A little background - My boy came in slightly off on his left front back on May 5th. He was overweight and underworked. I had, about 2 weeks prior, taken him off all sweet feed and started him on a ration balancer as he had 24 hr access to pasture and hay. Two days later, he was off on the right as well. Had the vet out immediately. We did radiographs and blood work done and he was put on stall rest with deep bedding. He was diagnosed IR but not Cushings and laminitic with 2 deg rotation. Good solid feet. He was started on Thyro-L to help lose weight and he's also on Remission, Ration Balancer and hay. He was doing great - no pain in the feet and losing weight. The end of July he began going out in an "almost" dry lot with very little grass and a muzzle - wearing boots. He did this a couple hours per day for just over a week. Overnight - he went VERY lame in his left front. Put on bute and stopped the turnout. Vet was called immediately. He had a couple very rough days - then began getting better (less lame but still lame). Vet came out on Monday (a few days after the lameness began). All vitals were good. She said I'd been doing everything right and didn't think that it should be another laminitic episode. Thinking possibly an abscess brewing. Though no heat, swelling, soreness anywhere, etc. Touched base with the vet this morning. Still no obvious abscess and still lame but even less so. We've decided to give it the weekend with soaking in Epsom salts and see how he is Monday. If not better and/or no abscess showing we're going to pull radiographs again. Now - the question - I have a friend at the same farm whos horse came up very lame in both fronts. Vet came out and pulled blood. Horse is IR and overweight. Didn't do radiographs. Was put on Thyro-L and told to put shoes back on him. He's still living out 24/7 with grass and hay no muzzle and he's fine? Another friends horse that was known to have foundered and was laminitic - no radiographs - no blood work - stall for 30 days to lose weight - new shoes and she's back to lessons and showing? What am I doing wrong by trying to do the right thing? Do I just throw shoes on him and roll? Of course I won't - but it makes me wonder! edited to add: He had front shoes on until he came up lame and has been barefoot since - using hoof boots with pads during turnout.