Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!! jbero tds.net (Jenny)

2010-10-02 Thread Sharyl
Kris,
You have gotten a great response from Alice.  Just a few points about anemia.  
Anemia has many causes - not just CRF.  There is a Yahoo anemia group you may 
want to join.
http://pets.groups.yahoo.com/group/Feline_Anemia/

For my CRF kitty a mix of B12, Super B Complex, folic acid and NutriVed helped 
manage his anemia and keep his HCT around 24%.  That mix of supplements did not 
help my FeLV kitties when anemia hit them.  Like Alice's babies, mine went 
quick.  As you will find on the anemia board most do not start using Procrit 
until the HCT is below 20%.  

Hugs to Avis
Sharyl

--- On Fri, 10/1/10, nise...@yahoo.com nise...@yahoo.com wrote:

 From: nise...@yahoo.com nise...@yahoo.com
 Subject: Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!! 
 jbero tds.net (Jenny)
 To: felvtalk@felineleukemia.org
 Date: Friday, October 1, 2010, 8:58 PM
 Hi Alice,
 
 Thanks so much for sharing all this. I'm learning a lot
 following your posts and 
 am so happy that Murphy is having a comeback. If you don't
 mind answering some 
 more questions, I would very much appreciate it.
 
 Just this week I found out by pure accident that the
 awesome Avis is FeLV+. His 
 counts show nonregenerative anemia: RBC 4.37, HCT 21%. I'd
 love to get these 
 numbers up a little, or at least keep them from going down
 for as long as 
 possible. Because right now, he is loving life: eats well,
 plays with Max the 
 Dog, stalks all those critters on the other side of the
 window  purrs  purrs  
 purrs.
 
 So, the questions:
 
 1) How long have Murphy  Rosie been taking LTCI shots
  how have they benefited 
 from them?
 
 2) Ditto Interferon -- how long  what benefits. Also,
 do you use the feline 
 Interferon (omega) version  if so, how do you get it?
 Because my understanding 
 is that feline interferon is only available in Europe,
 maybe Canada, and that 
 there are some risks to using human interferon.
 
 3) Procit -- I was under the impression that Procrit/Epogen
 is used when the 
 anemia is a result of chronic renal failure. Does Murphy
 have CRF?
 
 4) Any experience/thoughts on ImmunoRegulin  Staph
 Protein A?
 
 I am struggling with what treatments to try and when to
 start. Is sooner better 
 or should I keep these treatments in reserve for when HCT
 goes under 20%? 
 
 
 Thanks again, hearing your real world experience helps
 tremendously!
 
 Kris B.
 
 
 
 
 
 From: Alice Flowers aliceflow...@sbcglobal.net
 To: felvtalk@felineleukemia.org
 felvtalk@felineleukemia.org
 Sent: Fri, October 1, 2010 8:01:24 PM
 Subject: Re: [Felvtalk] Murphy's little comeback-he
 definitely has 9 lives!! 
 jbero tds.net (Jenny)
 
 Hi Jenny! OK-we live at the vet-LOL   With
 FeLV, the sooner you can nip anything 
 
 in the bud, the better. Murphy was put on Cyproheptadine in
 April for 
 sneezing-we thought allergies because he liked to hang out
 at the screen door to 
 
 watch the birds. I had been giving fewer LTCI shots-went to
 8 weeks-dumb.the 
 
 end of July he became anemic-still sneezing and now
 lethargic,  he had lost 
 almost a pound in the 3 months. 
 July 23-He has always tested negative for FHM (formerly
 known as 
 Hemobartonella). We added the Doxy 2x a day (1/4 of a 100mg
 tab that I put in a 
 gel cap with the 1/2 tab of 4 mg Cypro) on  July 23,
 along with Procrit 3x a 
 week and the iron capsule 1x a day. Still on Interferon 1cc
 2x a day (both he 
 and Rosie). I think the Doxy as more of a preventative
 measure. He had lots of 
 URIs his first year. Absolute Reticulocyte count was 35200.
 Autoplatelet 
 744..Large platelets present, Slight Howell jolly bodies
 persent. No FHM seen. 
 Went to every 2 wks with the LTCI.
 
