A Systems Approach to Digestive Health in Pets

When faced with a sick pet, it can be hard to know where to start.  It can sometimes feel like there is a never-ending list of things going wrong.‍ We also have to manage our emotions; our pets are part of the family, and we hate to see them suffering.‍ Sometimes it can help to have a structure when supporting digestive health and to this end, we take a systems approach.‍ Let’s take a look at what this means.‍ Taking A Top-Down Approach We could easily start at the bottom, but let’s start at the top!‍ Neurological Health and Behaviour We can start thinking about any neurological issues our pet may be experiencing, but we can also keep track of their behaviour.  Are they quieter than usual?  Do they appear anxious or agitated?  Are they a fussy eater?‍ We know there is a highway between the gut and the brain, and so what goes on in the gut influences the brain and subsequent behaviour. We may notice sickness behaviour; being quieter than usual, or they may become more anxious.  Studies in mice have demonstrated that when experimental colitis was induced, their amygdala became more active along with their fear response.  In short, the experimental colitis made them more fearful.‍ Findings Here‍ Time and time again we see that inflammation or digestive discomfort can influence behaviour, so keep a note.‍ Eye Health Moving down slightly, we can see a lot in our pet’s eyes.  Not just key components in their body language, but if we have recurring tear staining, this can inform us of immune system health.‍ Tear secretion is complex. It responds to the conditions faced by the eye, but also influenced by a range of hormones and cytokine balance.‍ Cytokine is derived from two Greek words, cyto meaning cell and kinos meaning movement. Cytokines are cell signalling molecules that aid communication in immune responses. They stimulate the movement of cells towards sites of inflammation, infection, and trauma. Cytokines are agents that modulate or alter the immune system response.‍ It makes absolute sense that when faced with an ocular threat, cytokine levels increase, presenting as the usual immune response; water and itchiness which is common with seasonal allergies or intolerances. But what is also interesting is that that the rest of the body can also influence tear production through this inflammatory response.‍ The most considered is how chronic inflammatory diseases of the gut can cause various health issues; inflammatory bowel disease for example is caused by cytokine-driven inflammation of the gut.  This leads us to why, no matter what you apply to your white dog’s face, you can’t get rid of those stains.‍ If tear staining is an issue for your dog, then check out our blog here:‍ Is Your Dog A Cry Baby?‍ The Mouth From poor dental hygiene compromising eating habits to translocated bacteria throughout the body, oral health is a huge piece in the puzzle when supporting your dog’s health.‍ Take a look; are there broken teeth?  Is there evidence of periodontal disease?  Is your dog able to chew?  Do they have any abscesses or lesions on their tongue?  Whilst it’s a little harder to establish, we can consider the state of the oral microbiota of our pet’s mouth too.  Just like in the gut, the food eaten, along with any long term antibiotic or medication use can skew the community of microbes in the mouth.‍ To learn more about oral health, and promoting dental hygiene, check out our blogs here:‍ Your Puppy’s Microbiome‍ Periodontal Disease in Dogs‍ Ear Health Itchy or putrid smelling ears usually tell us things aren’t going as well as they should be.  When warm and moist, the ears are perfect breeding grounds for certain bacteria to multiply.  This leaves them at risk of infection and bacterial overgrowth.  This is particularly common in those water dogs, or those who adore swimming.  It can also be a consideration if your dog attends regular hydrotherapy sessions.‍ Ear health is also something to pay attention to, if food sensitivities are prevalent.  An elimination diet is often a good place to start.‍ Elimination Diets For Dogs‍ If you think your dog may struggle with yeast overgrowth, check out our blog here:‍ Is Your Dog A Yeasty Beast?‍ Now we’ll head into the digestive system.‍ Stomach Are there any long-term medications that could compromise stomach acid secretion or production?  Antihistamines for example?  Or the administration of omeprazole alongside long term NSAIDs?  As we know, digestion of food starts in the stomach with the help of hydrochloric acid; if there isn’t a good supply, food digestion can be compromised, leaving semi-digested particles to cause issues further down in the system.‍ Gut Guardian ‍ Pancreas The pancreas releases a range of digestive enzymes to aid the digestion of food, so a similar principle applies; if the pancreas isn’t working as it should, food isn’t digested as well as it could be, leaving nutrients unavailable and undigested particles to causes issues.‍ A Brief Guide to Our Pet’s Pancreas‍ Liver We call the liver the powerhouse for a reason.  It carries out a range of processes, from the assimilation of amino acids into new proteins to the detoxification of harmful compounds. It also produces bile which aids the digestion of fat.  If there is an unusual burden for the liver to detoxify, it can get a little overwhelmed.  This means that some other processes may be compromised and we may start to see poor protein assimilation, fat digestion issues and more.‍ Liver Guard ‍ Gallbladder The gallbladder is a pear-shaped organ that sits just under the liver.  Its function is to store and concentrate bile, a yellow-brown digestive juice produced by the liver.  It is part of the biliary tract.  Bile contains water, electrolytes and a battery of organic molecules including bile acids, cholesterol, phospholipids and bilirubin.  Sadly, the build-up of these very compounds can lead to a number of problems in the gallbladder, they are known as canine gallbladder diseases.‍

