92 PMPS - need advice

I think you will be fine to shoot the full dose since you are going to be at home and can monitor the cycle. If you want to (and as long as you haven’t fed) you can retest in 20-30 minutes and see if Biddy is going up at the end of the last cycle.
 
Suzanne & Darcy said:
I think you will be fine to shoot the full dose since you are going to be at home and can monitor the cycle. If you want to (and as long as you haven’t fed) you can retest in 20-30 minutes and see if Biddy is going up at the end of the last cycle.
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Thank you. How often should I test him today?
 
Lane&Biddy said:
Thank you. How often should I test him today?
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Well, since he is lower than we’ve seen before, definitely make sure to test at least+2 and see if he’s about the same as AMPS or lower. Give a mini-meal at +2. So depending upon what you see at +2, you can get a +4 and later a +6. But if the +2 is a lot lower than AMPS, you will want to monitor more closely. Is his appetite good? Will he eat the mini-meals?
 
Suzanne & Darcy said:
Well, since he is lower than we’ve seen before, definitely make sure to test at least+2 and see if he’s about the same as AMPS or lower. Give a mini-meal at +2. So depending upon what you see at +2, you can get a +4 and later a +6. But if the +2 is a lot lower than AMPS, you will want to monitor more closely. Is his appetite good? Will he eat the mini-meals?
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His appetite is great I’m sure he’ll love the extra snacks.
 
Lane&Biddy said:
Just tested again at 151. Hills z/d for wet and Royal Canin HP dry when he won’t eat the z/d.
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Oh, right. Thank you for reminding me what he eats. I was going to buy a case of the wet Z/D yesterday for my boy, but Chewy says it’s 40 percent carbs so I didn’t. He’s on steroids and if I add 40 percent carb food to his Prednisolone (we have had to go back up to 5 mg daily instead of EID) I am afraid he will become diabetic. It seems you just can’t win.
 
Okay. I will check in on Biddy later today. If you are concerned about anything, just post here and you can send me a PM to be sure I see it. Then I will come here to this thread to talk. It’s exciting to see better BG numbers for Biddy! You are doing great!
 
Suzanne & Darcy said:
Oh, right. Thank you for reminding me what he eats. I was going to buy a case of the wet Z/D yesterday for my boy, but Chewy says it’s 40 percent carbs so I didn’t. He’s on steroids and if I add 40 percent carb food to his Prednisolone (we have had to go back up to 5 mg daily instead of EID) I am afraid he will become diabetic. It seems you just can’t win.
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Oh geez so sorry you are dealing with that. It truly is an impossible situation but he sure is lucky to have you!
 
Hello there. Sorry I haven’t been around at all today. I’ve been taking five community cats to the vet for TNR. I trapped them last night. In fact, I am sitting here right now waiting to pick them up and take them home to recuperate.
So anyway, I see you skipped the shot. I would not have advised you to skip, but I totally understand. Since you shot a 151 with 4 units on February 8, and he had some upper blues. I would have recommended that you either shoot the full dose if you were home to monitor the cycle. Or I would have suggested not going lower than 3.5 units. I am only mentioning this for a future situation where I may not be around. We don’t know what he did yesterday during the day or the night, so that makes it a little bit of guesswork, but going by past numbers, it should be safe… but again…. If you were not going to be home at all and couldn’t come home to check at lunch time, I probably would have shot 3.5.
 
Suzanne & Darcy said:
Hello there. Sorry I haven’t been around at all today. I’ve been taking five community cats to the vet for TNR. I trapped them last night. In fact, I am sitting here right now waiting to pick them up and take them home to recuperate.
So anyway, I see you skipped the shot. I would not have advised you to skip, but I totally understand. Since you shot a 151 with 4 units on February 8, and he had some upper blues. I would have recommended that you either shoot the full dose if you were home to monitor the cycle. Or I would have suggested not going lower than 3.5 units. I am only mentioning this for a future situation where I may not be around. We don’t know what he did yesterday during the day or the night, so that makes it a little bit of guesswork, but going by past numbers, it should be safe… but again…. If you were not going to be home at all and couldn’t come home to check at lunch time, I probably would have shot 3.5.
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I understand. I knew I probably should have given a reduced shot but wasn’t sure so I chickened out. Next time I will do it. I hope everything went smoothly with your TNR kitties!
 
Well they’re home now in my garage. Two out of five had cryptorchid and have abdominal incisions so those boys will need to be kept in for a longer time than most males. I always keep the females in for a longer period of time— even up to a week.

Anyway, the good news is that Biddy did pretty well today!
 
You did have a 131 yesterday at PMPS! Wow. Any idea what happened after that? How about today? Any chance to get a midday test? Or we will wait to see what things look like this evening? Possibly you can go back up to 4 units tomorrow.
 
Suzanne & Darcy said:
You did have a 131 yesterday at PMPS! Wow. Any idea what happened after that? How about today? Any chance to get a midday test? Or we will wait to see what things look like this evening? Possibly you can go back up to 4 units tomorrow.
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He was at 182 +7 today. Unfortunately he was EXTREMELY grumpy last night and I wasn't able any testing done after PMPS.
 
He’s at 137 for PMPS tonight. I’ll be sure to get a +2. He’s cranky because he only allows testing on his front left paw and I tried to give it a break and use his right paw but he said absolutely not. :rolleyes:
 
Lane&Biddy said:
He’s at 137 for PMPS tonight. I’ll be sure to get a +2. He’s cranky because he only allows testing on his front left paw and I tried to give it a break and use his right paw but he said absolutely not. :rolleyes:
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Oh. I did not realize that you were testing his paw. Most of my cats don’t like having their paws held. I’m glad he allows one paw to be tested.
 
