<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta name="Generator" content="Microsoft Word 14 (filtered medium)">
<style><!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0cm;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-priority:99;
mso-style-link:"Balloon Text Char";
margin:0cm;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma","sans-serif";}
p.MsoListParagraph, li.MsoListParagraph, div.MsoListParagraph
{mso-style-priority:34;
margin-top:0cm;
margin-right:0cm;
margin-bottom:0cm;
margin-left:36.0pt;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-priority:99;
mso-style-link:"Balloon Text";
font-family:"Tahoma","sans-serif";
mso-fareast-language:EN-CA;}
span.EmailStyle20
{mso-style-type:personal;
font-family:"Arial","sans-serif";
color:#1F497D;}
span.EmailStyle21
{mso-style-type:personal;
font-family:"Arial","sans-serif";
color:#1F497D;}
span.EmailStyle22
{mso-style-type:personal-reply;
font-family:"Arial","sans-serif";
color:#1F497D;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:612.0pt 792.0pt;
margin:72.0pt 72.0pt 72.0pt 72.0pt;}
div.WordSection1
{page:WordSection1;}
/* List Definitions */
@list l0
{mso-list-id:550845784;
mso-list-type:hybrid;
mso-list-template-ids:1146550672 269025295 269025305 269025307 269025295 269025305 269025307 269025295 269025305 269025307;}
@list l0:level1
{mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-18.0pt;}
@list l0:level2
{mso-level-number-format:alpha-lower;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-18.0pt;}
@list l0:level3
{mso-level-number-format:roman-lower;
mso-level-tab-stop:none;
mso-level-number-position:right;
text-indent:-9.0pt;}
@list l0:level4
{mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-18.0pt;}
@list l0:level5
{mso-level-number-format:alpha-lower;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-18.0pt;}
@list l0:level6
{mso-level-number-format:roman-lower;
mso-level-tab-stop:none;
mso-level-number-position:right;
text-indent:-9.0pt;}
@list l0:level7
{mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-18.0pt;}
@list l0:level8
{mso-level-number-format:alpha-lower;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-18.0pt;}
@list l0:level9
{mso-level-number-format:roman-lower;
mso-level-tab-stop:none;
mso-level-number-position:right;
text-indent:-9.0pt;}
ol
{margin-bottom:0cm;}
ul
{margin-bottom:0cm;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-CA" link="blue" vlink="purple">
<div class="WordSection1">
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I would hold off on the spaying for now. She is in a vulnerable state and doesn’t need the additional stress of surgery (and blood loss). I suspect that the lymph
nodes will start going down as she gets on top of the infection. I’m not sure about testing for Haemobartonella but I guess if it were me, I would do it just in case, so at least I know what I am up against. Haemobartonella is often present with FeLV and can
exacerbate the symptoms or even make a previously asymptomatic cat, symptomatic. It also worsens anemia, lethargy and lack of appetite and can be treated with antibiotics, so if it is present, why not deal with it. It would probably assist in improving the
clinical picture. On the other hand, when I treated Zander for FeLV, I had him on doxycycline anyway, so that is the treatment for Haemobartonella, so even if you don’t test, if you have your cat on something which will address it if it is there, then maybe
you don’t need the actual lab test to be run.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm">
<p class="MsoNormal"><b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> Felvtalk [<a href="mailto:felvtalk-bounces@felineleukemia.org">mailto:felvtalk-bounces@felineleukemia.org</a>]
<b>On Behalf Of </b>Nancy Wizner<br>
<b>Sent:</b> December-01-15 4:17 AM<br>
<b>To:</b> <a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br>
<b>Subject:</b> Re: [Felvtalk] Kit<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">Yes you have helped a ton! Thank you. I think question # 4 is should she be tested for hemobart even though she is not infested? I did put the Advantage II on a couple days ago. Oh and one more question- she has an appt on the 14th
to be spayed. Should I cancell this? Also will ask vet on Saturday. Her lymph nodes are swollen. <o:p></o:p></p>
</div>
<div id="AppleMailSignature">
<p class="MsoNormal"><o:p> </o:p></p>
</div>
<div id="AppleMailSignature">
<p class="MsoNormal">Thank you! Nancy<br>
<br>
Sent from my iPhone<o:p></o:p></p>
</div>
<div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><br>
On Nov 30, 2015, at 8:07 PM, Amani Oakley <<a href="mailto:aoakley@oakleylegal.com">aoakley@oakleylegal.com</a>> wrote:<o:p></o:p></p>
</div>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Hi Nancy</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I will answer the questions I can.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">You can use Epogen or Darbeopoetin to increase red cell production but I have no direct experience with either. However, first, I think that the Winstrol acts
on the precursor cells in the bone marrow that produce red cells, white cells and platelets, and that is why all these cell lines respond to the Winstrol – not just red cell production. Secondly, if the FeLV has had its effect on the bone marrow, making it
hypocellular. It is theorized that the virus blocks the stem cells in the bone marrow and they therefore cannot differentiate into the various cell components of blood (white cells, red cells, platelets). If that has happened, then no amount of erythropoietin-type
derivatives will help since erythropoietin is produced in the renal adrenal glands and the erythropoietin tells the bone marrow to produce red cells but the bone marrow cannot because it has been left depleted of the precursor cells that make the red cells.
