Think long European meals, followed by a siesta. Refer to pages in It Starts With Food for more specifics. Finally, after implementing these healthy dietary and lifestyle practices, digestive enzyme supplementation may be necessary to help your body properly break down your food. How do I know if I should be taking digestive enzyme supplements? Many traditional medical doctors are unlikely to run these tests, and they may not be covered by insurance.

Other symptoms that suggest you might have problems with digestive enzymes are: Take a glance a few times a week. What kinds of digestive enzyme should I take?

There are a variety of digestive enzymes on the market, including single enzyme and multiple enzyme. Without testing, I typically recommend a mixed enzyme to cover your bases. There are three major sourcing for digestive enzymes. These are the ones I most commonly use. The enzyme called diamine oxidase, which is used to digest these amines may be absent in certain individuals.

Such people are not able to breakdown the proteins in bananas and therefore have allergy type reactions which are often mistaken for the actual banana allergy. Banana Allergy Symptoms Intolerance to the vaso-active amines can cause severe reactions which seem a lot like allergic reactions.

Histamine, serotonin and dopamine are some of the vaso-active amines that may produce symptoms of allergic reactions. Kids with banana allergy can outgrow them, but people who develop this as adult should avoid banana allergens for the rest of life.

Some of these symptoms are: Itching in mouth One of the most important allergic symptom caused by banana include itching in mouth area affecting tongue, lips and throat. This itching may also spread to the skin and eyes. They also used Medicare records to track doctor visits over about two years. It's pretty clear that there's a lot going on in August, with the work on forward guidance and the Inflation Report, which suggests that it's really next month's meeting which is going to be critical.

The "sixth sense" discovered by researchers is the innate human ability to sense numerical qualities-and some are much better at it than others. Let it also be said that the U. And, finally, let it be said that this is something we should most definitely avoid. Over the course of multiple lab visits, nine of the men went from having no sign of suicidal thoughts at all to having significant suicidal thoughts.

At that time, Fred had developed pancreatitis and was hospitalized - the vet donated the special IV treatment Fred needed. Then, he required emergency dental surgery. Nothing we did seemed to help once the pancreatitis was diagnosed for a second time.

Both the emergency vet and Fred's own vet suggested that he be helped to cross. I went to the emergency clinic on April 1, , not knowing what to do. Fred stood up, walked over to me, and talked to me, and then ate from my hand.

He also ate from the hand of the vet tech who had been treating him at the clinic. He wanted to come home, and I honored his wishes. Fred declined at home, but a day before he went into a coma, he seemed to rally. Renata hovered over him all the time. She would prod him and deliberately eat his food to get him to react. He was listless, he lost the use of his back legs, he ate very little, and he fought every attempt I made to syringe-feed him but I did get some food down. Renata just watched him - he stayed on the floor next to my bed on a special hospital padding, and Renata was always a few feet from him, if not next to him.

She never left the bedroom. Fred spent his last night on the hospital padding, asleep next to me, with Renata curled around him on his other side.

At that point, he gave up and lapsed into a coma - he seemed to be sleeping peacefully and breathing evenly with no stress, but he would not respond. I knew I would have to help him cross. He left this world around noon on April 11, Renata knew he was gone. Fred left a void that has never been filled. Renata followed him on September 29, , when she was 21 years 7. I believe that she never recovered from having lost her Fred. No one could ever take her place, or Fred's.

Fred and Renata's Memorial page shows their photos, in each case taken not too long before they passed, and tells their life story. Her sister, Sheba, had been diagnosed in February of The vet I had at the time said "her numbers are off the chart", and told me that every day would be harder for little Sheba.

That vet told me I should put Sheba to sleep. I trusted him and his advice, and sent my little Sheba to Heaven that same day. Since Sheba was only 6 years old, the vet told me that the CRF was probably congenital. In June of , Isis started having problems with her back legs. Her creatinine was at 7. He said to let him know if Isis quit eating and drinking… that would be the time to put her to sleep. This vet is a pioneer in the CRF field, being one of the first vets to do peritoneal dialysis and kidney transplants.

When I asked her what I could expect, she told me that "an excellent outcome would be if Isis lives for two years". Also, we tried to get Isis onto several different renal foods, but Isis has never gone for any of them. The vet always told me that keeping her eating was the most important thing, and not to worry too much about the quality of the food. I had always given Isis the Iams dry food free feeding. She went on the Iams canned chicken cat food, and has pretty much remained on that through the years.