Sorry for the delay. Everything has been crazy. You did the right thing to stay with the same dose. He didn’t actually earn a reduction yet
 
Lane&Biddy said:
Biddy's ALT went down from 1636 to 640!!!!! I am beyond thrilled and just wanted to share!
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Oh. Wow. I am so glad I scrolled up to see this. I had missed your most recent message and I thought I had better scroll up to see if I missed something else!! Wednesday was the day I was schlepping feral cats to and from their surgeries. I got behind and missed this wonderful news! I love good news about our kitties! You had started Denamarin, right?
 
Suzanne & Darcy said:
Oh. Wow. I am so glad I scrolled up to see this. I had missed your most recent message and I thought I had better scroll up to see if I missed something else!! Wednesday was the day I was schlepping feral cats to and from their surgeries. I got behind and missed this wonderful news! I love good news about our kitties! You had started Denamarin, right?
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He has been doing so great! I got regular Denamarin from my clinic and it was too large (he choked and the vomited) so I ordered the Advanced hard tablets that are smaller. They were just delivered so we haven't started them but I am very pleased with his lab results and will start giving that once I figure out how to incorporate it into his very busy medication/feeding schedule. He has so much energy and the most solid stools we've seen in years!
 
All good news! What is his medication schedule like? How many meds is he on and how many times per day?

I didn’t realize there was a tablet size difference in Denamarin. I have only used the blue sort of thick round tablets.
 
Oh. I see now that the advanced is a chewable tablet for dogs. It’s odd that the original that is for “cats and small dogs” would be larger than the chewable. Surely Nutramax can do better than that.
 
Suzanne & Darcy said:
Oh. I see now that the advanced is a chewable tablet for dogs. It’s odd that the original that is for “cats and small dogs” would be larger than the chewable. Surely Nutramax can do better than that.
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There are the original tablets and the advanced tablets for cats and dogs but yes the chewable is for dogs only unfortunately.
 
Suzanne & Darcy said:
All good news! What is his medication schedule like? How many meds is he on and how many times per day?

I didn’t realize there was a tablet size difference in Denamarin. I have only used the blue sort of thick round tablets.
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I have a tab on his SS that has his meds and times I give them. He and my other pets are on so many meds its the only way I can function!
 
Lane&Biddy said:
There are the original tablets and the advanced tablets for cats and dogs but yes the chewable is for dogs only unfortunately.
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But are the ingredients actually different? Le just the amount of mg. for the ingredients? I see that by weight you may only need 1/4 a tablet — unless he’s more than 14 lbs. and then it’s 1/2 a tablet.
 
Suzanne & Darcy said:
But are the ingredients actually different? Le just the amount of mg. for the ingredients? I see that by weight you may only need 1/4 a tablet — unless he’s more than 14 lbs. and then it’s 1/2 a tablet.
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These are the exact ones I got. It is not recommend to cut them. As far as I am aware, they both have 90mg S-Adenosylmethionine and 31mg Silybin-phosphatidylcholine complex (SPC) but I am not sure on other ingredients. https://www.denamarin.com/advanced-hard-tablets
 
I think Biddy is making good progress. You are seeing a lot of blue. The AMPS/PMPS have come down since a month or two ago. You rarely have a pink preshot number anymore. He’s been on the 3.75 dose for a long while now and has had some time to get accustomed to blue numbers. It looks like he’s ready to go to 4 units. You should hopefully see some green and more blue (less yellow) preshots.
 
Suzanne & Darcy said:
I think Biddy is making good progress. You are seeing a lot of blue. The AMPS/PMPS have come down since a month or two ago. You rarely have a pink preshot number anymore. He’s been on the 3.75 dose for a long while now and has had some time to get accustomed to blue numbers. It looks like he’s ready to go to 4 units. You should hopefully see some green and more blue (less yellow) preshots.
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Okay thank you! I won't have a day off until Thursday this week. I can check a +2 and +7 tomorrow and I can monitor all night if necessary. Would you go ahead and increase tonight or would you advise waiting until I can be home all day?
 
I think you would feel more comfortable waiting until Thursday. Now watch… he knows we are talking about an increase and he will show us who’s boss.
 
Suzanne & Darcy said:
I think you would feel more comfortable waiting until Thursday. Now watch… he knows we are talking about an increase and he will show us who’s boss.
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You are so right! How often do you recommend monitoring the first day/night of an increase? Biddy's vet is happy we are testing but has not really given much direction as far as that goes.
 
Suzanne & Darcy said:
I think you would feel more comfortable waiting until Thursday. Now watch… he knows we are talking about an increase and he will show us who’s boss.
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You were right, he knew we were talking about an increase so he gave me his lowest number yet! Would you increase or decrease now?
 
Lane&Biddy said:
You are so right! How often do you recommend monitoring the first day/night of an increase? Biddy's vet is happy we are testing but has not really given much direction as far as that goes.
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It’s probably fine on the first day to get a +2, 4 and 6. If nothing interesting is happening then you can stop until closer to PMPS — unless it looks like he’s trending downward. The +2 is to give you an idea of how the cycle may go. Lower than AMPS - probably an interesting cycle. Same as AMPS - probably an average cycle. Higher than AMPS - probably not going to be an “active” cycle. Of course, that’s just a general guideline that can be helpful, but there are variables such as if the cat is breaking a bounce, etc.
 
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That message from above is from last night (didn’t push send because I hadn’t actually finished the message.).

Now for this morning, for now, with those nice greens last night, I would hold the dose a few more days (which you were already going to do because of Thursday being your next day off.) We can then see if it was just a fluke of a new pattern that will hold. His AMPS this morning is great! Love the blue.
 
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