Why Does My Dog Need Minerals – Part Two

In our last blog we considered the importance of minerals for your dog’s health, but we only got so far.  There are further minerals, ones we deem trace minerals, which are also important to optimal health.‍ So, let’s get cracking.‍ Chromium Within human realms, chromium is mostly talked about for its role in modulating blood glucose levels.  It is considered that chromium acts as a cofactor that can enhance the effects of insulin on target tissues.  In states of chromium deficiency, abnormal glucose utilisation results along with increased insulin demands.‍ Findings Here‍ Along with potentiating the action of insulin, chromium increases uptake of amino acids into muscle, heart, and liver and enhances protein synthesis.  It also plays a role in regulating blood lipids.‍ Increased Risk of Deficiency:‍ Diets high in sugars and refined carbohydrates (results in increased urinary excretion of chromium) Increased stress (physical activity, infection, trauma or illness) Pregnancy Ageing‍ Sources of Chromium:‍ Broccoli Turkey Chicken Brewer’s Yeast‍ ‍Cobalt One of the things you may not have realised about Cobalt is that it is an integral part of Vitamin B12 (cobalamin – get it?).‍ Why Your Dog Needs Vitamin B12‍ Cobalt is therefore essential for the function of cells. It is involved in the production of red blood cells and the production of antibacterial and antiviral compounds that prevent infections.‍ This mineral plays a key role in the metabolism of fats and carbohydrates as well as the synthesis of proteins and conversion of folate in their active form.‍ In the nervous system, cobalt also plays a role in the prevention of demyelination, which is a condition that results in damage to the membrane that covers the nerve fibres in the brain and spinal cord.  This ensures efficient nerve transmission.‍ ‍Copper Copper has a number of functions throughout the body including:‍ Energy production in mitochondria Mobilisation and transfer or iron from storage sites to the bone marrow Synthesis of collagen and elastin in connective tissue Acts as an antioxidant (as zinc/copper superoxide dismutase) Supports synthesis of melanin in the skin Synthesis of adrenaline and noradrenaline in the nervous system Breakdown of serotonin, histamine and dopamine ‍Increased Risk of Deficiency:‍ High intakes of supplemental iron, molybdenum, or zinc Prolonged use of proton pump inhibitors (acid reducers) Gastrointestinal disorders (chronic diarrhoea, inflammatory bowel disease) Increased levels of oxidative stress (air pollution, toxin exposure) ‍Signs of Deficiency:‍ Anaemia Increased vulnerability to oxidative damage Reduced immune responses Abnormal skeletal growth Changes and loss of hair and skin pigmentation Lethargy‍ ‍Excessive copper build-up in the liver can cause liver disease in some dogs. Common breeds of dog that are affected include Bedlington terriers, Labrador retrievers, and Dalmatians.  There are clear genetic implications found in Bedlington Terriers which prevents normal copper excretion.‍ Three forms of the disease occur:‍ (i) asymptomatic – in which signs are yet to develop, (ii) acute -seen in dogs up to six years of age, with the sudden onset of severe illness shown as depression, anorexia (not eating) vomiting and possibly jaundice (yellowing of mucous membranes, whites of eyes and skin), and (iii) chronic – seen in middle-aged dogs with signs of chronic liver damage and sometimes failure which may show vomiting, weight loss, jaundice and abdominal swelling.‍ It is considered that many commercial dog foods report total copper levels as higher than recommended, and some home-made diets may not furnish adequate amounts of copper.‍ Findings Here‍ That said, data indicates that copper absorption is greater when diets are animal protein rather than plant protein.‍ Findings Here‍ ‍Iodine An essential mineral, iodine is used by the thyroid gland to make thyroid hormones that control many functions in the body including growth and development.‍ If you would like to learn more about the thyroid gland and the conditions that often affect it, check out our blogs here:‍ Hypothyroidism‍ Hyperthyroidism‍ Hyperthyroidism in Cats‍ Iodine can only be obtained from diet or in supplemental form.‍ Of interest, concurrent deficiencies in selenium, iron or vitamin A may exacerbate the effects of iodine deficiency.‍ Seaweed like wakame are rich in iodine, but other sources include eggs and poultry.‍ Iron Functions:‍ Oxygen transport Oxygen storage as myoglobin Energy production Cofactor for multiple enzymes Production of neurotransmitters and thyroid hormone‍ There are two sources of iron, haem, and non-haem.  Haem is found primarily in meat and meat products where non-haem is found in plants.  Haem is generally well-absorbed, whereas non-haem absorption is largely affected by other factors.‍ Common inhibitors of iron absorption are phytates, tannins, starch, and proton pump inhibitors.‍ The body has three unique mechanisms for maintaining iron balance and preventing deficiency and overload:‍ Storage of iron Reutilisation of iron Regulation of iron absorption‍ Iron from food is mainly absorbed in the duodenum.  Iron can be in ferrous state (Fe2+) or ferric state (Fe3+).  Fe3+ is not directly absorbed, but Fe2+ is easily absorbed.  In the intestine, Fe3+ is converted by ferric reductases into Fe2+.  When required by the body, iron is transported by transferrin to bone marrow and other tissues.  Iron is required for the transport of oxygen, oxygen storage in muscle and is also a component of energy production.‍ After absorption, any iron that isn’t needed, is stored as ferritin in the liver, spleen, or bone marrow.  During times of high need, iron is then released.‍ Most of the iron in the body is contained within red blood cells.  Red blood cells have been noted to have a life span of around 110-120 days but when they reach the end of their life span, they release iron.  The resultant liberated iron can be reused to produce new erythrocytes in bone marrow, stored as ferritin or released back into systemic circulation.‍ Iron deficiency anaemia is the common condition associated with decreased iron levels, resulting in low circulating haemoglobin and reduced myoglobin.  Iron deficiency is also associated with lower T and B lymphocyte, macrophage, and neutrophil function.‍ Your Pet’s Immune System‍ On the other side of the scale, iron toxicity is generally associated with supplementation.  At a

Why Does My Dog Need Minerals – Part One

If you have been following any nutrition nerds (including us here at My Pet Nutritionist) then you will have likely come across the terms macro and micronutrients.  We tend to reference them more commonly in the human realms, but that doesn’t mean that they don’t also apply to our canine companions (and feline for that matter).‍ When we mention macronutrients we are referencing those needed in larger amounts in the body and they encompass protein, fat and carbohydrates.  When we consider micronutrients we are looking at vitamins and minerals.  Despite them being needed in micro amounts, they are still biologically necessary to all functions in the body.  So, let’s take a look at minerals in a little more detail and see why your dog needs them.‍ What is a Mineral? A mineral is a naturally occurring inorganic solid, with a definite chemical composition, and an ordered atomic arrangement.‍ What on earth does this mean we hear you wonder?‍ Well, let’s break it down.  Minerals are naturally occurring, meaning they are not made by humans. They are inorganic, meaning they have never been alive.  They are solid, meaning they are not liquid or gas.  Each of them has a unique structure and arrangement which is how we know what they are.‍ For the dog we are interested in 17 essential minerals.‍ We have macrominerals which are needed in larger amounts and trace minerals which are needed in smaller amounts.‍ Macrominerals Calcium You’ll likely be familiar with calcium as you were probably told to drink your milk so you would have strong teeth and bones.  Calcium is the main structural component of skeleton and teeth, but it also plays a role in blood clotting.  In addition, it is involved in the intracellular messaging triggering the contraction of muscle fibres.  Calcium also plays a role in fat oxidation and it carries ATP (energy) with magnesium.‍ There is an increased risk of deficiency in:‍ Diets containing large quantities of phosphorus and sodium. Fat malabsorption (fat binds calcium, reducing absorption). Vitamin D deficiency. Diets containing large quantities of oxalates.‍ ‍Signs of Deficiency:‍ Poor bone mineralisation, Muscle cramping and spasm, Increased irritability of nerve cells, Abnormal blood clotting and increased bleeding after trauma.‍ Chloride Chloride is one of the most important electrolytes found in the blood.  It plays a key role in controlling the amount of water and type of compounds that go in and out of cells.  It therefore plays a crucial role in homeostasis.  Chloride also contributes to muscle function and this includes the heart.  This mineral helps red blood cells exchange oxygen and carbon dioxide too!‍ Lastly, chloride supports digestive processes through its role in the production and release of hydrochloric acid in the stomach, and as we know, without this, foods won’t be properly digested and subsequently absorbed.‍ Low levels of chloride are usually found alongside existing health issues which result in electrolyte imbalances.‍ Sources of Chloride:‍ Himalayan Salt Seaweed‍ Magnesium Here at My Pet Nutritionist, we have a thing about Magnesium, for good reason.  If you want to know more about this trusty mineral, then check out our full blog here:‍ Why Is Magnesium So Important to Your Pet‍ ‍But the one often forgotten role of magnesium is the part it plays in energy, so we’ll do a recap.‍ The bottom line is that insufficient micronutrient intake results in poor ATP production in the mitochondria.  Remember that ATP is the currency of energy and the mitochondria is the powerplant of the cell, where it all happens.‍ Magnesium and copper are star minerals for making ATP and without enough ATP or energy, the body hasn’t got enough resources to do what it needs to!‍ In addition, a deficiency in magnesium can lead to mitochondrial damage.‍ Signs and Symptoms of Deficiency:‍ Muscle cramps and spasms Anorexia, nausea, vomiting Arrythmias Sodium and water retention Impaired action of vitamin D‍ Increased Risk of Deficiency:‍ Diets emphasizing processed foods and refined grains (largely nutrient deplete) Strenuous training Periods of rapid growth Intestinal malabsorption Medications (diuretics, steroids, laxatives)‍ As a note, magnesium deficiency has also been linked to increased inflammatory cytokines, so this is a consideration to make in any chronic inflammatory condition.‍ Findings Here‍ Phosphorus Phosphorus in mainly used for the growth and repair of body tissues – it is a component part of bones, teeth, RNA and DNA.‍ In the form of phospholipids, phosphorus is also a component of cell membrane structure and of the body’s key energy source, ATP.‍ Many proteins and sugars in the body are phosphorylated. In addition, phosphorus plays key roles in regulation of gene transcription, activation of enzymes, maintenance of normal pH in extracellular fluid, and intracellular energy storage.‍ A range of foods contain phosphorus, mainly in the form of phosphates and phosphate esters.  Phosphorus in seeds for example, is in the form of phytic acid, the storage form of phosphorus.  Because many species intestines lack the phytase enzyme, much phosphorus in this form is unavailable for absorption.‍ Low phosphorus levels in the body can include anorexia, anaemia, proximal muscle weakness, skeletal effects (bone pain, rickets, and osteomalacia), increased infection risk, ataxia, and confusion.  But in most cases, hypophosphatemia (low phosphorus) is caused by existing health conditions, such as hyperparathyroidism, kidney disorders, and diabetic ketoacidosis.‍ In cases of chronic kidney disease, their ability to excrete phosphorus becomes compromised.  This is why low phosphorus diets are often recommended.‍ Kidney Disease‍ Potassium Another electrolyte, potassium is also involved in energy production and membrane excitability and transport.  Throughout the body there are a number of functions that are potassium dependent.  If potassium is deficient, these enzymes or proteins are unable to carry out their job as they should.‍ For example, one heat shock cognate protein, involved in protein folding, autophagy, apoptosis and cell stability requires potassium to carry out these functions.  In a deficit, cell senescence results, along with DNA damage, carcinogenesis, and neurodegeneration.‍ Findings Here‍ The bottom line is that potassium helps nerves and muscles to function correctly, it maintains a

