? 4/14 RAJA Wants to pee elsewhere, weaker legs

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Arman Matin

Arman Matin

Member Since 2017
Hi Everyone

Happy Mothers day to all
After showing so much progress over the last month, Raja's numbers spiked when we had to go away from the weekend and have someone else take care of him on 05/05 and 06.
I have been following protocol and reducing as his AMPS numbers were getting low. A week ago his Keto stick showed Neg on Glucose and Ket.

However since yesterday wee seems to be weaker in his hind legs, wanting to pee elsewhere and today his Ket stick showed Ket at Neg but Glucose at ++ or 1/2 which I havent seen in at least a month.

I bumped the dosage back to 5.5. Not sure what else to do, especially about his hind legs. Is there a better way to give B12 ?

Thank you so much

Arman
 
How long has Raja been on the Zobaline? My understanding is that it can take months to show effects.

Throwing this out to the group: what has been the experience with B12 injections with respect to neuropathy? I have been giving B12 shots to Amber for pancreatitis/digestive issues and it has definitely helped bring her blood levels up. Seems like it couldn't hurt to try for neuropathy, but I recall seeing some advising against that approach here. Has anyone tried it?
 
I think that the B12 shots are different than B12 (Methylcobalamin) that is in Zobaline (which what is used for neuropathy)

Raja is a large cat. I am wondering if he is getting enough Methylcobalamin.

Here is info on all the B vitamin

http://felinecrf.org/vitamin_b.htm

Raman, are you treating for arthritis? Is the litter box easy for Raja to get to and get in/out of?

I would test for ketones and uti. In fact, when was the last full bloodwork and urinalysis? If more than 6 months I would head to the vet to check kidneys and liver numbers.

Tagging @Marje and Gracie

ETA-this is the Methylcobalamin I give. It is less expensive than Zobaline so if it is determined you need to give more it might be more economical the get this.

https://smile.amazon.com/gp/product/B0046IET7C/?tag=felinediabetesfdmb-20
 
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the only b12 for neuropathy is methyl b12....
that's what zobaline is.
It takes most 3 months before it helps.
Have you skipped doses at all? Or if you are using a pill, could he be spitting them out.
 
Lizzie has a great suggestion - has he been tested for arthritis? Many of our older cats have arthritis, it's much more common than people used to think it was. Cosequin can help mind cases, as can fish oil for inflammation and hyaluronic acid. Adequan helps many cats. Neko used to get acupuncture for her arthritis.

I am not sure why you increased this morning. Last night you shot a dropping blue number and then there were no more tests in the spreadsheet. I rather suspect he went lower last night and this morning was a bounce. Remember, we dose based on how low the dose takes the cat, not the preshots. He had a 70 AMPS two days ago and might have been even lower before that. A 70 nadir (if that's what it was), doesn't leave you much room for an increase.

On more comment on the spreadsheet. I see on 5/5 you shot a 41. We strongly recommend NOT shooting under 50. It's not safe to do so. Even the most experience people here would wait until the numbers come above 50 before shooting. A good strategy that day might have been to give him a good helping of higher carb food at +10 to bring him up to a shootable preshot. You are right that he did earn a reduction that day.
 
Wendy&Neko said:
Lizzie has a great suggestion - has he been tested for arthritis? Many of our older cats have arthritis, it's much more common than people used to think it was. Cosequin can help mind cases, as can fish oil for inflammation and hyaluronic acid. Adequan helps many cats. Neko used to get acupuncture for her arthritis.

I am not sure why you increased this morning. Last night you shot a dropping blue number and then there were no more tests in the spreadsheet. I rather suspect he went lower last night and this morning was a bounce. Remember, we dose based on how low the dose takes the cat, not the preshots. He had a 70 AMPS two days ago and might have been even lower before that. A 70 nadir (if that's what it was), doesn't leave you much room for an increase.

On more comment on the spreadsheet. I see on 5/5 you shot a 41. We strongly recommend NOT shooting under 50. It's not safe to do so. Even the most experience people here would wait until the numbers come above 50 before shooting. A good strategy that day might have been to give him a good helping of higher carb food at +10 to bring him up to a shootable preshot. You are right that he did earn a reduction that day.
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Thank you for bringing this to my attention. The 5/5 shot at 41 came from seeing his number rise from 41 to 69 and there was actually another test in between and his shot was given at 69. I should have adjusted my chart to show that.
Also not sure why i decided to adjust his dosage upwards. Felt like the 5.25 was a field reductio. But now i see you point
 
I also think you should have Raja checked by the vet. I wouldn't be surprised if such a large cat has back issues or arthritis.

I would have expected you to start seeing results from the Zobaline by now. I, too, wonder if the issue is that the dose isn't big enough for his size. The good news is that you can't overdose him - he'll pee out what he doesn't use. You might ask your vet if it's worth increasing the Zobaline dose.
 
Tricia Cinco(GA) & Harvey said:
I also think you should have Raja checked by the vet. I wouldn't be surprised if such a large cat has back issues or arthritis.

I would have expected you to start seeing results from the Zobaline by now. I, too, wonder if the issue is that the dose isn't big enough for his size. The good news is that you can't overdose him - he'll pee out what he doesn't use. You might ask your vet if it's worth increasing the Zobaline dose.
Click to expand...

looking at him, it looks like two different cats in the front and back. The front is strong and getting stronger and filled in, while the back looks very weak. I will ask about zobaline increase though my vet is convinced once neuropathy sets in it doesnt recover.
 
Arman Matin said:
I will ask about zobaline increase though my vet is convinced once neuropathy sets in it doesnt recover.
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Read this: http://www.vegepet.com/faq_files/Question.html. It cites some studies that show it can and does improve. I an assure your vet that it does - you should have seen poor Cinco before Zobaline - his back end kept giving out on him. Broke our hearts. But after a few months, you would never has knows there was anything wrong, unless you looked very closely (his damage was so severe he didn't recover 100%).
 
Have his vet check for potassium deficiency, looks very much like neuropathy. I thought my cat had diabetic neuropathy, turned out to be potassium deficiency coupled with arthritis. Started him on a K supplement and cosequin, he has been doing much better ever since then.
 
@Nan & Amber
what i find odd is that even our own medical doctors don't know about methylb12 helping with neuropathy.

You'd think they would know before the vets.
I have encountered so many human diabetics and told them about methyl b12 and they are all having great success with their own pain.

here's a fairly decent explanation...

http://www.methylcobalamininfo.com/methylcobalamin-vs-cyanocobalamin/
 
Looks like Rhiannon got here before me with the info on methyl vs cyanocobalamin.

She is correct that methylB12 is given orally, in general, for CKD associated anemia and neuropathy.
Cyanocobalamin is given via injection for intestinal issues.
 
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