Keeping Your Senior Dog Healthy

Dogs are considered senior at half of their life expectancy.  For some, this can come around a little earlier than expected.  Are there changes we need to make as our dog ages? Well, there are always things we can do to support their health of our companion.‍ Let’s take a look Aging is defined as the process of becoming older and whilst we still haven’t got to grips with the biological process in its entirety, there are some things we do know.‍ Cells are thought to have a finite number of times they can replicate and divide.  It is known as the Hayflick Limit.  When a cell has reached that limit, it cannot divide anymore and will break down by programmed cell death.  It is this limited capability that we see as aging.‍ This programmed cell death usually occurs when telomeres (protective structures found at both ends of chromosomes) reach a critical length.  It is therefore considered that telomere length serves as a biological clock.  Telomere shortening occurs at every DNA replication – so if there is an increased need for cell replication, they will become shorter.  This is why we are particularly interested here at My Pet Nutritionist, because there is such a high turnover of cells in the liver, gastrointestinal tract and skin (all parts of the body that we see many issues with).‍ Shorter telomeres can also induce genomic instability and this sadly, is one of the leading factors in cancer.  Cells have planned programmes to divide, replicate and ultimately die (apoptosis) – they get these messages from genes.  When genes are unstable, their messages get a little like Chinese whispers and so the cells go rogue – dividing and replicating, but not dying.  This aberrant growth is implicated in cancer.‍ Diet can also affect telomeres.‍ A diet contain omega-3 fatty acids is associated with a reduced rate of telomere shortening, Telomere length is positively associated with the consumption of nuts and fruits, Consumption of a diet including Vitamin E, Vitamin C and beta-carotene is also associated with longer telomeres – the inclusion of antioxidant compounds protects against oxidative damage. Dietary restriction also reduces oxidative burden, reducing damage to DNA – for this reason it is regularly associated with improved lifespans.  In a study in Labrador retrievers, results indicated that 25 % restriction in food intake increased median life span and delayed the onset of signs of chronic disease.‍ Findings Here‍ The bottom line? The consumption of a whole-food, nutrient dense diet with the inclusion of omega-3 fatty acids is beneficial for the aging pet. Caloric restriction is also a consideration to make.‍ On the other side of the scale, are there things that can negatively affect telomere length? Processed meats, high consumption of sugar over time and high intake of refined grains is negatively associated with telomere length.  In short, the consumption of these foods is associated with shorter telomeres.  If telomeres are shorter, the cell hits its limit sooner and carries out its programmed death sooner.‍ Findings Here‍ Cognitive Canine Dysfunction Cognitive dysfunction syndrome (CDS) is a progressive neurodegenerative disorder of senior dogs.  It’s generally considered the dog version of Alzheimer Disease.‍ It is thought that one third of senior dogs will show signs of confusion, restlessness, and less enjoyment of life.  It is a result of a decline in higher brain functions, through degeneration.‍ A variety of studies in the veterinary field have supported the proposal of nutritional manipulation, particularly with antioxidants as part of the treatment regime in cases of CDS and reported significant effects of modified diets.‍ Evidence has demonstrated a place for the following nutrients:‍ Antioxidants Alpha-Lipoic Acid Vitamin C Vitamin E L-Carnitine Co-enzyme Q10 EPA and DHA Phosphatidylserine‍ It is considered that nutritional adjustment provided brain strengthening components, signalling enhancers, metabolic support, and antioxidants.‍ Findings Here‍ What was particularly interesting from the above study is that time spent active increased alongside the nutritional adjustment.  Being sedentary is a shortcut to poor immune function largely due to lymph function.‍ The Lymphatic System The lymphatic system is a network of vessels and nodes that spans the entire body.  It is critical for health and for the immune system to function properly.‍ Your Pet’s Immune System‍ Both blood and lymphatic systems share many functional, structural, and anatomical similarities, but lymphatics are unique. Unlike the blood system, which is a closed loop with the heart actively pumping blood to oxygenate our tissues, lymphatics are open-ended. Movement of lymph is governed by rhythmic daily muscle movements propelling the fluid along network. The lymph fluid, called chyle, which contains immune cells, permeates every nook of the body.  Movement of lymph fluid through the lymphatic vessels transports immune cells around the body, where they patrol all the remote corners of the body, keeping a lookout for anything untoward. The lymphatics also bring immune cells together in hubs of immune activity called lymph nodes.  If the flow of lymph stops or becomes impaired, this vital immune surveillance and defence function can become compromised.‍ And being sedentary sadly results in compromised lymph function.‍ Therefore, movement for the aging dog is still important to support vital immune function.  Within reason.  We can’t hide from the fact that degenerative musculoskeletal issues are common in the aging dog, so care must be taken.‍ Can Nutrition Support Joint Health‍ What Is Pain and How to Look For It‍ Obesity and Musculoskeletal Health in Dogs‍ Natural Arthritis Guide and Herbs to Help Dogs‍ You’ll be forgiven for thinking that lifestage nutrition is a bit of gimmick, but there’s no denying that the demands placed upon the body and brain are different across different life stages.  For that reason, nutritional adjustment may be appropriate, depending on individual circumstances, lifestyle and health needs.‍ If you would like further support for your aging or senior pet, then please check out our services to see if we may be able to help.‍ Thanks for reading,‍ Team MPN x

Can Nutrition Support Joint Health?

