1. Omeprazole will not work on hind gut ulcers. Keep the horse on Succeed
, as long as you continue to see improvement.
2. Something else that is common in older geldings (then stallions, mares occasionally) are lipomas.
2.1. The horse love of my life developed hind gut ulcers and lipomas. I kept him on Succeed 2-1/2 years. It stopped his colics until he was 27 and the hanging lipomas did their final damage.
3. Egusin is another all natural product you might keep in mind. Succeed did not work on a current horse with gastric ulcers but the full treatment of Egusin worked. He has not had an ulcer issue since I finished the treatment protocol last October. Egusin
4. My horses are easy keepers, one is insulin resistant. I havenít fed any sort of grain OR SOY since 2007.
I feed HorseTechís condensed (soy-free) vit/min supplement for grass fed horses. I mix it and other needed supplements into one cup of Timothy pellets twice daily.
Hay is locally grown orchard/mix. A quality grass/mix should work if you can find first cut. First cut is always less stemmy.
4.1. Another member on this forum recently mentioned this bagged hay by Green Meadows that might be something to consider. Their Equal Balance product
is good for horses that need low NSC but they have other products that may be better suited for your horse. https://greenmeadowsforage.com/equine.html
5. You could consider also adding some extra Vitamin E to boost the immune system. I buy that from HorseTech, as well:)
The bottom line is that less is more for a horse with hind gut ulcers and still keep them healthy/vibrant:)