Auto Immune
Hemolytic Anemia

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Animal Health 4 Life
Giving your Performance and Show Animals the Edge to Win.

Table Of Contents

*This protocol is effective on all species

Link to complete Report:
This report follows the onset, development and eventual resolution of Auto Immune Hemolytic Anemia in a 15 year old Thoroughbred Mare.

Updates

Link to Recovery Notes

Pictures Of Nan and Savvy Hunting Together Again - March 2003!

Pictures Of Nan and Savvy Competing In Dressage! August 2003

What Is Auto Immune Hemolytic Anemia ? / Symptoms etc.

Why do these products work on on Auto Immune Hemolytic Anemia when drugs don't?


Updates
Treatment with TF Animal Stress Pack™ began New Years Day 2002
January 30, 2002
February 11, 2002
February 12, 2002
May 7, 2002
June13, 2002
June18, 2002 > Quick Time Line

September 10, 2002
January 8, 2003 > Riding again!
March 29,2003


This is the Story of Blue Savannah, A.K.A. Savvy.
Thoroughbred Mare,
foaled April 1988
No previous history of ANY medical problems.

Savvy presented to the University of Georgia Veterinary Teaching Hospital on December 7, 2000 for evaluation of icterus, decreased appetite and water intake for about one week, and red/black discolored urine.

Before presentation she had become more depressed and was showing possible colic signs and a fever, both of which responded to Banamine.
Savvy was placed in the care of Dr. Susan White, Department Head of Large Animal Medicine at the University of Georgia College of Veterinary Medicine Teaching Hospital.

Upon examination her vital signs were within normal limits, but mucous membranes and sclera were quite icteric. Her PCV (packed cell volume/Hematocrit) was markedly decreased (21%). A CBC revealed a normal white cell count with an increase in bands and a fibrinogen of 400. A serum profile revealed severe hemolysis in the serum. The hemolysis appeared to be intravascular.

Then the rule out process began. Rule outs included Red Maple Toxicity, piroplasmosis, leptospirosis, equine infectious anemia, and immune mediated hemolytic anemia (not quite the same as Auto Immune Hemolytic Anemia). She was placed on IV fluids and Vitamin C, and given little hope of stabilizing. The situation was grave and the outlook grim.

Savvy was a little stable the next day, but her PCV continued to fall (15-16%) and the search for a donor for transfusion began. The universal donor horse at UGA was not a match and just about every horse in the program and facility was cross matched. A match was found in a research horse in Dr. Michelle Barton's care, and she postponed the research project so Bear, a quarter horse mare, could be Savvy's donor. Coombs test and Leptospira titers were all negative and the Dr.s involved in the case began to think Savvy's hemolysis was immune mediated. She was started on Dexamethosone Dec 8.

By 12/12/00 her PCV had fallen to 12% and while the staff was placing another IV catheter in the right jugular, she collapsed due to hypoxia. After administering diazepam, 8L of blood was transfused. She improved a little over the next few days, but another transfusion was eminent and more horses, including the UGA Equestrian Team's mounts, were all cross matched. A match was found in a Quarter Horse gelding named Quill. Savvy was transfused, again, on 12/19/00. No one was very optimistic, but Savvy continued to improve daily and continued on daily Dexamethisone injections. As we would try to decrease the levels of the steroid, she would start hemolyzing and we were unable to decrease the dose as quickly as we wanted to to avoid laminitis problems. By Christmas Day 12/25/00 she was beginning to show some foot soreness, but no true lameness when circled. She improved enough by 1/16/ 01 for the IV catheter to be removed and it was decided that on January 23, 2001 she could go home.

I kept her on decreasing doses of the steroid until 3/16/01 when I discontinued it. All went well until 5/15/2001 when the hemolysis started again. I would pull a little blood in a "crit" tube and spin it daily to get an idea of where her PCV was and I would run a CBC every 3-5 days. When the trend started again, I called UGA and went back for evaluation. They sent us home with Prednisolone this time and a 30 day supply of Azathioprin (Immuron). Things were not looking so good again, but I was able to decrease the Prednisolone and I did not want to continue on the Azathioprin due to cost and the fact that it is a Chemotherapy drug. By then it was mid-June and she was starting to get a little lame. Both Vet and Farrier thought it might be an abscess.

July went by (slowly) with steroid injections every 3-4 days in decreasing doses until August 8 when I discontinued the steroid. By this time she was quite "Cushinoid" and the foot situation was getting worse. My local Vet had not given us much hope at this point and I was told my horse probably had Lymphosarcoma or Myoleioma. Still, she showed no symptoms of these diseases and was bright, alert, and responsive. She has never looked like a "sick" horse.