Of course it can.  But, we wouldn’t be doing us, you as pet owners, or the pets in your care any justice if we didn’t go into a little more detail.  Here at My Pet Nutritionist we’ve seen hundreds of pets with joint concerns.  Prevention is better than cure and this is where nutrition can certainly play a role. Even in chronic degeneration, there are changes that can be made for the better.  Sadly, there are genetic dispositions to joint issues, and we can’t change that, but we can do a little bit of damage limitation.‍ There’s certainly a lot to cover, so let’s get cracking.‍ The Skeleton The Skeleton is essentially a supporting framework.  It consists of strong, mineralised bone which form a sophisticated system to facilitate movement.‍ Bone is a light, yet strong connective tissue consisting of around 30% collagen and other matrix proteins with around 70% minerals.  These minerals include calcium and phosphorus, but magnesium, sodium and potassium are also present in conjugated form.‍ Bones come together to form joints.  The type of joint formed determines the degree and direction of motion.  For example, joints with a ball and socket formation allow for a rotation whilst hinge joints only allow for bending and straightening.  In a joint, the ends of the bones are covered in cartilage, which helps reduce friction as joints move.  With age, this cartilage can degrade.  Tendons connect muscle to bone and are made up mostly of collagen.  Ligaments surround joints and help to stabilise them.  They also connect bone to bone.‍ Bone Formation Also known as ossification, bone formation is a process where new bone is produced.  Bone starts as a cartilage model which gets slowly replaced.  Osteoblasts are the cells that form new bone; think of it as a blast that spreads, and osteoblasts spread to form new bone.  Osteoblasts secrete osteoids which are simply unmineralized bone tissue.  Soon after the osteoid is laid down, inorganic salts (calcium and phosphorus) are deposited which forms the hardened material that we know as bone.‍ Inappropriate levels of calcium and phosphorus during growth therefore understandably contribute to bone deformities and skeletal disorders.  Diets high in phosphorus, particularly with low calcium reduce bone mass and density.  We see this in the, now thankfully rare, disease in horses.  Big head disease, more common in countries like Australia, is also known as bran disease or Miller’s disease.‍ The colloquial names demonstrate immediately the dietary link.  Clinically termed hyperparathyroidism, it affects the skeleton of horses.  The horse’s bones slowly demineralise due to the low levels of calcium found in their system.‍ The low calcium levels are usually due to one of two reasons.‍ Calcium bioavailability due to high levels of phytates in bran, Calcium bioavailability due to oxalate containing grasses.‍ As we know, phytate is when phytic acid binds to a mineral.  Phytic acid is the principal storage form of phosphorus, and it binds to zinc, iron, calcium, magnesium and more! What this means is that the mineral it binds to is less available.  Sadly, phytic acid is found in plant-foods like grains, nuts and legumes and for us pet owners, of note, it is found in wheat, barley, rice and maize; the same ingredients found in many commercial pet foods.  There is therefore the possibility that phytate can affect calcium bioavailability and be of detriment to bone formation, growth, and maintenance.‍ Oxalic acid is an organic compound found in many plants including leafy greens, vegetables, fruits, nuts and seeds.  This too can bind to minerals including calcium and then becomes calcium oxalate.  This not only results in low calcium levels, of detriment to bone formation, growth and maintenance but may also lead to renal issues and/or failure.‍ It seems however, that high phosphorus and high calcium diets blunt the effects of each other.  These two minerals interact in the gastrointestinal tract to limit absorption of the other.  Therefore, a calcium: phosphorus ratio of 1.1:1 to 2:1 is recommended for dogs.‍ On the subject of the gastrointestinal tract, most minerals are absorbed largely in the small intestine (although they can be absorbed from any portion in the GI tract).  So, the digestive tract needs to be working as it should to aid absorption and therefore utilisation of the minerals.  Inflammation within the GI tract is often linked with vitamin and mineral deficiency.‍ Findings Here‍ Furthermore, those suffering with inflammatory bowel conditions are often treated with medications like glucocorticoids to reduce the inflammation caused by the disease.  In the process, these medications disrupt the development and maintenance of healthy bones.‍ Bone formation proceeds outwards from ossification centres; short bones tend to have one in the middle whereas long bones typically have three, one at each end and one in the middle.  Ossification, or bone formation continues until there is a thin strip of cartilage left at each end of the bone.  This is known as the epiphyseal plate, or growth plate in the dog world.  When the bone reaches full adult maturity, the cartilage is replaced with bone and “sealed” for want of a better word.‍ Glucocorticoids have a direct, inhibitory effect on the growth plate, as demonstrated by in vivo and organ culture studies. Glucocorticoids slow longitudinal bone growth by inhibiting chondrocyte proliferation, hypertrophy, and cartilage matrix synthesis.  In vivo, dexmethasone, a potent synthetic glucocorticoid, infused directly into the proximal tibial growth plates of young rabbits caused a 77% inhibition in growth.‍ Findings Here‍ It would therefore be appropriate to consider the root cause of any inflammatory conditions alongside any treatment plan.‍ When considering calcium and phosphorus absorption, it pays to consider vitamin D because it stimulates the intestinal absorption of those minerals.  Vitamin D is a fat-soluble vitamin found in foods like oily fish, liver, and eggs.‍ Being a known contributor to bone health, when puppies are fed a diet lacking in Vitamin D, they can develop Rickets.  However, at the other end of the scale, puppies fed too much vitamin D experience impaired ossification (bone formation).‍

Why Does My Dog Need Folate

Whilst looking at micronutrients separately can be a somewhat reductionist view of both health and disease, we can’t deny that in many conditions we see here at My Pet Nutritionist, deficiencies may appear.  We haven’t covered a specific nutrient for a while, so we thought we’d start again with Folate. Folate is a water-soluble B vitamin that is naturally present in some foods, added to others, and available as a dietary supplement.  Folate, formerly known as folacin and sometimes vitamin B9, is the generic term for naturally occurring food folates. Folic acid is the fully oxidized monoglutamate form of the vitamin that is used in fortified foods and most dietary supplements.  In short, folate is the natural form, folic acid is the synthetic form. In 1930, Lucy Wills found that marmite could cure macrocytic anaemia in pregnant women, since then we have consistently reinforced the role of folate as a key nutrient for health (and particularly for maternal health and foetal development). Folate comes from the latin folium, largely because folates were first isolated from spinach. Vitamin B9 or folate functions as a coenzyme, which in short means it assists enzymes to catalyse a reaction. B9 plays a role in: Producing nucleic acids (like DNA), Forming blood cells in bone marrow, Ensuring rapid cell growth in infancy, adolescence, and pregnancy, Controlling blood levels of the amino acid homocysteine, Utilizing amino acids in building new proteins. In short, B9 is important in normal blood formation, immune function, cell division and tissue growth. Signs and Symptoms of Deficiency Atrophy of the digestive tract epithelium; reduced absorption of nutrients, diarrhea, anorexia and weight loss, Reduced production of platelets can increased risk of abnormal bleeding, Impairments in white blood cell development can reduce immune response, Elevated blood homocysteine, Impaired foetal growth, Behaviour changes – depression, irritability. Anaemia Folate Deficiency Anaemia Anaemia is a blood disorder where the number of red blood cells is lower than usual.  Red blood cells carry oxygen to all parts of the body, so in cases of anaemia, oxygen doesn’t get to tissues and organs.  Without oxygen, they can’t carry out the functions they are supposed to. In addition, low folate levels can cause megaloblastic anaemia where red blood cells are larger than normal.  As they are larger, they aren’t always able to leave the bone marrow, and so they can’t enter the blood stream to deliver oxygen where it needs to go. Causes of Folate Deficiency It goes without saying that a diet low in naturally occuring folates can result in folate deficiency, but deficiencies usually occur due to small intestinal disease or pancreatic insufficiency. In addition, they can also occur due to chronic use of certain medications. Like vitamin B12, folate is bound to protein so it must be freed by processing or digestion.  Digestion starts in the stomach, but then soon calls upon the pancreas to help out with the production of digestive enzymes.  Folate is chiefly absorbed in the small intestine so any dysfunction or inflammation here will result in malabsorption.  This is why folate deficiency is often seen in inflammatory bowel disease. Gut Guardian Folate deficiency is regularly noted in cases using: Anticonvulsant medication, Sulfasalazine – to treat IBD/colitis, Diuretic medication, Homocysteine Homocysteine is an amino acid that is usually changed into other amino acids ready to be used by the body, but this process depends on other coenzymes and folate is one of them.  When folate is low, homocysteine levels can creep up. High homocysteine levels have been associated with: Heart disease, Kidney disease, Arthritis, Neurodegeneration, In humans, we pay a lot of attention to a gene known as MTHFR, for us, this gene can have a glitch which means we don’t convert folate to its active form.  As a result, those with MTHFR mutations can suffer with high homocysteine levels.  We are still building our understanding in canines, but it appears dogs too can suffer genetic glitches which can affect how well they metabolise and utilise folate. A study carried out in 2014 explored the link between homocysteine levels in dogs and cardiovascular disease, inflammatory conditions, skin and kidney disease.  They established breed differences in homocysteine levels, suggesting a genetic component to folate handling, like in humans.  In addition, they concluded a strong relationship between high homocysteine levels and skin disease in dogs. Findings Here Folic Acid Supplementation Folic acid often remains unmetabolized in the body, this is the synthetic supplement form.  As it is not a normal metabolite, it must first be reduced before it can enter the folate cycle.  There are also schools of thought that folic acid competes with naturally occurring folates.  For this reason, supplementation should ideally be folate in it’s methylated form. You also bypass the potential issue of genetic glitches. But, if there are no genetic glitches which affect how well your dog metabolises folate, then feeding a nutrient dense, fresh food diet should be sufficient. Sources of Folate: Dark leafy greens – spinach, broccoli, Liver, Seafood, Seeds, Eggs, Nuts, High levels of folate can often mask B12 deficiency, so take a look at our B12 blog for more information. Why Your Dog Needs Vitamin B12 Summary If your dog is suffering with digestive dysfunction, it may affect how well he utilises nutrients, so tackling this is essential.  Folate deficiency is often seen in cases of inflammatory bowel disease and pancreatic dysfunction. Natural Guide for Inflammatory Bowel Disease Pancreatitis: Natural Guide for Pets 7 Steps to Optimal Gut Health If you would like more information on vitamin deficiencies in your dog, then check out our blog here: Does My Dog Have a Vitamin Deficiency As always if you are concerned about your dog’s diet, whether he is getting the right nutrients he needs, or indeed whether he is utilising them as needed, then check out our services to see if we can help explore some of these questions with you. Thanks for reading, Team MPN x

Lectins and Should My Dog Eat Them?

