U W Talk 2011 F I N A L

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Ken Lambrecht DVM

Medical Director Westside Family Pet ClinicFitness amp Rehab Director 4 Paws Swim amp Fitness

Presented to UW School of Vet Med April 6 2011

westsidefamilypetcom klambdvmgmailcom

American Animal Hospital Association (AAHA) Nutrition as integral part of wellness Our role as veterinarians Cases Recommendations

Recallsfood safetyRaw vs commercialldquoEvilrdquo ingredientsBig box corporations vs ldquoMom amp Poprdquo

OCD of shoulder Hip dysplasia Irreversible pulpitis 104 Laryngeal Paralysis Osteoarthritis Cognitive Disorder Syndrome Hearing loss

Periodontal Disease Feline Resorptive Lesions Kidney Disease Hyperthyroidism Lung mass Osteoarthritis Cognitive disease IVD Syndrome

REX LANCE

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

American Animal Hospital Association (AAHA) Nutrition as integral part of wellness Our role as veterinarians Cases Recommendations

Recallsfood safetyRaw vs commercialldquoEvilrdquo ingredientsBig box corporations vs ldquoMom amp Poprdquo

OCD of shoulder Hip dysplasia Irreversible pulpitis 104 Laryngeal Paralysis Osteoarthritis Cognitive Disorder Syndrome Hearing loss

Periodontal Disease Feline Resorptive Lesions Kidney Disease Hyperthyroidism Lung mass Osteoarthritis Cognitive disease IVD Syndrome

REX LANCE

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Recallsfood safetyRaw vs commercialldquoEvilrdquo ingredientsBig box corporations vs ldquoMom amp Poprdquo

OCD of shoulder Hip dysplasia Irreversible pulpitis 104 Laryngeal Paralysis Osteoarthritis Cognitive Disorder Syndrome Hearing loss

Periodontal Disease Feline Resorptive Lesions Kidney Disease Hyperthyroidism Lung mass Osteoarthritis Cognitive disease IVD Syndrome

REX LANCE

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

OCD of shoulder Hip dysplasia Irreversible pulpitis 104 Laryngeal Paralysis Osteoarthritis Cognitive Disorder Syndrome Hearing loss

Periodontal Disease Feline Resorptive Lesions Kidney Disease Hyperthyroidism Lung mass Osteoarthritis Cognitive disease IVD Syndrome

REX LANCE

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Periodontal Disease Feline Resorptive Lesions Kidney Disease Hyperthyroidism Lung mass Osteoarthritis Cognitive disease IVD Syndrome

REX LANCE

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

REX LANCE

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Board Certified Nutrition DVMS (58+) Rx Pet Food amp Supplement Companies (Royal

Canin Purina Hills Iams VetriScience Nutramax Herbsmith Rx Vitamins etc)

Internet Whole Dog Journal BARK ldquoChow Houndsrdquo Dr Ernie Ward ldquoFeed Your Pet Rightrdquo Marion Nestle amp Malden Nesheim

Pet Food store employees Breeders friends

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Over 70 trust their veterinarian They want us to make a recommendation Rx food vs OTC food

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

AAFPAAHA Feline Vaccine Guidelines 2003 AAHA Dental Care Guidelines 2005 AAHA Canine Vaccine Guidelines 2006 AAHAAAFP Feline Behavior Guidelines 2007 AAHA Senior Wellness Guidelines 2009 AAHA Feline Life stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life stage Guidelines (fall 2011)

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

1 Follow establishedemerging guidelines AAHA AAFP AVMA

2 Know where your clients are getting info 3 Know Calories BCS amp Supplements4 Prevention prevention prevention5 SeekFind the experts

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist Kathryn Michels DVM DACVN Board Certified Veterinary Nutritionist Dr Deb Greco DVM DACVIM Board Certified Veterinary Nutritionist Dawn Boothe DVM Drug Formulary author Dr Sherman Canapp DVM ACVS CCRT Board Certified Surgeon amp Rehab Dr Julie Churchill DVM DACVN Board Certified Nutritionist Dr Joe Bartges DVM DAVN Board Certified Veterinary Nutritionist Dr David Twedt DCVIM Board Certified Internal Medicine Dr Tony Buffington DVM DACVN Board Certified Nutritionist Dr Deb Zoran DVM DACVIM Board Certified Internal Medicine Dr Rob Silver DVM MS Holistic Private Practice

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Be open amp evidence based Be well informed Be good communicators Be the pets highest advocate ALWAYS Make recommendations

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Hills made first can of KD 1940 Ken Lambrecht gets DVM 1981 Westside Family PC gets AAHA Accredited 1995

2002 Purina Study 2004 Nestle bought Purina (Switzerland based) 2006 Mars bought Royal Canin (France based) 2007 Melamine Contamination 2010 AAHA Nutrition Guidelines

