monilovesanimals
Member Since 2023
Patient: Jerry Herrera, 12-year-old male domestic shorthair (criollo), 6.7 kg. Owner: Monica Herrera.
Background — 2025 Stomatitis
Throughout 2025, Jerry suffered from severe feline chronic gingivostomatitis (FCGS). After conventional treatments failed, the owner pursued an off-label protocol with Molnupiravir for two months. The result was a full and sustained clinical resolution. This history is relevant because prolonged chronic oral inflammation likely contributed to immune dysregulation and may partly explain his currently elevated globulins.
Current Active Conditions
Jerry is an insulin-dependent diabetic cat whose glucose was 368 mg/dL on June 10, 2026 — significantly above the target range for a well-controlled diabetic cat. Despite receiving insulin, his glycemic control is currently inadequate. A 12-hour glucose curve has not been performed, making it impossible to safely adjust his dose. Active intestinal inflammation is very likely worsening insulin resistance through cortisol-mediated mechanisms.
He has had intermittent blood and mucus in his stool since June 9, 2026, following administration of Milpro (milbemycin + praziquantel) on May 31. His brother Tom received the same treatment and improved fully. Jerry initially improved in energy and appetite but developed progressively softer stools and eventually frank blood with mucus on June 9. Since starting treatment on June 11, the bleeding has been intermittent — absent on June 17–18, but returning on June 19 with soft stool and visible blood with mucus on two separate defecations the same morning.
He also has hypercholesterolemia (313 mg/dL, reference 65–225) and a significant hyperglobulinemia (globulin 6.9 g/dL, reference 2.8–5.1), which reflects chronic systemic inflammation. Liver and kidney values are completely normal. No anemia.
Fecal Findings — Two Exams
The June 11 fecal showed severe disbacteriosis (severely elevated mixed bacterial density), muscle fibers +++ (creatorrhea — protein maldigestion), capillary fibers ++, undigested food residues, and Giardia cysts described as "occasional." The June 19 fecal showed partial improvement — disbacteriosis downgraded to moderate, muscle fibers and capillary fibers fully resolved, and no blood visible microscopically. However, Giardia remains positive (+), and a new finding appeared: starches (++) — indicating carbohydrate malabsorption that was not present two weeks ago.
Giardia has now been documented in two consecutive fecal exams across two weeks. No antiparasitic treatment has been given. The treating veterinarian's position is that a single-cross result does not warrant treatment. However, Jerry has persistent GI symptoms that have not fully resolved with supportive therapy, and Giardia is a known cause of chronic colitis, malabsorption, and intestinal inflammation — particularly relevant in a senior immunocompromised diabetic cat with reduced ability to self-clear parasites.
Current Treatment (since June 11, 2026)
Solgar Omega 3 700 mg, one capsule orally twice weekly indefinitely. Fortiflora half daily. Formula magistral drops 60 ml (Flamosin + Traumeel + Colon Suis — Heel homeopathic biologicals), 5 drops orally every 8 hours for 2 months. No antiparasitic, no antibiotic, and no insulin adjustment has been made.
I purchased in the USA chromium, but idk what dose. Here in Colombia, veterinarians does not seem to understand how to give it. I also have zobaline and idk how to give it.
Key Open Questions
What should I do? the vet only recommended the ultrasound to check his belly and organs, but nothing else about the Giardia
Jerry has good appetite and energy throughout this process, which is a positive prognostic sign. His owner is highly informed and engaged in his care, and is seeking a second opinion to ensure no underlying cause is being missed.
