decades old now which was about children that had eaten amanita mushrooms. The study shows that kids that eat these things generally die because it annihilates their liver and what they found with milk thistle and silymarin which is the active component in it is that, instead of a 98% fatality rate, they had a 98% survival rate which is absolutely astonishing.

Now, in veterinary medicine, SAM – e got included but to be honest, I do not find it to be effective at all. I think the biggest reason is that one of the few companies researching on how nutrients work on a body and how to support it – Nutramax, decided for some reason that SAM – e was the way to go and probably about 5 years later, they finally introduced SAM – e and milk thistle products. However, I always found that just switching my patients to plain old milk thistle, would do them much better and it’s a lot less expensive and a lot less of a pain in the butt to use. I hope that makes sense.

3. IMRAB thiomersal – free vaccine: Dog’s Health Problems

Suppose you recently stopped using IMRAB thiomersal – free vaccine because there were too many vaccine reactions, here’s what I want you to know; frankly, if things are working that’s great but if you don’t think it’s a great help, I’d ditch it and go for liposomal glutathione. I think it’ll come out cheaper and much more effective. If you’re not familiar with that, or if you don’t have a veterinarian that can do an IV push, go check that out in the site.

The deal about rabies vaccines is that at this stage of the game, there are probably five companies that sell vaccines, but maybe around two companies actually produce them all, so they are labeled for other companies. My suspicion is that they had something in that batch of vaccine that created an issue. Frankly, I never saw reactions with that vaccine although I used thuja. This is where I would ask what’s going on, and what they’ve seen. I hope that helps.

Interestingly, if you pull up the rabies compendium from 2016, it says quite a bit different and they do not accept titers for vaccines. Now, the worry is for a pet that bites a human because this is where things can get really serious and crazy. What they do say is that a pet that has ever been vaccinated for rabies is considered “up – to date” what that means is that if it’s been 3 or 4 years since your last rabies vaccine, instead of facing a 6 – month quarantine or worse, your pet is now looking at a 10 – day at – home quarantine. However, the Department of Health that you’re dealing with may ask you to re – vaccinate. Now, I think that when they publish the next compendium taking into consideration the result of the 7 – year rabies challenge, rabies titer would prove protection in the USDA’s mind.

4. FidoSpore: Probiotic for dogs

Assuming that mucus comes out with the stool, it may be that there your pup has some food sensitivity that is still going on and maybe that the whole microbiome is still out of whack. This is where I would use some sort of a probiotic like FidoSpore to help kind of rebuild things. Interestingly, they include a probiotic organism called pediococcus that grows on grass in FidoSpore.

If you’re not sure what’s kicking all of these off and you’re concerned that it’s the food, then I would definitely look into doing one of those Glacier Peak Tests because that does kind of help get through things quickly. I would start considering if there is something in the food that you could switch up or if you need to add a probiotic to help kind of stabilize things.

5. Bacitracin, Polymyxin, and Neosporin: Uses and Side Effects

Generally, many products have taken out bacitracin as an ingredient 15 – 20 years ago because it was creating some really nasty side effects. You can have loss of hearing when it is used topically in the ear with an open ear drum and you can have kidney damage when it is used orally for G.I issues, so this is a potential problem.

But honestly, if you’re using it topically and you put a bandage over the top or you do what I suggest – anytime you use any topical medication put it on and then either go for a walk or do something else to distract your pup, then generally it is not an issue. Anyway, these folks put a lot of good information out there but they also educate through fear which is something I really have a problem with.

The other thing is that Polymyxin and Neosporin are used orally because they typically don’t get absorbed from the gut. With leaky gut syndrome or inflammatory bowel disease, there can be some absorption but it’s not a big deal so I think that applying this to your dog’s wound once or twice a day for 3 – 4 days, is also not a big deal.

6. Mange in dogs: What you need to know about demodectic mange and sarcoptic mange

Demodectic mange or demodex, is caused by a cigar – shaped mite while the sarcoptic mange is caused by a parasitic mite that burrows just beneath the surface of the skin.

Demodex is common to see since it is a normal part of the skin flora, always present, and usually harmless. But in a dog with weakened immune system, they can grow out of control. Sarcoptes on the other hand is rare to see. Sarcoptes causes extreme itchiness with hair loss and red scaly skin that typically start in sparsely – haired areas but can spread to the entire body if without effective treatment.

Now, the treatment for sarcoptes is generally not very much fun. Generally, Ivermectin a medication used to treat many types of parasite infestation, or some other types of dips is used. There are probably some other things that Dr. Lisa can help you with as far as killing some of that back. Salves applied to troubles spots that you can use would work as well.

7. Possible Reasons Why Your Dogs Might Smell Bad

Suppose that for a long time, your pup has had an increasingly distinctive odor that doesn’t disappear, that may be due to his diet.

If you’ve been feeding something consistently to your pup and not rotating things consistently, then I would definitely start rotating in some other proteins. Add in something that helps reduce inflammation in general. Omega – 3 fatty acids would be a great place to start. The other thing too is giving them a break from Holistic Total Body Support for a week or so and see if the smell gets better or if doesn’t get better.

The other thing that is really cool is that we finally have our curcumin product in stock and so I’m really excited about this because it is bacon flavored. It does have some beef liver in it so for those pups that are sensitive, this may not be a perfect choice. It includes sufficient BioPerine and coconut to help support gut health and you’ve got the curcumoids which are the active ingredient plus 25 milligrams and 300 milligrams of turmeric in general, so this is I think, is going to be a great product for all of these guys that are dealing with sort of minimal inflammation issues to help get them under control and also for pets that are experiencing discomfort and pain.

That’s what I ‘ve got for you this week. Keep an eye on your email because we’re going to be doing a 15% off sale of this product and we’ll also be giving away five bottles so we’ll have a contest opening up this week here shortly. Until next week. Remember, your pet’s best health, start in the bowl. I’m Dr. Ruth Roberts, your pet’s ally. Thanks!