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Hello, my name is***** and I would like to assist with your concern today.
A couple things to address here. The episode he had this morning sounds like a hypoglycemic event (low blood sugar). This is because of his small size. Since he did not get formula before bed and this happened, that basically shows us that at this time, he still needs to be fed frequently. Having a meal before bed will be important for him.
As far as vitamins, do not use any human product. The amounts in them would be much to high for his size. Also do not use the calcium. We only use this for nursing moms. The product that would be beneficial for him is nutrical. It is a flavored gel with calories and vitamins. The amount is basically a pea sized amount twice a day.
However, my main concern is that he has a bigger health issue going on. With his breed and his signs, I am worried about a liver shunt. This occurs when the blood vessels to the liver do not form properly and is common in his breed. It also does not show up until we try to put the puppy on regular food, dry or canned. They tend to do fine on formula or their mother's milk because the liver does not process this the same. The way a shunt is first detected is with a blood panel to check his liver enzymes. I HIGHLY recommend doing this as soon as you are able.
Please review this information and let me know how I can help further.
If the blood work was done early enough, there may not have been a change yet. Blood work is a screening tool, but an ultrasound looks more closely. Depending on the severity, surgery is needed to fix the issue. Sometimes the signs can be managed with medication if surgery is not an option.
You can if he continue to gain weight and if you supplement with the nutrical. However, as an adult, you'll have to watch his weight closer
Basically the he isn't keeping weight on. It can be hard to maintain weight on a liquid only diet.
You can also check his gum, eye, and skin color. If there is a yellow color to it, that is a sign that his liver is not doing well.
Hello! I wanted to check in and see how things were going since we last spoke.
Has he been about the same the last few days?
Continue to feed those frequent small amounts. Have you thought at all about getting the blood work rechecked to look further into his liver?
Oh good. I'm glad you have an appointment. Yes, you can try slow syringe feeding.
I understand. Try the syringe feeding instead.
I don't know why.... they may have a different brand, like supplical or a different high calorie supplement.
Oh shoot, that link may not work....
PetSmart has GNC Ultra Mega High Calorie Booster Dog Formula
PetCo has Tomlyn Nutri-Cal Puppy Dietary Supplement
What else can I answer for you at this time?
Sounds good, you are welcome.
Ok, thank you for the update. Very scary that his level dropped that low despite the frequent meals you feed.
That is true, what they said about beefing him up prior to surgery.