Homeopathy – what is it? Does it really work? This is a hugely debated question within the pet industry as well as the human medical space. With little scientific evidence in the past, surprisingly, more and more evidence is being released in more recent years to suggest that homeopathy is in fact beneficial! Here at MPN, we aim for a holistic approach throughout our consultations; and as part of that, we may suggest speaking to a qualified homeopath alongside our help for your pet! Read on to learn more about homeopathy! How Are Homeopathic Remedies Made? Homeopathic remedies are totally natural, and are based on extraordinarily diluted extracts from plant, mineral and animal with medicinal properties when used in such weak dilutions. Due to the nature of some of the plants from which these remedies are based on being toxins as a whole plant, it is imperative that you purchase your homeopathic remedies from a licensed homeopathic pharmacy. Our favourites are Helios Homeopathy, and Ainsworths Homeopathic Pharmacy. Remedies used in pets, typically come in the form of pillules – these are small balls made of sugar, coated in the remedy. Other forms remedies are available in include tinctures (also popular for pets, especially those from the brands ‘PhytoPet’, and ‘Dorwest Herbs’), granules, powders, larger pills, and creams/ointments. The vast majority of remedies are made through repeated levels of dilution. Whichever plant or animal the remedy is based on, will be cut down to extract only the relevant part of the plant (for example, the remedy Fragaria, often used for pets to aid dental health, is based on the ripe fruit of the wild strawberry, so the leaves will be removed from the plant to begin with). This raw material will then be crushed and dissolved in either water or alcohol, depending on the nature of the raw material. A process called ‘succession’ is then used to dilute the dissolved material – during this process, it is shaken vigorously with water or alcohol. This process is repeated a large number of times until the intended level of dilution is reached. Once the desired dilution is reached, the product left is the active ingredient in the homeopathic remedy, and is used to further create the remedy sold to the consumer, in the desired presentation. The remedies each come in a variety of strengths. The strength required for an individual depends on the symptom it is aiming to support. Typically, in the UK, you will notice remedies using the centesimal scale in terms of strength; so your remedies will usually be ‘6C’, ‘30C’ or ‘200C’, though you may also see the decimal scale used which would be displayed as ‘6X’ or ‘30X’, as examples. Those using the centesimal scale are more potent than those using the decimal scale. As an example, let’s look at the difference between a remedy that is 30C, and one that is 30X. The 30C remedy would be more dilute than the 30X remedy because the 30C remedy has been diluted in a ratio of 1:100 (1 part substance containing the raw material, 100 parts water/alcohol) 30 times, whereas the 30X remedy would have been diluted in a ratio of 1:10 (1 part substance containing the raw material, 10 parts water/alcohol) 30 times, meaning the 30C remedy is much more dilute than the 30X remedy. The usual ‘go to’ for pets is a 30C potency. 3C or much higher potencies may be advised by a homeopath in certain circumstances. How Does Homeopathy Work? When we look at the mechanism of how homeopathy works, we can’t just say ‘your dog has this problem, this is the remedy for that problem’ like your vet may with pharmaceuticals, we have to look more into the pet as a whole; their symptoms, diagnosis, and emotions all partly determine which remedy you may need to consider for your pet. Speaking with a homeopath is incredibly important as getting the correct remedy is important, especially when there are two or more which may fit your dog’s symptoms! In homeopathy, the remedy advised by a homeopath would depend on the ‘Law of Similars’; whereby ‘like cures like’. The pattern of symptoms caused by the original source a homeopathic remedy is diluted from, makes it the best remedy to treat the symptoms your pet is displaying. Findings Here Findings Here Findings Here What Conditions Can Be Supported With Homeopathy? There’s definitely no specific number we can answer this question with! The list of symptoms you can support with homeopathy is endless; we’d be here all year if we were to list them all! Almost every aspect of emotional and physical wellbeing can be supported through the use of homeopathy. Using the Homeopathic Materia Medica, you will be able to match symptoms to a remedy. The Materia Medica. The Materia Medica is a book describing the history of homeopathic remedies, and gives a detailed list of remedies, and which remedies match with which symptoms. The Helios Homeopathy Pet Kit includes it’s own Materia Medica which explains how to use the remedies, and lists possible uses for each remedy that you may encounter a need to use. An online complete Media Medica, written by homeopathic physician William Boericke in 1901 is available here. Popular Remedies in Pet Healthcare There are thousands of homeopathic remedies available, but there are some more commonly used in pet care. Here are six of the most popular remedies used in pets: Arnica: this is a very popular, and useful remedy, often given to those following an injury or operation, as it is often prescribed for bruising, sprains and strains, and arthritis. Studies suggest effects of Arnica can be comparable to those of anti-inflammatories. Findings Here Findings Here Pulsatilla: this remedy is typically used to reduce the symptoms associated with phantom pregnancy in pets. It can also be used to aid tender gums, throat and mouth. One study shows the use or pulsatilla in 4 dogs with eye issues and separation anxiety was paramount