What is The Gut Barrier?

If you’ve been following us here at My Pet Nutritionist for a while then you will likely have come across the concept of the gut barrier, and how when it gets compromised, things can start to go a little awry.  Whilst leaky gut is being blamed for all sorts, we’re here to sort fact from fiction and we’ll start with the basics.‍ What is the Gut Barrier? The gut barrier in effect, forms the lining of the gut and it has two main features: the physical barrier and the chemical barrier‍ The physical barrier consists of tight junctions which form a selective permeable seal between adjacent epithelial cells.  This “seal” is dynamically regulated by various extracellular stimuli and is closely associated with both health and disease.  TJs contribute to the function of the physical intestinal barrier by regulating the paracellular movement of ions, solutes, and water across the intestinal epithelium.  It also protects against pathogens and large, harmful molecules.‍ The regulation of these TJs is therefore crucial to a healthy barrier and there are a number of things that can influence this.‍ Immune mediated TJ function is well documented; cytokines play a key role in the integrity of the gut barrier.‍ Tumor necrosis factor-α Tumor necrosis factor-α (TNF-α) is a proinflammatory cytokine that is produced mainly by activated T cells and macrophages (cells of the immune system).  TNF-α is known to induce cell death and inflammatory response in intestinal epithelial cells and recent studies have also demonstrated that it impairs the intestinal TJ barrier.‍ Findings Here‍ Interleukin-1β Interleukin-1β (IL-1β), another inflammatory cytokine is markedly elevated in intestinal mucosa under inflammatory conditions.  In addition, recent studies show that IL-1β causes increased intestinal TJ permeability.‍ Findings Here‍ On the other hand, Interleukin-10 (IL-10) is regarded as an anti-inflammatory cytokine.  In vitro studies have demonstrated that IL-10 opposes the cellular functions induced by TNF-α and IFN-γ.  It is suggested that IL-10 has a role in the protection of the intestinal barrier by regulation of TJ proteins.‍ Findings Here‍ Pathogenic Bacteria and Lipopolysaccharides It is well established that pathogenic bacteria also alter the intestinal epithelial TJ barrier.  The most commonly referenced are Escherichia coli (E.coli) and Salmonella which lead to intestinal inflammation.‍ In addition, lipopolysaccharides (LPS), also called endotoxins, a component of the outer walls of gram-negative bacteria also alter TJ protein assembly.‍ In studies, LPS treatment is seen to increase TJ permeability and induce epithelial cell death.‍ The other part of the barrier is the mucosal layer.‍ Mucous Layer The mucus layer is the very first line of defence that external molecules encounter when they arrive in the gut, it prevents bacteria from directly contacting the epithelial cells, along with toxic substances and digestive enzymes.‍ The main building blocks of the mucus layer are mucin proteins that form a gel-like sieve structure overlying the intestinal epithelium. In the small and large intestine, mucin 2 (MUC2) is the most abundant mucus protein secreted by goblet cells. MUC2 expression is critical in protection against disease, as Muc2 knock-out mice will often develop colitis.‍ Findings Here‍ The ability of mucins to bind water offers another protective element – they moisturise and lubricate, protecting the epithelial cells from dehydration and mechanical stress during the passage of food.‍ Immune regulators are also found in the mucosal layer, which highlights its collaboration with the immune system.‍ Mucous Turnover and Degradation The turnover of the intestinal mucous layer includes mucous synthesis, secretion, and degradation.  It is a complex process that needs to be regulated and balanced to ensure optimal protective function.‍ Mucin degradation has been recognized as a normal process of mucus turn-over in the GI tract, starting a few months after birth.‍ Selective intestinal bacteria can degrade mucous glycans as an energy source, suggesting that there is a relationship between the microbiota and the mucosal layer.  This is of concern in low fibre diets because in the absence of fibre as a fuel source, the microbiota will switch to mucosal glycans.  It has been well established that low fibre diets are associated with a thinner colonic mucosa.‍ Findings Here‍ The rate of mucin turn-over can be modified by bacterial colonization, for example, the intestinal mucous requires the presence of bacteria to develop its full functionality; analysis has shown thin or even absent mucous layer in the colon of germ-free rats.‍ Findings Here In addition, short chain fatty acids can stimulate mucous production.  SCFA’s are the end products of microbial fermentation of undigestible carbohydrates with acetate, propionate and butyrate being the most common in the intestinal lumen.  Starvation also influences mucin turnover.  The mechanism during times of starvation is much the same as on low fibre diets, diverse bacterial species will switch to mucin as an energy source during nutrient deprivation.  This poses food for thought in fasting. To Fast or Not To Fast?‍ Finally, the consumption of a Western Style Diet (WSD) has been linked to the impairment of intestinal mucosal function.‍ Animal studies have administered a WSD, high in fat, simple sugars and low in complex fibre and found that in just three days the mucosal layer was diminished.  A reduction in MUC2 was found.  However, when mice were transplanted with microbiota from a control diet, the mucosal dysfunction was prevented, despite being fed a WSD themselves.  This suggests that in addition to dietary choices influencing the composition of the mucosal layer, so too does the microbiota.‍ Your Puppy’s Microbiome‍ What Can Cause Gut Dysbiosis‍ What Can Help Dysbiosis‍ Furthermore, there seems to be a bidirectional relationship between stress and mucosal barrier function.  Animal studies have demonstrated that early life stress impairs development of mucosal barrier function, becoming a predisposing factor to intestinal disorders in adult life.‍ Findings Here‍ Can Stress Affect My Dog’s Digestive System‍ 6 Tips for Your Anxious Dog‍ Why Dogs Need To Chew‍ Top Tips to Support Gut Barrier Health: Offer a species appropriate diet Limit toxic exposure Support beneficial microbiome formation and maintenance Limit stress exposure Address existing inflammation‍ If you would