In 1988 a hospital launched a “healthy eating day” in its staff canteen at lunchtime. One dish contained red kidney beans, and 31 portions were served. At 3pm one of the customers, a surgical registrar, vomited in theatre. Over the next four hours10 more customers suffered profuse vomiting, some with diarrhoea. All had recovered by next day. No pathogens were isolated from the food, but the beans contained an abnormally high concentration of the lectin phyto haemagglutinin. What on earth are these we hear you wonder? Well, lectins are often described as an anti-nutrient and as they are found in potatoes, beans, lentils, peas, soybeans, nightshade vegetables and grains, we thought we’d give you the 411 on them. Lectins are carbohydrate binding proteins present in most plants, especially seeds and tubers like cereals, potatoes, and beans. Their original purpose was protection. They would produce an inflammatory response in the animal that ate them – so they wouldn’t eat them again. Humans and Dogs are largely unable to digest them, but friendly bacteria in the gut can lend a hand. Until recently their main use was as histology and blood transfusion reagents, but in the past few decades we have realised that many lectins are (a) toxic, inflammatory, or both; (b) resistant to cooking and digestive enzymes; and (c) present in much of our food Well, it’s not sounding good is it! The really disturbing finding came with the discovery in 1989 that some food lectins get past the gut wall and deposit themselves in distant organs. At high dietary levels, it is thought that lectins cause damage to the structure of the brush borders of the small intestine. In lectin fed rodents, the mucosal membrane in the small intestine was stripped, compromising the gut integrity. This compromise has also been linked to abnormal bacterial proliferation. Findings here As we know, the gut wall does exactly that – keeps things in and keeps things out! It requires tight junction integrity to ensure rogue particles of food don’t get where they shouldn’t. Whenever and however this integrity is compromised, inflammation ensues! The other issue here is that lectins are also seen to inhibit the repair of resident gut epithelial cells. Sadly, not only do rogue particles get where they shouldn’t, but so do the lectins and because of their binding properties, lectins stimulate antigens on cells that do not normally display them like pancreatic islet and thyroid cells – what this means is the body will attack cells it normally wouldn’t because of the confusion. This is why lectins are sometimes implicated in autoimmune disorders, including cases of rheumatoid arthritis. Lectins and Rheumatoid Arthritis A normal IgG (type of antibody) molecule possesses carbohydrate side chains, which end with the molecule galactose. In rheumatoid arthritis much of the galactose is missing, so the next molecule along—N-acetyl glucosamine—is exposed instead.  Wheat lectin has an affinity for this molecule, and so binds (when it normally wouldn’t with the terminal molecule inits normal place). This is why glucosamine has found it’s way as an anti arthritic supplement – wheat lectin can be blocked by N-acetyl-glucosamine. Lectins and Urinary Tract Infections In a similar premise, D-mannose is a sugar with a similar activity to N-acetyl-glucosamine. This too binds to lectins found on some microorganisms. Some bacteria responsible for urinary tract infections contain lectins specific for the sugar mannose and use these lectins to bind tightly to mannose -rich tissue in the bladder walls – therefore initiating infection. D-mannose supplementation provides a decoy for these bacteria. Lectins and Gluten There is also the idea that gluten can act as a lectin with toxic properties for intestinal cells. Together with the gut-associated lymphoid tissue and the neuroendocrine network, the intestinal epithelial barrier plays a role in the tolerance and immunity to non-self-antigens. Zonulin is a protein that helps regulate permeability in the gut by opening and closing tight junctions. Zonulin has been shown to be upregulated in many autoimmune diseases and it appears that gluten may be a strong trigger of zonulin. Lectins and Histamine Lectins also cause discharge of histamine from gastric mast cells which stimulates acid secretion. We need acid secretion to aid digestion, but it’s like the story of Goldilocks again – we need just enough, not too much (or too little). Not only does histamine stimulate acid secretion, but it has also its own little purpose in the body, chiefly the immune response. So, not only do we have rogue particles escaping due to poor gut integrity (thanks to lectins), but we also have increased histamine production, when then increases the likelihood of cross-reactivity. In short, tricking the body into thinking it needs to react to something it most likely doesn’t. Can you see why lectins are often dubbed the great mimics? They confuse the body into doing all sorts of things. They also appear to mimic insulin. Now, insulin is needed in the body, it helps get glucose to where it needs to be, but do we really need things mimicking it? Not when “Low concentrations of wheat germagglutinin (plant lectin) enhance the specific binding of insulin to receptors of fat cells and liver membranes.” Findings here In this case, imitation is not the sincerest form of flattery. But there are other reasons why lectins are deemed anti-nutrients. Animal and cell studies have found that active lectins can interfere with the absorption of minerals, especially calcium, iron, phosphorus, and zinc. Legumes and cereals often contain these minerals, so the presence of lectins may prevent the absorption and use of these minerals in the body. As we have already explored, lectins can also bind to cells lining the digestive tract which may also disrupt the breakdown and absorption of nutrients and affect the growth and action of intestinal flora. However, on the other side of the scale, lectin containing foods are sometimes associated with lower rates of cardiovascular disease and diabetes, because they are rich in fibre. So, what do we do? Lectins are most potent in their raw

Low Histamine Diets, Why and When!

