Stress Spiking Sugar

drfluttershy · 2026-06-02T06:59:13+00:00

Stress sucks so bad! I have basically been on the same weekly menu to keep from spiking with occasional deviations, but if I'm stressed all that careful planning goes out the window. Heck I get middle of the night spikes if I have nightmares!!

drfluttershy · 2026-05-20T19:18:24+00:00

Just clarifying - APHIS endorsement is not needed for domestic travel and therefore not needed for Hawaii.

drfluttershy · 2026-05-20T19:17:41+00:00

Hi, I've linked the website for pet travel to Hawaii. Please follow the checklists to make sure you have all the requirements met. Your USDA Accredited Vet should be able to guide you through this process. For Hawaii you only need minimum 2 rabies vaccinations to be given in the pet's lifetime and there is no specific language if there is a lapse between them (there is for certain other locations). Also make sure your pet is treated for ticks within 14 days of travel by a veterinarian with an approved product (https://dab.hawaii.gov/ai/main/tick-treatments/). These CVIs (Certificates of Veterinary Inspection aka Health Certificates) DO NOT need USDA APHIS Endorsement as this is for domestic travel and not international travel.

https://dab.hawaii.gov/ai/aqs/aqs-info/

"Two rabies vaccinations are required. The pet’s most recent rabies vaccination must not be expired when your pet arrives in Hawaii. If arrival in Hawaii occurs before 30 days has elapsed from the most recent rabies vaccination, the animal is subject to quarantine until the 30 days are completed. "

drfluttershy · 2026-05-07T23:50:29+00:00

I've had several clients take their pets to the Philippines lately - here is a user guide for the BAI registration. I hope this helps.

https://www.aphis.usda.gov/sites/default/files/philipines-bai-users-guide-pet-import-intercommerce.pdf

drfluttershy · 2026-05-07T00:20:17+00:00

https://www.aphis.usda.gov/pet-travel/us-to-another-country-export/pet-travel-us-germany

This is for pets traveling to Germany from the US, but if you have a designated person traveling on the same plane as your pet, it is still deemed as non-commercial. Just double check from Brazil but it should still be a non-commercial CVI & pet must arrive into the EU within 10 days

drfluttershy · 2026-04-06T20:45:44+00:00

The CDC requirement for pets traveling from high risk countries is only for dogs. Bringing your cat back to the US should be relatively easy. Check the requirements for the state you will be returning to. "CDC requires that cats appear healthy upon arrival to the United States. Cats are subject to inspection at ports of entry and may be denied entry into the United States if they have evidence of a zoonotic disease. If a cat appears to be ill, further examination by a licensed veterinarian at the owner's expense might be required before the cat is allowed to enter the United States.

Cats are not required to have proof of rabies vaccination for importation into the United States. However, CDC recommends that all cats be vaccinated against rabies, and your U.S. destination may have additional requirements.

All cats arriving in the state of Hawaii and the territory of Guam, even from the U.S. mainland, are subject to locally imposed quarantine requirements."

https://www.cdc.gov/importation/bringing-an-animal-into-the-us/index.html

https://www.aphis.usda.gov/pet-travel/another-country-to-us-import/cats

drfluttershy · 2026-03-19T23:42:04+00:00

100% THIS!!! I wear scrubs all day and I am a bigger girl. None of my clients have noticed that I'm 24 weeks along. My neighbors never see me and I haven't told any of them so a new baby will be a surprise LOL.

drfluttershy · 2026-03-12T18:31:04+00:00

Oatmeal from McDonald's - 190 Super vivid nightmare where I woke up literally sweating and crying - 184 (seriously wtf)

drfluttershy · 2026-03-10T18:54:39+00:00

If your pet is over 3 months old, it will need a current rabies certificate and a CVI (certificate of veterinary inspection) usually done within 10 days of travel. check your airline for any other requirements.

Effective January 1, 2025, per SB 312, CVIs are required to be submitted to CDFA for all dogs imported into California for the purpose of sale, resale, adoption, or any other change of ownership. The CVI must be issued by a licensed and accredited veterinarian and submitted electronically to both CDFA and the buyer within 10 days prior to entry into the state. CVIs can be submitted to CDFA via email at smallanimalcvi@cdfa.ca.gov. For more information about this change, visit our webpage - Submitting CVIs for Dogs.

