Thanks for the quick reply! I recall you used to use LDXGT v Cushing's though I can't find where it's referenced. Do you mean to add this as a 3rd formula or replace the YGJ w/ it? I'm trying to understand it's mechanism of action in this case. From what I read on the formula, it seems to address a variety of acute Damp Heat symptoms, similar to SMS that pulls circulation from the periphery, which didn't do the trick for Edelweiss. The SYD approach using XCHT alone seemed to quiet her liver enzymes, but her pancreas seemed worse. Adding in YGJ has helped the pancreas a lot, but LE creeping up (could this be a seasonal influence?). So, YGJ not a complete wash. She is not responding as completely as I'd like and is that b/c I am not addressing all her root pattern diagnoses (Damp, deficient, Stasis, SYD). I wonder if other insulin sensitizing formulas may be more appropriate than LDXGT, like WLT, or is that too warming? Finally, I recall that non-responders may have genuine tumors, and need more of an anti-cancer approach. What formula have you used for that and at what point does Trilostane warrant consideration?
When giving this patient 2 formulas, I have had her at 1/2 tsp. of each BID and wonder if I should've changed the ratio and how is that decided? With the LDXGT, do you suggest equal parts w/ XCHT and BID? And to be sure, if keeping YGJ, use it like during the day w/ LDXGT at night? Apologies for my sophomore questions and confusion, this case is quite challenging me! BUT, the dog and her owner appear happy, so there's that. I guess. ;)
Thanks as always, Franchesca