Here at My Pet Nutritionist, we use a combination of healthy diets tailored to your pet’s needs, alongside beneficial gut-friendly herbs, and nutraceuticals. These supplementary additions often come with hosts of benefits, when used in the correct way, for a specific purpose. We often get asked about the various herbs and nutraceuticals we recommend in various blog posts and in our recipes and supplements – you can learn more about some of these here! What Are Gut Healing Herbs? Herbs high in mucilage are often known as the ‘gut healing herbs’. These herbs are usually considered to be a source of prebiotics – food for probiotics; however these herbs have another very important function when it comes to gut health! Mucilage is a soluble dietary fibre, which produces a mucus-like substance which lines the gut wall. When the gut wall is lined with this slimy textured substance, it forms a protective barrier to reduce the risk of further gut damage, and allow the gut to heal. Inflammation is then reduced due to lack of irritation. Mucilage has a fantastic soothing effect on the digestive tract too – those with acid reflux, or having recovered from illnesses like kennel cough which may cause throat irritation may find a powdered form best, due to the soothing effect of the mucilage in these herbs. As an additional benefit of these popular gut healing herbs, the mucilage can increase digestive performance resulting in better stools; this is due to the mucilage adding bulk to the stool (reducing constipation), aiding water absorption, and increasing gut motility. Some studies also suggest that mucilage rich herbs may reduce the build up of cholesterol, and aid the regulation of blood sugar levels. Frequently used mucilage herbs include slippery elm, marshmallow root, and deglycyrrhizinated liquorice root – we will look closer at these later. Findings Here Findings Here What Are Nutraceuticals? Nutraceuticals are components of foods that bring benefit to health. You may often come across plant based supplements for pets; these are packed full of nutraceuticals! Functional foods are also classed as nutraceuticals. Many nutraceuticals enhance basic nutrition, whereas some provide medicinal properties. Some benefits of using carefully selected nutraceuticals include improved overall health, prevention of chronic disease, increased longevity and all round structural support for the body. The term ‘nutraceutical’ is a combination of the words ‘nutrition’ and ‘pharmaceutical’ – meaning they share the same properties as pharmaceuticals, but are acquired through nutrition Functional herbs, antioxidants, probiotics, vitamins and minerals are all examples of the categories most commonly encountered in the world of pet nutrition. We will delve into these categories in terms of nutraceuticals later. Findings Here Findings Here When Should We Use Gut Healing Herbs and Nutraceuticals? A question we often hear at My Pet Nutritionist, is “should we be giving any supplements?” – and our answer is always “if your pet could benefit from a carefully selected supplement, then absolutely!”. It is important not to needlessly add lots of different nutraceuticals and gut healing herbs to your dog’s diet, unless they require/could benefit from it. When it comes to giving mucilage herbs, these can be incredibly beneficial in situations where gut damage is apparent. Situations a mucilage herb may be beneficial include: Allergies: due to an immune malfunction Intolerances: due to gut damage or leaky gut syndrome Following vaccines, worm or flesa treatment: these products are very damaging on the gut, so gut healing may be necessary. Acid reflux: soothes the digestive tract and reduces the risk of acid reflux Upset stomach or constipation: these herbs help to rectify loose or solid stools when needed. Great to have in the first aid cupboard! When looking at nutraceuticals, we need to look at the symptoms your dog or cat is displaying, alongside gaining a diagnosis from your veterinarian. Some types of illnesses you may use nutraceuticals for include: Joint issues Skin issues Digestive issues Cognitive health issues (anxiety etc) Vision issues As brilliant as nutraceuticals can be as part of your pet’s health regime, many do come with some contraindications with pharmaceuticals your pet may need. Contraindications are negative interactions