Natalie.......has your vet actually tested the dog for SIBO or is he guessing. If he has not there is a separate blood test for SIBO. There is no reason that a dog has to die from this if your vet knows what he is doing. You might not have just found the right combination of medicines for this dog to get better. SIBO will never go away but you should be able to keeo it under control so that the dog can have a long life. Maybe you should join a group that I am on K9-EPIGLOBAL@yahoo groups .com and I am sure there is someone in the group who will be able to suggest different things. Nichole has EPI and SIBO . We were lucky. I did not have to do much with her medicine. Sometimes it is just a matter of finding the right m edicine for this particular dog. HTH. Amy Greenhut Justrock German Shepherds Gen Oak Leopard Tortoises &  Tortoise Rescue Behold The Turtle,  He Makes Progress Only When He Sticks His Neck Out A Quote By James B. Conant ----- Original Message ----- From: CLOVERLEIFE@xxxxxxx To: showgsd-l@xxxxxxxxxxxxx Sent: Saturday, March 7, 2009 5:16:54 PM GMT -05:00 US/Canada Eastern Subject: [ SHOWGSD-L ] puppy with Sibo UPDATE as many asked me to do this is a male i purchased and he started showing the signs two weeks after  i had him and i became suspicious of it being SIBO or EPI.....tried him on  panacur as was suggested and he still has the same problem....he will stay on  Tylan as vet suggested ...have added rice to his diet BID with probiotics and  yogurt...my vet warned me as he gets older, the condition usually gets  worse....so far he goes few days with normal stool and then gets the  cowpies...if he drinks too much water, cowpies go to diarrhea.... ....the vet  doesn't hold out much hope for him as he ages as he has had others that had to  be put to sleep....he is a beautiful specialty show male with great temp and it  really is a shame...have to see how bad it gets during summer when he drinks  more water....have tried to limit the water in his bucket so he doesn't have a  lot at one time to avoid the constant diarrhea the vet warned me about with  SIBO....he was tested NEG for EPI and all fecal worms, cocc and giardia  were also negative....at the beginning was put on Flagyl but the cowpies  returned after treatment and that's why we tried the panacur as many  suggested....so far he is maintaining his weight as he hasnt had constant  diarrhea....only time will tell....thank you list members with your suggestions  and trying to help....natalie  CLOVERLEIFE HILL KENNEL CH Cloverleife's Firecracker - CH  Cloverleife's Dimples CH Cloverleife's Bit O' Honey- CH Cloverleife's  Cappuccino CH Carmil's Amadeus V  Windywood **************Need a job? Find employment help in your area. (http://yellowpages.aol.com/search?query=employment_agencies&ncid=emlcntusyelp00000005) ============================================================================ POST is Copyrighted 2008.  All material remains the property of the original author and of GSD Communication, Inc. NO REPRODUCTIONS or FORWARDS of any kind are permitted without prior permission of the original author AND of the Showgsd-l Management. ALL RIGHTS RESERVED. ALL PERSONS ARE ON NOTICE THAT THE FORWARDING, REPRODUCTION OR USE IN ANY MANNER OF ANY MATERIAL WHICH APPEARS ON SHOWGSD-L WITHOUT THE EXPRESS PERMISSION OF ALL PARTIES TO THE POST AND THE LIST MANAGEMENT IS EXPRESSLY FORBIDDEN, AND IS A VIOLATION OF LAW. VIOLATORS OF THIS PROHIBITION WILL BE PROSECUTED. For assistance, please contact the List Management at admin@xxxxxxxxxxxx VISIT OUR WEBSITE - http://showgsd.org NATIONAL BLOG - http://gsdnational.blogspot.com/ ============================================================================ ============================================================================ POST is Copyrighted 2008. All material remains the property of the original author and of GSD Communication, Inc. NO REPRODUCTIONS or FORWARDS of any kind are permitted without prior permission of the original author AND of the Showgsd-l Management. ALL RIGHTS RESERVED. ALL PERSONS ARE ON NOTICE THAT THE FORWARDING, REPRODUCTION OR USE IN ANY MANNER OF ANY MATERIAL WHICH APPEARS ON SHOWGSD-L WITHOUT THE EXPRESS PERMISSION OF ALL PARTIES TO THE POST AND THE LIST MANAGEMENT IS EXPRESSLY FORBIDDEN, AND IS A VIOLATION OF LAW. VIOLATORS OF THIS PROHIBITION WILL BE PROSECUTED. For assistance, please contact the List Management at admin@xxxxxxxxxxxx VISIT OUR WEBSITE - http://showgsd.org NATIONAL BLOG - http://gsdnational.blogspot.com/ ============================================================================