2013年9月24日星期二

Supplements 101

I know, I know – I have promised (and am working on!) entries about canine cancer, allergy, yeast, anxiety and more…but hey, it’s been a busy week (new students,  lots of client work) and it’s the weekend (a long one here in the frozen north) and I am behind. It’s tough getting everything done, so I may post in sudden bursts of many, and then become strangely silent for a while. That strange silence is almost always either work elsewhere, or rejuvenation time. Both are good things, but it’s also good to be back blogging.


It’s the long weekend  as mentioned, so I thought a quick and  easy post (I dare not say ‘short’ ever again, but we’ll see) is just the ticket. I thought I’d address the problem of supplements – which of course, will require expansion later on. For right now, getting a few facts sorted out may be helpful to those who ask me about this, and I do get asked a lot. Let’s see what we can do to  sort through some of the confusion.


For starters; a typical scenario is like this. I receive a phone call from someone needing advice, help, possibly a dietplan. We speak for a while, and I ascertain the dog has been on a home made diet, for several months. Initially he did really well, she was thrilled, and her vet, while skeptical at first, became more comfortable as time went by, given that the dogs issues(let’s say chronic loose stool and itching) improved so much. All well and good, but now, seven or eight months into the diet, things are not so good. While the problems  the dog started out with are still improved, new ones have appeared; perhaps he is losing coat or developing rough, red patches around the stomach and anus. Perhaps he has trouble with healing from any minor cut or scrape. Perhaps he seems to have a sore mouth.  Maybe he has a chronic UTI that no antibiotic clears up completely, or else balanitis or other localized, chronic infection. Maybe his coat has lost luster and he’s too thin.


Any number of scenarios can arise, and now the owner is “concerned she might not be balancing the diet properly”.


So, invariably I ask, what are you supplementing with? And the answer most often is “see, that’s the strange part,. I’m adding so many supplements, “….a little investigation reveals, usually, that the supplements she is adding include:


Flaxseed oil


Probiotics


Vitamin C


an “immune blend” one of many available on the market


Coconut oil ( they read about that in the WDJ)


Joint support (he has a touch of arthritis)


and a Multivitamin


So understandably with all this “stuff” the owner is baffled about why the dog is having problems. Should she try raw diet? Go back to kibble? The vet now wants the dog on Science Diet. And so on.


Well, the problem is almost always that while all of this “healthy, natural” supplementation is great, and with the exception of the C and the multi I use them all too – NONE of the above serve to provide the essential nutrients the diet is lacking. Even the multi, while helping to boost the dietary content of vitamins and minerals,  doesn’t go nearly far enough in providing for nutrients that are missing from the diet. Of course, the diet itself could be seriously unbalanced, and often is, if the owner has been following, say, that infernal “Rule of Thirds” or otherwise generic bad advice. (which I hasten to add, people do very trustingly and innocently, it’s a minefield out there, and a lot of very erroneous information presented as fact).  If she is adding organ meat and the dog is having raw meaty bones, well there’s a couple of things I feel better about. but typically, we see low vitamin and mineral content, and a lot of it. If the calcium is low and the phosphorus high, as happens with a cooked diet unsupplemented with calcium, there’s a very serious problem right off the bat. So, when I talk about supplements I need to be clear and specific about what I mean. Over the years I’ve been doing this work, I’ve found it helpful to break them down into three categories; Essential, Supportive and Target. While all three are going to add to your dog’s overall health and longevity, if used correctly, in any home made diet I ever inquire about I am asking about the Essentials.If you are not adding them,  the chances are very good that your dog is developing a problem. And if you’re taking the trouble to homeprepared meals, you surely do not want to see that happen.


So for starters, here are the three groups, and what they  mean. In  my next entries on supplements I’ll look more deeply into each group, and in the A-Z nutrients take serious looks at each nutrient individually.


Here’s what my Three Categories cover.



ESSENTIALS


These are the nutrients that need to be present in specific amounts in a home made diet, and that are not generally provided by food alone.  Depending on what is in the diet itself, I often  have my clients add the following:


Calcium


Iodine (usually from kelp)


Zinc


Manganese


and often have to use Supplemental copper and Vitamin D3


In addition, I use the following in amounts above the RA, although they are usually met in the diet by food alone:


VitaminB complex


VitaminE


Taurine


Selenium


A carefully formulated home made diet for a healthy dog can readily provide protein, fat/fatty acids, fiber,and phosphorus, potassium, iron, Vitamins A, Bcomplex and E - usually but not always D3, and most  other essentials. But simply to overfeed high-phosphorus meats without adequate organ and without calcium supplementation is to court longterm problems such as wear and tear on the kidney. I’ve seen dogs with osteoporosis, with teeth falling out, with early-onset kidney problems and with a condition called nutritional secondary hyperparathyroidism, all from this scenario above. I’ve seen young dogs fed an ad hoc home made diet who have all manner of skeletal problems, who have zinc deficiency, low immunity, even temperament issues from lack of nutrients in that all-important first year. Usually the owner believed that a  home made diet with good, fresh food would have to be better than kibble,and fed something along the lines of  ” one- third meat, usually chicken or beef, a third grain and a third veggie” Even worse is when they feed just the meat and veggie with no organ meat or fish.  In these cases, kibble would most definitely have been a better choice.