Over the next few months, her creatinine wavered, but finally seemed to settle in at about 4. When we lived in California, we had a wonderful vet and Isis was fine there. But when I moved to Ohio, the vet I first took Isis to was an idiot! Apparently, this vet was afraid of aggressive cats, so she muzzled Isis. When I say "muzzled", I mean she put a muzzle over Isis that closed off her mouth, her eyes, her ears… all her senses. Then, she turned away from Isis while she was on the examination table.

When Isis stumbled and started to fall, this idiot vet grabbed her by the hair around her sides, pulling a lot of hair out. This is when I told the vet to take a flying leap, and I got Isis out of there. Unfortunately, however, the damage was already done, and Isis has had a very difficult time with any vet since then. So I took her in for bloodwork, expecting the worst. However, I was pleasantly surprised… her creatinine had come down to 2.

Anyway, I switched over to some Iams catfish food, and she gobbled that up. The vet was VERY encouraged by her numbers. She told me I could expect Isis to have pretty much of a normal lifespan.

In March of , Isis started acting very weird after receiving her fluids. She would go hide under a bed, and stay there for hours. It always happened about 90 minutes after giving her fluids. My regular vet was out of town, but I was able to reach her. She felt it sounded like a blood pressure problem, and told me to get her to a vet immediately, which I did. Her blood pressure was fine, but her creatinine had risen to 5.

According to the stand-in vet, "she had rounded her last bend". We increased her fluids to ml per day, and added Pepcid AC, Calcitriol, and Pet-tinic to her daily routine. Also, I started warming her fluids, which I had never done before. Within a few days, she was back to her old self.

We never did determine what the initial problem was. My regular vet said there was no need to do any more bloodwork the stand-in vet actually had to anesthetize Isis to do a blood draw…it was horrible. Right after Isis was diagnosed, I purchased a vet scale to keep track of her weight. I have weighed Isis every Friday morning since she was originally diagnosed. From July of to December of , her weight never fluctuated more than 3 ounces. However, in January of , her weight started dropping.

I was having a hard time finding something that she would eat; however, I felt that she was hungry. I always felt that if I could just find the right food, she would eat it.

Isis would only eat certain dates of the Iams food…I could put down 10 plates of food, and she would pick out the one plate that had a particular date on the food that she liked! So, about every 6 weeks, when I had run out of that particular date, I would have to start over, trying to find one that she liked.

When I mentioned this to my vet, she suggested that I quit weighing her every week. She would send a "cocktail" of appetite stimulants home with me to give Isis, but she felt it was just stressing both Isis AND me to see her weight dropping. However, towards the end of February, I was able to find food she liked, and she has continued to eat well every since then.

I believe her weight started to come back up. Just this past Tuesday, I spoke to the vet, who had me reduce her fluids to ml per day. I feel the end is very near…but I have included a picture of my precious little Isis that was just taken last week.

Isis was put to sleep on 11 June after developing heart problems. Tammy and Chula Chula first crashed on 7th June at 12 years old. She had never been sick and although she had been losing weight I attributed it to her aging years since she showed no other signs. Her crash literally happened overnight. We went to bed with her acting normal, sleeping by my side as always and woke up with her hiding and not letting me touch her.

That was a Sunday and first thing Monday morning she was at the vets for blood tests and x-rays. When the vet called me with the diagnosis of chronic renal failure I honestly did not understand the depth of what she was saying.

I certainly know the meaning of all those words but my mind could not wrap itself around what it meant. Her BUN was too high for their labs to read, her creatinine was 13 and her phosphorus was 16 5.

At the check after 48 and 72 hours her numbers actually climbed higher. She was also diagnosed with a grade 2 heart murmur.

I am very fortunate that the vet who initially treated her refused to give up and only told me afterwards that she had been scared we were going to lose her. After almost 6 full days of IV fluids in the ICU her numbers finally came down into a manageable range and she came home. I found this site and the support group and started learning everything I could do to help my girl. She was not due to go in for re-testing for 3 months but had another crash again in August with numbers not quite as high as the first time but again she was dehydrated.

We had been doing fluids every other day and decided she was going to need ml daily fluids to maintain. She also would not eat any of the renal diets and try as hard as I might could not get her switched over from her much loved Fancy Feast. So aluminum hydroxide binders were added to the regimen to try and compensate for the phosphorus.