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

Bacterial Overgrowth – More Common Than You Think

As we know bacteria is everywhere, both the good ones and the not so good ones.  Sometimes the bad ones can get a little out of hand and start causing a whole host of problems, we know this as bacterial overgrowth and we’re going to be looking at small intestinal bacterial overgrowth, or SIBO specifically.‍ Here at My Pet Nutritionist is something we keep an eye out for, so we thought we’d let you know why.‍ Small intestinal bacterial overgrowth (SIBO) is defined as excessive bacteria in the small intestine.  SIBO is frequently implicated as the cause of chronic diarrhoea and malabsorption. Dogs with SIBO may suffer from unintentional weight loss, nutritional deficiencies, and osteoporosis for example.‍ 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.  So, we would expect the majority of the bugs to be found in the colon.  SIBO is when there are higher numbers found in the small intestine.  The type of microbial flora present plays an important role in the manifestation of signs and symptoms of overgrowth.  For example, a predominance of bacteria that metabolize bile salts to unconjugated or insoluble compounds may lead to fat malabsorption or bile acid diarrhoea. In contrast, microorganisms that preferentially metabolize carbohydrates to short-chain fatty acids and gas may produce bloating without diarrhoea because the metabolic products can be absorbed.‍ There are a number of contributing factors to the development of SIBO but two of the main ones are gastric acid secretion and small intestine dysmotility.‍ Gastric Acid Gastric acid is necessary in the digestion of food.  Not only that but it suppresses the growth of ingested bacteria (it forms one of the protective barriers), which limits bacterial counts in the upper small intestine.  Gastric acid is produced in the stomach, so it provides a buffer before compounds even reach the small intestine.‍ Gastric acid is produced by the parietal cells in the stomach, and there are cases of autoimmunity whereby the body attacks its own parietal cells resulting in low levels of gastric acid.‍ Not only that but certain medications like proton pump inhibitors are also used to suppress gastric acid.  Antihistamine medications also suppress gastric acid secretion.  PPIs are often used to treat a range of GI disorders in dogs and antihistamines are regularly used to treat allergic dermatitis.‍ In addition, gastric acid secretion is regulated by the parasympathetic nervous system via the vagus nerve and there is clear evidence that increased levels of certain stress hormones inhibits the release of it.‍ Can Stress Affect My Dog’s Digestive System‍ The stress response also plays a role in intestinal motility.‍ Intestinal Motility Several programmed movements are responsible for the transport of food between the different parts of the digestive system.‍ Peristalsis is a series of wave-like muscle contractions that move food through the digestive tract.‍ The migrating motor complex typically moves between the stomach and small intestine, sweeping the intestine clean between meals; this is the rumble you will hear!  Hormones like motilin and ghrelin are involved in the generation of MMCs.‍ Mass movement is another programmed movement, and this is what propels the formed poop into the rectum, ready for evacuation.  Mass movements are put on hold overnight but start again in the morning.  They follow their own circadian rhythm.‍ Impaired gastric motility can result in food and waste sitting in the small intestine for longer that it should.‍ There are a number of reasons why motility may be affected.‍ Mechanical obstruction, Abnormalities in smooth muscle function, Secondary conditions such as electrolyte disturbances, metabolic disorders, concurrent medication use, stress, and abdominal inflammation.‍ However, there is more attention being paid to the development of SIBO through antigens gaining access to the lamina propria.‍ The lamina propria is a thin layer of connective tissue that forms part of the moist linings known as mucous membranes or mucosa which line the respiratory and gastrointestinal tract.  It is therefore thought that a compromised mucosal barrier is a risk factor for SIBO.‍ The mucus layer is the very first line of physical defence that external molecules encounter when they arrive in the gut lumen, it prevents bacteria from directly contacting the epithelial cells, along with toxic substances and digestive enzymes.  Within this strand, it therefore prevents colonic inflammation.‍ The main building blocks of the mucus layer are highly glycosylated mucin proteins that form a gel-like sieve structure overlying the intestinal epithelium.  The small intestine only has one mucus gel layer whereas the colon has two layers: an outer, loose layer that allows the long-term colonisation of commensal bacteria, and an inner dense layer empty of bacteria.‍ Mucin degradation has been recognized as a normal process of mucus turn-over in the GI tract, but selective bacterial species can degrade mucous glycans as an energy source in the absence of other food sources and so if degradation outperforms secretion, we start to have a problem.  Furthermore, diets high in refined products, sugars and saturated fats are also associated with compromised mucosal function.    Early stress is also linked to impaired mucosal development, so the health of our puppy’s gut really does start with the Mother!‍ Prevalence of SIBO SIBO has also been noted in dogs with existing chronic intestinal disease, and although many breeds are affected, German Shepherds are seemingly predominant in reports.  SIBO is regularly seen in dogs with exocrine pancreatic sufficiency.‍ Juice culture is the gold standard for SIBO diagnosis, but it is often described as being technically difficult, time-consuming and expensive.  In addition, bacterial counts may be influenced by environmental factors and infective load.‍ One of the first things to consider is whether your dog is currently eating an antigenic diet – with the increased intestinal permeability that often accompanies SIBO, establishing sensitivities is a good place to start.‍ Elimination Diets For Dogs‍ In addition to this, if SIBO has been prolonged there may be underlying nutrient deficiencies so

My Pet Eats Grass, Should I be Worried?