Would you believe that around 70% of the consultations we carry out here at My Pet Nutritionist are surrounding allergies? The reasons for this are largely multi-factorial and bigger than the scope of one blog article, but as in the words of someone much smarter than us – you’ve got to start somewhere – so we thought we’d explore histamine in a little more detail. What it is, what it does, if indeed it is found in foods and whether there is anything, we can do to reduce the load. So, let’s get cracking. What is histamine? Histamine is a transmitter in the nervous system and a signalling molecule in the gut, skin, and immune system. It is synthesised from the amino acid histidine which is in fact an essential amino acid for humans and dogs. Before we knew better (and in some labs we still don’t), animal studies established that histidine deplete diets result in dog death! Findings here Histamine is primarily associated with the functioning of the immune system. During an immune reaction, histamine is released and contributes to the physical changes necessary for the immune system to fight the pathogen, including the increase in blood pressure, temperature, swelling, and constriction in the lungs. Like all things in the body, histamine needs receptors for it to do its job and there are especially high concentrations of histamine receptors found in the lungs, skin, blood vessels, and gastrointestinal tract. Histamine is stored in granules in mast cells throughout the body and as we know mast cells mediate inflammatory responses such as hypersensitivity and allergic reactions. The granule protects the histamine; if histamine could float freely it would degrade very quickly. Histamine is released from those granules in response to tissue injury resulting from cold, heat, toxins, and trauma. As noted, there are numerous histamine receptors throughout the body. H1 and H2 receptors are of most interest in the hypersensitivity and allergic response (but there are H3 and H4 too). H1 receptor binding results in a range of actions. Peripheral sensory neurons are acted upon which causes itching and sometimes pain. Intestinal smooth muscle is affected causing constriction, cramps and possibly diarrhoea. H1 receptor binding can result in secretory mucosa causing bronchi and nasal mucus. Lastly the pulmonary smooth muscle can be affected resulting in constriction. There are some tissues that have both H1 and H2 receptor binding sites. This includes the cardiovascular system. Histamine binding here drops blood pressure by widening the blood vessels. It also increases heart rate. There are also dermatological effects resulting in increased permeability. This is often described as the triple response resulting in the reddening of the skin, wheal formation and an irregular “halo” flare, also known as hives. H2 receptor binding sites are more commonly seen in the stomach itself. Histamine can bind to parietal cells stimulating the secretion of gastric acid. This is why antihistamine medication is sometimes implicated in digestive dysfunction due to the lower secretion of gastric acid – which is ironic, when partially digested proteins can then become antigenic. H1 receptors are involved in type 1 hypersensitivity reactions (involves immunoglobulin E – IgE – mediated release of antibodies), H2 are involved in Th1 lymphocyte cytokine production, H3 are involved in blood-brain barrier function and H4 are also expressed on mast cells exacerbating histamine and cytokine generation. The long and the short of it, histamine stimulates inflammation and is a prominent contributor to hyper sensitivities and allergic disease (but it is only one of many mediators of allergic disease). Histamine kick starts the processes to get rid of the offending particle/s – whether this is to sneeze pollen from your nose, or to expel food allergens from the gut, but it also plays a role in wakefulness, appetite, and endocrine homeostasis. So, histamine is in fact necessary to maintain homeostasis (balance in the body). But there can be too much of a good thing. Histamine is released to carry out a function and then it is removed by a few different pathways. The enzymes we are particularly interested in are diamine oxidase (DAO) along with histamine-N-methyltransferase (HNMT). DAO inhibition or disruption can result in disproportionate amounts of histamine in the body which can result in a range of GI symptoms along with cardiovascular, respiratory, and skin complaints. Disruption of HNMT function, on the other hand, tends to affect the nervous system. HNMT inactivates histamine by transferring a methyl group, so methylation is a key process in maintaining HNMT activity. Methylation is a relatively simple process, but it occurs billions of times every second! It underlies the proper function of virtually every body system. It is dependent on certain key nutrients like folate in its active form, methyl folate, B12 and B6. There are a number of factors that can affect methylation, from nutrition to genes, but stress and vaccination is a major drain on it. The stress response is a sequence of processes that relies on methylation, depleting key nutrients as it goes. Therefore, if methylation isn’t efficient, HNMT isn’t efficient, and histamine can become imbalanced affecting behaviour, sleep, appetite, immune function and digestion. A range of factors can increase histamine in the body such as infections, B12/folate deficiency, magnesium deficiency, stress, inflammation, trauma and exercise. Not only that but certain gut bacteria produce histamine. DAO and HNMT can become flooded when there is a high histamine load, subsequently affecting breakdown. Histamine load can be increased by the ingestion of high-histamine foods too, but the release of it can also be promoted in the body, by foods we know as liberators. The following list is of foods to avoid if opting for a low-histamine approach to hypersensitivity, whilst getting to the bottom of things. Fermented foods (kefir, sauerkraut etc, prebiotics) Tripe Vinegars (including ACV) Long-stored nuts Beans and pulses Canned foods Citrus fruits Banana Wheat germ Spinach Canned fish (salmon can contain more histamine than most) There is also discussion around yeast behaving as a histamine generating catalyst, so the general rule

Your Puppy’s Microbiome

The Universe inside your Puppy Here at My Pet Nutritionist we always focus on microbrial health, so we delve into it’s importance for your puppy to hopefully set them up for life. Microbes have been around for billions of years, humans – less than a million and we all know there is much disagreement over the domestication of our faithful furry friends. Microbes can multiply in minutes, survive and thrive in every habitat on earth, and technically, they’ve killed more people than all wars combined. But, without them, we actually couldn’t survive. Microbes are like a bad version of Ed Sheeran, you need me, I don’t need you. The body is in fact like a mini ecosystem.  It has many different microbial communities throughout the body. They live inside; in the lungs, nose, urinary tract, and digestive tract, but they also live on; they are all over the skin! Because you sadly have jobs that need to get done today, we’re just going to do a whistle stop tour of the three main microbial communities and how we can support them in the puppy. First up, the skin microbiota. Not surprisingly, the skin microbiota plays a role in skin conditions like atopic dermatitis and even some skin cancers.  Check out our blog on atopic dermatitis in pets here. In the dog, there are different communities found in different areas of the skin; there are also clear differences in diversity between healthy and allergic dogs. The skin provides one of the first lines of defence in the immune system, but in two ways. Not only does it have its physical structure to keep things in, and things out, but the community of microbes on the skin also protect against potentially harmful pathogens. The good guys can engulf the bad guys before they gain entry into the body, but they can also compete for nutrients and resources, to prevent the bad guys from thriving. In utero, foetal skin is thought to be sterile. But colonisation of microbes occurs during and immediately after birth. As the newborn puppy moves through the birth canal, he is exposed to a variety of bacteria from Mum. Once puppy is born and grooming begins, Mum passes even more over to her offspring.  Mum health is therefore imperative – not only for the diversity she possesses but also her emotional health. Stressed Mum’s are less likely to engage in grooming behaviour, so if she isn’t grooming her offspring, she’s not passing her microbes to them. The environment greatly influences the microbiome of the skin. There are noted variations in skin microbial communities between those living rurally and those in urban areas. There is also an increase in chemical use associated with urban living, which also influences the composition of the microbiome. Diversity is significantly reduced with the use of detergents and antibacterial cleaning products.  Potentially pathogenic taxa are also increased as there are fewer good guys to keep the bad guys in check. This is why skin issues like acne or dermatitis are deemed western diseases; they simply just aren’t found on the skin of indigenous tribes or on that of individuals from non-industrialised societies. What is also interesting is that there is also a clear distinction between male and female microbiome, therefore suggesting hormonal influences. This poses food for thought in the neutered pet and how their microbiome is subsequently affected. Unnecessary use of antibiotics also affects the skin microbiome, along with excessive use of grooming products and of course nutrition. The Oral Microbiota There is a collection of microbes found in the mouth; these are the ones that result in bad breath or dental issues. Again, they pose a first line of defence against ingested potentially harmful pathogens. But they also play a role in metabolising certain nutrients. It is clear that the oral microbiota found in dogs differs significantly from humans – some researchers have even gone as far as saying that a human bite would be more dangerous than a dog bite in terms of wound infection potential. Findings here The oral microbiota is gaining more attention and for good reason – there are associations between oral microbiota composition and weight gain, much like we have with the gut microbiota. So, caring for the mouth cavity is just as important as caring for the gut, and colonisation, like in the skin occurs at and shortly after birth – and certainly within the teething period! Data is relatively new, but in human realms, to support oral health, the guidelines regularly include avoiding ultra-processed foods along with high-sugar foods (think high-fructose corn syrup found in many dog treats and processed foods). Guidelines also promote dental hygiene –for our puppies and dogs, raw, meaty bones are a great opportunity to support dental health. Remember to choose appropriately sized bones for puppies – soft bones like chicken necks or wings. They must always be raw – cooked bones pose a splinter risk! The Gut Microbiota/Microbiome When we reference the microbiome, we are considering the microbial community found in the whole of the digestive tract. Generally, the further down we go, the more bugs we find. SIBO or small intestinal bacterial overgrow this when there are too many bugs in the small intestine. We want the majority of them in the large intestine. Each puppy and dog have a unique microbiome – just as we do. It’s like a fingerprint. How cool is that? But it just goes to show that if there is dysbiosis (imbalance of good to bad guys) – there is no one silver bullet. For our puppy, we are in a great position to support optimal gut health from the beginning (not withstanding gene interactions). When we talk about the microbiota or microbiome, we are not just talking about bacteria, but fungi and viruses which live inside the gut too. This is totally normal – the good guys with the right tools can keep the bad guys in check. This community can metabolise nutrients (ruminant