Her stools were a little on the hard side so Lactulose was added for her constipation and we started her on Pepcid AC since she had started vomiting the foamy acid She again seemed to rally well, her kidney values came back down to just over normal and overall she seemed to be doing really well.

But still there were days when she just seemed worn out and her appetite was still horrible. It was then that I found out that dehydration can mask anemia.

Her HCT had come back in normal range each time we had blood run so I had felt there was no reason to worry. Well the only time her HCT had been done was the times she had been dehydrated. We had values run again in Dec 03 and she was found to be slightly anemic.

I immediately started her on Fer-in-Sol and in spite of giving her double the dose of Lactulose it caused her to become so constipated she ended up at the vets for an enema. At the same time we had her BP checked and it was so we started her on Norvasc.

Her dose had to be adjusted but within 6 weeks had come down to , a level we were comfortable with. We had several good months until all of a sudden in April 04 her eating went downhill again. She had managed to gain back three of the four pounds she had initially lost and now was losing again.

The problem turned out to be her teeth. She has FORL and one of the teeth that was being re-absorbed was cracked and causing her mouth pain. After talking to her vet and feeling confident that they would do all procedures that were recommended for CRF kitties when having a dental done, they actually practice this on all geriatric or compromised patients we went ahead with it.

She came through the procedure great, was treated for a mild urinary tract infection and has been doing great since. It takes less than 10 minutes a day for all the meds and her quality of life is great. We just ran her kidney values again 6 weeks after her dental and her BUN was 50 Her BP has remained stable, her eating has been great and most days no one would believe she is sick or was near deaths door at her initial diagnosis. Chula died on 20 September aged Cori and Ebony Ebony was diagnosed with renal failure on May 18th, at 13 years of age, and was admitted to the hospital and put on IV fluids for 3 days.

I brought her in because she had crashed, though I didn't know that was what we call it at the time. I had noticed some bad breath for a while, though ignorantly didn't know just how much of a danger sign that could be.

I had noticed she'd been losing a bit of weight, but as I was focused on my new baby I didn't quite notice just how bad it was until I noticed she looked really ill and I picked her up and she felt light as a feather - she had dropped to between pounds and is normally an 8 pound cat.

We immediately got her in to the vet. We brought her in Monday morning and they did bloodwork and sent her home, which concerned me because of how bad she looked. The next day I insisted she be admitted to the hospital because of how ill she looked and how dehydrated she was.

Her labs came back the next day with a BUN of international: Needless to say my little girl was in dire straits. To add to her condition, she wasn't eating the whole time she was in the hospital, which concerned me greatly and I went in every day to try to get her to eat. The vets basically said that with the IV therapy her numbers might come down and that if they headed downwards there might be hope.

Even though the numbers had come down some, they said that it wasn't enough and that there was no hope. I was devastated because I blamed myself for not being more attentive to her and noticing how ill she was earlier. The recommendation was to put her to sleep. It was the same day we got that dreadful call that I found this website, and what a lifesaving find that turned out to be. After a desperate plea for help several very caring individuals offered me advice and support.

I was still expecting the worse when we went to pick Ebony up from the vet, for what we thought would likely be our final evening together before saying goodbye. I was sent home with the comment that we'd see how she was doing by the next day and maybe if she was still alive they would give her some fluids for me to administer at home. I wasn't as sure as they were that she was on death's door - she still had that gleam in her eye and she had perked up somewhat and I felt like she was telling me she wasn't ready to go.

I didn't actually spend much time with Ebony that evening because I spent about 8 hours online giving myself a crash course in feline CRF. My mind was swimming and I was nearing a breakdown because I felt I couldn't handle this. A kind listmember gave me some advice that I needed to take things one at a time, focus on the basics of getting food in her, getting phosphorus binder, and getting sub-Q fluids.

I found that writing notes was extremely helpful in keeping track of what I needed to do for Ebony. We got started on the ml of fluids a day, but Ebony seemed to be reacting badly to it, she looked lethargic, very fluffy, and like she was having difficulty breathing. After consulting the group, I was very concerned about filling her with so much fluids that her lungs would fail, or overworking her heart. I called the vet and the answer I got was basically that ml was the only amount I could give that might help her.

Well, I went with my gut and the advice of the experienced members of the group, and cut it back to ml a day. Ebony did much better and was looking more herself. During this time I had also discovered that I had to make my kitty eat if she was going to have a chance at life, so we started doing that the night she came home. Thankfully she didn't reject the food, and in time we learned the best methods for feeding her. She was assist fed three times a day for several months. We had to give her Zantac, then Pepcid, to help with her upset tummy, and we got the phosphorus binders aluminum hydroxide powder to help bring her phosphorus down.

