I have had a couple people ask for an update and, unfortunately, there hasnāt been too much to add.
We did treat him with the botulism antitoxin and saw no change. We also sent off water, hay, grass, bedding, and treat samples and they have so far come back negative for everything (I think thereās one or two pending tests but we tested for āmost likelyā culprits first so Iām not holding my breath).
The other three horses at the barn still have decreased tongue tone, two have since moved to a new place and weāre waiting to reassess once they have settled in for a few weeks.
My horse seems to be getting steadily worse. He is quickly running out of grass due to the weather and blanketing can only help so much. I have offered him chopped hay, which he really enjoys to a certain extent. The problem is that offering it dry makes it difficult for him to swallow and offering it wet means he ignores it entirely (he has always had a āthingā about eating wet food). He has a VORACIOUS appetite and a very alert/normal mentality, which is just heartbreaking. This would be a much easier decision if he ACTED sick and ready to cross the Rainbow Bridge. As it is, when I go to the field to walk him out in the longer (unfenced) grass outside the field, he eagerly walks up with his ears pricked 
My vet suggested Well Gel, but I donāt know if I can syringe feed it or if its too thick. He canāt eat it as a top dressing and is probably too picky to eat it free fed.
This is just so frustrating and I really did wish I had a good (or any real) update. Even if I knew what was wrong and it was bad, at least I would KNOW and be able to make the best decision for him. Instead Iām just on a āmaybe we can wait it outā mentality and hope that whatever it is runs its course as long as heās not in acute distress.
For those wondering, I do want to move him BUT since he have no idea why he is sick I am having problems finding a place for him. I donāt want to even consider infecting other horses with it (even though the vet and neurologist do not think it is contagiousā¦but again, without knowing 100% what IT is, we canāt be 100% sure. Plus, he would need to be in a field with just good grass and no hay access, which is next to impossible unless I found someoneās backyard with no other ponies.
Life of a horse ownerā¦