On average, a dog may spend 3.3 minutes eating grass, per day.  Now, when there are 1,440 minutes in a day, it doesn’t seem that much does it?  However, when most dogs head on over to a grassy tuft and start eating, most owners start to worry, it’s certainly a question we are asked often here at My Pet Nutritionist.  This is largely due to the common misconception that dogs who eat grass are nutritionally deficient or because vomiting sometimes follows a grass-eating session, they have an upset tummy. Well, we’re here to explore why grass-eating may not be what you think it is, and we’re talking about cats too! Plant Eating Mammals can be roughly divided into three groups: Carnivores, Omnivores, Herbivores, Plants are the primary food source of herbivores and relatively abundant in the environment.  The composition of plant tissue is quite different from animals; plant cell walls are rich in carbohydrates especially cellulose, which is difficult for animals to digest.  Furthermore, several plants contain toxic compounds as built-in defences (to prevent being eaten).  For these reasons, herbivores have developed unique digestive systems to detoxify these compounds and obtain nutrients from these plant cells.  Cats, however, are unable to detoxify phenolic compounds found in plants. The Struggle of The Cat in Our Toxic World But there is historical evidence of plant material ingestion in carnivores, both cats and dogs.  Some suggest it’s accidental intake, whereas others argue there may be some advantages to plant eating. So why do dogs eat grass? Illness One particular study explored grass eating in dogs.  All dogs participating in the study had a full health check carried out by a vet and they were deemed in good health.  There were no reported parasites and did not have any diagnosed digestive issues.  In 12 dogs, 709 grass eating events occurred.  Vomiting only occurred after 5 events.  The researchers concluded that there was no evidence grass-eating was linked to sickness. Findings Here Gut Guardian Could it be that we tend to pay more attention to the instances that end in vomiting and therefore consider it sickness related?  As humans we do seem to be hard-wired to remember negative experiences as opposed to positive ones. Findings Here Deficient Diet There is also little evidence to support the idea that dogs eat grass to gain vital nutrients they aren’t receiving from their usual diet. When explored, there was no indication that dogs fed a table scrap, commercial or raw food diet were more or less likely to eat grass.  You’d think there would be some nutritional differences across the range of diets – but all dogs across that range of diets were still prone to grass-eating. Findings Here So, is grass just a food source to dogs? When considering how much grass dogs eat and when, it is clear that dogs eat more grass before their usual mealtime.  Dogs tend to eat more grass in the morning, then as the day wears on, time spent eating grass, reduces. Findings Here This data could suggest that grass-eating is simply a hunger response.  As grass is often widely accessed, it’s an easy food source! Parasite Control Grass-eating behaviour is an innate predisposition inherited from wild canid ancestors.  It is believed that purging on plants was an effective way to control intestinal parasites.  Plant-material is difficult to digest and so it passes right through the digestive tract.  As it passes through the tract, it takes the parasites with it.  They are then simply pooped out. Findings Here Here it’s easy to panic and think, if your dog is eating grass, he must have worms; but no studies to date have shown this to be the case.  Our dogs are simply demonstrating a behaviour that is innate to them. Dogs under the age of one are noted as more frequent grass-eaters than older dogs.  We can firstly consider this a behaviour; like babies, puppies also explore their world through their mouth, but researchers have suggested this is more likely related to their ability to fight pathogens.  Maintenance metabolism, the energy required to maintain homeostasis, scales fractionally with body size and as such, smaller animals require more metabolic energy per unit of body mass.  Therefore, energy loss caused by parasites has higher consequences for smaller carnivores.  It is in the younger dog’s interest to ensure they remain free of parasites. The same applies to cats.  The energetic cost of parasite load is relatively high for the cat.   In evolutionary sense, they would have also had a higher exposure to potentially harmful pathogens through increased food intake. Plant eating in cats has also been considered a way to evacuate hair or undigested materials.  Sugar-cane-derived fibres have been seen to reduce the size of hairballs in the scat of domestic cats. An interesting cycle is proposed in the cat.  Fleas are the main ectoparasite in the cat, and self-grooming with their rough tongue is one of the main removal strategies.  As the flea load increases, the intensity of grooming increase, which is likely to increase ingestion of its own hair.  So, plant eating could be a control for both ecto and endo parasites in the cat. Findings Here Liver Guard Is Eating Grass Bad For Dogs? Whilst some dogs do vomit after eating grass, it’s not usually linked to any further complications.  The issue arises when dogs eat grass that has been chemically treated. There are many reports of glyphosate toxicity; a common product used to control weeds.  Accidental exposure has resulted in vomiting, diarrhoea and lethargy.  Dogs also develop respiratory distress.  Cats appear more sensitive, more often resulting in fatalities. Findings Here Glyphosate and My Dog You also have the risk of toxic plants which are not limited to, but include: Sago Palm Tomato Plant Ivy Amaryllis Gladiola American Holly Daffodil Milkweed Castor Bean Azalea/Rhododendron Tulip Chrysanthemum Begonia Oleander There is little evidence to suggest any nutritional or illness related reasons for a dog to eat grass and there is consistency

Can Stress Affect My Dog’s Digestive System?

Here at My Pet Nutritionist, we take a holistic view of your pet’s health.  So, whilst we focus primarily on nutritional adjustments we can make, we look at everything else that is going on for your pet too.  Not surprisingly we find that stress is a key player in many of the concerns brought to us.  Most of us are familiar with the concept of stress, but do we truly understand the mechanism and the far-reaching impact it has on the body? Stress is huge, so we’ll try to condense it as much as we can.  Stay with us. Despite the biological stress response being around for millennia, we first started paying attention to the actual response in the early part of the 1900s.  Walter Cannon was the first Professor of Physiology at Harvard, and he was particularly interested in how the body managed to maintain its balance even when faced with things that could threaten it’s being. Building on this, Hans Selye established that no matter the stressor, each body (and brain) experienced the same cascade of responses.  He also proposed that during the response to one stressor, our ability to withstand another is diminished.  We often reference his theory when we discuss trigger stacking – and we’ve all been there – that day, when you miss your alarm, you spill the milk as you’re putting it in your coffee, then you lose your keys – and your ability to manage challenges that day just seems reduced.  But on a biological level, we also see that when we are going through particularly stressful times, our immune system isn’t quite as nifty as dealing with threats and so we start picking up bugs and that old faithful cold sore rears its ugly head. The same concept applies to dogs, and if you sadly share your life with a reactive dog, you’ll see trigger stacking in them too.  Equally, if they live with chronic stress, their immune function may go rogue too.  This is why we always consider stress levels in those dogs who suffer with inflammatory skin issues. What is Stress? The official response starts in the brain.  The amygdala, being the part of the brain that deals with emotions, sends a message to the hypothalamus which is like the command centre of the body.  It communicates with the rest of the body through the autonomic nervous system which controls involuntary body functions like breathing, blood pressure and heartbeat. The autonomic nervous system is then split further into two branches, the sympathetic nervous system, and the parasympathetic nervous system.  These are the systems that we are particularly interested in in the stress response. The Sympathetic Nervous System This system is known as the fight or flight system.  We can think of it like the gas pedal of the stress response. This system: Dilates pupils – to see oncoming danger, Inhibits saliva production, Dilates bronchia, Increases heart rate, Inhibits the activity of the digestive system, Relaxes urinary bladder, This system is like a redistribution centre.  When the body is faced with a stressor that can challenge body homeostasis, it redirects resources to re-balance.  Blood is sent to the limbs to mobilise and why waste energy on food digestion? But this is where we see many issues.  As we know, to absorb and utilise nutrients the digestive system needs to do its job.  If the stress response is inhibiting the action of the digestive system, then it can’t do what it needs to. As part of sympathetic response, corticotropin-releasing-factor (CRF) is released.  The name isn’t particularly important, but it seemingly plays a considerable role in altering gastrointestinal functions. It has been found that CRF: Inhibits gastric acid secretion Inhibits small intestine transit Increases intestinal permeability Increases visceral sensitivity Gastric Acid Secretion Gastric acid is a digestive fluid formed in the stomach, produced by parietal cells.  The highly acidic environment in the stomach causes proteins from foods to lose their folded structure (denature) which exposes the peptide bonds.  It is therefore a key player in protein digestion.  Gastric acid secretion is regulated by the parasympathetic nervous system via the vagus nerve and by the hormone gastrin which stimulates the parietal cells. There is also an increased risk of infection with reduced gastric acid secretion.  Low or no gastric acid can reduce the disinfectant properties of the gastric lumen. Gastric acid suppression is also associated with the development of food intolerances and allergies. Findings Here Small Intestine Transit The small intestine is chiefly involved in the digestion and absorption of nutrients, it receives pancreatic secretions and bile through the hepatopancreatic duct to aid its functions.  In the stress response, it is thought that this mechanism encourages vomiting to expel potential pathogens, as in the large intestine, transit time is increased, again to aid expulsion.  Poor motility can lead to small intestine bacterial overgrowth (SIBO) which is frequently implicated in nutritional deficiencies, malabsorption, weight loss and bowel changes like diarrhoea. Findings Here Intestinal Permeabilit The intestinal barrier is made up of tight junctions which allows the absorption of nutrients whilst limiting the transport of potential harmful antigens.  Early stress and chronic stress have been seen to increase intestinal permeability both through TJ function and mucous degradation. Animal studies have demonstrated that early life stress impairs development of mucosal barrier function, becoming a predisposing factor to intestinal disorders in adult life.  However, these stress induced changes do seem to respond to probiotic intervention.  Probiotics have been seen to restore colonic tight junction integrity and enhance the mucus barrier. This is largely because stress impacts the bacterial community found in the gut.  Studies have shown that early life maternal separation, for example, results in a significant decrease in fecal lactobacillus numbers, three days post separation.  Mothers who report feeling stressed have a significantly higher number of proteobacteria and lower lactic acid bacteria. Findings Here Visceral Sensitivity Evidence suggests that long term stress facilitates pain perception and sensitises pain pathways.  There is a clear gene-environment interaction which