On September 16, 2001 the first abscess appeared at the top of the right coronary band. Another one appeared an inch away and soon they were connected. Her blood work was little low, but nothing critical. I was giving Pred every 7-10 days. Needless to say she was VERY lame and I was waiting for her to tell me it was "time". My vet rescected the abscess and suggested I try a long acting steroid like Depo-Medrol. The University vets. weren't supportive of that and said it probably wouldn't work, but I thought, what have we got to loose? A lot of CBC's later, she was stable until 11/29/2001 when she got another Depo injection. By that time the laminitic symptoms were improving and she was able to be turned out in a very small paddock.

Then we met Dr. Mac Barksdale........ I had paid a lot of money to another nutrition company to formulate a custom supplement based on Savvy's hair analysis and still had some of that left.


Treatment with TF Animal Stress Pack™ began
New Years Day 2002

All through December 2001 Dr. Mac and I discussed a treatment plan. On 1/1/2002 I gave Savvy her 1st TF Stress Pack. We did this for 2 weeks. The blood work was improving!! At the same time, we started TF Performance and Show. The results were dramatic.

notes: January 30, 2002

Hematocrit and Red Cell count CONTINUED to rise. By 1/25/02 the farrier was able to put shoes with pads on her and she was walking and turning normally. We were administering Butazolidin (NSAID) through out January and were able to discontinue it on February 2, 2002. She was stable enough for me to take a much needed vacation. Before I left on my trip I administered 7 days of Stress Pack and she was stable with a HCT of 35.8.
I don't know why, but upon my return her HCT had fallen to 32.1 and with much trepidation, Dr. Mac and I decided to administer the Depo-Medrol (40 mg.).

notes: February 11, 2002/ February 12, 2002

She remained stable for 5-6 weeks and when the HCT and Red Cells started to drop out of range I would give another TF Stress Pack, all the while on the daily 2 scoops recommended dose of TF Performance and Show. I could get the same result with the Stress Pack as I did with the steroid injection!! Key Ingredients

On April 2, 2002, I had biopsies done on tissue samples that came back nonmalignant. The Dex Suppression Test for Cushing's was done on 4/5/02 also negative. Serum thyroid tests were negative, also. It is now July 12, 2002 and she has been "steroid free" for OVER 120 days.

Notes: May 7, 2002 / June13, 2002 /
June18, 2002 A Quick Time Line
September 10, 2002


January 8, 2003 Savvy and I are back riding 5-6 days a week. Although jumping was limited to one day a week. She has really thrived since then.In July of 2002, my vet determined she was cured of Auto Immune Hemolytic Anemia. I did run a CBC on 2/10/03 and everything was within normal range. She was quick to regain her stamina and wind.

Notes: January 8, 2003


March 29,2003

She has been steroid free since 2/2002, over one year!
The right front was growing out well and I decided it would be a good idea to have an updated radiograph of it. My vet did an X-ray on 3/27/03. He called with the results the next day and was astonished. The scar/crack was on the surface only and said that there was no indication of any signs of laminitis whatsoever!

It looked better than anyone could have imagined, and there were absolutely NO changes at all!

Our plans for the Spring and Summer of 2003 are to do a lot of trail riding and cross country type conditioning. We've got to get fit for opening meet in October 2003! We'll do some local hunter shows, too, just to keep her sharp. She really does love the show ring and I don't want to deprive her of what she loves to do. It sure is nice to have my horse back!!! I had hoped to, at the very least, have a pasture ornament. So every day is a true gift. It just goes to show you that sometimes truth is stranger than fiction.........

Yes, this horse is a fighter. Before her illness, she and I had done things I never thought possible in the show ring. She was a voracious competitor in the Adult Hunters. She has been Champion or Reserve Champion at almost every show she's ever been in. The right front hoof is grown out from the resection and she is not even wearing a pad on the shoe! It's unlikely I will show her again; she's earned her retirement. That's not to say that she couldn't go back to the show ring. She still looks like she can win the hack!

But I do think that her recovery from this devastating disease is all due to the 4Life Research Company and their Transfer Factor products. I have no intention of removing these products from her program or the other horses in my care. Needless to say, I believe that Savvy is the only horse in veterinary history "to have recovered from THIS horrible disease".

I would be happy to discuss the benefits of these products with anyone interested. Many thanks to the Doctors that have developed these products, and especially, my good friend, Dr. Mac Barksdale.

