[Ellie May]

I'm sorry Brit. This is a tough case.

Ellie's lipase runs high, but her cPL (pancreas specific) is fine. The lipase can be up for different reasons. But with him dehydrating just the other day, I'd venture to say something is still not right with his pancreas. Something just sounds off.

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Nancy, I don't know about that, but will flip through to see what the experts recommend for diabetic patients.

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Message from Cathy:
Barney was on 36% protein and 22% fat when he had an episode (so not low protein).

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Ellie was on 24% protein and 18% fat when she got an episode (acutally two episodes) so not low protein there either.

BTW, the term low protein is highly variable. I don't think anybody would say to restrict a pancreatitis patient to 15% or something like that. Staying under 31+% seems to be considered appropriate for most.

If the lipase does not come down, esp. if the cPL is off, I would be talking to a veterinary nutritionist about what to do if the vet is having trouble figuring this out. They may be able to help. Also, if they can't normalize lipase and cPL is up, it would be a good reason to see a specialist.

Hoping it comes down soon. In house lipase is not something I put too much faith in.