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Dentistry affects 80 of pets Obesity affects 30 to 40 (or more) Osteoarthritis 20 Allergies 15 Specific organ diseases 10 to 20 (GI Renal Liver Urinary Derm etc )

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

0102030405060708090

100

wellness

VaccinesFleaTick

Dentistry

WeightManagement

Osteoarthritis

AllergiesCardiology etc

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Periodontal disease causes kidney heart diabetes pancreatitis discospondylitis and other diseases and is 100 preventable

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Vohcorg

Foods= 20 betterTreats amp Water products = 10 better

Plaque andor Tartar claim (Gingivitis claim coming)

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

0102030405060708090

100

1st Qtr

Osteoarthritis

WeightManagement

Dentistry

Wellness

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

ldquoOverweightrdquo ldquoOver conditionedrdquo A little chubby not their ideal weight etc

etc

Obesity is a serious epidemic disease that is as important as any other disease we treat and is 100 preventable

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Diabetes Urinary Infections Osteoarthritis Anesthetic risk Cranial Cruciate Rupture

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Kealy Gail et al Labrador Retrievers 14 year study (longest ever performed) Showed that ideal weight dogs lived an average of

15 longer and had better health and quality of life (Lab expected life 12 yrs should add 22 yrs)

wwwpurinacomscienceresearchDogMoreYearsaspxwwwpurinacomscienceresearchDogMoreYearsaspx

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Canidae All life stage 1 cup (8 oz) 468 Purina High Pro 441 ( 367 to 493) Royal Canine Mature 1 cup ( 8 oz) dry 373 Iams Wt Control 1 cup (8 oz) dry 328 Purina Rx DH 1 cup (8oz) dry 276 Hills Rx Diet Canine RD 1 cup (8 oz) dry 242

JAVMA article Dr Lisa Freeman ldquoLight formulasrdquo ranges from 224 to 480 calcup

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Avg Pigs ear 170 Rawhide Chew Med 57 Milk Bone Med (1) 40 Green Beans (14 cup) 9 Freeze Dried Liver Treat 6 Small slice GS apple 3 Baby Carrot 3

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

If pet is 2 BCS scores over ideal on BCS or more than 20 over ideal weight

Dogs 1gm protein per lb of Ideal weight Cats 2 gm protein per lb of ideal weight

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Association of Pet Obesity Prevention wwwpetobesitypreventioncom

Ohio State website httpvetosuedunssvet

Texas A amp M website httpvetmedtamuedu

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Raised $692 for local rescues 57 participants 20 cats Pets lost from 0 to 38 per week Most on Rx food (two on raw)

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Dogs lived an average of 15 longer

This study has been repeated in at least 5 other species

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Continuously assess BCS (every visit) Keep them on lean side = fistknuckles test Teach clients how to count calories

I am MUCH more concerned about Ideal weight than any one or group of ingredients

Ideal weight = best health insurance

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

(Kealy Gail Smith et al) using Purinarsquos research dogs amp facility

48 Labradors Followed for 15 years

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

We can reduce degenerative orthopedic diseases (DOD) = hip dysplasia elbow dysplasia and OCD of shoulder

By keeping pets at their ideal weight for their entire life

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

OA Treatment Pyramid

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

J Am Vet Med Assoc 2000 Apr 1216(7)1089-91Effect of weight reduction on clinical signs of lameness in dogs with hip osteoarthritisImpellizeri JA Tetrick MA Muir P

Vet Rec April 2009164(14)418-24 Systematic Review of the management of canine osteoarthritis

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

MULTI MODAL OA THERAPY

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Dr Sherman Canapp DVM MS DACVSCCRT Officer American Association of Rehabilitation

Veterinarians (AARV) Seminar this Saturday at 4 Paws Swim amp Fitness Forelimb lamenesses Stem cell regeneration Nutraceutical expert And more Special $100 student rate offered by Hudson

(normally $250)

A great opportunity Saturday 49

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Not FDA regulated No incentive to prove they work Quality control issues for OTC products Dose issues This is a challenging area

wwwConsumerlabcom

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Supplement = anything added to food

Nutraceutical = concentrated nutrient modules that are added to the food that have proven health benefits

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

eth Fish oils (EPA amp DHA) Chondroprotectants (joint supplements)t Probiotics prebioticsi Denamarin L theanine milk colostrum

apoaequorina Anti-oxidants botanicals chinese herbs

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

EPA (Eicosapentanoic Acid) amp DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA) inflammatory skin diseases kidney cognitive and heart disease and even inflammation associated with normal daily activity (references 123456) and now periodontitis

Mueller RS et all J Sm An Proc 2004 45293-297 Simopoulos AP J Amer Coll Nutr 2002 21495-505 Bauer JE I Am Vet Med Assoc 2006 229680-684 Caterson B et al Hills European Symposium Genoa Italy Apr

200514-18 Brown SA et al J Nutr 1998 1282765S-2767S Smith CE et al J Vet Inter Med 2007 21265-273 Soukup Jason DVM AVDC American Veterinary Dental Forum Oct 2009

