High Blood Pressure

High Blood Pressure   Here in the beginning of 2022 I’ve received several reports of hypertension (high blood pressure) occurring in SARDS dogs.  I’d like to find out if this is a common occurrence.  So, I’m encouraging dog owners to request a blood pressure (BP) reading before treatment begins.  If your dog does have BP…

Information you should have

I’d like to preface this article with the following statement: Since 2003, veterinary researchers have published papers1,2,3 confirming that 90% of SARDS dogs demonstrate elevated adrenal sex steroids. Keep that in mind as you continue. __________________________   In 2017, a client described her experience during SARDS diagnosis.  She was told there was no known cause…

“No Proven Treatment”

Raise the topic of cortisol hormone replacement for SARDS dogs and veterinary specialists typically respond in two ways. First, they fail to appreciate the difference between prednisone’s role as an anti-inflammatory versus its role as a low-dose hormone replacement. Second, they’ll counter with, “There are no controlled, peer-reviewed studies supporting successful treatment outcomes.” My reply?…

Lab tests — What you need to know

Lab tests can be confusing when dealing with adrenal exhaustion. Some tests are useful. Others are not. In this article, I’d like to discuss these tests.  I have no affiliation with any of the laboratories mentioned herein. Let’s start with the fact that over 90% of SARDS dogs have elevated adrenal sex hormone steroids1. My own…

Adrenal Testing for Those Outside the USA

Veterinary practitioners outside of the US face a unique challenge when trying to treat adrenal exhaustion in dogs. They do not have access to the same types of hormone panels that we have here in the States. The first of these panels is the Endocrine and Immune Panel available from National Veterinary Diagnostic Services in…

The Inconsistencies Between SARDS and Cushing’s

In this article I’d like to address a common misconception — the idea that dogs with SARDS also have Cushing’s disease.  This is outdated information.  Furthermore, I’ll explain why promoting this idea can be dangerous. Let’s review some terminology first.   Cushing’s Disease Cushing’s disease refers to a tumor growing on the pituitary gland (near the brain)…

Protocol vs. Protocol

Sometimes I’m asked, “Caroline, how does your SARDS treatment protocol different from Dr. Plechner’s protocol?”   Before I reply, let me say that Dr. Plechner’s work was important to me, both personally and professionally. And despite some significant differences in our work, his work influenced mine.  Dr. Plechner’s work was unconventional. And because of this — rightly…

Addison’s vs. Adrenal exhaustion

Last week a general practice veterinarian asked me the following question. “Why is the daily replacement level dose of cortisol higher for SARD dogs than the physiological dose for Addison’s dogs?” This is a good question but I doubt it’s of interest to the average dog owner. Therefore, my comments are directed to the prescribing…

What’s in a Name?

Some people take issue with the way I describe the underlying hormone problem in SARD dogs. In this article I’m going to tell you why I use the phrase adrenal exhaustion. Here is a graphic representation of adrenal exhaustion. Bold text indicates areas of excess activity. Small text indicates an area of insufficient activity. Please…