What Can Go Wrong with My Dog’s Gallbladder?

A question that often pops up here at My Pet Nutritionist so we thought we’d do a whistle stop tour on the gallbladder and some of the more common issues that can arise when it’s not functioning as it should. Let’s get cracking. The gallbladder is a pear-shaped organ that sits just under the liver.  Its function is to store and concentrate bile, a yellow-brown digestive juice produced by the liver.  It is part of the biliary tract. When food enters the small intestine, a hormone known as cholecystokinin is released, this tells the gallbladder to contract and secrete bile into the small intestine, through the common bile duct. There are two important functions of bile: Bile contains bile acids, which are critical for digestion and absorption of fats and fat-soluble vitamins in the small intestine. Many waste products, including bilirubin, are eliminated from the body by secretion into bile and elimination in faeces. Bile contains water, electrolytes and a battery of organic molecules including bile acids, cholesterol, phospholipids and bilirubin. Sadly, the build up of these very compounds can lead to a number of problems in the gallbladder, they are known as canine gallbladder diseases and include: Biliary Sludge Gallbladder mucoceles Gallstones Gut Guardian Biliary Sludge Gallbladder sludge is a collection of cholesterol, calcium, bilirubin, and other compounds that build up in the gallbladder. It is more technically known as biliary sludge.  It is not technically a condition on its own, but it’s presence can lead to further issues. Gallbladder sludge has been associated with: Obesity Rapid weight loss Cholecystitis – the swelling and inflammation of the gallbladder.  It can result in bile trapped in the gallbladder, causing pain, vomiting, and bloating Blocked biliary ducts – these allow the gallbladder to drain – if sludge can’t escape, it accumulates Of interest, biliary sludge has been associated with acute cases of pancreatitis.  In human cases, where no cause of pancreatitis could be found, upwards of 30% of patients showed evidence of biliary sludge. Findings Here If the initial cause of gallbladder sludge is rectified, then it often resolves on its own.  However, if the factors remain, gallbladder sludge can lead to gallstones. Gallstones Gallstones are not surprisingly, small stones that form in the gallbladder.  It’s when there is an imbalance in the usual liquid composition of bile inside.  Because inadequate emptying or infrequent gallbladder movement are usual factors that increase the likelihood of gallstones forming, it’s easy to see how biliary sludge can lead to gallstones. Risk Factors for gallstones; Obesity, Older age, Disorders of the digestive system, Rapid weight loss, Signs and Symptoms of gallstones: Vomiting Jaundice Loss of appetite Abdominal pain Fever Discomfort after eating Gallstones are more commonly seen in older dogs, and often in smaller breeds like miniature schnauzers and miniature poodles.  They may be identified in the gallbladder, common bile ducts, hepatic, or interlobular ducts.  They are generally composed of cholesterol, bile pigments and calcium carbonate. Gallbladder mucoceles (GBM) A gallbladder mucocele is an abnormal accumulation of bile laden mucoid material within the gallbladder, resulting in bile duct obstruction. Mucins, which play a major role in the development of gallbladder mucoceles, are a family of polysaccharides secreted by mucosal epithelial cells of the gallbladder, stomach, intestines and other organs. Mucins act as surfactants and play a mucoprotective role by preventing self-digestion of mucosal epithelium by digestive juices.  A gallbladder mucocele is characterized by the excessive secretion of mucin from gallbladder epithelium. Dogs who have suffered with GBM have ranged in age from 3-14 years old, but middle to older aged dogs are thought to be at a higher risk.  A genetic mutation has also been found on the ABCB4 (MDR3) phospholipase flippase transported in Shetland Sheepdogs and others.  There is an increased incidence in these dogs along with Miniature Schnauzers and Cocker Spaniels. Findings Here Signs and Symptoms of GBM: Loss of appetite Lethargy Vomiting Diarrhoea Jaundice Abdominal pain or discomfort The underlying cause of GBM is essentially unknown, but there are considered associations.  For example, gallbladder mucoceles has been associated metabolic disruption. Dogs with GBM: are characterized by significantly diminished antioxidant capacity demonstrate altered energy metabolism have abnormal lipid metabolism demonstrate presence of xenobiotics compared to controls In addition, those dogs with GBM formation show increases in certain compounds that suggest they are in a state of excess metabolic energy.  This is why these dogs show lower levels of pantothenate, riboflavin and nicotinamide riboside because there is an increased demand for these compounds in energy transportation. Findings Here There is also consideration given to hydration state; studies have indicated an underlying defect in electrolyte, acid-base or fluid transport. Findings Here Finally, the formation of gallbladder mucoceles has been associated with certain medication use: Dogs with GBM were 2.2 times as likely to have had reported use of thyroxine 3.6 times as likely to have had reported treatment for Cushing’s disease 2.3 times as likely to have had reported use of products containing imidacloprid (insecticide) Findings Here Supporting Healthy Gallbladder Function Maintain an ideal body score Obesity in Pets – Part One Obesity in Pets – Part Two Support digestive function Low Fat Kangaroo The Dog’s Digestive System Optimal Gut Health Pancreatitis: Natural Guide for Pets Stay hydrated!  Offer filtered water and ditch the dry! Offer antioxidant rich foods!  Berries and leafy greens are a great place to start! Dietary Patterns Studies have indicated that the consumption of sugar, refined grains, processed meats and low-fat food products are associated with increased risk of gallstone disease. Likewise, the intake of nuts, fruits, vegetables and omega-3 PUFAs is associated with reduced gallstone disease. Supportive nutrients in terms of gallbladder health include fibre, magnesium, and vitamin C. Findings Here Why Is Magnesium So Important to Your Pet Why Fibre is Good For Your Dog Why Chia Is So Good For Your Dog Issues with the gallbladder are sadly not that simple, there are several factors to consider.  If you are concerned about your dog’s gallbladder or liver