Obesity in Pets Part 2

Have you ever noticed that the wolves found in Yellowstone are rarely obese? Even the alpha males, who in theory could have access to all the kill they choose, maintain a lean weight. Do they perfectly balance their calories in with their calories out? Whilst not impossible, it’s a slight stretch of their intuition and it demonstrates on a simplistic level, why the CICO model doesn’t really answer enough questions when exploring the concept of obesity. In our last My Pet Nutritionist blog article, we explored a range of ideas that can contribute to obesity in pets, but there are many more schools of thought, so we thought we’d explore another in a separate article. One of them being hormones. All of the fat found in cells is stored in the form of triglycerides. Fatty acids are converted into triglycerides for storage and then for fat to be used as energy, they are freed back into fatty acids. Getting fat is the process where triglycerides are created more quickly than they are broken down. This flow of fatty acids is regulated by a range of enzymes and hormones. This isn’t surprising when we consider the role of growth hormone, it is what drives the growth of children and adolescents. If you are considering bodybuilding, steroid hormones are used to increase bulk and if you take a trip down memory lane, chickens were injected with hormones in the 50’s to increase their size too!  Findings here It seems that, on a simplistic level, certain hormones cause fat cells to suck up fatty acids more readily than they otherwise would or slow down the rate at which triglycerides are converted back. Both oestrogen and testosterone have been shown to decrease the rate at which certain cells take up free fatty acids, which results in keeping the fat cells relatively small (and why in humans you will notice differences in fat gain between males and females). This is why after neutering your pet, you are advised to monitor their weight as more often than not, they gain weight. This issue here is demonstrated by a study conducted in the early 1970’s. A professor named George Wade wanted to explore how animals regulated their fat supplies. He had two groups of rats and removed their ovaries. The first group then was given free access to food and they could eat as much as they desired. They subsequently ate more than they had before the surgery and became obese. The second group were restricted to the same number of calories they had eaten before the surgery.  Their environment was also kept the same. But this second group too became obese it just occurred through a different mechanism. They simply became less active. With the removal of the hormones, it is thought that the uptake of the free fatty acids was unregulated, resulting in more fatty tissue. With the drop in lipid levels, group one sought to replace the circulating levels with more food, but with the absence of food in the second group, they simply became less active to account for the shortfall. The implication of hormones in fat regulation is also demonstrated when lesions in the brain disrupt the hypothalamus. The ventromedial hypothalamus is one of the most hormonally active areas in the brain, and lesions here have resulted in the development of obesity. Leptin largely exerts its influence in the hypothalamus and leptin has a crucial role in regulating food intake and maintaining metabolic homeostasis (balance). Being another hormone, leptin is secreted mainly by adipocytes. Plasma leptin levels are significantly associated with body mass index and total body fat. It is generally accepted that total fat mass is the strongest predictor of circulating leptin. The discovery of leptin made it clear that adipose tissue (fat tissue) is not only a regulator of body weight but also an endocrine organ with feedback loops between the brain and peripheral tissues. Leptin levels decrease during fasting or energy restriction and increase during refeeding, overfeeding and sometimes during times of stress. Several metabolic and hormonal factors influence the synthesis and secretion of leptin in the body such as cytokines, cortisol, catecholamines, fatty acids, glucose, and insulin. Which brings us to another hormone that is intricately involved in obesity in our pets. Insulin Insulin is deemed an anabolic hormone; it works to accelerate the rate at which nutrients are put together to make new tissues. Insulin is well known for its role in clearing glucose from the bloodstream and regulating blood sugar balance. We’ll use the dry fed dog to explore this a little further. When carbohydrates are digested by the dog, they are broken down into glucose. Carbohydrates can be complex (being longer chains of molecules and taking a little longer to be broken down) or simple (broken down quickly and easily). Ultimately, when they exit the digestive tract and find themselves in the bloodstream, they exist as glucose. When blood sugar levels start to creep up, insulin is called to action. Insulin is like the porter in the hotel; it shuttles glucose out of the bloodstream and opens the doors of where it needs to go. This can be to cells or muscles to be used as energy, but if it isn’t needed there, it can be stored (in adipose tissue). Think of it like when you’ve got an early check out and leave your luggage at reception until you’re due at the airport. But what insulin also does is blocks the conversion of triglycerides back; this makes absolute sense as it wants to prioritise the use of glucose as energy to get it out of the blood stream! But what this means is that insulin is in fact a fat regulator. Now we know glucose can be generated from non-carbohydrate sources through gluconeogenesis, but the issue for the dry fed dog, is that these diets often score incredibly high on their carbohydrate content. Due to the range on the market, it can be anywhere up

Dogs in pain – what is it and how to look for it?

