Obesity in Pets Part 1

It always takes a couple of years for data to start filtering through, but in 2018, a survey of veterinary professionals believed that rates of obesity are increasing year on year. It is thought that 51% of dogs and 44% of cats in the UK are overweight. That is just over half of the population of dogs and nearly half of the population of cats. These numbers are up on the last data sourced in 2015. 100% of veterinary professionals are concerned about the prevalence of obesity and the health issues it can lead to. In the words of James Smith PT, we’d love to tell you it’s as simple as a calorie deficit, but here at My Pet Nutritionist, we know that obesity is in fact a multifactorial condition, which can make it a hard nut to crack. But we also know that the health of your pet depends on it. So, we’re not about to grab a hammer, instead we’re going to take a look around the cookware store and find the right nutcracker to do the job. Fancy a trip? The Health Issues Associated with Obesity: Being overweight increases the risk factors for developing: Cancer Diabetes Heart disease Osteoarthritis and degeneration of joints Urinary bladder stones Surgery complications Respiratory difficulties Kidney disease All things considered, its easy to see why obesity significantly reduces lifespan and why it is something that really needs to be addressed. What is obesity? Obesity is defined as an accumulation of excessive amounts of adipose tissue. It is generally a state of positive energy balance. When food is ingested, it is digested and metabolised. The body uses the nutrients it needs and converts the main macronutrients to energy. All energy in the body is produced by the breakdown of ATP, adenosine triphosphate.  ATP is found in all cells in all the body, but as it is a large molecule, not so much can be stored. In nearly every living thing, this energy comes from the metabolism of glucose. There are three relevant energy systems. 1. ATP-P This is where the body uses all the ATP it has stored in its cells. This is the simplest energy production process; and if we were to consider it in human terms, this is the system that your 100m sprint would utilise. 2. Glycolytic System This system runs on glycogen, which is stored glucose. In human terms, this system provides moderate power and moderate duration. Both the ATP-PC and Glycolytic system are anaerobic, meaning they don’t require oxygen to produce ATP. 3. Oxidative Syste This system, as its name suggests does involve the use of oxygen to product ATP. This system cannot produce energy as quickly as the other two, but it can produce it continually and for a longer duration. This system can use stored carbohydrates and fats for fuel. In human terms, this would be the system that the marathon runner would access! So, in short, glucose is used as energy, but unused glucose can be converted to glycogen to be stored in the liver and muscles. If there is still leftover, then it is converted into fatty acids and stored in adipose tissue. This makes evolutionary sense; there would be a reserve during periods of low food availability. However, as you have noticed, fat too can be used as an energy source, and protein can be broken down into amino acids and then converted to glucose in a process known as gluconeogenesis. This is where the calorie in, calorie out idea comes from. An overabundance of any of the three macronutrients, can be converted into fat for later use. And the idea that obesity comes from reduced activity comes from the reasoning that those reserves aren’t actually used. On a simplistic level, this makes absolute sense and for the pet who is starting to look a little more round than usual, a simple reduction to their daily intake or a longer walk, may just tuck that waist in a little more. But there are many more factors at play here. Fat is the New Norm Do you know your pet is overweight? In an 8000-household study, 68% of surveyed owners report thinking their pet is the perfect weight. 67% of surveyed owners did not see obesity as a concern. Interestingly, a recent report from the NHS in the UK identified that 67% of men and 60% women were overweight or obese. 20% of Year 6 children were also classified as obese.  Findings here Whilst we acknowledge there are faults in BMI scores, it still highlights a valid point. Sadly, pet obesity has many parallels with human obesity and according to the NHS, fat is the new norm for humans. As we know, we learn from experience and so, if we are consistently exposed to something, it becomes accepted. If we are consistently exposed to round pets, without a waistline, do we accept it? But, our pets need a waistline. They should tuck-in behind their ribs, and underneath. Whilst you shouldn’t be able to see their ribs, you should be able to feel them. They should not look rectangular from any angle, side or above. What treats are you offering your pet? Whilst for us humans, a decadent chocolate pot may be a weekend treat, dog treats have somewhat lost their novelty. Treats can be a useful resource during training, and in some cases, high value are necessary, but for some, treats are used as a way to prevent feelings of guilt when pets are being left home alone. Depending on how many times you leave the house, these can soon add up! 1. Table scrap We’ve all been there, those eyes looking up at you whilst you’re eating. Whilst that cubic inch of cheese only warrants 68 calories of your daily 2500 (call it 3%), for your 9kg Scottie Dog, that’s nearly 20% of their daily calorie allowance. If begging at the table is an issue, it is possible to remove the pets to

Why Is My Dog A Fussy Eater?