Respectfully submitted,
Nan Buckner
Atlanta, GA


autoimmune diseases are caused when the body produces antibodies to its own substances. In some blood disorders, antibodies may be produced against the body's own red and white blood cells. The body gets mixed signals and it begins attacking itself..

Why will the TF Performance and Show™ and the TF Animal Stress Pack™ work on an autoimmune problem when all modern medicine has to offer is damaging steroids and immunosuppressive drugs?

It is called the suppressor fraction: This fraction found in transfer factor down regulates the immune response when the threat has been defeated. They are responsible for returning the immune system to a resting state to await the next threat. These transfer factors modulate immune system function when reacting to autoimmune situations where the microbes have "hidden" in specific tissues and the immune response mistakenly becomes directed toward "self".

The Suppressor Fractions of Transfer Factor will do what no drug in the world can do! It can regulate the immune system and prevent the body from attacking it's self. At the same time OTHER fractions build an immune reserve and re-educate or "train" the immune system to prepare it for attacks by micro organisms. Learn about the roles of the other fractions


Another Auto Immune Equine Success Story - Pemphigus Foliaceus


The Role Transfer Factor Plays in the Health of Your Performance Horse.

Natural Killer Cell activity by 248% and 269% respectively, over the baseline with the use of Transfer Factor Plus

Key Ingredients


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Recovery Notes / Updates
Blue Savannah, A.K.A. Savvy.
Auto Immune Hemolytic Anemia


January 30, 2002

Good results today.
Hematocrit was up from >>32.5 to 33.1.
RBC was up from 7.02 to 7.04.
Hemoglobin was up from 11.7 >>to 11.8.
Everything was slightly increased after only 6 days of TF Animal Stress Pack™.

It's good to know that the TF Animal Stress Pack™ works to increase these levels, instead of steroids. It appears that the two weeks of Stress Pack will hold her within normal limits about 6-8 weeks.

Our last steroid injection was 11/28/2002, which is about 9 weeks ago.

I am excited that I can get effectively the same results from this as MethlyPrednisolone. Although it IS more expensive than the $25 steroid injection, I'm glad that we are able to approach this with a natural substance other that a manufactured, artificial one. After all, it is so much better for her in the long run.

On the subject of the foot, things are improving remarkably everyday. She is walking normal. NO MORE BUTE.


 

February 11, 2002

Savvy's HCT was increased to 34.4, up from 32.5
The TF Animal Stress Pack™ is doing its job, once again!

Hg and RBC were slightly increased, as well. She has not had any Bute in over 2 weeks, and it shows a little. She is lame and legs fill up over night while standing, so I have been keeping standing wraps on her while in the stall. The swelling goes down when she's turned out so I'm not too concerned.


 

February 12, 2002

Savvy has not been on Bute for almost 3 weeks.
As far as I'm concerned that means I've discontinued it.
The right front hoof is quite sound, growing good horn, nice and solid,etc.

Quite amazing how well it has recovered. As far as her mobility, she is quite mobile. More than the average foundered horse. She plays with her pasture mates, which is quite a welcome sight after the depression the anemia caused. As far as the lameness I mentioned earlier, she walks with a wide spread of front feet, typical of foundered horses, but, holds her head higher that when all this first started. I have seen her trot around a little. There is no real head-bobbing, so again, I feel this is encouraging. In two days, February 14, 2003 Savvy has been on The TF Animal Stress Pack™ 2 weeks.


 

May 7, 2002

Did Hemogram yesterday and things are holding steady.
No TF Animal Stress Pack™ since 4/23/02
Hct was 34.7,
HGB was 11.5
RBC just under normal (barely) at 6.99.
I am VERY encouraged. Savvy's doing quite well.
Last CBC was a week ago Wednesday. All within normal ranges.

Hoof is almost all the way grown out, there's just a little seedy stuff around the end of the toe. Farrier believes she will have a complete recovery. I'm keeping my fingers crossed about ever jumping again, though. If I can at least trail ride I will be happy.

We've been steroid free since 2/20/02

I have administered 3 TF Animal Stress Pack™ since then.
She looks pretty much back to normal, including her personality.


 

June13, 2002

I ran a hemogram a week ago and levels had come up to the following: HCT 34.7,
RBC 7.29
Hg 11.8.
That was exactly one week after 7 days of TF Animal Stress Pack™

I am very happy.
Gum color was nice and rosy and she did not appear to be tired or uncomfortable. Her appetite is always good.