Whether you describe your dog as a drama queen or not, most dogs are incredibly good at hiding pain. This mechanism makes complete evolutionary sense. Showing pain, showed a weakness of which predators could take advantage of. Here at my Pet Nutritionist, when you book for a consultation, we ask certain questions to determine if undetected pain could be present, amongst other things. Whilst you may immediately consider the dog limping or struggling to get out of their bed, chances are by this point, the pain has moved past a threshold that they are unable to hide. Our best chance as owners is to notice the subtleties of pain in the canine and know when to seek further help. So let’s explore the mechanism of pain in a little more detail, signs to watch out for what we can do for our four-legged friends. What is pain? We’ve all stubbed our toe in the middle of the night or stood on a piece of lego. This is acute pain, the event, despite being painful, is in fact short lived. This can occur for our dogs too, when they run into a plant pot in the garden for example. But pain can become chronic and this is often what they hide. Chronic pain is more commonly associated with musculoskeletal issues in our dogs, in cases of dysplasia or arthritis. But it can also be associated with gut dysfunction and many other diseases in the body. The origin of all pain is inflammation. Irrespective of the type of pain whether it is acute or chronic pain, peripheral or central pain, nociceptive or neuropathic pain, the underlying origin is inflammation and the inflammatory response. So what is the inflammatory response? Inflammation is a normal response of the body to protect tissues from infection, injury or disease. The inflammatory response begins with the production and release of chemical agents by cells in the infected, injured or diseased tissue. These agents cause redness, swelling, pain, heat and loss of function. Inflamed tissues generate additional signals that recruit leukocytes to the site of inflammation. Leukocytes destroy any infective or injurious agent and remove cellular debris from damaged tissue. This inflammatory response usually promotes healing but, if uncontrolled, may become harmful. Acute inflammation typically lasts only a few days. If a wound gets hot, turns red, hurts, and swells, we recognise that inflammation is at work. In this instance, inflammation is a beneficial process, serving to immobilise the area of injury as the rest of the immune system mobilises to heal. The treatment of acute inflammation, the administration of non-steroidal anti-inflammatory agents, provides relief of pain and fever. In contrast, chronic inflammation lasts weeks, months or even indefinitely and causes tissue damage. In chronic inflammation, the inflammation becomes the problem rather than the solution to infection, injury or disease. Chronically inflamed tissues continue to generate signals that request help from leukocytes in the bloodstream. When leukocytes reach the tissue, they bring inflammation to the party. This chronic inflammatory response can break down healthy tissue in a misdirected attempt at repair and healing. As mentioned, perhaps the most understood cause of pain is joint inflammation. Repeated trauma or stress to the joint, incurred during everyday use, training, or performance, is often the cause of joint inflammation. You will notice the familiar symptoms like lameness, swelling and heat. The initial inflammation usually involves only the soft tissue structures of the joint, and cartilage damage is often not present at this stage. This inflammation allows leukocytes, or white blood cells, which are normally filtered out of the joint, to invade the joint space. The inflamed synovial membrane and the leukocytes release destructive enzymes such as free radicals, cytokines, and prostaglandins, all of which are potentially damaging to the cartilage. This is primarily what anti-inflammatory medications work on, they generally inhibit the production of prostaglandins. Joint degradation is an unfortunate side effect of ageing, but this can occur a lot sooner in those working or particularly active dogs. Degradation can also occur as aside effect in cases of dysplasia; as the bones are not sitting in the joint correctly, friction results in excessive degradation and subsequent inflammation and pain. In these cases, treatment is more relating to pain management and making your dog more comfortable. There are a number of practitioners that specialise in musculoskeletal concerns in the canine. Specialist Vets Chiropractors Vets Qualified in Acupuncture Canine Massage Therapists Hydrotherapists Physiotherapist Whilst there are breeds that are genetically predisposed to conditions like hip or elbow dysplasia, being mindful of appropriate nutrition during development along with appropriate exercise during growth is essential. Large breeds undergo a rapid stage of development and so essential nutrients to bone mineralization should be included in the diet; namely whole food sources of calcium and phosphorus along with vitamin D. Weight should also be monitored in the growing puppy. The bottom line? Count the nutrient dense, fresh food additions to your puppy’s diet, not the calories. As an aside, there is a lot of attention paid to the calcium: phosphorus ratio in the growing large breed. The note to make is that organic sources of both minerals are slowly and less efficiently absorbed; so, in fresh fed dogs this is less of a concern in terms of excess. Phosphorus found in meat products however is more efficiently absorbed than that found in plants.  Findings here Gut Pain As humans, we are familiar with tummy aches, well, this can also biochemically occur in the dog as well. They just can’t tell us about it. As we have noted, pain is inflammation, and there are certainly plenty of things that can result in inflammation. Inflammation in the gut can be a result of things getting to places they shouldn’t really be, and so the immune response is summoned. Potentially harmful substances can find their way into the gut, but anything that is identified as non-self, kicks up the immune system. This can simply be a poorly digested protein. If

Why Does My Dog Keep Licking?

If you’ve just rinsed your dog off after a meander through the woods, then their licking is likely grooming behaviour. But, here at My Pet Nutritionist, we often see dogs who excessively lick causing abrasions and hair loss. Whilst it’s often indicative of an irritation, there are in fact some other reasons why your dog may start licking in the absence of a jaunt through a muddy puddle. Let’s take a look at some of the more common causes. 1) Stress Yes – stress can take the blame for this one too!  Stress is like the wonder woman of life – is there anything she can’t do? For anyone who has spent time investigating dog behaviour, you’ll know that lip licking in particular is a sign of stress. An interesting theory here suggests that because stress depletes essential nutrient resources, lip licking is in fact a sign of malnutrition. Deficiencies in a range of nutrients like vitamin B2, B3, B12, iron, and Vitamins A, C and K and Zinc have all been known to cause irritation and inflammation in and around the mouth and lips. The licking is thought to be an attempt to soothe it. Findings here However, other suggestions explore the idea that the lip licking mechanism is thought to soothe the stress response by activating the parasympathetic nervous system. Yet, this mechanism can apply to licking of all body parts, not just the lips. The stress response is dominated by the sympathetic nervous system; it increases heart rate, widens eyes in order to assess the threat better and redirects resources in order to deal with it. Once the threat has passed, the parasympathetic nervous system kicks in and re-balances. The chief of the parasympathetic nervous system is the vagus nerve, and chewing, along with licking is considered to activate it. Through the action, attention is redirected and focussed on that particular task, not what is making them stressed. Findings here Licking is also deemed a self-soothing behaviour through its association with oxytocin. Oxytocin is a hypothalamic nonapeptide linked to increased levels of social interaction, well-being and anti-stress effects. Oxytocin is released by sensory stimulation (touch) and promotes the release of dopamine whilst decreasing the cascade of stress response mechanisms throughout the brain and body. Oxytocin also modulates the activity of serotonin which as we know is a key hormone in mood stability, feelings of well-being and reward. An element of this could have also been learned behaviour from their mother. Licking and grooming behaviour is a key feature in determining neural changes and fear responses in offspring. Those from low licking mothers tend to show a greater stress-response and proceeded to be low-lickers themselves (if they were female and had their own litter). The same also occurred for high lickers. Findings here The bottom line?  Excessive licking could be a response to stress faced by your dog. Watch out for other signs of stress like: Panting in the absence of exercise Salivating in the absence of food Pacing Inappropriate toiletting Unusual vocalising Out of character behaviour Wide eyes Flat ears Abnormal tail placement Work to remove the trigger and support them with other stress reduction strategies. Also, be mindful that chronic stress can deplete essential nutrient resources. our Calm Complex can help support the above signs of stress. 2) Pain Pain is an uncomfortable feeling that gives us and our dogs an indication that something isn’t as it should. Not only are many breeds incredible at hiding pain (it wouldn’t have helped them in evolutionary terms), but they also lack the ability to converse.  Whilst we would all love to think we have this form of communication with our dogs, we can miss things, especially if they are pretty crafty at hiding them! The sensation of pain is a necessary function that warns the body of potential or actual injury. Whilst we may think that dull ache in our lower backs is merely an inconvenience, it’s a rather reliable indication that our office chair possibly doesn’t suit us. Pain occurs when a nociceptor fibre detects a painful stimulus on the skin or in an internal organ. This detection is picked up by other receptors in the spinal cord and brainstem and then transmitted to the various areas of the brain. This is done through the incredible work of neurotransmitters. There exists both inhibitory and excitatory neurotransmitters. Those that make things happen, and those that apply the brakes. Inhibitory neurotransmitters are involved in the modulation of pain; including enkephalins and endorphins, serotonin, noradrenalin, GABA, acetylcholine and oxytocin. Excitatory neurotransmitters acting without an inhibiting system results in pain. Which is why pain killers primarily prevent the release of some excitatory neurotransmitters (and can in fact make you or your dog drowsy). When we look at the neurotransmitters involved, it’s possible to see why our dogs may start licking an area that is painful to them. Through touch they can stimulate the release of oxytocin (a modulator of pain). Not only that but self-trauma (excessive licking) is thought to promote the release of endorphins, which are also pain modulators. Findings here This demonstrates how dogs can get into a vicious cycle, they want to lick to soothe, but the more they lick, the more trauma they cause, resulting in more licking. There is also the possibility, that what could have started as a pain response, could turn into irritation, or what started as irritation, could turn into pain and continue the cycle. 3) Itch Itch is a sensation felt on the skin, which causes the desire to scratch. Although initially it could be as simply as scratching something to remove it, itching can become stressful when excessive. When tissues are stimulated by allergens, histamine is released from mast cells. Histamine makes the blood vessels expand, driving blood to the area creating that common swelling among other responses. Specialised nerve fibres are stimulated; when these are processed, the scratching or rubbing reflex is stimulated. The main mediators for the itch

Why is My Dog Losing His Hair?