 Aug 6 he had a temp of 104.7 and was given a shot of .5 ml
 PennG which I 
 repeated every 5 days at home. But his in-office PCV was up
 to 27 from 18 in 
 July. CBCs- RBC 3.07 HGB 6.9 HCT 22.5  Autoplatelet
 897  Platelets appear 
 increased Large platelets present  Absolute
 Reticulocyte count 70610 Marked 
 degree of regeneration.
 
 Sept 18-Breathing too fast-103.5 temp ultrasound showed
 fluid in the chest 
 cavity and she could not see his heart and lungs on the
 test-his breathing was 
 raspy. Added Prednisolone 5mg 2x a day and Lasix 1/2 tab 2x
 a day (I put both in 
 
 one gelcap)  CBC showed RBC 6.48  HGB 11.6 
 HCT 38.7  (no reticulocyte done) 
 Auto Platelet 621 Platelets appear increased. Decreased
 Procrit to 2x a week 
 and Iron capsule to one every other night. Added Rutin when
 Dawn wrote about 
 using it and it helped her cat-1 gel cap 2x a day. LTCI
 once a week.
 
 Today Oct 1 Marked Improvements! ultrasound showed very
 scant fluid -lung 
 sounds great. In office PCV 36 TP 6-continue the meds
 except decrease the 
 Procrit (21 units in an insulin syringe) to once a
 week-mucous membranes nice 
 and pink, temp 101.1, up to 11 lbs 1/2 oz (from 10 lbs Aug
 6 but he was 12 lbs a 
 
 year ago) Come back in a month for CBC (Hahahaha-we

Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!!

2010-10-01 Thread Sara Kasteleyn
AliceI'm thrilled for you.  I've been concerned...things didn't look too
good not so long ago.  Congratulations!

Sara

-Original Message-
From: felvtalk-boun...@felineleukemia.org
[mailto:felvtalk-boun...@felineleukemia.org] On Behalf Of Alice Flowers
Sent: Friday, October 01, 2010 1:13 PM
To: felvtalk@felineleukemia.org
Subject: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!!

  We just got back from Murphy's vet check. The end of July, he was
crashing 
with anemia-(in office PCV 18) HCT 22.3  RBC 3.5   HGB 5.1 even his Absolute

Reticulocyte count was 35200 and the lab notation said a count of over 5
was 
evidence of regenerative anemia-which he was below that level. Our vet had
us 
give him Procrit 3x a week, Doxy, Cypro and an iron supplement. He was
getting 
Interferon 2x a day and we bumped the LTCI to every 2 weeks. He rebounded
from 
that-in 2 months he went to HCT 38.7  RBC  6.48  HGB 11.6.
   Then 2 weeks ago he seemed to be breathing really fast-I took him in
and 
his lung sounds were raspy and an ultrasound showed lots of fluid pockets,
so 
much that she couldn't see his heart or lungs-she suspected Lymphoma-sent us

home with Lasix and Prednisolone to add to his meds 2x a day, lowered the 
Procrit to 2x a week and we bumped his LTCI to once a week. Dawn on this
list 
said Rutin helped-I immediately went to the health food store and bought the

tablets and a pill grinder and put the powder into #3 gel caps and gave him
2 a 
day.  She thought that he may not make 2 weeks judging by the fluid and how
much 
trouble he was having with his fast breathing-it's 2 weeks today and his
lung 
sounds are good-the fluid is 99.5% gone!!! His gums are still nice and pink.
We 
did not do a CBC, but the in office PCV was 36!! I told her about the Rutin
and 
she was impressed (thank you Dawn!!!) and said that they had used it for
other 
conditions, but didn't think of using it on FeLV cats-now she will!! We will

stay on the same meds for now but drop the Procrit to only once a week since
he 
seems to be regenerating now.
I am so grateful for this list and all of the selfless people out there 
trying to give these kitties a good life, no matter how short. I have
learned so 
much from all of you and I am no longer afraid to ask my vet questions and
to do 
what I feel is good for my babies. We are all in a limbo trying keep our
cats 
healthy and happy. This disease is horrible-we lost the 4 brothers a year 
agoI was not ready to lose Murphy-he is such a happy and silly cat-he's
a 
poly with 3 thumbs-he goes click click when trotting down the hallway and
acts 
more like a puppy than a cat. He's not a lap cat, but is right there and
likes 
to lay nearby and reach out and keep a paw on you-just likes to touch. He
and 
Rosie automatically come into the kitchen morning and night and wait for
their 
meds-she is just on Interferon and LTCI monthly-her HCT was 44.7 a few weeks

ago. Our vet said to come back in a month for CBCs!! Purrayers and positive 
thoughts-at least today.Alice and the furry cats that own us!!
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Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!!

