I am in a mental struggle about Feeby's newest blood work numbers. And, with little pro-active support from the vet, I need some additional thoughts from others who know what I am dealing with.
Currently: Feeby's number are - Creatinine 3.0 (range 0.6 - 2.4), Phosphorus 6.0 (range 2.4 - 8.2), T4 3.9 (range 0.8 - 4.0). But, these numbers, by themselves, don't tell the whole story in terms of progression, so I have attached a copy of the related blood work records going back two years. If there are some other numbers that someone wants, please let me know.
Bottom line:
Feeby is 17+ yo
She is on Felimazole (1.875 mg AM, 1.25 mg PM) as of last March (2021). She was previously on 1.25 mg twice a day since her 10/2020 diagnosis.
She takes Mirataz (1/2 dose every 3 days) - more frequently only provokes howling but no more food intake - started in 11/2021
She does/will not eat low phosphorus foods nor is she taking any phosphorus binders at this point.
No vomiting, no diarrhea, just lethargy.
She has never had an SDMA run as no vet in my area considers this to be valuable information once CKD has been diagnosed (neither does the CKD forum I joined).
BP last averaged 152 mmHg
Weight being maintained relatively stable at around 11.9 pounds, with the help of Mirataz.
The vet said she was OK if I wanted to try a phosphorus binder but wasn't suggesting it on her own. She also doesn't think Feeby's Felimazole dosage needs to be increased.
I am thinking of going it on my own for right now - increasing her Felimazole to 1.875 mg twice a day and adding the lowest dose possible of a phosphorus binder at least 2-3 times a week. I am also considering buying a BP monitor for home. I honestly don't know what else to do - but, yes looking into other vets.
Any advice, guidance, help???
Currently: Feeby's number are - Creatinine 3.0 (range 0.6 - 2.4), Phosphorus 6.0 (range 2.4 - 8.2), T4 3.9 (range 0.8 - 4.0). But, these numbers, by themselves, don't tell the whole story in terms of progression, so I have attached a copy of the related blood work records going back two years. If there are some other numbers that someone wants, please let me know.
Bottom line:
Feeby is 17+ yo
She is on Felimazole (1.875 mg AM, 1.25 mg PM) as of last March (2021). She was previously on 1.25 mg twice a day since her 10/2020 diagnosis.
She takes Mirataz (1/2 dose every 3 days) - more frequently only provokes howling but no more food intake - started in 11/2021
She does/will not eat low phosphorus foods nor is she taking any phosphorus binders at this point.
No vomiting, no diarrhea, just lethargy.
She has never had an SDMA run as no vet in my area considers this to be valuable information once CKD has been diagnosed (neither does the CKD forum I joined).
BP last averaged 152 mmHg
Weight being maintained relatively stable at around 11.9 pounds, with the help of Mirataz.
The vet said she was OK if I wanted to try a phosphorus binder but wasn't suggesting it on her own. She also doesn't think Feeby's Felimazole dosage needs to be increased.
I am thinking of going it on my own for right now - increasing her Felimazole to 1.875 mg twice a day and adding the lowest dose possible of a phosphorus binder at least 2-3 times a week. I am also considering buying a BP monitor for home. I honestly don't know what else to do - but, yes looking into other vets.
Any advice, guidance, help???
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