It is always a good sign, no matter what the diagnosis, if a cat eats and seems to be himself. Please let us know what you find out.
Thank you for the inputs FeebysOwnerI know human beings can take pancreatic enzyme capsules following a meal, so I am not sure why that can't be the same for cats. If that is the case, feeding dry food should be less of an issue. That is question #1 for your vet. There are also chews for cats, if you think he would eat the chews. A compounding pharmacy could even make chews that match the ingredients/strength of the supplement your vet is recommending and flavor them if need be (think FortiFlora's liver flavoring). Question #2 for your vet. Question #3 for your vet (or, maybe a compounding pharmacy) would be to ask about the eating only a bit at a time and how much that will impact the effectiveness of the enzymes. Perhaps, the chews could be broken into parts and added as he eats? Unless it takes your cat hours to go through one meal, IMO, it probably isn't terribly impacting, but a good question, nonetheless.
As far as the Metaclopramide - does he take it now? Or is this something that the vet wants you to do if he should get sick with the new food/enzyme protocol? From what little I know this med is to help digestive motility, in that it stimulates the smooth muscle in the digestive tract to contract more frequently, which helps food to go through digestion more quickly. It aids in reducing food build up in the stomach and the possible associated bloating. It also helps to alleviate nausea. I guess that is Question #4 for your vet to get clarity in terms of when to use it.
I tried looking up other threads on this site related to pancreatic enzymes but didn't have much luck. I will look a little harder...
Thank you Ariya. Your alternative method for B12 is really good. Perhaps, you should post this finding in other threads. It's might be helpful to other owners as well. Also, for sonic it is confirmed that he has EPI and I'm feeding him liver enzymes. He has gained significant amount of weight in past few months. He is now 12.5 lbs. I hope your cat get wells soon. This is tons of information on this forums regarding SCL. Good luck.Hey I'm sorry to revive an old thread. I just wanted to add that I was plenty surprised when my vet told me oral B12 would work just as well since I did not want to stress my cat out with shots. I found a sublingual liquid supplement on Amazon (BioActive Vegan Vitamin B12 Sublingual Liquid Supplement) and dilute it myself and add it to my girl's food every night. Her B12 levels were retested and they were normal, indicating that the supplement does seem to work. I feel like this route is more cost-effective and much less stressful for the both of us.
Also my vet was able to diagnose SCL via Endoscopy samples if that is still in question.. should be cheaper and less invasive than straight out surgery.
Good wishes and hope everyone is well