I always keep a few stress packs readily available at the stable if she noticed her being less that bright, alert, and responsive, and if gum color looked pale or icteric.

* Side note, the yearling filly that Savvy goes out with developed some sort of respiratory virus a few weeks ago. I was concerned that Savvy's immune system could not handle it.
She developed a little bit of a runny nose, nothing yellow or smelly, and has no symptoms of any kind now.

The "crestiness" of her neck has almost gone away.

The foot situation is coming along well, also. The resection has grown out completely and she walking and turning very well.
No heat in the foot, but still a slight digital pulse.


 

Quick Time Line to date: June18, 2002

2/20/02 Last Depo Injection

4/9/02 TF Animal Stress Pack™for 14 days, ending 4/22 -gave an extra week due to change of residence

5/24 for TF Animal Stress Pack™ 7 days

6/4 Blood work holding

6/17 CBC levels increased! (with levels increased and doing nothing, that blows my Stress Pack every 30 days theory!)
CBC yesterday: HG 12.6, HCT 36.7, WBC 7.0, RBC 7.85
Additionally I have notice a steady decrease in MCV and MCH. They are very consistent at 47 and 16.1, respectively and have been since 3/22/02.

I am so excited I can hardly see straight! I think it's safe to actually say that WE are beating this.

I think we can start treating her like a "normal" horse again!!
The foot situation is almost not a problem anymore, too, so it is my hope that I can start riding her lightly.


 

September 10, 2002

Things couldn't be better with Savvy.
I got my local vet to admit that I have cured the Hemolytic Anemia.

I have only done 2 CBC's in the the last 3 months

We've had some secondary problems with "White line disease" in that right front. That crack in the foot that was in the picture I sent you split and her hoof actually split in two. The hoof was resceted (again), this time only the horn and no soft tissue, and patched with Equilox.

She's getting around quite comfortably and as the weather cools off, is enjoying being turned out 24-7. The farm owner has told me, more than once, that she is really kicking up her heels on these cool mornings. It does my heart good to know that she is feeling pretty much back to normal. I honestly never dreamed that that would happen. My farrier seems to think I will definitely be riding her in 4-6 months. He is pretty upbeat about the possibility of her being able to jump again, too.

She is still getting the TF Performance & Show™ twice daily in the recommended dose and I gave her Stress Pack for 3 days before her vaccine and 4 days after.

December 7 will be the two year anniversary of our dealing with Hemolytic Anemia. Although, as I think back to the fall of 2000, I remember her just not feeling right when I rode her around the end of November. She had started losing weight in September. She was anemic then, I'm sure, and since Hemolytic Anemia doesn't really happen overnight, I'm sure she was sick long before the symptoms became acute.

So, it really has been a 2 year ordeal.

I guess we can close the book on that terrible experience now and move forward.


 

January 8, 2003 Riding again

Link to pictures

Savvy and I are back riding 5-6 days a week. Although jumping was limited to one day a week. She has really thrived since then.

In July of 2002, my vet determined she was cured of Auto Immune Hemolytic Anemia.

I did run a CBC on 2/10/03 and everything was within normal range.
She was quick to regain her stamina and wind.

The right front hoof still had an open groove where it was drilled out due to White Line disease and there were 3 metal staples across the groove to stabilize it from each side moving independently. She was still wearing a special "4 point rail shoe" to assist in moving the break over back off the toe. However, she was very comfortable, was not getting any lameness from the return to work, and was not on any bute.

Her whole existence brightened up the day we schooled a whole jump course! She was back to normal and loving EVERY second of it. Things were going great.


 

 

March 29,2003

She has been steroid free since 2/2002, over one year!

The right front was growing out well and I decided it would be a good idea to have an updated radiograph of it. It had been since July 2002 that we looked at it and I was curious to see if there were any changes going on and what really was the status of that scar/crack.

My vet did an X-ray on 3/27/03. He called with the results the next day and was astonished. The scar/crack was on the surface only and said that there was no indication of any signs of laminitis whatsoever!

It looked better than anyone could have imagined, and there were absolutely NO changes at all!

Our plans for the Spring and Summer are to do a lot of trail riding and cross country type conditioning. We've got to get fit for opening meet in October! We'll do some local hunter shows, too, just to keep her sharp. She really does love the show ring and I don't want to deprive her of what she loves to do. It sure is nice to have my horse back!!! I had hoped to, at the very least, have a pasture ornament. So every day is a true gift. It just goes to show you that sometimes truth is stranger than fiction.........