Puppies in particular require  much higher levels of nutrient for their growing bodies and systems to develop properly. There is no room for mistakes with puppies – many cannot be undone later on. If you are homefeeding a  puppy, use a quality commercial product or have a specialist formulate the recipe for you.



Essential supplements are those which are lacking in a home made diet and must be added in careful amounts in order to prevent nutritional problems or outright deficiencies. In the next installment I’ll talk about how even marginal low levels of each nutrient can create problems – and how overfeeding  many of them may be just as bad or worse.


SUPPORTIVE SUPPLEMENTS


This group includes any supplement that can be geenrically added to the diets of most dogs, in order to improve their overall soundness and wellbing. This group includes


Joint formulas (glucosamine/chondroitin based, often with additions like MSM) important both preventively and therapeutically


Probiotics – most dogs can benefit from the addition of a simple acidophilus or a more complex belnd of strains


Green foods -  spirulina and chlorella are my favorites


Fish oils – not to include cod liver oil, and it’s usually a good idea to boost dietary VitmainE when adding fish oil, but overall a conservative dose of fish oil daily or weekly can help ease the progress of arthritis, lower systemic inflammation and protect the cardiovascular system, among other functions


Coconut Oil – a source of medium chain triglycerides / lauric acid, coconut oil is superb for many dogs, improving coat,allergic response  and overall  energy level


Antioxidants-  Often, this is a blend/formula containing things like alpha-lipoic acid, COQ10, milk thistle and grapeseed extract.


Missing Link, Nupro (and similar formulas)  I don’t use these products in my own diets but I can attest that many swear by them. Any general nutrition- booster formula would fall into this category


These are the  supplements that many owners new to homefeeidng feel are the necessary ones – and they aren’t. All of them offer unique and powerful benefits when used correctly; what they won’t do is supply essential nutrients in adequate levels and they won’t prevent the problems associated with ad hoc feeding from manifesting. My recommendation is always the same; get the diet right first; then add some of this group. Fish oil will do nothing for zinc deficiency and probiotics will not balance calcium.  These are secondary additions; good ones, but by no means “essential”.



TARGET SUPPLEMENTS


The last group here consists of supplements that target specific health conditions, either preventively or therapeutically. While some of Group One do this ( selenium, Vitamin E for heart disease) and Group Two as well (probiotics for IBD) the characteristic of the Target Group is most are not used as general support,although some of them certainly can be. – and that often, higher doses are used when targeting illness. I would, for example, suggest much more fish or krill oil for a dog with lymphoma than I’d use as a general tonic. I use sometimes 3-5 times as much CoQ10 with dogs who have had chemotherapy, as I would for prevention of heart disase in susceptible or older dogs.  I usually use the high end of the dosage range when targeting a condition – and I know vets who go well over that level, too.


Some of the supplements that taregt specific conditions, very briefly, include:


Heart Disease- CoEnzmeQ10, L-carnitine and L-taurine, fish oils, VitaminE (especially fullspectrum) selenium, Bvitamins, Hawthorne and grapeseed/pycnogenol


Cancer – a HUGE range of possibilities, and will vary according to type, but the shortlist includes fish/krill oils, antioxidants such as lipoic and ellagic acid, CoQ10, turmeric and milk thistle; the amino acid L-arginine; ESSIAC (herbal blend of slippery elm, sheep sorrel, burdock and turkey rhubarb) countless and very specific herbs and herbal formulas, mushroom polysaccharides, phenolic compounds, flavonoids and much more. Cancer is actually a wide range of diseases  and must always be evaluated individually,  but the resources we have for dietary and herbal/supplemental support are  enormous.


IBD- Slippery Elm, pre- and probiotics, L-glutamine, herbal blends to possibly include plantain, calendula, evening primrose, marshmallow; glucosamine, supplemental B vitamins


Liver Disease- milk thistle, chlorella,  lipoic acid, SAMe


I could go on with regard to this last category, this is a very cursory look; but you get the idea.  A comprehensive supplement and herbal protocol for a specific illness must take a great number of factors into consideration, including the overall condition of the dog, any co-existing illnesses, what veterinary treatment he is undergoing, nutritional status. The target group is usually higher dose and more specific than the support group. And again this group is not intended to balance a diet in the way Group One is.



I hope this helps clarify an often murky topic and trust me, I’ll explore it all in more detail as we progress with this blog. Have a healthy and happy day!

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