with drugs – these interactions can often cause downregulation of the drugs themselves, leaving your pet vulnerable to disease progression. An example of this is curcumin – the active compound in turmeric. It is fantastic for joint support/arthritis, cardiovascular function, reducing inflammation, eradicating free radicals, immune support, cognitive ability and cancer prevention. The reduction in pain in those who take curcumin is vast; however some individuals may require pain pharmaceutical pain relief for their condition. Curcumin is known to downregulate the effects of some pharmaceutical analgesics, as well as various other drugs. It is always best to check with your veterinarian before starting a new nutraceutical, if your pet is on pharmaceutical drugs. Findings Here Findings Here Popular Gut Healing Herbs The three most popular gut healing herbs can all be found inside our Gut Guardian supplement, along with probiotics and chamomile. Lets take a closer look at these mucilage herbs! Marshmallow Root: this is a sweet smelling and tasting herb derived from the Althaea officinalis plant. When combined with water, it immediately forms a thick, slimy substance due to it’s high mucilage content. Traditionally, marshmallow root is used in cases of digestive or respiratory issues, and also topically to soothe skin issues. As well as being high in mucilage, it also contains high amounts of antioxidants, anti-inflammatory properties, and antibacterial properties. slippery elm: like marshmallow root, slippery elm produces a slimy substance when combined with water. It originates from the inner bark of the slippery elm tree (Ulmus rubra), and is often used to treat digestive issues, and sore throats by lining the oesophagus. DGL (deglycyrrhizinated liquorice): this herb increases mucous production in the body, which helps line the stomach, reducing the risk of harm caused by acid. DGL is thought to have properties to treat ulcers too! Findings Here Findings Here Findings Here Popular Nutraceuticals There are many nutraceuticals used in the
Omega oils are one of the most important components of your pet’s diet, but with such variety of products on the market, aimed both at animals and humans, how do we know which to opt for? Here at My Pet Nutritionist, we recommend a variety of different products from various different brands, and for many different reasons! This blog past aims to help you choose the right omega source for your pets, and explains how to tell one product from the next! What Are Omegas? Omegas are Fatty Acids with a huge variety of uses within the body. Cell membranes are partly formed by Omegas, which deems them an essential nutrient for all living beings. Brain and heart health are both aided by omegas, as well as weight management and cognitive development during puppyhood, and as seniors. Omegas also control part of the body’s inflammatory response, making them useful for joint health, as well as aiding the management of, prevention of, or treatment of many health conditions. Omega Fatty Acids come in three types: Omega 3 and Omega 6 fatty acids are both classed as ‘essential’ nutrients Omega 9 is classed as non-essential but is beneficial to include in the diet So how do the three types of omegas differ chemically? Each different type of omega has not only a different chemical structure, but they have a different amount of saturation of fat. Let’s take a look at their differences a bit more closely. Omega 3 Fatty Acids are ‘polyunsaturated’, which means there is more than one unsaturated carbon bond. In a diagram of chemical structure, you will see two or more ‘double bonds’ between carbon atoms, with a hydrogen atom missing. These polyunsaturated fatty acids cannot be produced by the body, and must be consumed in the diet. Omega 6 Fatty Acids are also ‘polyunsaturated’, however two of the Omega 6 Fatty Acids are able to be produced by the body, leaving the third needing to be consumed in the diet. Omega 9 Fatty Acids are ‘monounsaturated’, which means there is only one unsaturated carbon bond. In a diagram of chemical structure, you would see only one ‘double bond’ with no hydrogen attached to the carbon atoms. These fatty acids can be produced by the body, which makes them non-essential in the diet. We mentioned that some omegas play a role in the body’s inflammatory response, so let’s discuss which ones are inflammatory, and which are anti-inflammatory. Omegas 3 and 9 have some fantastic anti-inflammatory effects on the body, which aids joint health, and is also a contributor to the reduced risk of cancers. There is also one Omega 6 fatty acid which is anti-inflammatory. The names and health roles of these anti-inflammatory Omega 3, 6 and 9 Fatty Acids are as follows: Eicosapentaenoic Acid (EPA): Omega 3 Fatty Acid playing a role in general reduction in inflammation. Alpha-linolenic Acid (ALA): Omega 3 Fatty Acid playing a role in heart and immune health. Docosahexaenoic Acid (DHA): Omega 3 Fatty Acid playing a role in brain health and cognitive development. Gamma-linolenic Acid (GLA): Omega 6 Fatty Acid aiding the control of hormones. Oleic