If the condition you are looking for is not found or listed, it may go by another name, not be traditionally managed with nutrition, and/or we do
not have a recipe for the condition as specifically noted below. If you need assistance knowing which condition(s) to select or manage
nutritionally, please speak with your veterinarian or a board-certified veterinary nutritionist® that offers individualized consultations.
CANCER:
We do not currently have any homemade recipes for the nutritional management of cancer. This area of treatment is quite controversial with some
popular strategies like lower dietary carbohydrate level being unproven or called into question due to potential data falsification by a former
veterinary school researcher. Some veterinarians may recommend diets that have lower n-6 to long-chain n-3 fatty acid ratios which are available
on the site with their recommendation and approval. Overall, we suggest that an individualized consultation with a board-certified veterinary
nutritionist® be pursued if a non-healthy adult recipe isn’t appropriate or you or your veterinarian are unsure how best to address a particular
patient.
CANINE SILICA UROLITHIASIS:
We do not currently have any homemade recipes formulated specifically for the nutritional management of silica urolithiasis. This condition is
so rare that we suggest that a board-certified veterinary nutritionist® that offers individualized consultations be contacted for assistance.
They typically will advise avoiding cereal grains that can be richer in silica and adding water to the meal (to achieve a stew or soup like
consistency) to increase water intake and dilute urine (typically a urine specific gravity of 1.020 or less). They will also discuss the
likelihood of recurrence which is reported to be low in many cases.
CANINE STRUVITE UROLITHIASIS:
We do not currently have any homemade recipes for the dissolution of struvite stones or uroliths in the dog (or cat). We also do not have any
homemade recipes for the prevention of struvite crystals or stones in the dog as the management is now focused on antibiotics (see http://onlinelibrary.wiley.com/doi/10.1111/jvim.14559/full for ACVIM Consensus Statement Recommendation 3.2) not first or primarily diet unlike in the
cat. The need for antibiotics is related to the abnormal bacteria that can hide within the urinary tract and produce a special enzyme that
breaks down urine and releases one of the struvite precursors. There doesn’t appear to be any cases of sterile struvite urolithiasis in the dog
that would dictate a change in diet to prevent recurrence. We suggest that an individualized consultation with a board-certified veterinary
nutritionist® be pursued if a non-healthy adult recipe isn’t appropriate for a particular patient.
CUSHING’S DISEASE OR HYPERADRENOCORTICISM:
There are currently no specific nutritional management strategies for this common canine endocrinopathy. It has been suggested that lower energy
density foods (i.e., less calories per unit of volume) can help with satiety or the sense of fullness. This can be achieved by using lower fat
foods or increasing the content of safe vegetables and fruits in a recipe. Care should be taken if the patient is concurrently diabetic as
decreasing energy density can increase the amount of dietary carbohydrate. Or if calcium oxalate urolithiasis (i.e., crystals/stones) is a
concern, vegetables and fruits may need to be selected carefully as many can be rich in oxalate.
EXOCRINE PANCREATIC INSUFFICIENCY (EPI):
We do not have any recipe options specifically listed for the nutritional management of EPI. With pancreatic enzyme replacement therapy,
patients with EPI can eat and do well on regular growth and maintenance foods. If clinical signs such as loose or voluminous stools or ongoing
underweightedness exist, then the dose of pancreatic enzymes typically needs to be increased under the guidance of one’s veterinarian. At
times, a lower fat diet may be suggested to reduce the amount of pancreatic enzymes needed, as the fat digesting enzyme, lipase, is usually
limiting, and this medication can be expensive. This is not to say that all EPI patients need dietary fat reduction or restriction and helps
explain why there are no EPI specific recipes on the site currently.