Feeding advice for underweight, lethargic, barefoot, potentially Cushing's veteran?

Puddock

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Oh, and he also has dental issues.

I posted a couple of weeks ago about my horse: http://www.horseandhound.co.uk/forums/showthread.php?t=584527&highlight=Puddock

and received lots of helpful advice. I upped his fast fibre, but obviously that wasn't too long ago, so wouldn't expect to see a difference yet.

We went to the vet hospital earlier this week for his dental check-up, and I also spoke to a nutritionist, but now I'm more confused about diet than ever.

The night before we went, something clicked and I started researching Cushing's online. He has some of the typical symptoms but not others. E.g. if he had a long coat it wouldn't be obvious as he was fully clipped in Nov. I haven't noticed him beginning to sweat up randomly, but then he hasn't done much work recently due to lethargy! He is drinking slightly more than usual, but then so are all the horses on our yard. He doesn't urinate frequently, but I did have the vet out earlier in the year as he would frequently get into the "staling" pose when ridden and then not go. He was tested and scanned for bladder stones and nothing found. Instructor was of the opinion this is a new form of napping (he's lazy and very clever, think 16.3 tank with the brains of your average riding school pony) and to work through it. I had been doing that till the general lethargy got in the way of doing any real work at all. He has also lost all top line and is very ribby with a pot-bellied look. I don't think this is likely to be worm related as he is on a good programme as are all other horses on the yard. Will get a count done, though.

So, while at the vets, I asked about possibility of Cushing's and they said they would be more surprised if he didn't have it. He is to be tested in a month as they want to see if the diet advice given perks him up and gives him more energy (they are of opinion weight loss may he more related to dental issues, although they also said his teeth were in good shape following his last treatment and didn't need much done. Basically, he's had two teeth taken out of occlusion and doesn't get the use of them, so he can eat with no trouble and isn't in pain, but can't chew as effectively as he could previously).

But, it's the dietary advice that's confusing me. Currently he is on ad lib haylage overnight, out 8am-3.30pm with very little grass/no haylage overnight. He gets 2kg fast fibre, 200g microionised linseed, a new yeast supplement called Lifeforce, kindly recommended by a member on here and some biotin.

The nutritionist at the hospital has recommended changing to Alfa-a oil and sugarbeet, continuing with the linseed and adding a balancer. She was aware he is potential Cushing's. It's only since I got home and did some more research that I realised alfalfa may not be the best for him. Is he likely to become footy on it, or worse still full-blown lami? He's never had it in the past, but then before this he always had the tendency to be such a fatty that I watched his weight like a hawk!

Should I swap my fast fibre for Speedibeet as suggested, or simply up the amount again and maybe add some other kind of oil instead of the Alfa-a? What about something like copra meal? I really am so confused. Thanks for reading, sorry for any typos, I'm on my phone.
 
I posted what my dodgy teethed, barefoot, Cushings boy is on with this thread here

http://www.horseandhound.co.uk/forums/showthread.php?t=587967

You have a balancer already in the Lifeforce. It's not something I'm familiar with - but looking at the specs....I wouldn't be happy with the manganese in it (considering UK's forage consistently tests high in manganese).

I don't feed alfalfa as my forage is already too high in calcium (but balanced to a high phosphorous) and this is another consistent finding in UK's forage.

I did try alfalfa pellets for a while (before I discovered what was hinky in my grazing) but his soles splatted out and didn't recover until I replace the alfalfa with Fast Fibre and Speedibeet.

I recommend joining the Cushings and Insulin Resistance yahoo group and perusing their articles and files
http://pets.groups.yahoo.com/group/EquineCushings/
 
Thanks Black Beastie, will certainly be upping it again in the meantime. Anyone know if I can safely feed more than 200g of microionised linseed?

Leg_end, that's what I was thinking of, but I don't have any experience of it. Web page doesn't seem to say how much/how to feed. Do you happen to know if it has to be soaked?
 
Oberon, thank you too. I'll read over in more detail this evening and sign up to the group.

If you post your horse's details in a case study there and put as much detail as you can (also include that you are UK based), then they will give you feeding advice.

Dr Kellon runs the group and her research has been invaluable to how we are looking at feeding barefoot horses of recent years.

The Group is a great sneaky way of getting free advice from her :D
 
Leg_end, that's what I was thinking of, but I don't have any experience of it. Web page doesn't seem to say how much/how to feed. Do you happen to know if it has to be soaked?

I feed 2 stubbs scoops per day at the moment, one in the am feed and one pm feed in a separate bucket with hot water.

You soak it for ten minutes.
 
Coolstance is usually soaked, they say on the bag you can feed it dry but seeing how it swells not sure I'd want to.
It's quite expensive but a little goes a long way. I feed between 500g and 1kg which isn't much by volume.

I feed it to my two barefoot 1 sensitive tb and a warmblood together with speedibeet and linseed and they do really well on it.

Most seem to like it but the odd one doesn't.

Fast fibre is based on unmolassed sugarbeet and straw so substituting speedibeet would give you extra calories while sticking with something you know is ok.
 
the symptoms you describe are the same as my cushings horse. I don't understand why if your vets think he may have cushings they don't test now. However he progresses on his diet he will still either have cushings or not and if it was my horse I would want it treated asap. That is probably as I had one die as a result of undiagnosed cushings last year.
One of my other horses tested negative, twice. I didn't believe the test results and the vet put him on a trial of prascend. He improved considerably.

Mine doesn't do well on oil being cushings. That rules out anything more than 100g per day of linseed and also rules out copra. I found the easiest and cheapest way to get condition back onto him has been extracted, cooked soya bean meal. That provides a generous supply of good quality protein.
It is very cheap. I bought mine direct from D & H and the cost including postage was around £23. I feed a small mug per day so the 25kg sack is going to last for a while. It must be the one with the oil extracted not the full fat linseed. Let me know if you want to know what to ask for from D & H.
No alfalfa for mine as he is footy on it but since starting with the SBM there has been improvement in only a short time.
 
Has you vet looked at bloods to see if your horse has a liver problem?

That can cause lethargy, weight loss etc.

if it is a liver prob, then you won't get weight on using oils etc. Also fast fibre is a no no, as straw products are not good for compromised livers.

Might not be a liver problem of course, and you may already have checked for this.
 
Thanks again everyone. Criso and Oberon, really appreciate the info on the Copra and also on the Cushings and insulin resistance group. I am off to sign up in a minute.

Paddy555, I think there are a few reasons they didn't test earlier this week. The hospital is currently running a large study on the condition and one of the vets I spoke with has a particular interest in it. She didn't seem overly concerned and said that the proportion of older horses living with Cushings is likely to be much higher than anyone currently suspects. Not that this was given as a reason not to test him, of course. I think the particular test they want to do is carried out over a day - he had been under quite heavy sedation for the dental work before I got a chance to ask about Cushing's and it was also very late in the day. We were reliant on their transport to get home, so I wouldn't have been able to leave him there overnight.

She also wanted me to keep a water diary, so we have an idea of how much he is drinking. I do want it done ASAP, and will be back in touch with them in a couple of weeks, or before that if I get any more concerned. I think they just want to rule out the fact that the weight loss is purely related to his dental issues before they start any more investigations. I trust them implicitly as am also a client of the hospital practice. :)
 
myhorsefred - you're right of course, it could be something lurking elsewhere. Rest assured, I'll ask them to do every test necessary if we don't reach an obvious answer over the next couple of weeks.
 
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