The problem with erythropoietin mimics is also that the body stops producing its own erythropoietin if it detects enough circulating in the system, so you may end up causing a worse situation by actually depressing natural erythropoietin production. You don’t
get any of those problems with the WInstrol.</span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">No – Winstrol doesn’t cause the body to respond by producing antibodies against the medication.</span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Yes – the 1 mg tablets, 2 times a day, are for cats of all weights. If it is a very small kitten, you could try 0.5 mg 2 times a day though I never found it
necessary to use such a low dose. If the cat is in really bad shape and you need to “jump start” the process quickly (eg – severe anemia, significantly reduced appetite, difficulty breathing because of the anemia), I would start with 2 mg 2 times a day until
you start getting a response, either with improved appetite or lab results show an increase in red cell or other cell line counts.</span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">4.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I am not sure if there is a question here.
</span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">5.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I don’t think Winstrol causes itching – not in my experience in any event.</span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">6.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Definitely, if she has worms, they are a drain on her system and certain worms drop red cell counts but I don’t think round worms do that (but I haven’t checked
into that recently).</span><o:p></o:p></p>
<p class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><![if !supportLists]><span style="mso-list:Ignore">7.<span style="font:7.0pt "Times New Roman"">
</span></span><![endif]><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">A slight temperature is okay for a while but it is the rest of the stuff that comes with the temperature, like loss of appetite and lethargy, which you have
to watch for.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I hope some of this helps.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><o:p></o:p></p>
<p class="MsoNormal"><b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> Felvtalk [<a href="mailto:felvtalk-bounces@felineleukemia.org">mailto:felvtalk-bounces@felineleukemia.org</a>]
<b>On Behalf Of </b><a href="mailto:gidget43@aol.com">gidget43@aol.com</a><br>
<b>Sent:</b> November-30-15 7:18 PM<br>
<b>To:</b> <a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br>
<b>Subject:</b> Re: [Felvtalk] Kit</span><o:p></o:p></p>
<p class="MsoNormal"> <o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Lance, a friend told me about this test. Hardy RL. She told me to have the vet take it as it will tell what stage she is in. Takes about 10 days to get results.
Maybe it goes by another name? Ironically, the vet took it on her own. I never had to ask for it. I have messaged my friend to find out more.
</span><o:p></o:p></p>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Also, Lance, I wanted to let you know that I am the founder and Admin of FELINE CHRONIC KIDNEY DISEASE (all caps) on Facebook. I have almost 1, 670 members. I
can certainly help out here with those whose cats have this problem too. </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">I have many questions. Hope you don't mind, as I am in learning stages. So here I go:</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">1) I see Winstrol listed as the primary treatment for anemia. Can you also use Epogen or Darbeopoetin? </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">2) Can one develop antibodies with Winstrol? I have heard of this med, but don't know much about it </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">3) Also, I see you recommend 1 mg tablets. Is this for cats of all weights?</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">4) Kit has fleas. I put Advantage II for kittens on her yesterday.She seems to be itching a bit more. Unless it's my paranoid self. I have heard alot about
the Hemobart test, but I don't think she is infested. Will have a good look though. </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">5) Could FeLV cause itching?</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">6) She also has round worms, which I gave her a dewormer 2 days ago. Could this bring blood work down?</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">7) Her temp is holding around 101.2 ~ 102.2. This is ok? She is no longer on Onsior.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">I am doing alot of reading now and hope you don't mind all the questions, as I'm sure I will have more</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Thx, Lance.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Nancy</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"> </span><o:p></o:p></p>
</div>
</div>
</div>
</blockquote>
</div>
</body>
</html>