A Brief Guide to Histamine Intolerance for Dogs

Histamine intolerance (HIT), more technically known as enteral histaminosis, is characterised by the development of problematic symptoms after the ingestion of histamine containing foods. However, current schools of thought are that HIT is not solely due to dietary histamine exposure, but exposure along with insufficient or impaired histamine detoxification. We can see the raised eyebrows from here, so here at My Pet Nutritionist, we thought we’d take a closer look at this issue. 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. It is primarily associated with the functioning of the immune system. During an immune reaction, histamine is released from mast cells throughout the body and contributes to the physical changes necessary for the immune system to fight the pathogen, like the increase in blood pressure, temperature, swelling, and constriction in the lungs. Histamine is released to carry out a function and then it is removed, or it should be, efficiently. Detoxification of dietary histamine normally occurs in intestinal epithelial cells via the enzyme diamine oxidase (DAO) as well as histamine-N-methyl-transferase (HNMT) in the liver. The term histamine intolerance is used similarly to lactose intolerance in humans (LIT). LIT, with a deficiency of the enzyme lactase, shows parallels to the definition of HIT, with a deficiency of the GI enzyme diamine oxidase (DAO). DAO is a secretory protein stored in structures of the plasma membrane and is responsible for the degradation of extracellular histamine.  The expression of DAO is restricted to certain tissues, mainly the small intestine, colon, placenta and kidneys.  In the intestine, DAO activity increases progressively from the duodenum to the ileum and is located mainly in the intestinal villi. On the other hand, the enzyme HNMT is expressed in a wide range tissues including the kidneys and liver, the spleen, colon, prostate, ovaries, spinal cord cells, trachea, and respiratory tract. The gateway for dietary histamine is the intestinal epithelium. So, although HNMT is also present in the gastrointestinal tract, the more highly expressed DAO plays the major role in protecting the body against exogenous histamine, whether originating from ingested food or generated by the intestinal microbiota. What Can Cause Deficiencies in DAO? There are polymorphisms in the genes that encode for the DAO enzyme, but certain medications, including over the counter products are seen to inhibit the activity of DAO enzyme too. They include: Analgesics – morphine, NSAIDs Antiarrhythmics Antibiotics Antifungals Antimalarial Diuretics Motility agents Muscle relaxants Vitamins – ascorbic acid, thiamine‍ Findings Here Furthermore, several inflammatory bowel pathologies affecting mucosal integrity are known to result in impaired DAO activity.  DAO activity has been proposed as a marker of the integrity of intestinal mucosa.  In inflammatory bowel diseases, reduced DAO activity was related to the degree of mucosal damage.  In one human study, DAO activity was significantly reduced in cases of ulcerative colitis compared to the control population. gut guardian can help support histamine intolerance and allergies. Findings Here Gut Guardian Prevalence of DAO deficiency in HIT In human studies, 80% of patients showing symptoms of HIT also demonstrated DAO deficiency. Symptoms of HIT include: urticaria pruritus diarrhoea abdominal pain vomiting constipation cough rhinitis If DAO production is low, histamine blood serum will inevitably be high. This is where the liver needs to be functioning effeciently, to assist with excess histamine metabolism. Liver Guard Diagnosing HIT Currently the general rule of thumb is that two or more symptoms of HIT are being presented.  Other gastrointestinal pathologies should also be dismissed.  Low histamine diets are recommended in the short term, to establish remission or improvement in symptoms. Low Histamine Diets Foods that potentially contain high levels of histamine are: a) those microbiologically altered, such as fish and meat, or derived products that may have been preserved or processed in unsuitably hygienic conditions. b) fermented products, in which the bacteria responsible for the fermentation process may also have aminogenic capacity. If you would like more information on low histamine diets check out our blog here. Low Histamine Diets for Dogs More are now acknowledging the role of DAO inhibitor medications and the result on histamine load.  In addition, we must consider how the health of the gut may be influencing enzyme capacity and so we really need to take a look at the bigger picture. Does My Pet Need to Detox 7 Steps to Optimal Gut Health for Pets If any of this is ringing a little true for your dog, then please check out our services to see if we may be able to help. Thanks for reading, Team MPN x

What Can Cause Gut Dysbiosis?

The microbiome was first defined in 1958.  It was identified as the collective genome of the microorganisms that share body space.  These microorganisms include bacteria, archaea, virus, and fungi. It is believed that 90% of human cells are not of human origin; hence the saying we are only 10% human.  Microorganisms of the microbiome therefore provide an important genetic variation.  Bacterial genes provide diversity and functions that human cells do not have.  This similarly applies to our pets. The microbiome is an important modifier of disease and an essential component of immunity.  Dysbiosis of the many microbiomes have been associated with a range of disorders and each day we are learning more about more about the community inside and on top of us, and our pets. Whilst our research is still getting a handle on things, and there are many things we still don’t know much about, we know that certain things can skew the microbiome to result in dysbiosis, and there are somethings than can help it sort itself out. Let’s take a look. The intestinal microbiota is the collection of all microorganisms in the gastrointestinal tract.  The microbiome is the collective genome of these microorganisms. Bacteria make up most microbial cells, showing an increase in abundance from the stomach to the colon. The predominant phyla in the GIT of healthy dogs are: Firmicutes, Bacteroidetes, Actinobacteria, and Fusobacteria But each individual animal will have their own personal profile. A note on testing… it would stand to reason, that if we know the bugs that contribute to healthy microbiomes and those that can start to run amok, if we could test for them, then we could tailor a microbiome for health?  This is a great concept and one that is gaining traction in the human world, but we still haven’t established a perfect microbiome or microbiota.  As it stands, we need to learn more – and acknowledge that our microbiomes are unique – what may be perfect for your dog, may not be perfect for mine. We know that certain bacterial groups have consequences – both beneficial and potentially deleterious. For example, certain dietary carbohydrates can be fermented by the microbes in the gut – in this process, they produce short-chain-fatty-acids.  These are known as butyrate, acetate and propionate.  On the plus side, these compounds are anti-inflammatory, they maintain intestinal barrier function, regulate motility (the movement of the digestive system) and also provide energy for epithelial cells.  On the downside, they can activate virulence factors of enteropathogens. In addition, bile acids also seem to be a major regulator of the gut microbiota.  Liver health is therefore implicated in microbiome composition as reduced bile levels are associated with bacterial overgrowth and inflammation.  Secondary bile acids have been seen to inhibit the growth of clostridum difficile, Escherichia coli and more.  They are also seen to modulate glucose/insulin secretion from the pancreas.  Bacteria in the gut produce these secondary bile acids and so if they aren’t present, their antimicrobial function is missed! Dogs with exocrine pancreatic insufficiency have significantly reduced bacterial diversity, with lactic acid bacteria Bifidobacteriaceae, Enterococcaceae, and Lactobacillaceae increased, likely because of overgrowth associated with maldigestion.  As we know, the pancreas produces enzymes that help digestion, so if this isn’t occurring upstream in the digestive process, it can cause problems further down.  If you would like to know more about the digestive process that occurs in the dog, check out our blog: The Digestive System of the Dog Many studies have highlighted the alterations in bacterial diversity in a range of conditions in the dog.  So, what can result in these alterations in bacterial diversity? Generally, the major types of dysbiosis fall under 4 categories. Abnormal substrates in digestive tract Loss of beneficial commensal bacteria Increase in total bacterial load Increased pathogenic bacteria Abnormal Substrates in Digestive Tract The most common here are undigested nutrients – if there is low stomach acid, digestion is impaired resulting in undigested nutrients moving through the digestive tract.  If the pancreas isn’t fully functioning and releasing those helpful digestive enzymes, the same applies.  The other abnormal substrate includes medications – which may result in changes in the microbiome. Loss of Beneficial Commensal Bacteria The most common cause of loss of commensal bacteria is the administration of broad-spectrum antibiotics (BSA) – BSAs aren’t fussy – they’ll do their job perfectly, taking all bugs with them – this includes those beneficial commensal bacteria that keep the bad guys in check, and which help produce metabolites for optimal functioning. Of interest here is the mechanism by which antibiotics can affect the chemical transformation of pesticides.  Antibiotics, through their bug killing capacity, have been seen to suppress enzymes required in hepatic metabolism and also increase intestinal absorption leading to improved bioavailability of pesticides and therefore skyrocketing their risk factor. Findings Here Increase in Total Bacterial Load This is more relevant in cases of small intestinal bacterial overgrowth.  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.  For this reason, we would expect the majority of the bugs to be found in the colon.  SIBO is when there are higher numbers found in the small intestine. Low stomach acid can contribute to the development of SIBO – and the administration of proton pump inhibitors and antihistamines can both suppress gastric acid secretion. Poor motility can also contribute to the development of SIBO, and stress can be a huge factor that contributes to motility issues.  In short, if the digestive system isn’t moving, food particles sit where they shouldn’t.  Increased bacterial load is what occurs in yeast issues for example.  Candida is harmless when kept in check, but for a number of reasons it can overgrow.  If you would like to learn more about yeast, check out our blog: Is your Dog a Yeasty Beast? Increased Pathogenic Bacteria No-one will knowingly ingest pathogenic bacteria – we can’t speak for

