iPet's Ally Weekly Q&A Round-Up 01/18/22 - How to feed your pup when their tummy is not feeling well?
- Jan: Are there things that you should avoid in that supplement group?
The ones that you do want to avoid is omega-3 fatty acids and curcumin because they can potentially inhibit clotting, but it doesn’t usually happen. Kaye had a horrible experience and so out of an abundance of caution, it is suggested that you stop those 2 to 4 days prior to anesthesia, but because you also have a horrible experience in the past, I would go with 4 days and then wait for 2 days. If there are teeth extracted and it sounds like there will be to restart so that the surgery sites will clot well. The clot is really important in the healing process too.
- How to feed your pup when their tummy is not feeling well?
What you might do is just do half of the crockpet in the morning. I’ve had people say that honest kitchen gets a little tough especially with the broccoli that’s in there so you might leave that out in the morning or offer a mid-day meal. As Bettina suggest, you can also feed it later. I think you need to ask why is this happening and sometimes there’s not a clear answer. Often it can be associated with acid reflux and so things just don’t feel good the way they used to so you could look at using things like heartburn Rx, which is a vital supplement product that seems to help people with heartburn feel a bit better. You might try that with the evening meal and then see if he’s happier about eating in the morning. This is where most veterinarians would say to use some sort of an acid suppressor such as ondansetron, it’s usually the ones that caps it but ultimately, that’s going to end up more problems that it solves. See if using something like the heartburn Rx is good or is not good as far as helping improving things.
- Should your pup have lepto vaccine or not?
The thing with this vaccine is that lepto is out there but few veterinarians actually vaccinate in the way that would be actually protect our puppies against this. Lepto generally doesn’t kill dogs but it can make them sick and worse, it doesn’t really protect them against the leptospirosis. It is the one that is most commonly associated with the vaccine reactions. What I would say is, no. Where you are, your pup’s chances of developing lepto are pretty small. In South Carolina, which is where I was for almost 30 years, I saw one dog in my entire 28 years of clinical practice that actually had lepto and it was rescued from the swamp, so no.
I’m glad that the rabies vaccine we’re not given together. Do use thuja and if you don’t have thuja on hand, get some and do use it. Maybe the rabies vaccine has not been given yet, do use it at 1 drop per 10 pounds of body weight 2x a day for 5 days. If it’s already been given, then give it for 21 days at that same dosing and go from there. One of my consult clients this week, Connor, whose pet was vaccinated against lepto. It developed an acute kidney injury and they still tested positive for lepto and they told him that your dog can’t have lepto because it was vaccinated. I had the vaccine one day and then 5 days later, it started with kidney failure symptoms. I never really saw much value in the lepto vaccine. For it to be really effective, you will have to wait until all of the puppy vaccines are finished and 3 weeks after the last vaccine, lepto number 1, 3 weeks after that lepto number 2, and 3 months after that is lepto number 3. This is from Dr. Ron Schultz and he said that because the immunity to the vaccine is so short-lived, this is the only way it could be efficacious and unfortunately, almost nobody does that.
- What is the dosing for CBD?
If CBD is available to you, then you could start that with something like 10 mg and work your way up to 35 or 50. Many veterinarians that are well versed in cannabis medicine will use THC. That is the part of marijuana that actually does make you high but at a dose of .50/.5 mg per day per pet. The goal there is to relieve that sense of malaise and also stimulate the appetite. There’s also a point on the nose called schengen. If we look at our pets, this is the hair region of the nose and this is the part of the nose that has no hair. Right at the junction of the haired and the non-haired region is the point of schengen and so you can use an acupoint certainly but you can also use your finger to stimulate that point. So, there’s the haired and non-haired region here so you can stimulate that with your finger nail to get things going.
- Does stopping the supplement stop pup’s heart with heart disease?
No. The issue is that they prevent clotting and so the potential problem would have been at the surgery site, that things kept bleeding and oozing. It did not cause her heart to stop. I hope that helps.
- What is the Nordic Naturals Omega-3 soft gels?
