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Some other things you can try to get his protein up if he will try them shelled sunflower seeds from the feed store will also help with vitamin e just not to much there 33 percent protein. For Niacin take over the counter Niacin tablets and grind them I use a coffee grinder to pulverize them...

Thought this might help it was the original post when he got sick Help needed: gander seems sick, with severe gaping

@Goosebaby (definently looks like pain she is also straining)