What Can Help Gut Dysbiosis?

In our last My Pet Nutritionist article we explored the range of factors that can contribute to a less than happy gut including: Antibiotics, Overuse of certain medications like proton pump inhibitors and antihistamines, Poor liver function, Poor motility, Digestive disorders, Poor pancreatic function, Inflammation in the gut, Stress Environmental toxins, Dietary choices. And more! Why is this important? The microbiome plays an immense role in both health and disease.  It has been seen to affect how food it utilised and absorbed – and in actual fact, you aren’t what you eat, you are what you absorb and utilise!  This goes for pets too.  The microbiome has also been implicated in obesity. Findings Here The microbiome can produce metabolites which can support immune function, modulate inflammation, and influence behaviour.  A happy microbiome also forms a defence barrier so is an important part of gut healing if dealing with pets who suffer with sensitivities. So, if we know what can result in gut dysbiosis, is it something we can prevent?  And is it something we can reverse? Let’s take a look. First of all, we are looking at puppyhood to prevent dysbiosis.  Until recently, it was believed that foetus development occurred within a sterile uterus, however increasing evidence indicates that the foetus develops in an environment that is not entirely germ-free. Many microbial species have been detected in the umbilical cord, the amniotic fluid and the foetal membranes in apparently normal pregnancies without any indication of inflammation or disease. After birth, the new-born acquires microbes from the environment, food, and nearby animals and humans. In the first month of life, gut microbiota is less stable, and its biodiversity will increase over time. Gut Guardian Alongside this microbial colonisation, the immune system must learn to tolerate antigens present in the environment. Colonisation in the early life stages occurs in conjunction with the development, expansion, and education of the immune system. This suggests that during the first colonisation steps, factors with a negative impact on microbiota composition could pave the way for disease in subsequent years. At this point, delivery mode, along with maternal nutrition and environmental exposure are key factors to consider in promoting a healthy gut in your puppy. As your puppy is growing it is essential to: Avoid the overuse of antibiotics – we are not denying that antibiotics are lifesavers, but they can often be prescribed inappropriately. Avoid the overuse of medications – again, some medications are beneficial in acute disease episodes, but the long-term use of many medications often serves as a band-aid – if you are using chronic proton pump inhibitors or antihistamines for your pet, please check out our services to see if we can help. Support normal motility – avoid stressful triggers and work in conjunction with a behaviourist if your dog struggles with stress resilience. Limit exposure to environmental toxins – cleaning and grooming products, pesticides, plastics, contaminated water etc. Is Your Toxic Home Affecting Your Pet The Importance of (Clean) Water Does My Pet Need to Detox The other factors on our list need a little further discussion. Poor Liver Function The liver is an essential organ of the body that performs hundreds of vital functions.  We often call it the powerhouse of the body here at My Pet Nutritionist. Some of its main roles include removing waste products and foreign substances from the bloodstream, regulating blood sugar levels, and creating essential nutrients. In addition, it is involved in: Albumin Production: Albumin is a protein that keeps fluids in the bloodstream from leaking into surrounding tissue. It also carries hormones, vitamins, and enzymes through the body. Filters Blood: All the blood leaving the stomach and intestines passes through the liver, which removes toxins, by-products, and other harmful substances. Regulates Amino Acids: The production of proteins depends on amino acids. The liver makes sure amino acid levels in the bloodstream remain healthy and it also plays a role in rearranging amino acids into new proteins. Regulates Blood Clotting: Blood clotting coagulants are created using vitamin K, which can only be absorbed with the help of bile, a fluid the liver produces. Resists Infections: As part of the filtering process, the liver also removes bacteria from the bloodstream. Stores Vitamins and Minerals: The liver stores significant amounts of vitamins A, D, E, K, and B12, as well as iron and copper. Processes Glucose: The liver removes excess glucose (sugar) from the bloodstream and stores it as glycogen. As needed, it can convert glycogen back into glucose. Bile Production: Bile is a fluid that is critical to the digestion and absorption of fats in the small intestine.  Bile acids also affect the balance of flora and gut motility, which ultimately affects microbiota composition.  But of further interest, there seems to be a bi-directional relationship here as gut dysbiosis is also then implicated in poor liver function and subsequent liver disease.  We’re not kidding when we say we need to consider a whole-body approach to health (and disease). And so, if you are looking to support the microbiome, we also need to be supporting the liver (and more – but one step at a time!). Liver Guard Poor Diet – as the liver plays a role in metabolism and detoxification, the less burden we place on it, the better.  Bioavailable, nutrient dense foods are best – which is why we advocate a whole-food, fresh diet. Stress – again, the liver plays a role in detoxification, so if the body has plenty of stress hormones to break-down and excrete, the burden on the liver will be increased.  Avoid stressful triggers as much as possible. Endocrine disease/disorder – vet checks can establish if this is a consideration that needs to be made but underlying endocrine issues can contribute to impaired liver function. Infectious agents – many infections may affect the liver, and so testing for this is beneficial.  Immune support can then be useful in a liver healing plan. Vaccinosis – here we are looking at the burden