Max is doing better. There is so much information out there. One site I like is this one: epidogs
I've joined an EPI (Endocrine Pancreatic Insufficieny) yahoo group to learn more about what is happening to Max and what I need to do to get him on track. This group is comprised of people who have EPI dogs, who have found vets who have worked with EPI dogs before and who are willing to learn from people with EPI dogs.
Some dogs on the group have a reading of cTLI 1.5. Max was just below 5 probably, had I fasted him correctly so he is better than a lot of dogs.
I've learned that the Pancrease V enzymes he takes must be 'incubated' and mixed in with hot water before being eaten for at least 30 minutes. Otherwise, you have a dog with a mouthful of sores. And no, the enzymes do not eat the food as was told to me.
Max should also have a SIBO test (Small Intestinal Bacterial Overgrowth is treated with 30 days of antibiotics) as well as a B12 and folate depletion test (treated with B12 injections). On our return when he is to be tested again for EPI.
It's better to feed 3 and 4 times a day but that isn't going to happen at the moment. I'll see how he does. It should also be a grain-free diet. I've upped him to two cups a meal so double the enzymes.
Clara was always fine on kibble and she lived to a ripe age of 13 but she was my perfect Pyr. Now, I have rescues who had very poor starts in life. A raw diet will give them the help they need. The freezer is full and waiting until we get back. I'm counting on Zeetie's itching going away, as well.
I'm also looking to find a better deal on enzymes through this group.
This update won't pertain to most of you so it won't hold much interest.