Any quick search on the internet will populate a range of breeds that are seemingly notorious for being fussy eaters. If you have a basenji, husky or yorkie, it looks like you’re signed up for a lifetime of stressful meals. Except here at My Pet Nutritionist, we don’t believe everything we read on the internet. Whilst all those breeds could indeed be fussy eaters, so can many more. And they are. It is perhaps one of the more common questions we are asked, “how can I get my dog to eat?” Being a fussy eater can be technically defined as an eating disorder, and there are a number of causes. From behavioural to biochemical, let’s take a look at the complex world of the fussy eater. The Function of Eating Food components are the main sources of energy for the canine body. Not only that, but it provides the compounds needed for each cell to do its job. As the body carries out its tasks, it uses fuel and compounds, as reserves run low, signals bounce around the body to kickstart feeding behaviour. This is hunger, a physical need to eat. Appetite is quite simply the desire to eat. Hunger and appetite can be at odds. You may want to eat, but not need to, and you may need to eat, but not want to (in times of stress for example). Appetite and hunger are largely controlled by the brain and a range of hormones. The Brain In the brain sits the hypothalamus. Through its connection to the pituitary gland, it modulates the endocrine system. It is involved in a range of daily activities including temperature regulation and energy maintenance. We know it plays a role in eating behaviour as several lesions to small areas of it can result in overeating and under eating. The lateral hypothalamus is defined as the feeding centre and the ventromedial hypothalamus is defined as the satiety centre. This is largely an oversimplification, but it certainly demonstrates the role. The hypothalamus receives information from the digestive system like stomach extension, chemical nature of ingested food and the metabolic activity of the liver and uses it to maintain energy balance. It also receives information from the emotion/reward system. Food is a rewarding object that induces pleasant emotions. Findings here The amygdala is largely responsible for this. Studies have demonstrated that when the reward value of food decreases, so too does eating motivation. Sadly, these studies often include the injection of lithium after eating, of which causes discomfort. But it does raise an interesting point in terms of the fussy eater in your life. We’ll revisit this later. Food reward is elicited by several events that occur before it even passes through the oesophagus, namingly the appearance and shape of the food, the taste and smell and then the pleasure of swallowing the food. We know this because in tube-feeding studies, reward sensations are reduced. In short, when subjects were no longer allowed to taste or chew it, they did not want to eat it. That said, in sham studies, when animals are denied nutrition because everything swallowed leaks out of a tube connected to the oesophagus, they eat and swallow more than usual, but they are still unsatiated. This tells us just how complex eating behaviour actually is. And provides food for thought for the gluttonous dog (on the other side of the scale). Hormones Hormones are probably the most talked about in terms of eating behaviour.  You’ve all likely come across leptin and ghrelin. Leptin is produced in adipose cells, or fat cells. So, the more fat cells there are,the more leptin. In short, the more fat available in reserves, the less you need to eat. If you have no fat cells, you need to conserve your energy until you next find food. Leptin crosses the blood-brain barrier, and there are high numbers of leptin receptors found in the hypothalamus, brain stem and other regions of the brain. Rising leptin in a fed state inhibits food intake by suppressing a range of peptides involved in eating behaviour. Ghrelin is predominantly secreted in the stomach and it too modulates cells found in the hypothalamus by increasing excitatory inputs and decreasing inhibitory inputs.  Here we are talking about neurotransmitters. These chemical messengers modulate much of our and our pet’s behaviour and they either make something do something or stop something from doing something. Whilst dopamine can be both inhibitory and excitatory, ghrelin is seen to have a large influence on the release of dopamine via increases in cell excitability. As dopamine is involved in reward and motivation, ghrelin is thought to target the motivational functions geared to gaining food and to select those which are more rewarding (high calorie). Findings here In eating disorders, dopamine is one of the neurotransmitters that gets a lot of attention. In times of reduced food intake (fussy eating), dopamine neurons are activated, in the short-term rewarding the lack of food. It is considered that it is a physiological response in an attempt to increase motivation to forage for food. Findings here However, there are also other mechanisms in which the dopaminergic system comes into play for the fussy eater. A central feature of the dopamine neuron response is that it is triggered by unexpectancy. After receiving an unexpected reward like food (or how many likes our recent post has got on social media) a dopamine surge is elicited. When this becomes a regular occurrence, the dopamine signal is triggered by the conditioned stimulus in predicting the reward. However, the dopamine system does not respond when the reward is received. If the reward is predicted, then not received, there is a dip in dopamine activity. What this means, is that your dog may do the song and dance ready for their bowl of food, but then walk a way as soon as it is placed in front of them. The reward they predicted (tasty food), isn’t what was received. The other neurotransmitter that gets a

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

Kidney Disease in Cats

The prevalence of chronic kidney disease in the cat is seemingly on the up. Generally, what goes up, must come down, but when we look at the factors underlying kidney disease, there is a real concern that this may not happen. Currently, it is suggested that 1 in 3 cats suffer with some form of kidney disease. So, what can we do about it? Let’s take a look at kidney disease in a little more detail, why the kidneys are so important and some of the underlying factors that contribute to the development of it. What is kidney Disease Chronic kidney disease in cats is a prolonged process marked by the irreversible loss of kidney function. It is suggested that the early stages of CKD are often missed in cats, likely because many are outdoor cats so urination and drinking behaviours may not be as easily noted, along with vomiting etc. Kidney disease is generally associated with ageing pets; like all things, kidneys too get tired as they get older. But there are new concerns, well, new in 2014, that younger cats are seemingly presenting with the disease too. Where 30-50% of cats 15 years of age or older suffer with CKD, 13% of those under the age of 4 also suffer. Symptoms of Kidney Disease in the Cat: Increased thirst Increased urination Reduced appetite Weight loss Vomiting Fatigue Weakness Bad breath There are 4 stages of kidney disease in the cat, they are based on serum creatinine concentration: stage 1 through 4, with 2 being mild, 3 being moderate and 4 being severe. Findings here Why are the kidneys so important? The two bean shaped organs have vital functions in the body. They monitor fluid levels in the body, control and process waste and release vitamins, minerals and hormones. Their main function is to collect waste products and turn them into urine. Blood enters the kidney though arteries and splits into nephrons. The nephron splits into two nifty mechanisms to filter the blood. This includes the glomerulus and tubule. The glomerulus is like a sieve, allowing certain compounds from the blood into the tubule. The tubule then senses whether any of these compounds are needed around the body. If so, they are absorbed into the body. The tubule also senses waste products, like urea which is produced during the break down of protein. It redirects urea as urine which travels down the ureter, into the bladder to be excreted. The kidneys also activate vitamin D, and release hormones such as erythropoietin which is needed to produce red blood cells and renin which regulates blood pressure. Without the kidneys, the body would be full of blood that hadn’t been sieved and full of harmful waste. It also wouldn’t be receiving the vitamins and minerals, which, without being dramatic, are in fact critical to life. Causes of Kidney Disease There are genetic predispositions to developing kidney disease; certain breeds that are more likely to suffer with kidney issues include the Persian, Siamese, Ragdoll, Russian Blue and MaineCoon. But other than acute renal failure caused by poisoning (plants, pesticides etc), there are other factors that can contribute to kidney issues. As we have established, one of the kidney’s main role is to filter helpful and harmful compounds in the blood. It stands to reason that the more harmful compounds it must process, the sooner it reaches its retirement party!  It is often suggested that chemical exposure isa progression factor in the disease and sadly cats are regularly exposed to cleaning agents, pesticides, and many more environmental toxins. These can be ingested, inhaled, or exposed transdermally (through the skin). The foods fed to cats can also impair kidney function. Mycotoxins are a diverse group of chemicals produced by a diverse group of fungi. However, mycotoxins, can be nephrotoxic (toxic to the kidneys). Studies have demonstrated that anywhere between 62% to 100% of cat foods sampled had mycotoxin contamination. Findings here There are also reports of melamine toxicity in cats, resulting in kidney damage. You guessed it; the source of melamine was contaminated food. Findings here Mild dehydration is also a risk factor for kidney disease. This is a concern because of the moisture content in many commercial foods. Dry-based cereal foods rank low on moisture,with dogs demonstrating increased drinking to counterbalance their water requirement. Cats, however, have an evolutionary low thirst-drive.  Cats are obligative carnivores, meaning they get what they need from animal tissue. Therefore, they would naturally get moisture from their whole prey kills. But they are no longer getting the same level of moisture with a dry based diet and their thirst-drive hasn’t yet caught up (in evolutionary terms)! Starch also poses a risk for developing periodontal disease. Wait, what has periodontal disease got to do with the kidneys? And what has starch got to do with cats? Stick with us. Starch is the storage form of energy in plants; and then becomes a source of sugar in an animal’s diet. Bacteria found in the mouth feed off these starches and form a biofilm called plaque. This slowly degrades the tooth and surrounding structures. Not only that but the frequency of eating can contribute to the development of periodontal disease. Saliva can perform a clean-up between meals, but this becomes less of an option for the cat who is free fed throughout the day. The long and the short of it, many dry-based foods contain starch, which is a risk for periodontal disease. Periodontal disease is regularly implicated as a risk factor for kidney disease due to the relocation of oral bacteria throughout the body. Despite this, there are also things that can help mitigate the risks associated with kidney disease. Water intake is of utmost importance in all kidney patients. Therefore, a high moisture diet is essential. When offering drinking water, ensure it is filtered to remove any potential harmful compounds before they even get into the body. Protein restriction in kidney cases is much discussed and often controversial. Surely