Acid (OA): Omega 9 Fatty Acid plays a large role in prevention of cancer and heart disease, and reduction of cholesterol. The other Omega 6 Fatty Acids are inflammatory, which negate the omega 3, and vice versa. It is very much a balancing act of omega 3 and 6 consumption, to receive the benefits of omega 6, but keep inflammation to a minimum. Linolenic Acid (LA): Omega 6 Fatty Acid which helps to prevent heart disease, keep a regular heartbeat, and potential to prevent blood clots. Arachidonic Acid (ARA): Omega 6 Fatty Acid which as an important signalling molecule, plays a huge role in the mediation of many cellular functions such as remodelling actin, a extremely important protein in some cells in the body, useful for protein-protein interactions. Findings Here Findings Here Findings Here Sources of Omega Where can we find these all important Omegas in order to add them into our pet’s diets? There are so many sources of Omegas, some good, some not so advisable. They are found in many forms, from fresh foods, to extracted oils which come in capsules, or in a large bottle, usually with a pump. There are meat based sources of omegas, and there are plant based sources of omegas. Some of the most popular sources of each type of Omega 3, 6 or 9 Fatty Acid we have discussed so far in this blog post, are: Eicosapentaenoic Acid (EPA): found in fatty fish and fish oils, as well as many algal oils. Alpha-linolenic Acid (ALA): found in flaxseed oil, chia seeds, walnut oil, perilla oil or oysters. Docosahexaenoic Acid (DHA): found in fatty fish , fish oils and algae oils, and eggs. Gamma-linolenic Acid (GLA): found in Hempseed oil, borage oil (to be given with caution, in small quantities only), and evening primrose oil (to be given with caution, and not to be given to epileptic pets) Linolenic Acid (LA): found in sunflower oil, some nuts, seeds, olive oil, flaxseed, avocado oil (though the amount here is low) and eggs. Arachidonic Acid (ARA): found in meat and poultry, particularly farmed. Oleic Acid (OA): found in olive oil, some fish oils, and some nuts. What to Look Out For When it comes to picking an omega source for our pets, as with anything, most of us want to make an informed decision to pick the absolute best for our furry friends! With such huge variety of Omega products on the market, how to we know what is best? How is one product different to another? As with many dietary additions, there are many qualities to look out for or avoid in different products. Not all products are equal in quality, so that’s where we come in handy – keep reading for pointers on selecting a source of omegas for your pets! Fresh Food Sources As with most things we
If you are a current pet owner or have been in the past, there is a 99% chance your pet has had pain medication at some point in their life. Or they have at least had it prescribed or suggested for them. For us to fully weigh up what we are administering to our pets, it makes sense to start with the basics. So, how do pain medications work in pets? Pain medications come in different forms, but there are a few common ones: NSAIDs Opioids Paracetamol NSAIDs Non-steroidal anti-inflammatory drugs are exactly what they say on the tin – they are used to reduce inflammation. Inflammation is an immune response. When something becomes damaged or threatened in the body, compounds are released which kick start an immune response to help fight the threat or heal the trauma. A Guide to Inflammation in Pets NSAIDs are typically divided into groups based on their chemical structure and selectivity. They include: acetylated salicylates (aspirin) non-acetylated salicylates propionic acids (ibuprofen) acetic acids (diclofenac) enolic acids (meloxicam) anthranilic acids (meclofenamate) naphthylalanine (nabumetone) selective COX-2 inhibitors (celecoxib) The main mechanism of action of NSAIDs is the inhibition of the enzyme cyclooxygenase (COX). Cyclooxygenase is required to convert arachidonic acid (a polyunsaturated omega-6 fatty acid) into thromboxanes, prostaglandins, and prostacyclins (which are all inflammatory mediators). The therapeutic effects of NSAIDs are therefore attributed to the reduction of them. Many NSAIDs are not selective, meaning they take out all COX enzymes; this is beneficial if we are targeting inflammatory mediators, but COX enzymes also carry out other roles in the body. COX1 enzymes play a role in: protecting the gastrointestinal tract renal blood flow platelet aggregation This is why proton pump inhibitors are often administered alongside NSAIDs, the reduction in stomach acid secretion is thought to reduce the risk of gastrointestinal side effects. In addition, there is also evidence of long term NSAID use and chronic kidney disease. The administration of certain NSAIDs can also trigger hypersensitivity reactions. Non-selective NSAIDs exert effects by inhibiting COX-1 and subsequently shift arachidonic acid metabolism from prostaglandin (especially PGE2) synthesis toward pro-inflammatory cysteinyl leukotrienes (LTs) such as LTC4, LTD4, and LTE4. Overproduction of LTs leads to activation of mast cells