[GSDsForever]

Hi Victoria.

First (so I don’t forget it!), no, you cannot use cooked pancreas for EPI. It *must* be raw for the active enzymes needed. Vets know this — it’s a special exception recommended in otherwise normal, healthy dogs with EPI.

In your dog’s case, an older dog with cancer, I wouldn’t worry about trying to use pancreas. Just stick with the Enzyme Diane/other prepared enzymes as they are highly effective. For B12, a lot of dogs use WonderLab pills vs the injections.

I share your vet’s concerns about DCM and the connection to many current grain-free/high legume formulas, your dog’s heart murmur, as well as raw for your dog, and agree with his guidance. (Also, while I am respectful of raw feeding, I prefer gently cooked homemade food as ideal anyway and don’t find a benefit for my dogs in raw.)

It’s just hard to capture all those criteria — along with low fiber, low insoluble fiber necessary in particular for EPI dogs — in commercial kibbles, especially here in the U.S. at this time.

Aside from what HaleyCookie pointed out well (Thank you, HaleyCookie!), the starch binding in kibbles, I think companies add to the problem. They just don’t want to spend the money, chance cutting into their profits by including more quality animal protein, which is expensive. Or they don’t think that the public will buy the products at a necessarily higher price — and, here, they might be right.

I mentioned those particular GF formulas ONLY as something you could potentially do part homemade with, and that other EPI dogs are using with success.

Another formula currently being re-released and available again, which *might* work for you with some tweaks (you’ll need lower % fiber in an EPI dog; perhaps you can accomplish this diluting it with what you add homemade?):

Farmina LIGHT Chicken & Pomegranate with Ancestral Grains
34% Protein/11% Fat (6.4% Fiber)
https://www.farmina.com/us/dog-food/n&d-ancestral-grain-canine/113-chicken-&-pomegranate-light-medium-&-maxi.html

I really like Farmina and my German Shepherd is doing very well on their food. I use a different formula, higher in fat and low in fiber (typical of most Farmina formulas).

A board certified veterinary nutritionist I would recommend is Lisa Weeth, DVM DACVN.
http://www.weethnutrition.com/about-us.html
https://weethnutrition.wordpress.com/

You can work with her long distance, through your vet. She is very supportive of homemade diets and experienced with them, and is also more open minded, fair, unbiased across a variety of commercial diets and brands imo. I think you would get a better diet from her for the money than from some other prominent services/DACVNs.

You can get a good feel for what she’s like from her nutrition blog, both her blog and Q&A section (click on “comments” at the top), in that 2nd link. You might ask her some questions there, about a commercial kibble or your current homemade additions; she’s pretty gracious and generous in her answers. (Your questions would tie in to her recent blog entries on DCM & diet, also one on grains.)

I like Susan Wynn, DVM DACVN, also but she left private practice in nutrition in January 2019 to work for Nature’s Variety.

I think the expensiveness comes from the pre-diet formulation blood tests & work up you’ll need to submit (costs dependent upon your own vet), but I think they need that to ensure that a major health issue is not present so that when they formulate a custom diet for your dog it is safe and appropriate, does not make an underlying health problem worse. And, as you’ve already seen for yourself, multiple health conditions & diet parameters, not only require review of all your medical file, but presents a diet more challenging, complicated to formulate. In your case, if you have any of those blood panels, etc. already done recently, then you’ve already spent that money. Talk to her assistant & ask about costs, what is included, your concerns. (They were very helpful with me.)

With Just Food For Dogs, the cheapest by far is doing their DIY — where you buy their recipe + balancing supplement. I just don’t know whether any of those would be appropriate for your dog, with her conditions and the diet parameters. They have good customer service (and knowledgeable veterinary staff) if you want to ask them.

I was encouraged by — and have considered using a couple of their diets myself — an independent review I read from a guy who broke down his total costs for a large breed dog about mine’s weight, showed the receipts and shopped at Whole Foods no less(!), to feed one of the formulas the DIY route. With this diet, you do feed lower total calories because it is fresh whole foods gently cooked, using highest quality ingredients, and is therefore highly digestible. So, his cost was lower than what I would have assumed for a large dog.

• This reply was modified 4 years, 10 months ago by GSDsForever.
• This reply was modified 4 years, 10 months ago by GSDsForever.