You’re in the middle of your daily grooming session and you notice a thinning patch of hair on your canine companion. Without any obvious recent trauma to result in scar tissue and no replacement hair, your mind starts going to all the places it shouldn’t. A quick google search likely doesn’t help but well here at My Pet Nutritionist, we hope to give you possible solutions. There are in fact a number of reasons why your dog may start losing his hair, or having thinning areas, so let’s look at them in a little more detail. Hair growth occurs in stages: – Anagen – the growing phase – Catagen – the transition phase – Telogen – the resting phase – Exogen – the shedding phase An intact hair coat is maintained by the lifelong cycling of these phases. When a hair follicle has passed the telogen stage and shed it, if it remains empty for a period of time it is deemed kenogen. The anagen phase is restarted when epithelial stem cells are in good form. Stem cell activity is dependent on many complex interactions including: Immune cell function Nerve fibres Hormones Genetics Daylight Nutrition Circadian rhythm And stress 1. Hormones So much of a factor, there is a condition deemed hormonal alopecia in dogs. This can be linked to neutering with many owners reporting hair loss or thinning post neutering. But when we say hormones we are also considering thyroid hormones. The thyroid gland is in fact active in the initiation of hair growth and replacement. Located in the neck near the trachea or windpipe, this gland produces hormones which regulate metabolism. Both hyperthyroidism and hypothyroidism can result in hair loss in the dog although hypothyroidism is likely the more commonly occurring form of hormonal alopecia in dogs. Initially hair loss is patchy, the coat is dry, the hair is brittle and easily pulled out. Quite often hyper pigmentation occurs. In some cases, secondary pyoderma and seborrheic dermatitis may follow. The hair that remains is often stuck in the telogen or resting phase, hence it’s poor condition. Other signs of hypothyroidism includes: Weight gain Lethargy Increased susceptibility to infections Slow heart rate Abnormal nerve functioning which presents as non-painful lameness or lack of coordination Keratoconjunctivitis or dry eye Fat deposits in the corneas of the eyes Thyroid function is easily assessed through screening and if it isn’t running all on cylinders, then it can often be managed. 2. Nutrition It wouldn’t be a My Pet Nutritionist blog without mentioning nutrition now would it. Nutritional status affects hair growth and maintenance. Every cell in every body, including our dog’s, needs basic components to carry out their function. This includes immune cells, stem cells and hair follicles. The root of a hair is made up of protein cells and nourished by nearby blood vessels. As it grows, sebaceous glands near the hair follicles produce sebum which is made up of triglycerides, wax esters and cholesterol. Sebum lubricates the skin and hair to protect it from friction and therefore makes it impervious to moisture and/or pathogens. The hair moves through its phases, but new data is suggesting that even though telogen is defined as the resting phase, hair follicles aren’t doing that much resting. In fact, much cellular activity occurs during this phase so that tissues can regenerate and grow new hair. This means there is a demand for nutrients. Time and time again there has been a link made between nutritional status and hair health and growth. Low vitamin D status has been implicated in cases of alopecia Over-supplementation of Vitamin A is associated with alopecia In a Biotin deficiency signs include hair loss, Folate deficiency can result in hair, skin and nail changes Vitamin C is known to aid iron absorption, the latter being implicated in hair loss Hair loss is a common sign of zinc deficiency Hair loss can be seen in Iodine deficiency, also a mineral that aids thyroid function All things considered we would advocate afresh food diet which includes: Meat protein (haem iron is found in meat, chicken and fish and is more easily absorbed that non-haem iron found in plant foods). Oily fish (source of Vitamin D) Organ meats (good source of biotin) Leafy greens (folate came from the latin folium because it was first found in leaves!) Berries (source of Vitamin C) Meat and shellfish (source of zinc) Be mindful if you are tackling any other health concern which requires the elimination of any of these foods, we can always help you find alternative nutrient sources. 3. Stress Stress, we can confidently say is the bane of everyone’s life, including our pet’s. But what is particularly interesting is that in some cases, hair loss follows months after a traumatic event often making it difficult to connect the dots. As we have mentioned, hair cycles through different phases and all follicles can be at different stages at any onetime. Many will be in the growth phase or anagen phase before hitting telogen and ultimately shedding. But high levels of stress can cause a blanket shift in the phases and bump many of the follicles to telogen, all at the same time. The result? Bald patches or thinning. It makes sense evolutionarily. When facing a threat, what is more important?  Brain and muscle function or hair growth?  Stress triggers a sort of redistribution of resources, which in the short term is manageable. The issue is when faced with chronic stress. Hair loss as a result of trauma may not appear until the initial stressor has passed, the growth phase has been prematurely stopped, hitting telogen sooner, but then we still have to wait for the shedding to occur.  We then need the growth phase to start again, which may or may not happen depending on the recovery from the stressor or in fact whether the host is still experiencing it. Stress also depletes nutritional resources along with impeding the digestion and absorption of them and as