and eosinophils, which can result in typical allergic symptoms like itching and hives, along with bronchoconstriction. This is worth noting if you have a particularly sensitive dog. Opioids Opioids function primarily in the nervous system; they inhibit neurotransmitter release. The Neuroscience of Pain Morphine is commonly considered to be the archetypal opioid analgesic and the agent to which all other painkillers are compared. There is evidence to suggest that as long ago as 3000 bc the opium poppy, Papaver somniferum, was cultivated for its active ingredients. But, it wasn’t until morphine was isolated from opium in 1806 by Sertürner that modern opioid pharmacology was truly born. In 1847 the chemical formula for morphine was established and this, coupled with the invention of the hypodermic needle in 1853, led to the widespread clinical use of morphine. How Does It Work? Opioid receptors are distributed throughout the central nervous system and within peripheral tissue of neural and non-neural origin. Opioids reduce excitability of neurons, and decrease the release of nociceptive neurotransmitters like substance P. See our blog on The Neuroscience of Pain above to learn more about this. Because opioids work in the nervous system, in essence slowing everything down, the concern is that they may do it a little too well and knock everything a little out of whack. As we know the body likes balance, and it does everything in its power to keep it that way. To this end, behavioural side effects of opioids include panting, vocalisation, salivation, nausea, vomiting, defecation, and sedation or hyperactivity. Physiological side effects of opioids in dogs may include central nervous system depression, respiratory depression, bradycardia, usually accompanied with little to no change in cardiac output, ileus, and urinary retention. Findings Here Paracetamol It has been assumed that paracetamol probably acts through the cyclooxygenase (COX) pathway. This is the pathway through which the nonsteroidal anti-inflammatory drugs (NSAIDs) act. Much investigation has focussed on paracetamol’s inhibition of the COX enzyme because its analgesic and antipyretic effects are similar to those of aspirin, the archetype NSAID. However, paracetamol does not have significant anti-inflammatory activity, or does it inhibit production of the pro-clotting TXAs. In addition, paracetamol does not appear to have a major effect peripherally; its action appears to be mostly central. It seems reasonable to assume that although there may be some effect on COX enzymes, this effect is different from that seen with typical NSAIDs. Because of this, other mechanisms of action have been considered. It is thought that serotonin has a major role in modulating pain perception. Serotonergic drugs are used in the treatment of migraine headaches in humans and combined serotonin-norepinephrine reuptake inhibitors have been used in chronic pain management. It has been considered that paracetamol, in effect, activates serotonin pathways to influence pain perception. Other data has indicated that when cannabinoid receptors are blocked, paracetamol loses its action, suggesting the endocannabinoid system may play a role in paracetamol’s actions too. Findings Here Whilst we may not know the full mechanism of action of paracetamol, it is possibly the widest used pain medication The side effects usually associated with paracetamol include: yellowing of white of eyes or gums (jaundice) reduction in appetite vomiting or diarrhoea blood in faeces Are There Any Other Pain Medications Worth Mentioning? There are a number of products on the market which target pain, but they could fill a book, so we’ll just take a look at two more. Librela Librela is an injectable which targets pain in cases of osteoarthritis. The active ingredient in librela is bedinvetmab which is a monoclonal antibody. This antibody (or protein) is trained to recognise and attach to a protein known as Nerve Growth Factor (NGF). Once attached it prevents NGF from attaching to its own receptors on nerve cells and therefore
If you have ever come across some lectures with neuroscientists or psychologists on pain, you will likely hear the story of a man who fell on a nail. He understandably was in agony and had to be given strong painkillers on the way to the hospital. But, when arriving at the hospital, it was discovered that the nail had in fact gone through the gaps in his toes and not penetrated his foot at all. What on earth was going on here? You can’t say his pain wasn’t real, because to him it was sheer agony. But it was his perception of what had occurred which fuelled his response and need for strong painkillers. The brain had constructed a response based on cues from the environment; the pain signal was therefore appropriate to stop the man in his tracks and prevent the likelihood he would fall on another nail. Except the brain got it a little wrong. This example is great for showing us that pain is subjective and a perception; but we already knew this didn’t we? What may be painful for one person, may not even result in a wince from another. This