It’s not you guys specifically but slippery elm needs to be given at time no other medicines or vitamins are given so it makes bit problematic. Bella is on home cooking and vitamins plus MSM, Chondroitin, glucosamine and a probiotic are given in her meals. Since slippery elm basically coats the stomach, the nutrients won’t be absorbed. For bad diarrhea bouts, I add clay from RX vitamins! Just not practical for now but may revisit this later.