How Traditional Chinese Medicine Can Help My Dog

Traditional Chinese medicine focuses on healing the root cause of disease; encompassing a range of modalities from herbal medicine, mind-body exercise, acupuncture and of course nutrition. Nutrition encompasses food energetics which are based on the idea that certain foods have certain profiles and can subsequently be used to change the profile of the body. Yin energy is cold or cool, and there are certain foods which have cooling properties. Yang energy is warm or hot, and there are certain foods which are warming. There are also neutral foods,which are thought to have little impact on body profile. It is also thought that flavours can act upon certain organ systems and therefore create a desired health benefit. Not only that, but TCM also advocates a seasonal approach to good health. Creating a holistic view of health, it is easy to nod in agreement with many of the TCM ideas, so let’s explore them in a little more detail. Yin and Yang Yin Yang theory forms the basis of TCM; the idea that balance is key. When a deficiency exists, it should be toned up. When an excess exists, it should be reduced. If there is too much heat, it should be cooled. When there is too much cold, it should be warmed. If dampness is present, it should be dried and so on. Yin and Yang is also assigned based on heat signs. Heat and cold can be both deficient and excess; the goal is to be in harmony. Generally speaking, active, young, and outgoing pets are described as yang. Whereas older, quiet, and shy pets are described as yin. Some animals will self-regulate, the older quiet yin cat may choose to sleep in a warm window, whereas the young yang,excited puppy might jump in the water to cool off. However, we can help yang animals remained balanced by adjusting the environment. For the yang pet, provide cooling environments and foods. Include plenty of shade, air conditioning,fans, and misting. Offer fish, turkey,banana, duck, celery, kelp, spinach and broccoli. For the yin pet, provide warming environments and foods; space to sunbathe, heaters and blankets. Offer mutton, deer, chicken, ginger, chicken liver, squash, and pumpkin. Maintaining the yin-yang balance is key to ultimate health and TCM dictates that its disharmony is the basis of all disease. Yang Excess Yang excess is produced by the invasion of excessive heat, yin us unable to counteract the warming properties so an excess heat condition appears. Treatment requires the heat to be dispelled. Clinical signs: Acute onset Short course Younger age No general weakness Hyperactive High fever Red or purple tongue Strong and fast pulse Yin Excess Yin excess occurs when there is an invasion of excessive coldness. Clinical signs: Acute onset Short course Younger age No general weakness Pain Swelling or oedema Loose stool Pale or purple tongue Strong and slow pulse Yang Deficiency Yang deficiency occurs when yang is lower than normal, but yin is at its normal level. The warming properties of yang are insufficient to equalise the cooling properties, resulting in a cold condition. Clinical signs: Chronic onset Long course Older age Coldness at extremities Edema Loose stool Urinary incontinence Chronic pain/weakness Weakness in rear limbs Infertility Pale tongue Weak and deep pulse Yin Deficiency Yin deficiency is when yin is lower than normal, but yang remains stable. This heat condition is named a false heat. Clinical signs: Chronic onset Long course Older age General weakness Thirsty Lower degree of fever Restless or anxious Prefers cool Red and dry tongue Thready and fast pulse These patterns are then used, by a qualified practitioner, to classify clinical conditions and develop a treatment plan. TCM for Itchy Dogs Whilst the clinical manifestation of skin issues overall becomes quite complex in TCM, the general thought is that most conditions are heat invasions, with damp elements and yin deficiencies. When presented with seasonal allergies, eczema, itching, erosions with pus, alopecia, hot spots and dermatitis, a cooling diet is recommended. In cases of geriatric dryness or dandruff and chronic skin conditions a neutral or cooling diet is recommended. Cooling meats include turkey, ocean fish, rabbit, and white fish. Cooling vegetables include spinach, broccoli, celery, kelp, cabbage, cucumber, and melon. Sesame and flaxseed oil are also cooling. Low Fat Fish Neutral meats include pork, bison, duck, beef liver, pork liver, goose, mackerel, sardines, herring, salmon, and tuna. Neutral vegetables include carrots, green beans, peas, and shiitake mushrooms. Olive oil is also classed as neutral. If we are to consider foods to drain damp, they include beef, beef kidney, lamb kidney, mackerel, and sardines. Along with parsley, lettuce, parsnip, pumpkin,and seaweed. TCM for Skeletal Health With many skeletal issues facing dogs, it is no surprise we want to know if we can use food energetics to our advantage. What is particularly interesting, is that cases of rheumatoid arthritis can present as either hot or cold. The cold pattern is described in humans (dogs have yet to learn how to speak) as cold feelings in the limbs and joints, stiffness, or pain in a joint or muscle which is relieved by applying warmth. Symptoms increase with exposure to cold. The heat pattern is associated with hot, red, and swollen joints with severe pain generally relieved by applying cold. Although diagnosed across the board as rheumatoid arthritis, both hot and cold patterns exhibit different biological markers. Both patterns share the same expressed genes, but they appear to have different signalling pathways. T cell proliferation and the secretion of pro-inflammatory cytokines appear to be increased in hot pattern RA patients. There also appears to be more severe collagen destruction in hot pattern RA too. Cold pattern RA appears to have a higher rate of protein and fat mobilisation demonstrating a more obvious muscle breakdown. Cold pattern patients also demonstrate a reduced hypothalamic-pituitary-axis function which is associated with a decreased stress response which goes someway to explain the higher fatigue level reported in cold pattern RA. Findings here RA, to most is considered

Obesity and Musculoskeletal Health in Dogs

When looking at the nation’s dogs we have a major issue on our hands, a topic that can stir up emotive responses from owners and something that animal professionals may have a tricky time addressing… OBESITY From an owners perspective, they only want the best for their dog, and to be told their dog is overweight can be hurtful to hear. Your animal professional hasn’t seen those puppy dog eyes, peering over the plate looking for crumbs. Or the look you get when you need to nip out and you’re compelled to give them a treat as compensation. From an animal professional perspective, we see that overweight dog walk into our clinic and our heart sinks. Desperately wanting to tell you the list of byproduct diseases of obesity and give you a long list of things to change for your dog’s health. Instead, we softly mention they could stand to lose a little weight, to be met with a look of shock and disheartened words. Please don’t think we are here to make you feel that you’re not doing your best, we are here to guide you and want you to have the most time with your beloved pet. As much as it may be a tough conversation to have, we as animal professionals have a duty of care to animals in our clinic, and weight management is something that we need to be discussing more. For us it isn’t simply a case of sprinting around the park and cutting back portion sizes, there is so much more that we can do and it starts by inspecting what is in the dog’s bowl. Say for example your dog is on processed kibble, cutting back portion size when looking at the calorie deficit model for weight loss may have some impact. However,with your older dogs they will reserve reduced energy levels caused by food restriction, meaning weight loss can be very slow or stationary. Most processed dog food has a high percentage of carbohydrates, and this is where the issue lies. When a high volume of carbohydrates hit the GI tract, this causes a rapid increase in blood sugar and insulin levels. If the body cannot use this energy quickly enough, the leftovers get shunted into fat cells held in adipose tissue. Now going on a slight but relevant tangent, arthritis is a byproduct of obesity. Arthritis is an inflammatory disease affecting the joints and shows a higher prevalence in overweight dogs. Findings here If adipose tissue has a larger surface area caused by obesity, this increases the amount of pro inflammatory adipokines. So not only does additional physical pressure cause inflammation, but inflammation responses are increased tenfold with adipokines also jumping on an arthritic joint. Findings here So we know that carbohydrates increase blood sugar and insulin and lead to a cacophony of different issues, of which I’ve briefly discussed one. How can we look to combat this and get the best from our dog’s health, well for a start you can cut the carbs or at least look to reduce them. At MPN, we are hugely passionate about species appropriate diets and have seen incredible progress with pain management, all from just swapping to fresh foods. Even if you can’t make the leap to fully raw feed or fresh feed, there is plenty of middle ground that you can address, that will help towards a healthy life for your dog. Supercharging the bowl Whether you’re a keen raw feeder or just wanting to liven up the bowl by adding in some fresh, there is plenty of choice. Focusing on musculoskeletal health, our first port of call is adding things high in glucosamine and chondroitin. Both are complex sugars found within the structures of cartilage. Studies have indicated that these have a positive effect on pain management and ROM increase associated with Osteoarthritis. Findings here If you have compromised cartilage, you can heal with cartilage and these are super easy to source for your dog’s bowl, from bone broth, raw beef trachea to green lipped mussels (GLM). By supporting the joint health of an overweight dog, we can encourage further ROM and decrease inflammation, all working towards weight loss, there is a lot of research around turmeric (curcumin) and ginger (gingerol). Findings here Other favourites of ours for targeting joint inflammation are ACV, chamomile, fresh small fish and sunflower seeds. There is a huge amount of free radical damage (oxidative stress) created from excess adipose tissue and so looking at antioxidants to support this can be helpful. A diet high in colourful, fresh vegetables and Vitamin C can be fabulous in this instance. Findings here Lifestyle management If your dog is overweight, their joint health is likely already under pressure, but we can add some simple changes in place to reduce this strain. Start by increasing the length of your dog’s exercise, but reduce the pace. By having your dog run around the park doesn’t necessarily mean they will burn off more calories. High-impact activities will increase inflammation responses and then facilitate a pain response. Count your dog’s steps, have them on a lead next to you and go that bit further with less pressure, rather than seeing them flail around on the horizon chasing a squirrel. Be present and enjoy the walk with them, as much as it’s good for your dog, it’s good for you too! Oh no, here comes the fun police… ball flingers. Ball flingers can cause such horrific damage to your dog’s musculoskeletal structure over time, from huge repetitive stress crashing through the body when they come to a stop. If you’re not ready to put the ball flinger down, maybe drop the amount of times you throw it, or ensure warm up and cool down regime, the aim being to reduce inflammation and injury. Even things like ramps into the car and little stairs for the sofa make a tremendous impact on keeping inflammation and strain at bay. Therapies If your dog is