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Feed at least 20 mglb EPA and 15 mglb DHA per day to treat disease (Lisa Freeman DVM DACVN) prevents disease

Use high quality products that are fresh mercury free and have antioxidants (Vit E)

Sardines amp anchovies sustainability Bioavailability free form etc

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

391 mg EPAcapsule 325mg EPAcapsule 250 mg EPAcapsule

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

CLOSELY read labels Call the food company you are feeding and ask for

the EPA levels ____mg EPA per cup (Purina JM is 295cup Hills JD is 394cup Royal Canin is 330 mgcup)

Supplement as needed to reach 20mglb EPA (or more)

Be wary skeptical of Omega 6 to 3 ratios amp flax borage krill oil etc

www westsidefamilypetcom

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

In a major study 84 of labeled products (human) were not what the label stated

Not FDA regulated Some studies done in rats mice etc DASUquin reg amp Glycoflexreg amp Royal Canin JS

all have studies to support their use

wwwConsumerlabcom

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Texas A amp M (GI lab (PLI TLI etc) To treat inflammatory bowel disease Immunity still good even if killed Good for urinary tract

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

University of Tennessee Prevent urinary infections minimum of 5

billion CFUrsquoS (people 10 to 20 billion) Multistrain best Published study (only Nutramax product) Immune stimulant

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Dr Deb Zoranrsquos findings Purina OM (50) Royal Canin CC 38 (38) Hills RD (37)

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

First ALWAYS = Ideal weight amp exercise plan JAVMA reference 10 wt loss Purina JM Royal Canin Mobility or

supplement with 20mglb EPA DASUquin or Glycoflex or RC Mobility

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

53 protein

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

ECVIM paper

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

J Vet Intern Med 2010 Dr Duncan Lascelles

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

= +

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

2 Seek CE everywhere3 Be evidence based amp impartial4 Make a recommendation5 Be the pets best advocate

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles obesity English bulldogs boxers cancer Bichons urinary calculi

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Food quality amp safety issues Why arenrsquot the calories per cup on the bag Meat vs plant based protein What is special about senior formulation What about corn grain free diets What about gluten free for pets Prebiotics in food AAFCO

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Read AAHA Nutritional Guidelines Read ldquoFeed Your Pet Rightrdquo Visit Consumerlabscom Visit osuvetedu Visit westsidefamilypetcomnutrition Join AAVN list serve (free for students) Follow our board certified leaders

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75

Thank you for your attention

Questions

  • Evidence Based Nutrition = Food amp Supplements as Medicine
  • Overview
  • It takes a team
  • Pet Food is an emotional issue
  • Wellness as taught by ldquoTravisrdquo for 14 years
  • Wellness as taught by ldquoBuckrdquo for 22 years
  • My present challenges
  • Who provides information amp where is the evidence
  • Slide 9
  • Who do pet owners trust
  • Published Guidelines
  • Nutrition homework
  • my CE related to nutritionsupplements 2006-2011
  • Our role
  • Slide 15
  • WHEN did Rx nutrition get interesting
  • Start with the most common conditions
  • Wellness Emphasis Areas
  • Preventing dental problems
  • Before amp After 12 Step Dental Cleaning
  • Internal disease caused by Periodontal Disease
  • What of clients brush their pets teeth daily
  • Veterinary Oral Health Council
  • Prevention by Nutritional Products amp Homecare
  • Slide 25
  • Preventing amp treating Obesity
  • The ldquoordquo words
  • 30 to 58 of Pets are over their ideal weight
  • Findings of Purina Study 2002
  • Slide 30
  • How many calories are in that cup of food
  • Get a handle on treats
  • Dr Julie Churchill DACVN
  • Favorite websites
  • How do we get dogs to lose weight
  • Pets Reducing for Rescues 2011
  • Longevity component
  • My perspective
  • Slide 39
  • Slide 40
  • Degenerative Orthopedic Disease (DOD) information
  • Study findings
  • Slide 43
  • Value of exercise amp ideal weight cannot be overemphasized
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • supplements
  • Definitions
  • Evidence based Supplements
  • The value of the fish oils
  • Recommendations
  • PILL Forms (OTC amp Veterinary)
  • LIQUID supplements
  • Compliance is key
  • Constant client education
  • Evidence based Joint supplements
  • Evidence based Joint Supplementsfoods
  • probioticsprebiotics
  • Dr Deb Zoran DVM DACVIM wvma October 2010
  • DR Joe bartges DVM DACVIM wvma October 2010
  • Random favorite WFPC diets
  • OBESITY FELINE
  • PREVENTION or Early Osteoarthritis Canine
  • Diabetes Feline
  • FELINE Constipation Diet
  • Osteoarthritis Feline
  • Creative nutrition
  • YouroUR homework
  • Breed specific wellness
  • Breed specific nutrition
  • Other pet food questions
  • Action steps
  • Slide 75