5 Reasons Your Dog May Have Bad Breath

Halitosis, as it’s more technically known, in dogs, can be a symptom of a range of health concerns. Ranging from dental disease to some cheeky gut bugs overworking, bad breath is often the first sign things may not be as they should, so lets take a look at the more common reasons and what options are available to you. 1) Periodontal Disease Periodontal disease begins when bacteria in the dog’s mouth forms to create a substance called plaque. The plaque sits on the surface of the teeth and with the help of saliva, it hardens to form tartar. Not only does it sit on the teeth, plaque and tartar seeps into gum lines which causes inflammation. Over a period of time, this inflammation and presence of bacteria causes damage to the structures surrounding the teeth; causing receding gum lines and eventually tooth loss. Not only are the mouth and teeth a concern, but the bacteria found in the mouth of your dog can be released into the circulatory system, which then travels through the body. It has been found to damage cardiac tissue causing endocarditis (infection and inflammation in the heart). Studies have also shown that periodontal disease is linked to increased insulin resistance, kidney and liver issues. Findings here The mouth is full of bacteria, primarily to form a first line of defence to protect us and our pets from the bad bugs, but the bad bugs can use carbohydrates, known as starches, as fuel, and subsequently thrive. These bacteria destroy enamel which further develop into cavities, or holes. This is why, in most human literature we are told to avoid sugars for the benefit of our oral health. It stands to reason that we would want to avoid starchy food for our pets too. A fresh food diet is as standard, low in starch, but the inclusion of raw meaty bones, if appropriate, can also create friction when eaten and contribute to the prevention of build-up on the teeth. Please note common dry foods on the market, although not marketed contain between 18-60% carbohydrates. So, if your dog’s breath could keep a vampire away, you may want to check his oral hygiene. Look for build-up, grey/brown deposits, and any breakdown of teeth. 2) SIBO Whilst it sounds like a mission to outer space, SIBO is actually a little more common than that. Small intestine bacterial overgrowth is getting increasingly common in the pet world. Whilst we usually define the microbiome as the microbial community found in the whole of the digestive tract, abundance generally increases from the stomach to the colon So, we would generally find more microbes the further down we go. SIBO occurs when we get more than we bargained for in the small intestine. It is more commonly associated with surgery, or rather a complication of surgery, but it can also occur as a result of any disease which slows the passage of food and waste products down. This means they stay in the wrong place for too long, and we all know what happens when you’re in the wrong place at the wrong time. SIBO is often associated with cases of IBD or IBS, but there must also be consideration given in times of chronic stress as we know motility is affected here. Symptoms of SIBO include loss of appetite, abdominal pain, nausea, bloating, diarrhoea, and weight loss. Due to the overgrowth of bacteria, bad breath is often a symptom. Unfortunately, there are a number of complications associated with SIBO. It can result in poor digestion and absorption of fats, proteins and carbohydrates. Bile salts that are usually required to digest fats are often broken down by the bacteria, leaving few left to digest the fat in the diet. This then leads to reduced absorption, transport and utilisation of any of the fat-soluble vitamins, A, D, E and K. The overgrown bacteria also utilise the B12 marked for host use, subsequently leading to B12 deficiency. SIBO is also indicated in cases of immune deficiency, cirrhosis, and pancreatitis. Findings here Nutritional management plays a huge role in SIBO, so if you are concerned your dog may be showing symptoms, then please book a consultation here. Gut Guardian 3) Liver Disease When the liver isn’t performing to its fully capacity, it can result in potential toxins still circulating in the body. This includes the lungs. On exhale, this can present as a strong faecal smell (be mindful we are dealing with dogs, and some of them do perform coprophagy: eating poop). However, in cases of liver disease you would notice other symptoms such as loss of appetite, weight loss, increased thirst, increased urination, jaundice (yellowing of the gums and eyes), weakness and loss of stability and in some cases seizures. Liver disease can occur as part of ageing, or there are genetic predispositions. However, oxidative stress is a significant contributor to liver complications. Risk factors associated with oxidative stress include: Obesity Diets high in processed foods Exposure to radiation Pollution Exposure to pesticides Not only that, but the body’s natural immune system can also trigger oxidative stress. This is a normal process that is swiftly managed in a healthy system. The concern is when your dog’s immune system is regularly being called to duty, over not-so-threatening threats. This state of chronic inflammation can result in higher levels of oxidative stress, putting pressure on many body systems. A diet high in antioxidants can help modulate oxidative stress, but if you are concerned about your dog’s liver function, then it’s best to speak to a qualified practitioner. If you would like to read more about liver disease, then check out our blog here. Liver Guard 4) Kidney Disease Another part of the detoxification system, when the kidneys aren’t doing what they’re supposed to, excessive urea can end up in the bloodstream resulting in a halitosis. This odour is described as ammonia smelling and having a metallic taste – but as our dogs can’t talk, we’ll just have