1 soft gel contains about 330 mg total. If we’re at 20, then that’s about 454 mg as your baseline dose. 2 per day would actually be a better choice if that makes sense to you because it’s not quite enough to get to that recommended basic dose of 4220 mg for the day. The research is showing that a starting dose of 50 mg per kg for healthy pets but for pets with significant health issues obviously need higher. For that reason, we love Standard Process’ VF omega but if you have a big dog, it gets expensive so we’re going to be bringing back crockpet fish oil, which is quite a higher dose for teaspoon.
- What is a better choice for long-term use for allergies?
Neither steroids nor cytopoint are great and so I hope that what we can do is get you enough help so over time you’ll find that you don’t need those so much. They both have downsides. Cytopoint has been associated with more cancer. I mean I’ve seen than in my own patients. I’ve never used it in practice. However, steroids have their own set of problems too in terms of inducing Cushing’s disease, inducing muscle wasting, getting the whole hormone system out of balance and many issues more. What I would suggest is using cytopoint and then using all the tools available to you to minimize the use of anything going forward. Again, I think we talked about the close relationship between different types of anxiety and allergies and that there is a relationship there. Weirdly, I have seen dogs get better on clomipramine, which is one of the more commonly used anti-anxiety medications until it got ridiculously expensive.
- When should your pup be revaccinated?
The sad thing about the vaccines is that the maternal antibodies don’t drop until somewhere around 12 weeks of age, which means that for the vast majority of puppies, vaccines at 9,10 or 11 weeks don’t have any effect or whatsoever. You would want to revaccinate at 12 weeks and at 16 weeks. Additionally, I would suggest rabies at 14 or 18 weeks of age.
Now, to detox, this is where you would want to use thuja because you’ve not had the opportunity to do that. Again, 1 drop for 10 pounds of body weight twice a day for probably a week in this situation because you’re dealing with Bordetella and DHPP. The other thing you’re going to want to do is work in the gut, so adding in high doses of Omega-3 fatty acids. This is where the VF omega would be fantastic and FidoSpore to help support the microbiome there. Because the Nexgard is an anti-parasitic and is taken orally, I would suggest doing some milk thistle. What I would do if you’re an area where you do need to use heartworm prevention or if that’s somewhere off the future because it is January, then what I would suggest is giving milk thistle daily for probably 2 weeks to help get rid of all the Nexgard and kind of clean things out, and then just once a month 1 daily for about a week each month.
- Is CBD helpful for dogs?
It’s worth a try. The weird thing about CBD dosing is that we used to say just start with 2 mg. We’re not dosing for body weight; we’re dosing to get coverage of the endocannabinoid system and fill up the receptors. What I would say is start with 2 mg and gradually work your way up to 10 mg. For serious disease, the folks at CBD Dog Health are recommending between 35 and 50 mg but again, start low, work your way up and figure out what you pup’s dose is. For instance, if I take 1 mg of CBD, I am toast for 36 hours. Hiyo takes 10 mg twice a day and she is fine. It is very variable so start low and work your way up. If you find that your pup’s super dosed out, then just drop back down to the last most comfortable dose for her. Jamie, great so we got you covered.
- Jack: Can he take both trilostane and ursodiol?
Rhonda’s asking if Jack can take both trilostane and ursodiol. Absolutely! Unfortunately, poor Jack is newly diagnosed with Cushing’s disease but the trilostane is actually improving the symptomatology, which is great. My hope is that we can reduce the amount that you need or prevent that dose from going up, and ursodiol is one way to do that because as we discussed, the biliary system is inflamed. It’s producing mucus and that shows up in the gallbladder, which is what we call as gallbladder sludging. If we can get the biliary system to function more effectively, then that means the liver is going to be able to get rid of things that it’s supposed to get rid of and one of them is excess cortisol. I hope that is helpful.
So, that’s what I got for you this week. I will see you next week and until then. Give everybody a big hug. I’m so happy Willie is hanging in there with us and getting better. Take good care. I’m Dr. Ruth Roberts, your pet’s ally. Thanks!