is also true for our dogs. We joke that certain breeds are a little sensitive, and then we find other breeds completely stoic when suffering a chronic issue. If pain is crucial to our survival, quite literally, but it can be subjective, what on earth is it? Let’s take a look at the neuroscience of pain. The Neuroscience of Pain Pain is a sensation and as such is processed in the brain. It is a necessary function that warns the body of potential or actual injury. It occurs when nociceptor fibres detect painful stimulus on the skin or in an internal organ (peripheral nervous system). The detection signal is picked up by receptors in the spinal cord and brainstem and transmitted to various areas of the brain as sensory information. The facilitators of this are known as neurotransmitters and as we know these are in essence, chemical messengers. Some transmitters are excitatory, meaning they facilitate the transmission of the message, and some are inhibitory, meaning they impede transmission. Both types of messengers are important in the modulation of pain. For example, excitatory neurotransmitters acting without an inhibitory system results in pain. Several neurotransmitters are involved, but glutamate and substance P (SP) are the main ones involved in pain. Glutamate is usually involved in the rapid neurotransmission of acute pain, such as with mechanical stimuli or temperature stimuli producing quick, sharp pain. SP regulates smooth muscle contractility, epithelial ion transport, vascular permeability, and immune function in the gastrointestinal tract. SP transmits pain by secretion from nerves and inflammatory cells, and acts by binding to certain receptors on the spinal cord. SP is typically seen in chronic pain cases due to its slow excitatory connection. The success in treating pain with opiates, such as morphine, that block nociceptive transmission of pain within the spinal cord is perceived to be, in part, due to a decrease in the release of SP. Recent data has indicated a role for dopamine in pain too. Dopamine is already known to play important roles in thinking, memory, movement, and reward. However, researchers have shown that dopaminergic neurotransmission plays a central role in modulating pain perception and analgesia within certain parts of the brain including the insula, thalamus, basal ganglia, anterior cingulate cortex and periaqueductal grey. It is thought that low levels of dopamine could contribute to the perception of painful symptoms. Amino Acids and Pain Management The body’s three primary pain modulators appear to be the neurotransmitters endorphin, serotonin, and GABA (gamma amino butyric acid). Each of these pain fighters is produced from very specific nutrients called amino acids. Amino acids are required for the production and maintenance of almost every function and tissue in the body. Amino acids are found in abundance in protein rich foods, but you can also find them in supplement form. DLPA (DL-phenylalanine) is a natural amino acid that has been used to treat chronic pain. DLPA inhibits several enzymes that are responsible for the destruction of endorphins. Endorphins are pain-killing hormones and by inhibiting their destruction, pain relief is prolonged. It can also potentiate opiate analgesia and prolong the effects of acupuncture. Tryptophan (Trp) is an indispensable amino acid for domestic canines. Tryptophan, and ultimately the serotonergic system, has been shown to influence behaviours related to anxiety, stress, fear, and aggression which may play a role chronic pain, and its perception. Acute Vs Chronic Pain Acute pain, which serves as a warning signal of injury or illness, normally comes on quickly and lasts for a short time. If not treated properly, acute pain can develop into chronic pain in which the pain persists even after the initial injury or illness is healed. When this happens, considerable changes occur in both the peripheral and central nervous systems (CNS) as well as in the psychological profiles of sufferers. Some recent studies have found that information about the transition from acute pain to chronic pain could be documented by changes in brain structure and function. In general, where acute pain largely activates brain regions involved in nociceptive information processing, chronic pain is consistently and substantially encoded by brain regions related to emotional and motivational states of sufferers. This suggests that we should also consider how stressed or anxious our pets may be alongside their pain experiences. What is particularly interesting about this concept is that our pets can’t talk, so it can be particularly difficult to establish their emotional and motivational states. This is even more worrying when we consider veterinarian and public opinion of pain sensitivity in certain breeds of dogs. A study carried out in 2020 wanted to establish whether there is a breed difference in pain sensitivity in dogs. But, as pain is a perception and there are significant limitations in subjectivity scales, the researchers thought asking veterinarians and the general public would be an interesting