Why Zinc is Important for your Dog

Zinc is a nutrient that all humans and pets need to stay healthy – it is involved in many functions in the body. Zinc helps fight disease and aids wound healing. It assists a range of hormones in their roles like insulin, growth hormone, and those produced by the thymus.  It is also essential for healthy skin, eye, and brain function. Whilst still relatively unclear, there also seems to be an increased risk of certain cancers with low circulating levels. In case you hadn’t noticed, zinc is involved in many processes in the body and when deficient, can cause a whole host of issues; perhaps some you never would have considered. So, let’s look at its function in a little more detail and what happens when things go a little awry. Functions in the body Immunity The immune system is a complex network of cells and proteins that defend the body. All cells depend on a regular supply of zinc to function and none more so than immune cells with their high rates of proliferation and differentiation. One of the mechanisms that zinc helps protect the body is by stabilising cell membranes.  Deficiency can cause damage to epidermal cells and to the linings of the gastrointestinal and pulmonary tracts.  Consequently, this facilitates the entrance of potential pathogens into the body.  It has been repeatedly proven that low levels of circulating zinc results in suppressed immune responses and increased susceptibility to infectious agents.  In short, zinc brings the army rather than a brigade. Inflammation It is well established that zinc mediates inflammatory response, it reduces pro-inflammatory cytokines.  Whilst inflammation is a natural process that serves to protect, constantly increased pro-inflammatory cytokines are associated with a range of chronic disease, so modulation of inflammation can be a useful preventative agent for pet health. Findings here Zinc as an antioxidant It’s easy to disregard the purpose of antioxidants when we are bombarded with superfoods containing them everywhere we turn, but they are a crucial component to a healthy system. When cells generate energy, free radicals are produced as a consequence. Think of them like the exhaust fumes of work. These fumes then need to be neutralised by antioxidant defence mechanisms. If there is an imbalance, oxidative stress results which can lead to cell and tissue damage. Overproduction of free radicals is linked with cancer, cardiovascular disease, neurodegeneration, metabolic disorder, inflammation, and advanced ageing. Zinc performs as an antioxidant, through a range of functions. On one hand, it is key in stabilising membrane structures, likely from its capacity to prevent lipid peroxidation. This is where free radicals steal electrons from cell membranes, resulting in cell damage. Studies have shown that zinc supplementation can decrease lipid peroxides. Its relationship with metallothionein and copper is also of interest. Metallothioneins are a family of proteins which detox heavy metals, scavenge free radicals and have anti-inflammatory processes; zinc causes an increase in metallothionein. Findings here What is particularly interesting is that metallothioneins (MTs) play a pivotal role in tumour formation, progression, and drug resistance. MT expression varies from tumour to tumour, but there are promising markers when we are looking at cancer outcomes. Findings here Copper is also critical in processes to remove free radicals. They key is in the balance of zinc to copper for this process to work efficiently as excess copper levels can actually result in oxidative damage and interfere with cellular function. Findings here Hormonal regulation Zinc has a key influence on the endocrine system. Comprised of a number of glands in the body, it includes the ovaries, testes, thyroid, parathyroid, adrenal, pineal and pituitary glands. The effect of low zinc levels on the endocrine system includes: –      Reduced conversion of thyroxine to triiodothyronine (these hormones play an important role in weight regulation, energy levels, internal temperature, skin and hair health and nail growth.) Findings here –      Reduced activity of thymulin (induces differentiation and function of T cells, which are crucial to immune function). –      Lowered insulin-like growth factor 1 (IGF-1) levels (important during growth periods). –      Affected synthesis, storage and secretion of insulin (zinc deficiency is linked to insulin resistance, glucose intolerance, diabetes mellitus and coronary artery disease). Findings here Hypothyroidism is a common cause of hair loss in pets – what is often forgotten is that zinc and other trace elements, like copper and selenium are required for the synthesis of thyroid hormones. Deficiency in these elements can result in hypothyroidism. Likewise,thyroid hormones are essential for the absorption of zinc, which is why hypothyroidism can result in acquired zinc deficiency. At MPN, if your dog presents with allergies and itchy skin, we always recommend checking thyroid function. Brain Function Zinc is essential for brain development and physiology. Low zinc has been associated with alterations to behaviour, abnormal central nervous system development and neurological disease. There is demonstrated decreased nerve conduction, neuro-sensory disorders and obvious mental lethargy. Zinc is known to affect neuronal excitability and synaptic transmission. Findings here In practice, low zinc is associated with increased anxiety, aggression, and depression like behaviour, along with an impaired sense of smell and taste. This poses food for thought in cases of dog reactivity and working dog performance. Eye Health Zinc is found in ocular tissue, particularly in the retina which is why zinc supplementation is often used to aid retinal health. Studies have shown that supplementation can reduce the progression of macular degeneration (eye disease).  It has also been linked to reduction in vision loss. Findings here Skin Health The skin has the third highest abundance of zinc in the body. Its concentration being higher in the epidermis than the dermis. As we have already established, zinc stabilises membrane structure which is key to skin health. Zinc has regularly been used in a range of skin conditions including infections, inflammatory dermatoses, pigmentary disorders and neoplasias. What is particularly interesting is its role in allergic and inflammatory responses. Mast cells play an important part in adaptive immunity, they are found in the skin and many other places including