2010-10-01 Thread Sharyl
What a great update.  Glad Murphy responded so well to your treatment plan.
Hugs to everybody.
Sharyl

--- On Fri, 10/1/10, Alice Flowers aliceflow...@sbcglobal.net wrote:

 From: Alice Flowers aliceflow...@sbcglobal.net
 Subject: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!!
 To: felvtalk@felineleukemia.org felvtalk@felineleukemia.org
 Date: Friday, October 1, 2010, 4:13 PM
       We just got back
 from Murphy's vet check. The end of July, he was crashing 
 with anemia-(in office PCV 18) HCT 22.3  RBC
 3.5   HGB 5.1 even his Absolute 
 Reticulocyte count was 35200 and the lab notation said a
 count of over 5 was 
 evidence of regenerative anemia-which he was below that
 level. Our vet had us 
 give him Procrit 3x a week, Doxy, Cypro and an iron
 supplement. He was getting 
 Interferon 2x a day and we bumped the LTCI to every 2
 weeks. He rebounded from 
 that-in 2 months he went to HCT 38.7  RBC 
 6.48  HGB 11.6.
        Then 2 weeks ago he seemed
 to be breathing really fast-I took him in and 
 his lung sounds were raspy and an ultrasound showed lots of
 fluid pockets, so 
 much that she couldn't see his heart or lungs-she suspected
 Lymphoma-sent us 
 home with Lasix and Prednisolone to add to his meds 2x a
 day, lowered the 
 Procrit to 2x a week and we bumped his LTCI to once a week.
 Dawn on this list 
 said Rutin helped-I immediately went to the health food
 store and bought the 
 tablets and a pill grinder and put the powder into #3 gel
 caps and gave him 2 a 
 day.  She thought that he may not make 2 weeks judging
 by the fluid and how much 
 trouble he was having with his fast breathing-it's 2 weeks
 today and his lung 
 sounds are good-the fluid is 99.5% gone!!! His gums are
 still nice and pink. We 
 did not do a CBC, but the in office PCV was 36!! I told her
 about the Rutin and 
 she was impressed (thank you Dawn!!!) and said that they
 had used it for other 
 conditions, but didn't think of using it on FeLV cats-now
 she will!! We will 
 stay on the same meds for now but drop the Procrit to only
 once a week since he 
 seems to be regenerating now.
     I am so grateful for this list and all of the
 selfless people out there 
 trying to give these kitties a good life, no matter how
 short. I have learned so 
 much from all of you and I am no longer afraid to ask my
 vet questions and to do 
 what I feel is good for my babies. We are all in a limbo
 trying keep our cats 
 healthy and happy. This disease is horrible-we lost the 4
 brothers a year 
 agoI was not ready to lose Murphy-he is such a happy
 and silly cat-he's a 
 poly with 3 thumbs-he goes click click when trotting down
 the hallway and acts 
 more like a puppy than a cat. He's not a lap cat, but is
 right there and likes 
 to lay nearby and reach out and keep a paw on you-just
 likes to touch. He and 
 Rosie automatically come into the kitchen morning and night
 and wait for their 
 meds-she is just on Interferon and LTCI monthly-her HCT was
 44.7 a few weeks 
 ago. Our vet said to come back in a month for CBCs!!
 Purrayers and positive 
 thoughts-at least today.Alice and the furry cats that
 own us!!
 ___
 Felvtalk mailing list
 Felvtalk@felineleukemia.org
 http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org
 


  

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Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!!