Ebony also had a raging infection during the first couple months and was put on Baytril for weeks. She was also on Tumil-K to increase her potassium.

After several months Ebony started munching dry KD on her own, eating a little more over time and so we tapered back her assist feedings until she was eating entirely on her own, which took many months to achieve.

Though I felt at first like I was doing something cruel to her, I now realize that what I gave her was time — time for her body to heal, while still being nourished, until she was able to eat on her own. She now eats a mixture of dry KD and senior formula. Within about a week after being diagnosed with CRF we discovered she was getting dangerously anemic and learned about Epogen. We also changed vets at this time, and thankfully our new vet was very willing to work with us, and she was open to hearing the advice of listmembers.

Her attitude was that the collective experience of the listmembers was more than she would ever have in her career and it was worth listening to. I was so thankful for her. She has continued to be Ebony's vet, and she has been grateful for all that she has learned through Ebony's case. Her willingness to listen to listmember advice was what got us through her complete inexperience with Epogen. Ebony responded very quickly to the Epogen and her levels rose very fast, to a point of concern for both potential Epogen antibodies and fear of high blood pressure and clots , so we ended up stopping the Epogen.

After a month her levels started to decline and we were concerned about antibodies because of how fast it dropped. During the entire time of her anemia she was given Super B complex and Pet Tinic, and still gets these. Well, thankfully Ebony's little reticulocytes started producing again on their own and her HCT slowly began rising over a couple of months and has remained in normal range ever since.

It has been a very emotional ride, we went from the rollercoaster to the merry-go-round, and now it feels like we're on the tram only a few little potholes here and there to jostle us about. I couldn't have gotten through this without the wonderful members of these groups. Her levels are now as of June down to BUN 50 international: Ebony is on 75ml of fluids a day, gets her Super B and Pet Tinic and phosphorus binders still, but she is thriving and looking very healthy, but most importantly - happy.

I have cherished every moment I've had with her. There were many prayers given on her behalf and I believe that many were answered through the angels I met through this site. While I've had friends tell me I was crazy for spending as much money on Ebony that I did to get her where she is today, I say she is worth every penny. As a final note, I had created an excel spreadsheet to track Ebony's bloodwork and have found it to be very helpful in watching trends and doing comparisons.

Others have found this chart helpful and I have placed this chart online for anyone to use. It is available here. Ebony just recently had a checkup and her blood pressure was under stress and her bloodwork came back with a BUN of 47 international: Her heart and lungs sound good and overall the vet says that she seems to be doing great.

Ebony gets 75ml sub-q a day with some Super B complex and phosphorus binder in some wet food. We make sure she gets lots of water and LOTS of love. I never imagined Ebony would have the levels she does now based on where we started, but lots of TLC and lots of help from Feline CRF listserv friends have helped us reach this point. Ebony was put to sleep on 7 July because of heart problems.

CRF is not an automatic death sentence, no matter what your vet may tell you! Morgan is a beautiful black part-Persian female with big amber eyes and an even bigger personality. When she first arrived in my life, she was a terrified little 8-week old feral who hissed at me from the back of the cat-carrier. But over the weeks and months that followed, she learnt to trust me and she became my little black shadow.

Her BUN was international: Her vet gave her a week or so at most to live. I wondered — was there anything I could have done to prevent it? I felt so incredibly guilty. I had to do something now. So Morgan went on IV for 4 days and nights, and by some miracle, her numbers dropped and she began eating by herself again. She was sent home with no ongoing treatments, just a dry prescription diet that she refused to eat. My vet was no different.

If I had, Morgan would be dead. Unfortunately, that proved to be the worst of all possible worlds. The vet trips were stressful for Morgan, and twice a week was not sufficient to keep her hydrated. She crashed again 2 weeks later. Besides, Morgan was still on her feet and interested in the world around her — and if she was not ready to give up, how could I? With the help and encouragement of Helen the owner of this site and others, I tried to find another vet.

I was given the details of a top UK feline renal specialist who had just moved to within driving distance of where I lived. I told my vet I wanted a referral, and I think he was glad to get rid of me! I have no doubt about that. The delays in getting the proper treatment meant her problems had gone from very bad to even worse.

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