7 Wonderful Herbs for Dogs

Did you know herbs have a wealth of protective polyphenols-plant compounds with potent antioxidant and anti-inflammatory effects? Not only do they have these wonderful medicinal actions for us humans many uses apply to our pets to. Millions of years before the first human walked the earth, creatures large and small were using plants as their primary source of healing. Today western society is spoiled by the concept of making problems go away quickly so we can get on with life rather than taking the longer route towards finding the cure. This is an incredibly big problem in the veterinary world, how they use allopathic medicine like prednisone,steroids, NASAIDs and the over use of antibiotics that suppress the immune system more. These are all a ‘quick fix’ and mask the problem. Although allopathic medicine does have its place, common conditions can be supported successfully with the use of herbs. Here at My Pet Nutritionist, we use holistic principles and philosophies and treat and find the cause, rather than suppressing symptoms.  While using these wonderful herbs, they enable us to support the natural healing mechanisms of the body and help our pet’s homeostasis; the state of harmonious balance. I have listed some of the wonderful herbs we regularly use in clinic today that have astounding results, alongside diet and other nutraceuticals. Nature itself is the best physician. Hippocrates ASHWAGANDHA Is a small evergreen shrub that grows in India, the Middle East and parts of Africa.  Ashwagandha (withania somnifera) is commonly known as ‘Indian Winter Cherry’ or ‘Indian Ginseng’ It belongs to the Solanaceae (nightshade) family. This lovely shrub is considered as an adaptogen, meaning it promotes balance in many different systems of the body.  It has amazing anti-inflammatory, antioxidant, immune amphoteric, nervine, antispasmodic, chemoprotective activity and a wonderful immunomodulator.  It’s species name, somnifera means ’sleep –inducing’ in Latin. Somnifera indicates it’s traditional Ayurvedic use for supporting somnolence or sleepiness. It is one of the most important herbs ofAyurveda (the traditional system of medicine in India) and can be traced back to 6000 BC (Charak Samhita, 1949). Ashwagandha for humans and dogs help to regulate and boost the immune system and reduce anxiety. It supports a healthy response to stress and mental wellbeing. Human studies have shown it to lower high cortisol levels significantly. Ashwagandha contains carotene, vitamin C, iron, calcium, flavonoids, antioxidants and essential minerals that support hundreds of biological functions in the body. Recommended Cytoplan Organic Ashwaganda based on 200mg per 10kg of weight. PARTS USED – Root COMMON USES -Stimulating the thyroid (dogs with hypothyroidism), anxiety, fatigue, nervous exhaustion (adrenal fatigue), immunity, rheumatoid arthritis, adrenal lymphoma, lymphosarcoma and sexual hormonal balance. SLIPPERY ELM Is a deciduous tree that can grow to 80feet tall. They are found in forests of the eastern half of the USA and Canada.Slippery Elm is related to the American Elm (ulmus americana)and is sometimes called Red Elm or Moose Elm. The name is developed due to the mucilaginous inner bark which pioneers in North America chewed for quenching thirst. It was also used by physicians during the American Revolution. Today it is best used in the digestive track, where it serves as a soothing, protecting and lubricating demulcent and general astringent at the same time. The inner bark of the Slippery Elm is not only packed with nutrients like vitamins A, B complex, C, K, Calcium, magnesium and sodium, but it is also having anti-inflammatory properties that is soothing of the respiratory system which is known to help with kennel cough and very soothing on the mucous membranes that reduces inflammation. Sadly, the tree is declining so slippery elm should be reserved for circumstances where alternatives are ineffective. In many instances slippery elm can be substituted with plantain (Plantagosp.) If a more mucilaginous remedy is needed, marshmallow root (Altheaofficinalis) is an excellent alternative. Greens for Healthy Pets have a lovely sustainable sourced slippery elm based. PARTS USED – Inner bark COMMON USES – Digestive tract, respiratory tract, skin MILK THISTLE A native of the Mediterranean region ofEurope, milk thistle (Silybum marianum) has become naturalised in many portions of North America. In many areas it has earned the reputation of being an invasive weed that has been used for over 2000 years.Milk thistle is cultivated throughout much of the world for its medicinal seeds and is effective in protecting and regenerating the liver due to the chemical it provides called silymarin (which is a mixture of 3 compounds known assilybin, silydianin and silychristine). Because of the benefits that have been examined in humans it has also been approved as beneficial for pets. The liver stores many toxins which can lead to many diseases in our pets including kidney disease, pancreatitis, cancer and diabetes.  According to Mark E. Richardson in his article entitled The True Causes of Allergies, your pet’s liver can be overproducing histamines because it has too many toxins to deal with. As our pets are exposed to so many environmental toxins that we can’t control it’s a good idea to detox regularly with milk thistle especially at the end of every season. Avoiding chemical flea, tick, worming treatments and over vaccinating will also reduce the toxic load we expose them to. Milk thistle contains high amounts of essential amino acids and minerals including calcium, potassium, magnesium, sodium, iron,manganese, zinc and copper.  Greens for Healthy Pets Organic Milk Thistle. PARTS USED – Ripe seeds COMMON USES – protecting and strengthens the liver/gallbladder and a good detox PARSLEY Originally a native of southeast Europe and west Asia, parsley is now cultivated worldwide. The most common varieties are curly and flat leaf. This is a must have in your home or garden as it is one of the most versatile, cheap and easy to grow. Parsley (Petroselinumcrispum) leaves and stems are very nutritious, containing up to 22percent protein and impressive amount of vitamins A, C, B 1,B2,and K, calcium, riboflavin, potassium, iron, magnesium, niacin,magnesium, manganese, chlorophyll, phosphorus as well as providing fibre and phytonutrients – wow impressive?

Does My Dog Have a Vitamin Deficiency?