2010-10-01 Thread jbero tds.net
Alice,

This is fantastic news.  I think you are the first person I know to have
reversed a nonregenerative anemia without transfusion.  There are probably
others but I do not know of them.  I would love to recreate your success.
To recap since the anemia (was this hemolytic - sounds like since doxy and
cipro were added - this dampens my enthusiasm a little but that's okay).

1.  Anemia -
  started on Procrit (3x/week)
  (doxy and cipro)
  iron supplement
  Interferon 2x/day (you said he had been on this already?)
  LTCI injections every two weeks (I know he's been on this for
awhile)

2.  This combination caused rebound in HCT  - was there evidence of
regeneration (I mean obviously there was - but what was the reticulocyte
count at that time)

3. Pleural edema or effusion (? lymphoma) added:
 Lasix (diruetic)
 Prednisolone (steroid)
 cut back on procrit  (2x/week)
 LTCI up to once/week   (is there a concern with injections this
frequently - has the manufacturer any warnings on this?)
 Rutin

4. Currently HCT good - is his appetite and behavior normal.  What is his
lymphocyte and platelet count - do you know?

So this has all occured in the span of two months.

The fact that the bone marrow responded to the procrit suggests to me that
at least the bone marrow is capable to responding.  The question is, is it
the addition of LTCI and interferon that is putting the virus at bay enough
for the bone marrow to respond.  Are you going to continue with the LTCI
injections weekly or planning on cutting back?  I am so happy.  I really
hope that his success continues.  If this is reproducible I will be
estatic.  God bless you for your endurance.

Jenny


On Fri, Oct 1, 2010 at 3:13 PM, Alice Flowers aliceflow...@sbcglobal.netwrote:

  We just got back from Murphy's vet check. The end of July, he was
 crashing
 with anemia-(in office PCV 18) HCT 22.3  RBC 3.5   HGB 5.1 even his
 Absolute
 Reticulocyte count was 35200 and the lab notation said a count of over
 5 was
 evidence of regenerative anemia-which he was below that level. Our vet had
 us
 give him Procrit 3x a week, Doxy, Cypro and an iron supplement. He was
 getting
 Interferon 2x a day and we bumped the LTCI to every 2 weeks. He rebounded
 from
 that-in 2 months he went to HCT 38.7  RBC  6.48  HGB 11.6.
   Then 2 weeks ago he seemed to be breathing really fast-I took him in
 and
 his lung sounds were raspy and an ultrasound showed lots of fluid pockets,
 so
 much that she couldn't see his heart or lungs-she suspected Lymphoma-sent
 us
 home with Lasix and Prednisolone to add to his meds 2x a day, lowered the
 Procrit to 2x a week and we bumped his LTCI to once a week. Dawn on this
 list
 said Rutin helped-I immediately went to the health food store and bought
 the
 tablets and a pill grinder and put the powder into #3 gel caps and gave him
 2 a
 day.  She thought that he may not make 2 weeks judging by the fluid and how
 much
 trouble he was having with his fast breathing-it's 2 weeks today and his
 lung
 sounds are good-the fluid is 99.5% gone!!! His gums are still nice and
 pink. We
 did not do a CBC, but the in office PCV was 36!! I told her about the Rutin
 and
 she was impressed (thank you Dawn!!!) and said that they had used it for
 other
 conditions, but didn't think of using it on FeLV cats-now she will!! We
 will
 stay on the same meds for now but drop the Procrit to only once a week
 since he
 seems to be regenerating now.
I am so grateful for this list and all of the selfless people out there
 trying to give these kitties a good life, no matter how short. I have
 learned so
 much from all of you and I am no longer afraid to ask my vet questions and
 to do
 what I feel is good for my babies. We are all in a limbo trying keep our
 cats
 healthy and happy. This disease is horrible-we lost the 4 brothers a year
 agoI was not ready to lose Murphy-he is such a happy and silly cat-he's
 a
 poly with 3 thumbs-he goes click click when trotting down the hallway and
 acts
 more like a puppy than a cat. He's not a lap cat, but is right there and
 likes
 to lay nearby and reach out and keep a paw on you-just likes to touch. He
 and
 Rosie automatically come into the kitchen morning and night and wait for
 their
 meds-she is just on Interferon and LTCI monthly-her HCT was 44.7 a few
 weeks
 ago. Our vet said to come back in a month for CBCs!! Purrayers and positive
 thoughts-at least today.Alice and the furry cats that own us!!
 ___
 Felvtalk mailing list
 Felvtalk@felineleukemia.org
 http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org

