They can also be coaxed into taking appropriately sized pinky mice. These can be scented with salmon, trout or any other type of fish.
You can cut up salmon and trout fillets and dust them with a calcium/multi-vitamin powder every third or fourth feeding. Whole silversides are acceptable.
As to earthworms - occasionally. Just be careful of "red wigglers" which have been reported at worst to be toxic to snakes, at best - distasteful. These should not make up the main part of the diet. Unlike garters, ribbons snakes sometimes cannot be coaxed into eating earthworms. If not, it's not the end of the world........
I would offer rodents and fish 99% of the time with earthworms as an occasional treat or as a means to get him to try other items.
I have a western ribbon snake that loves earthworms. I used them as a way to get him onto pinky mice. I would cut the worms up and place them in a dish with the mice. He got so worked up over the worms he gobbled up the pinky at the same time.
As to his illness, it is not uncommon for ribbons snakes and garters (thamnophis) that have been fed a diet of fish high in thiaminase to develop neurological problems. It is also not uncommon for thamnophis fed a diet of goldfish and rosys to develop internal parasites. Hopefully, this Vet you found will be able to diagnose and treat whatver is afflicting him.









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