I am writing this blog today because I keep seeing a bashing of the use of supplementation of vitamins and minerals for your dog and I think it can become confusing and taken out of context. I wanted to create a whole picture of your dog’s health, the nutritional profile of food, common deficiencies, genetic mutations and malabsorption issues, that can affect this entire picture of health and where deficiencies can most certainly lead to concerns such as poor digestion, skin issues and disease. I am not an advocate of throw it in and see happens, but I am an advocate for addressing nutritional shortfalls in a diet that can most certainly lead to other issues if left unturned. So this blog is about balance, retrospect and highlighting that there isn’t always a generic approach to feeding. Food supplements are an umbrella for functional ingredients whether they are wholefoods, probiotics, fatty acids or vitamins and minerals. Food supplements are big business and rightly so as certain supplements can offer unique and effective support in some cases. Many of us may know about chamomile and valerian for calming, medicinal mushrooms for immune support, glucosamine and green lipped mussel for joint support and probiotics for digestive support and immunity. The list is endless when it comes to wonderful supplements we can use, some of great quality and efficacy and some not so great. Supplements are a wonderful addition to a healthy diet if used correctly and can support disease. Today I wanted to mention the use of vitamins and minerals and the controversy surrounding them. Gut Guardian Vitamins and minerals, unless from wholefood source, and believe me I’ve been in the industry long enough to know this process is far from the ‘wholefood’ dream you are sold, are derived from a number of sources that may be deemed synthetic. This seems to be a dirty word in the industry at the moment and without people knowing much about it, they tend to give it a bad wrap. Whilst I am not an advocate of overloading the body with additional vitamins and minerals, I do know how transformative they are when used in deficiency or disease and also in some cases, prevention. Foods nowadays don’t tend to provide the levels of nutrients expected and required from what we call a balanced diet. This is why it’s become such a huge industry in the health sector. Looking at pets, this trend closely follows. Due to agriculture, farming and depleted soils, food doesn’t always offer the nutritional profile we are led to believe (no one meat source or vegetables will contain the same amount of vitamins and minerals). Creating recipes is something I have to do on a weekly basis. I love working with the power and transformative therapy of food but I do on occasion like to ensure a little added vitamin and mineral are provided when I know it is something that often shows up as a deficiency due to depletion or that a particular dog will require additional support. For example, there are some beautiful zinc rich foods that you can include in your dog’s food on a daily basis if you create your own food at home. Whether this be from oysters, pumpkin seeds, venison and other red meats but as a formulator of foods, it’s easy to see how many meals, even over time, don’t quite hit the mark for the amounts required by dogs. Research has proven that zinc is one of the hardest minerals to absorb due to it being pipped to the post by so many other minerals and around 60-85% of zinc in the diet is not well utilised and absorbed. I hope I am painting a fair picture here, it’s simply about balance and looking at possible shortfalls. In my practise, I work with due diligence and a fine tooth comb. As a functional medicine practitioner, I work off a grid that maps all bodily systems over a 12 page questionnaire. We look at this sytem as well as history, presenting symptoms and possible diagnosis. I would call it a jigsaw puzzle that I piece together, trying to fill in any missing pieces. I can quite often tell if there is a deficiency but I do often work with tests to make sure the more dangerously stored nutrients such as A,D,E and K are tested. Unfortunately there is poor testing for minerals and whilst some might still offer blood tests, this often gives inaccurate readings unless your dog is at death’s door. There are a number of symptoms associated with deficiencies that when taking in the whole picture of health, can often tell you a lot about the pathophysiology and the health state of your dog. Fresh foods are incredibly important for a number of reasons. They provide enzymes, antioxidants, phytonutrients and fatty acids that are all essential for good health. Vitamins and minerals are only one factor and aspect when we look at ‘nourishment’. However, vitamins and minerals are incredibly important and involved in 1000’s of biochemical pathways in your dog’s body. Whilst food source is always preferable, we can see that there can be many reasons for dog’s not to absorb effectively. The most common deficiencies I see in clinic today are vitamin B9, vitamin B12, vitamin D, magnesium and zinc. Obviously this is not exclusive, just my overall experience. Reasons for nutritional deficiencies Poor commercial food I don’t even know where to begin. Most foods are so void of any nutrition after they have been cooked to high temperatures, several times over, a premix of vitamins and minerals have to be added to provide any nutrition at all. This isn’t good basic nutrition and i am not a fan of any commercial food unless home cooked style or raw. To further the problem even more, many commercial pet food in the EU do not fulfil nutritional requirements. Only 6% (6/97) of wet and 38% (30/80) of dry food were fully compliant