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Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!! jbero tds.net (Jenny)

2010-10-01 Thread Alice Flowers
Hi Jenny! OK-we live at the vet-LOL   With FeLV, the sooner you can nip 
anything 
in the bud, the better. Murphy was put on Cyproheptadine in April for 
sneezing-we thought allergies because he liked to hang out at the screen door 
to 
watch the birds. I had been giving fewer LTCI shots-went to 8 
weeks-dumb.the 
end of July he became anemic-still sneezing and now lethargic,  he had lost 
almost a pound in the 3 months. 
July 23-He has always tested negative for FHM (formerly known as 
Hemobartonella). We added the Doxy 2x a day (1/4 of a 100mg tab that I put in a 
gel cap with the 1/2 tab of 4 mg Cypro) on  July 23, along with Procrit 3x a 
week and the iron capsule 1x a day. Still on Interferon 1cc 2x a day (both he 
and Rosie). I think the Doxy as more of a preventative measure. He had lots of 
URIs his first year. Absolute Reticulocyte count was 35200. Autoplatelet 
744..Large platelets present, Slight Howell jolly bodies persent. No FHM seen. 
Went to every 2 wks with the LTCI.

Aug 6 he had a temp of 104.7 and was given a shot of .5 ml PennG which I 
repeated every 5 days at home. But his in-office PCV was up to 27 from 18 in 
July. CBCs- RBC 3.07 HGB 6.9 HCT 22.5  Autoplatelet 897  Platelets appear 
increased Large platelets present  Absolute Reticulocyte count 70610 Marked 
degree of regeneration.

Sept 18-Breathing too fast-103.5 temp ultrasound showed fluid in the chest 
cavity and she could not see his heart and lungs on the test-his breathing was 
raspy. Added Prednisolone 5mg 2x a day and Lasix 1/2 tab 2x a day (I put both 
in 
one gelcap)  CBC showed RBC 6.48  HGB 11.6  HCT 38.7  (no reticulocyte done) 
 Auto Platelet 621 Platelets appear increased. Decreased Procrit to 2x a week 
and Iron capsule to one every other night. Added Rutin when Dawn wrote about 
using it and it helped her cat-1 gel cap 2x a day. LTCI once a week.

Today Oct 1 Marked Improvements! ultrasound showed very scant fluid -lung 
sounds great. In office PCV 36 TP 6-continue the meds except decrease the 
Procrit (21 units in an insulin syringe) to once a week-mucous membranes nice 
and pink, temp 101.1, up to 11 lbs 1/2 oz (from 10 lbs Aug 6 but he was 12 lbs 
a 
year ago) Come back in a month for CBC (Hahahaha-we didn't know if he was going 
to make it to this appt and now it's see ya in a month!!) Wooo Hooo!! He has a 
good appetite-loves the AD wet food from the vet, strained ham is his favorite 
baby food-he eats dry food really well also-blue buffalo with probiotics and a 
few other premium grain free holistic foods without fishmeal (some fishmeal is 
preserved with carcinogens). I do let him have some junk food-LOL cuz he loves 
the hairball control treats in the silver package, and he is a fluffy boy.

I hope you can make sense of the numbers. It's one heck of a roller coaster 
ride.  Alice
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Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!! jbero tds.net (Jenny)

2010-10-01 Thread nise...@yahoo.com
Hi Alice,

Thanks so much for sharing all this. I'm learning a lot following your posts 
and 
am so happy that Murphy is having a comeback. If you don't mind answering some 
more questions, I would very much appreciate it.

Just this week I found out by pure accident that the awesome Avis is FeLV+. His 
counts show nonregenerative anemia: RBC 4.37, HCT 21%. I'd love to get these 
numbers up a little, or at least keep them from going down for as long as 
possible. Because right now, he is loving life: eats well, plays with Max the 
Dog, stalks all those critters on the other side of the window  purrs  purrs 
 
purrs.

So, the questions:

1) How long have Murphy  Rosie been taking LTCI shots  how have they 
benefited 
from them?