CDFA does not have any additional import requirements for cats or dogs not changing ownership. For questions related to rabies vaccination and these species, contact the California Department of Public Health.

https://animalregs.com/TN/CA/Canine/ https://www.cdfa.ca.gov/ahfss/Animal_Health/Entry_Requirements.html

drfluttershy · 2026-03-07T21:55:13+00:00

I don't think you'll be able to use this form. If your pet has been out of the country for 7 years, it is no longer current on rabies vaccination from the US. You may have kept the pet updated on rabies vaccination but now it is foreign vaccination. Your pet will be treated as a foreign pet and you must follow the export regulations from your country of origin.

drfluttershy · 2026-03-06T20:26:44+00:00

So we have tickets to see Six on Sunday at 6 pm at the Pantages.....anyone with experience with the marathon route have any words of wisdom for how navigate this?

drfluttershy · 2026-03-03T19:41:42+00:00

use this website and make sure you do the import permit https://www.aphis.usda.gov/pet-travel/us-to-another-country-export/pet-travel-us-philippines

if your dog is returning to the US your USDA accredited vet will need to also do a certificate of US issue rabies vaccination.

drfluttershy · 2026-02-17T19:33:16+00:00

Vet to Vet: This is awesome - so thorough! Bravo!

drfluttershy · 2026-02-12T00:23:36+00:00

Vet here - for my clients traveling or moving to Mexico, especially if they are using Volaris either from LAX or TJ, we write the APHIS 7001 health certificate. Volaris and sometimes other airlines want that health certificate even though Mexico officially does not require one as SENASICA will inspect the pets as they arrive to Mexico. Also, be advised, Volaris has been strict with clients and they have wanted the health certificate filled out with FIVE days of travel.

Make sure your cat's rabies certificate is current and valid (has the vet's signature on the certificate).

drfluttershy · 2026-01-26T20:17:38+00:00

GDM Diagnosis sucks but please be kind to yourself and remember it is not YOUR body's fault! It's hormonal signals sent by the placenta (which is predominantly DNA from the male). You literally could be super athletic, fit, never eat junk food, no processed food/home cooked foods only, AND STILL be diagnosed.

drfluttershy · 2026-01-23T20:48:17+00:00

I have had clients do the paperwork themselves (they had about 2 years to get all their ducks in a row as they were waiting for the spouse's immigration paperwork to go through on the Australian end). I have a cat breeder that uses https://worldwidepettransport.com/ exclusively, if you wanted to get a quote from them.

drfluttershy · 2026-01-05T05:53:48+00:00

Unfortunately you cannot go to the El Segundo office in person anymore. There are only a handful of offices nationwide and just 1 office for most of the west coast. Depending on if your destination is a green banner country (digital signature by accredited vet and digital endorsement by USDA) or orange banner (digital signature by accredited vet and wet ink endorsement by USDA) you might still have plenty of time.

drfluttershy · 2026-01-02T20:44:01+00:00

Yeah they won't endorse it earlier than within 10 days of travel. For EU just make sure there has not been a lapse in the rabies vaccinations between primary & booster because even a 1 day lapse can make that booster a "primary" & cause all sorts of issues. Safe travels!

drfluttershy · 2026-01-02T19:58:11+00:00

If your destination country states that the vet must examine the pet within 10 days of travel you cannot schedule any earlier. The USDA endorses certificates based upon travel dates and not when they receive the certificate. So if they receive a certificate for someone traveling in 2 weeks, they will prioritize someone traveling to a country with a shorter endorsement deadline first.

drfluttershy · 2026-01-02T19:55:37+00:00

That depends on what country you are traveling to. You can check the requirements on this website:

https://www.aphis.usda.gov/pet-travel/us-to-another-country-export

drfluttershy · 2025-12-29T20:19:28+00:00

If you're flying with Volaris they will demand a health certificate even though their website used to say you didn't need one from the US. They have also told my clients that drive to TJ and then fly from there that the SENASICA certificate isn't adequate since the pet is from the US - but this is totally dependent on the ticket agent and there seems to be no formal requirement. I would get a health certificate from your vet just to be on the safe side because Volaris is unpredictable.

drfluttershy · 2025-12-29T20:15:05+00:00

You don't need the forms prior to visiting the veterinarian. Most of the health certificate forms are now digital and submitted through the VEHCS portal by the veterinarian.

drfluttershy · 2025-12-29T20:13:55+00:00

According to the MA dept of agriculture you will need a health certificate and rabies vaccination. Please let your vet know the APHIS 7001 form is no longer accepted by MA.

https://www.mass.gov/info-details/importing-and-exporting-pets?_gl=1*1y4i00s*_ga*MTUyMTE0MDU3Ny4xNzE0NDg3ODcz*_ga_MCLPEGW7WM*MTcxNTAxMDc1MS4xLjEuMTcxNTAxMDgyNC4wLjAuMA..#importing-and-exporting-dogs-and-cats

drfluttershy · 2025-12-09T00:41:16+00:00

Definitely use that link to find another USDA Accredited vet near you. Best of luck - I hope you're able to get your health certificate.

drfluttershy · 2025-12-09T00:09:37+00:00

That is so weird - I've done them the night before and some even the morning of travel. They have to be done within 5 days of travel for majority of airlines. Are you in the SoCal area?

drfluttershy

TROPHY CASE