Kidney Disease and Natural Nutrition for your Pet

Alison’s mother had chronic kidney disease (CKD) and from having a 2-year prognosis based on a bad heart condition, we wanted to get her off dialysis and extend her life expectancy. Alison was a clinical nutritionist at the time (for humans), with a focus on functional medicine and so made it her mission to get her in a better state of health and mind. This condition was never going away but life could be easier for her. After much research and countless testing, we discontinued dialysis, created an impeccable diet and added in a supplement regime. Her mother continued on to have another 8 years with pretty much problem free health (other than the obvious). Ever since then, Alison has seen a lot of cats and dogs with the same problem. Although their nutritional requirements are different to humans, the general rules and pathophysiology’s apply. It’s all a balancing act at maintaining health that can be finely tuned to help with wellness. We are not ‘kidney-ing around’, so read on! Kidney disease – chronic and acute If your pet is presenting with kidney disease, it’s either acute or chronic. Acute Kidney disease presents suddenly and is more easily reversed. Acute is usually due to an obstruction or ingesting a toxic substance or some such case. Prognosis is always better than chronic. Chronic Kidney Disease (CKD) can take months or even years to identify itself. In fact, most pets don’t even show symptoms until 70-75% of kidney function has been lost! Signs and symptoms of CKD There are number of signs and symptoms in CKD. If any of these arise consistently, you should go to the vets and get it checked out. I would say the first signs would be excessive thirst and weight loss but this is an extensive list: Ascites (swelling of the abdomen) Blood in urine Diarrhea Decreased urination Urinating outside of the litter tray Frothy urine Increased water consumption and increased urination Lack of appetite and weight loss Lethargy Pale gums as a result of anaemia Ulcers on the tongue, inside cheek or gums Joint swelling in conjunction with some of the above Muscle wastage (this tends to appear when advanced) Seizures Blindness Vomiting Weight loss Unfortunately, the majority of these aren’t necessarily specific to CKD as signs and symptoms can vary from case to case. A visit to the vets as soon as any symptoms arise is always the best option. Kidney Function Kidneys have a lot to do and help filter the blood by getting rid of waste products such as glucose, salts, urea, uric acid and unwanted water. The waste products and additional water become urine, which eventually gets eliminated when your pet urinates. The filtering of waste is done by a network of tiny nephrons, as blood passes from the capillaries through the nephrons, essential molecules are kept, but waste products are removed and expelled as urine. The kidneys help regulate the amount of water they retain in our blood and their bodily potassium and sodium levels. The kidneys also produce three major hormones that help regulation of other mechanisms. Calcitriol is a form of vitamin D that helps calcium absorption, Erythropoietin encourages bone marrow to produce red blood cells and renin helps to regulate blood pressure. Diet for CKD The checklist for CKD A fresh and unadulterated fresh food diet Low in Phosphorus (0.2% – 1% dry matter) Moderate in protein Omega fats and antioxidants Low in salt (added salt in particular) Super tasty and easily delivered(hunger can decrease in CKD) Regulated treats that are part of the daily calorie intake No leftovers fed off the plate The use of an appropriately formulated diet is the only treatment that has been shown to prolong survival times and improve quality of life in pets with CKD. We have seen the best results with freshly fed pets on a specific formulated diet whether it be home cooked or raw. Cooking tends to reduce phosphorus levels and is often preferred over raw food. Dry food is a big ‘no no’ in CKD. Dry foods are dehydrating to the bowel, this delivery system can increase thirst and tax the kidneys further. Fresher and more bioavailable proteins are more effective as the kidney’s don’t have to work quite so hard. The protein in dry food can be cross-linked and not very easily assimilated. Dry foods are often higher in sodium and contain a large content of starch, both inappropriate for cats and dogs and kidney disease. Restricting dietary protein is controversial as testing and research was mostly based on processed food fed cats and dogs with limited solid findings. There isn’t a clear consensus as to what level protein intake should be reduced to in the diet of pets with CKD. In stage 1 and 2 CKD, we find moderate levels of fresh and more bioavailable proteins, low in phosphorus and reduced sodium and potassium is the best. We always work with blood tests to see the markers of poor function such as urea and other nitrogenous substances and get a professional to formulate for you. The type of protein you feed a dog with CKD should also be considered. Protein with high biological values leaves less waste behind. For this reason, protein derived from sources such eggs, fish and meats are preferable to vegetable-derived protein such as tofu. In pets with CKD, the excretion of phosphorous is impaired, which can result in further damage to the kidneys. Therefore, while an important component of a healthy pet’s diet, phosphorous should be restricted somewhat. In fact, dietary restriction of phosphorous has been shown to slow down the progression of CKD and this has been key to my practice in pet nutrition. Foods highest in phosphorus include raw bones, dairy products, organ meats, and egg yolks. That does not mean not to feed these foods at all, as they are an important component of a healthy diet, but they should be fed in moderation. When it comes to sodium, there are

7 Top Reasons to use Clay in your Dog’s Diet Regime

Here at MPN, we see a number of different cases whether it be itching/allergies, cancer, pancreatitis, IBS, IBD, liver and kidney disease and more. There’s a lot that goes into a consultation at MPN and its bespoke to your pet. No 2 clients are going to get the same plan. However, Bentonite clay is one of the ingredients can that be applied to a lot of these problems as an initial support. So, let’s get the dirt on clay! See what I did there? Does your dog dig for soil or want to eat cardboard? Does your cat try and eat litter? Then Bentonite could be just what they are looking for. Clay has been used with the following issues successfully and supported by research for both humans and animals: ·      Skin issues and Allergies ·      Digestive issues ·      Pancreatitis ·      Kidney and liver Support ·      Immune support ·      Parasites ·      General detoxification My favourite, which is Bentonite clay, can be interchangeably referred to as Montmorillonite clay and are both regarded as an absorbent aluminium phyllosilicate clay from the Smectites family. They are both named after regions they come from but in nature they have the same structure and have a much higher absorption capacity than other clays found in nature and on the market. It has been used and eaten since ancient times as humans believed in its therapeutic benefits. So let’s chat about Bentonite clay and its wondrous abilities. Skin issues and Allergies Due to many skin issues arising from immune reactions and toxicity, Bentonite can be calming and cooling both applied internally and externally. Internally Bentonite clay has proven to remove many different bacteria and fungi, including candida albicans, that can lead to skin issues. It can help support and excrete histamine from the bowel (histamine, we know can create intense itching and can accumulate whether your pet is experiencing allergies or not) and clay can help support liver and kidney function which is essential when detoxification is required due to the above. Applied externally (clay being wet and made into a paste) can help hotspots, wounds, calm itching and help fungal infections. This is our favourite on the market for EXTERNAL application only. Digestive issues Clay can positively affect digestion by boosting gut flora and ridding the digestive tract of any unwanted toxins. One trial states that bentonite may help nutrient absorption through increasing gut flora activity. We know gut flora (microbiota is essential for digestive health and good immunity). Bentonite clay has for a long time been considered as an effective treatment for diarrhoea, IBS and IBD. A trial in 1961, was shown that orally administered bentonite treated 97% of cases with different causative factors of diarrhoea. These being virus infection, food allergy, spastic colitis, mucous colitis, and food poisoning. This is pretty incredible don’t you think? Pancreatitis Clay can be a wonderful addition to a diet in EPI(Exocrine Pancreatic Insufficiency) especially when stools are upset and voluminous. In pancreatitis the pancreas becomes inflamed and enzyme production is less than desired. A trial with montmorillonite clay improved diarrhoea, enhanced intestinal mucosal integrity and the production of digestive enzymes in animals found here. Kidney and liver Support Bentonite can really help kidney and liver function. Two examples of how this may help. Bentonite is a natural phosphate binder which is a essential support in kidney disease. The excess phosphates and urea that the kidneys can’t clear can be greatly helped by Bentonite clay and will allow your pet to feel much better, improving appetite and energy level. SerumUrea is a by-product of kidney disease and poor function. Bentonite is shown to promote the diffusion of urea from blood vessel to intestine, and inhibits the absorption of urea in intestine here. Also Bentonite clay was able to restore liver function during exposure to toxins. And it didn’t affect their digestion of good nutrients here. Immune support We know Bentonite clay supports digestion and over 70% of the immune system resides in the digestive system. We know effective detoxification supports general immune function but we also know cancer and Bentonite have a direct correlation. Bentonite has been shown to inhibit the growth of human cancer cell lines U251 (central nervous system, glioblastoma). It seems that bentonite clay surfaces, controls the levels of metabolic growth components here. It has also been shown to demonstrate an anti-bacterial affect and the ability to pull pathogens out of the bowel here. Parasites Bentonite helps to clear intestinal parasites by dehydrating them, binding to them and then pulling them out of the body. Clay may also be used externally to suffocate and kill parasites on your pet. Dry powder can be put over your pet’s coat or pasting wet clay for a period of time. Just to warn you folks, this could get messy. General detoxification Clay has first and foremost always been considered as a detoxifier. It ultimately helps many of the above issues due to its detoxifying nature. Bentonite clay is negatively charged and so manages to attract and pull out toxins that by nature are positively charged. Clever isn’t it? If your pet has been on a processed diet, been exposed to allergens, pathogens, parasites, vaccinations or just plain fatigued and trying to eat soil, then Bentonite clay is a wonderful supplement to consider. Clay is basically ideal for most of the pet population if taken with caution. How to use Bentonite Clay Bentonite clay needs to be given on an empty stomach and not to be fed food, herbs or medications until at least 2 hours after consumption. Please make sure dose is considered for your pet’s size and health and check with a healthcare professional first if unsure. Also select a reputable and established supplemental clay as it can naturally contain heavy metals and quality can differ between brands. Caution must be taken when given and reassessed after a period of administration. Make sure clean and filtered water is available at all time. The very essence of

