[QUOTE=Pehsness;8272042]
I didn’t realize the horse was actively laminitic with heat and pulses. Poor guy.
Have you gone the emergency diet route a la Kellen? Did that do anything? Might be worth a try if he’s sore in boots and pads with pulses. Or worth trying again/longer if you’ve already done it.
I know at the end of the day pergolide didn’t help us, shoeing, trimming, weird diet additives… the only thing was a bare bones nothing added diet and 24/7 outside living. THEN grass was ok, then the tim/alf was ok, then the ration balancer was ok, and then, finally, the appropriate concentrate added to the mix. Of course the trimming was integral throughout, but it wasn’t the magic cure I thought it would be when I started down this road so long ago.
Our diagnoses ranged from navicular to cushings and everything in between 
I know this is all anecdotal, so it’s just a FWIW.[/QUOTE]
Thank you for the input.The pergolide in his case is starting to help as dosage goes up for seasonal rise. Almost at the 3 mg dose and i’am seeing postive changes now. Foot soreness is still a major issue, he’s very sore today.
Emergency diet is only supposed to be temporary,his current diet is 8% ESC+ STARCH he’s also getting all he needs with added supplements that are IR, Cushings safe.
Hoof issues are from bad farrier work and also from laminitis and distal sinking,all of which last farrier failed to recognized, even with seeing xrays.