2) Ditto Interferon -- how long  what benefits. Also, do you use the feline 
Interferon (omega) version  if so, how do you get it? Because my understanding 
is that feline interferon is only available in Europe, maybe Canada, and that 
there are some risks to using human interferon.

3) Procit -- I was under the impression that Procrit/Epogen is used when the 
anemia is a result of chronic renal failure. Does Murphy have CRF?

4) Any experience/thoughts on ImmunoRegulin  Staph Protein A?

I am struggling with what treatments to try and when to start. Is sooner better 
or should I keep these treatments in reserve for when HCT goes under 20%? 


Thanks again, hearing your real world experience helps tremendously!

Kris B.





From: Alice Flowers aliceflow...@sbcglobal.net
To: felvtalk@felineleukemia.org felvtalk@felineleukemia.org
Sent: Fri, October 1, 2010 8:01:24 PM
Subject: Re: [Felvtalk] Murphy's little comeback-he definitely has 9 lives!! 
jbero tds.net (Jenny)

Hi Jenny! OK-we live at the vet-LOL   With FeLV, the sooner you can nip 
anything 

in the bud, the better. Murphy was put on Cyproheptadine in April for 
sneezing-we thought allergies because he liked to hang out at the screen door 
to 

watch the birds. I had been giving fewer LTCI shots-went to 8 
weeks-dumb.the 

end of July he became anemic-still sneezing and now lethargic,  he had lost 
almost a pound in the 3 months. 
July 23-He has always tested negative for FHM (formerly known as 
Hemobartonella). We added the Doxy 2x a day (1/4 of a 100mg tab that I put in a 
gel cap with the 1/2 tab of 4 mg Cypro) on  July 23, along with Procrit 3x a 
week and the iron capsule 1x a day. Still on Interferon 1cc 2x a day (both he 
and Rosie). I think the Doxy as more of a preventative measure. He had lots of 
URIs his first year. Absolute Reticulocyte count was 35200. Autoplatelet 
744..Large platelets present, Slight Howell jolly bodies persent. No FHM seen. 
Went to every 2 wks with the LTCI.

Aug 6 he had a temp of 104.7 and was given a shot of .5 ml PennG which I 
repeated every 5 days at home. But his in-office PCV was up to 27 from 18 in 
July. CBCs- RBC 3.07 HGB 6.9 HCT 22.5  Autoplatelet 897  Platelets appear 
increased Large platelets present  Absolute Reticulocyte count 70610 Marked 
degree of regeneration.

Sept 18-Breathing too fast-103.5 temp ultrasound showed fluid in the chest 
cavity and she could not see his heart and lungs on the test-his breathing was 
raspy. Added Prednisolone 5mg 2x a day and Lasix 1/2 tab 2x a day (I put both 
in 

one gelcap)  CBC showed RBC 6.48  HGB 11.6  HCT 38.7  (no reticulocyte done) 
Auto Platelet 621 Platelets appear increased. Decreased Procrit to 2x a week 
and Iron capsule to one every other night. Added Rutin when Dawn wrote about 
using it and it helped her cat-1 gel cap 2x a day. LTCI once a week.

Today Oct 1 Marked Improvements! ultrasound showed very scant fluid -lung 
sounds great. In office PCV 36 TP 6-continue the meds except decrease the 
Procrit (21 units in an insulin syringe) to once a week-mucous membranes nice 
and pink, temp 101.1, up to 11 lbs 1/2 oz (from 10 lbs Aug 6 but he was 12 lbs 
a 

year ago) Come back in a month for CBC (Hahahaha-we didn't know if he was going 
to make it to this appt and now it's see ya in a month!!) Wooo Hooo!! He has a 
good appetite-loves the AD wet food from the vet, strained ham is his favorite 
baby food-he eats dry food really well also-blue buffalo with probiotics and a 
few other premium grain free holistic foods without fishmeal (some fishmeal is 
preserved with carcinogens). I do let him have some junk food-LOL cuz he loves 
the hairball control treats in the silver package, and he is a fluffy boy.

I hope you can make sense of the numbers. It's one heck of a roller coaster 
ride.  Alice
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