Dental care for your dog

Not only is diet important to your pet’s health but also their dental hygiene is essential. Poor dental care and disease is also linked to a higher rate of heart disease. Many owners leave it until it’s a problem. Let’s look at prevention instead shall we? Dry food isn’t something that pet’s naturally graze on with grating action. They nominally chew or crunch the dry food and down the hatch it goes. Once chewed and wet, it’s like any other food, it collects around the teeth and contributes to plaque build-up that leads to hardened tartar. Dental problems and issues are within the top 10 complaints seen by vets in 2019 but here at MPN we have some great tips to help prevent this from happening. Raw feeding (although for some is controversial) boasts great dental hygiene and whiter, cleaner teeth. Feeding bones is also a socially and mental stimulation that namely dogs require. The bare bones of it! My Pet Nutritionist have a strong working relationship with veterinarians but have to tread carefully on how we approach dental care as many vets are ardently against feeding raw bones unless they lean towards raw feeding and holistic care. Bones are perfectly fine but there are hard and fast rules and we would always recommend monitoring at all times (as a duty of care). Vets see mostly dogs coming in with fractured teeth and raw bone due to a lack of knowledge. Both are serious and expensive so please read on. Do not feed cooked or smoked bones. They are dry, hard and would most likely splinter due to indigestible materials. Raw chicken bones are nutritious but can be awkward to consume and they are too soft to warrant cleaning. It’s the grating and consistent gnawing action that tends to clean the gums and teeth, alongside the natural enzyme action, helping to destroy bacteria in the mouth. Medium sized animals such as lamb and goat are probably the most effective and safest bones to serve your dog and ones I generally recommend. If the prey is hard for the dog (or cat) to tackle naturally, then the bones will be too large and hard for your pet to gnaw in reality. Larger animals and bones such as beef are too hard and will more than likely cause dental fractures (think beef knuckle) if left to chew for too long and without supervision. We recommend avoiding beef, bull and bison. Raw dental bones are best fed as a treat approximately twice a week to keep teeth clean. It’s important to note that recreational bones are not to be completely consumed and that any bone should always be fed under supervision. Other options Oral chews have been shown to be beneficial, of course the type is important. plain meat chews, braids and non hides can he very useful. Avoiding dental chews such as dental sticks are highly advised due to poor ingredients. Findings here There are certain supplements on the market and one of which is based on a seaweed that does have a couple of randomised clinical studies to show it helps with the build-up of plaque. The seaweed is called ‘Ascophyllum Nodosum’ and the well-known and registered food supplement product for dogs is called Plaque Off. As part of a regime I have found this useful but great care must be taken with cats as hyperthyroidism can be expressed when taking anything with a high iodine content. This can be added to food or simply added to a homemade treat. Keep sugar containing foods (this includes dry food) to a minimum and even fresh foods naturally containing sugars should be given with care. We are not keen on companies who dehydrate fruits and vegetables such as pumpkin, carrots and papaya and sell them as dental chews. These are highly concentrated sugar chews and for gnawing action aren’t recommended for good oral hygiene, rather an odd treat. Brushing teeth doesn’t have to happen if you feed the correct raw food and bones but generally we need to consider keeping up with a good regime. Brushing teeth with a natural toothpaste and bamboo toothbrush is preferable. Alternatively, you can use a tooth cleaner and the polish from Lintbells. Make sure you don’t use human grade toothpaste with sweeteners added such as xylitol. This is dangerous to dogs. Please remember disease is complicated and our services offer an 8 elements approach to health, looking at nutrition, genetics and the environment. A complex jigsaw to piece together but one we are fully acquainted with and have great success! We look forward to helping you in the future. MPN Team x