An answer for Caya has been found

Caya is now down to around 43 pounds. You can see every bone in her face. She looks horrible, her fur is starchy and lank.

Texas A & M had the vet do a TLI test. (don't even get me started on what all it is, click the link here)

She has Exocrenic Pancreatic Insufficiency (EPI). The pancreas has two functions for both dogs and humans, one is the exocrenic which is when the pancreas provides an enzyme to the small intestine to aid in the digestion and absorption of nutrients. The other is the more commonly known endocrinic that provides insulin and blood sugar regularity.

The good news: We need to start providing her with the enzyme her poor little body can't make. She is not diabetic.

The bad news: It's a lifelong condition and the vet says that the Viokase to treat the EPI is $200/month. Yikes.

Because of the EPI, Caya has small intestine bacterial overload (SIBO), because when the body can't produce the digestive enzymes, the beneficial bacteria in the small intestine gets out of control. So we have to get that under control.

She also has some nutrient difficiencies that food and medication with regulate.

So what do we do know? We feed little girl as much as she wants.