LB has to take cortizone. Unfortunately I stopped the Neoral (auto immune drug) last week coz of the side effects but now the granuloma on his tongue has grown to an unmanageable size. Vet has started him on low dose cortizone: delta-cortef 5mgs per day. To my untrained eye he seems quite unwell plus his breath smells of sour blood. He had Convenia last week so is under the influence of a long acting antibiotic but I'm wondering if it might be a good idea to double the cortizone to 10 mgs initially because the granuloma is causing him so much discomfort - he is trying to swallow it constantly. It's much more important to get the granuloma under control right now than to worry about his FD. I am bg testing regularly and will increase the Lantus if his numbers rise too much. There are few options with eosinophilic granuloma. Auto immune medication or cortizone. Anyone know anything about Delta-cortef?