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Reply To: GSD Diagnosed EPI and SIBO-need highly digestive, low fat, low fiber

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Madelon H
Member

Susan – thanks. I belong to the EPI4DOGS.COM group – they are awesome! Did/does your dog have EPI? I know they say you don’t have to have a low fat diet for EPI anymore – BUT here’s my thinking based on my personal experience. Doc, my GSD, was diagnosed at 3 months old with SIBO but not EPI (pancreas just had not completely atrophied at that time) – they did the cTLI test then and TLI was 16 B12 was 800+ Folate >24 – he had the chronic diarrhea with pale foul smelling cow patties – so he was on metronidazole and put on the Royal Canin Gastro Low Fat Dry Kibble – after 2 1/2 months all was well and I transitioned him to Royal Canin GSD Puppy – he was great – got to 95lbs until March 2015 when he started losing weight – no diarrhea – finally he had lost about 10lbs and despite my telling my vet something was wrong he said he was fine – then he started diarrhea and eating poop – I demanded another cTLI test – positive for EPI and SIBO – TLI < .4; B12 400; Folate >24. He was put on the can RC Gastro – WAY to expensive – once we started enzymes and B12 with Intrinsic Factor I switched him to TOTW Pacific Stream – poops got better but not consistent – then DESPITE being on flea/tick and heartworm meds his entire life he got tapeworms and coccidia (he had coccidia really bad as a pup) – he’s also been very itchy lately. SO my thinking after doing much research is that although they say you don’t need to restrict fat for an EPI dog I’m thinking you may need to restrict fat for SIBO – thoughts? The RC Gastro dry kibble is 5% fat and 3.6% fiber. I’m not opposed to prescription diet food if nothing else will work but I’m $4000 into this disease already and was hoping to find a comparable OTC food that won’t break my bank. I was looking at Natural Balance Limited Ingredient food that has 10% fat – do you think that it’s worth trying? I was also wondering about mixing canned food and kibble food since it appears most can food has less fat than the kibble?
Thanks so much!