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| Here's an article about this from Tuft's University Veterinary College: A broken heart: Risk of heart disease in boutique or grain-free diets and exotic ingredients – Clinical Nutrition Service at Cummings School
Tuft's notes that it's not just grain free food that may be associated with cardiomyopathy in dogs, but exotic ingredients such as duck and lamb, and home cooked and raw diets as well. I'll include a few choice quotes below: Quote: |
In my 20 years as a veterinary nutritionist, I’ve seen vast improvements in our knowledge about pet nutrition, in the quality of commercial pet foods, and in our pets’ nutritional health (other than the unfortunate rise in obesity). However, in the last few years I’ve seen more cases of nutritional deficiencies due to people feeding unconventional diets, such as unbalanced home-prepared diets, raw diets, vegetarian diets, and boutique commercial pet foods.
| Quote:
No matter what the reason, the number of dogs with taurine deficiency and DCM subjectively appeared to decrease since the early 2000’s. However, recently, some astute cardiologists noticed higher rates of DCM including Golden retrievers and in some atypical dog breeds. They also noticed that both the typical and atypical breeds were more likely to be eating boutique or grain-free diets, and diets with exotic ingredients – kangaroo, lentils, duck, pea, fava bean, buffalo, tapioca, salmon, lamb, barley, bison, venison, and chickpeas. Even some vegan diets have been associated. It has even been seen in dogs eating raw or home-prepared diets.
So, is this latest rash of DCM caused by taurine deficiency? Most of these affected dogs were eating boutique, grain-free, or exotic ingredient diets. Some of the dogs had low taurine levels and improved with taurine supplementation. But even some of those dogs that were not taurine deficient improved with taurine supplementation and diet change. Fortunately, cardiologists reported the issue to the FDA which is currently investigating this issue.
| Quote: |
Why are pet owners feeding these exotic ingredients? I think is it primarily because pet owners are falling victim to marketing which portrays exotic ingredients as more natural or healthier than typical ingredients. There is no truth to this marketing – and there is no evidence that these ingredients are any more natural or healthier than more typical ingredients. This is just good marketing that preys on our desire to do the best for our pets.
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What is the consistent factor between the diets being implicated in diet-related DCM? It may be related to companies’ inadequate nutritional expertise or rigorous quality control. We published a study several years ago in which we measured a single nutrient in 90 canned cat foods that all claimed to be nutritionally complete and balanced. We found that 15% of the diets were deficient in that nutrient (all of those diets were made by small companies). If companies don’t have the quality control to ensure all nutrients are at the minimum levels, deficiencies could occur and could contribute to DCM. However, these problems could also be related to problems with bioavailability or interaction with other ingredients in the diet (especially the more exotic ingredients, which are not as well studied or understood). And DCM could even be the result of an ingredient in the diet that is toxic to the heart. The FDA is investigating this potential association between diet and DCM but, in the meantime, there are some things you can do.
| And finally, Tuft Vet Med's advice on how to handle this news (emphasis added): Quote: What should you do?
Reconsider your dog’s diet. If you’re feeding a boutique, grain-free, or exotic ingredient diets, I would reassess whether you could change to a diet with more typical ingredients made by a company with a long track record of producing good quality diets. And do yourself a favor – stop reading the ingredient list! Although this is the most common way owners select their pets’ food, it is the least reliable way to do so. And be careful about currently available pet food rating websites that rank pet foods either on opinion or on based on myths and subjective information. It’s important to use more objective criteria (e.g., research, nutritional expertise, quality control in judging a pet food). The best way to select what is really the best food for your pet is to ensure the manufacturer has excellent nutritional expertise and rigorous quality control standards (see our “Questions you should be asking about your pet’s food” post).
If you’re feeding your dog a boutique, grain-free, or exotic ingredient diet, watch for early signs of heart disease – weakness, slowing down, less able to exercise, short of breath, coughing, or fainting. Your veterinarian will listen for a heart murmur or abnormal heart rhythm and may do additional tests (or send you to see a veterinary cardiologist), such as x-rays, blood tests, electrocardiogram, or ultrasound of the heart (echocardiogram).
If your dog is diagnosed with DCM and eating one of these diets, I’d recommend the following steps:
Ask your veterinarian to test whole blood and plasma taurine levels (I recommend the University of California Davis Amino Acid Laboratory Report it to the FDA. This can be done either online or by telephone. The FDA may be able to help with testing costs for your dog. Reporting it will also help us to identify and solve this current problem.
Change your dog’s diet to one made by a well-known reputable company and containing standard ingredients (e.g., chicken, beef, rice, corn, wheat). Changing to a raw or homecooked diet will not protect your dog from this issue (and may increase the risk for other nutritional deficiencies). If your dog requires a homecooked diet or has other medical conditions that require special considerations, be sure to talk to a veterinarian or a veterinary nutritionist (acvn.org) before making a dietary change. You can contact the Cummings Nutrition Service to schedule an appointment (vetnutrition@tufts.edu)
Start taurine supplementation. Your veterinarian or veterinary cardiologist can recommend an appropriate dose for your dog. Be sure to use a brand of taurine with good quality control.
Any improvements in your dog’s DCM can take 3-6 months. Your dog will need regular monitoring and may require heart medications during this time. There’s no guarantee she’ll improve but is certainly worth a try.
Make sure your dog is getting the best combination of medications to treat his heart disease, as this can make a difference in his outcome. You can find a board-certified veterinary cardiologist near you on this website: Veterinary Specialist Directory - Find Veterinary Specialists - VetSpecialists.com |
__________________ Doggy Daddy to  Bella
Last edited by pstinard; 08-09-2018 at 04:38 AM.
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