Journal of Animal Science Article Full Summary, Volume 98, Issue 6, June 2020

BACKGROUND & HISTORY OF DCM INVESTIGATION

In June of 2018, Lisa Freeman, a board-certified veterinary nutritionist from Tufts University published a blog titled “A broken heart: Risk of heart disease in boutique or grain-free diets and exotic ingredients.” This blog warned pet owners and veterinarians that ‘BEG’ (boutique, exotic, grain free) diets were causing heart disease in dogs. This left professionals and the public scrambling for more information, which was further fueled by media frenzy. As a result, the FDA launched an investigation which was complicated by sampling bias, overrepresentation of subgroups and confounding variables. For the past two years, despite additional commentary articles, scarce and vague scientific data and inconclusive FDA reports, information regarding DCM has been incomplete at best. Lack of information has been accompanied by abbreviated synopses of case studies with multiple variables and treatments, incomplete medical information and conflicting medical data and opinions from veterinary nutrition influencers.1

The reality is that there are many variables that may, or may not, impact the onset, disease process and outcome of DCM. Available studies lack evaluation of isolated variables in a controlled environment free from sampling bias. For example, many unknowns exist surrounding numerous nutrients, genetics, hypothyroidism, myocarditis, arrythmias and other diet-related etiologies.1

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CRITICAL PART OF THE CONVERSATION: DCM DISEASE PROCESS & ROLE OF NUTRITION

One of the largest points of contention within this investigation is that pet owners and even some within the veterinary community are unaware of the multiple etiologies and the complex relation of nutrition to DCM. Causative factors behind DCM have been oversimplified to blame grain-free foods – which is fundamentally incorrect and is a disservice to the field of nutrition and the health and wellbeing of pets.

Any self-respecting nutritionist knows that nutrients, not ingredients, make up a well-formulated diet. Nutrition is far more complex than this 2-year conversation has given credit to – and this review acknowledged that. At the same time, this paper also cited the importance of having a general knowledge of the incidence, clinical manifestations, diagnostics and potential treatments required before digging into the rest of the DCM conversation. Let’s have a look:

 

Incidence & Genetics

The most common cardiovascular disease in canines is chronic degenerative valve disease (approx. 75%), followed by DCM as the second most common. The incidence of DCM appears to be 0.5 and 1.3% of the population, with the majority of cases being an inherited, genetically linked condition.1 Certain breeds and male dogs are often reported to have a higher incidence of DCM – with most cases appearing in middle age to older dogs.1 It was thought that mixed breed dogs had a greater protection against developing genetically linked types of DCM, however statistics show this is not the case. The authors highlight the need for more research in both purebred and mixed breed dogs and the genetic relationship to DCM.

 

Manifestation & Diagnostics

Clinical manifestation, or presentation of the disease is elusive in many cases. Most dogs have no outward symptoms in the beginning stages of the disease. If undiagnosed DCM progresses on to include decreased efficiency and effectiveness of the heart muscle leading to exercise intolerance, congestive heart failure (CHF), syncope (passing out), and even sudden death. Unfortunately, sometimes there are no outward symptoms, and sudden death is the only sign, especially in Doberman Pinschers1.

The smallest section of the paper titled “Histopathological Manifestation” has one of the most interesting facts in the entire review: “Histopathological changes vary from myocardial samples in dogs with DCM, reflecting the numerous underlying etiologies.” Simply put, biopsies, or samples of heart muscle from various dogs are showing multiple and variable changes to the cardiac tissue that indicate differing causative factors. These factors could include arrythmia, genetics, hypothyroid disease, doxorubicin (chemotherapy), myocarditis, digestive impairment, low protein diets, high fiber diets and deficiencies of l-carnitine, taurine, sulfur amino acids – among many others.1

While the gold standard of diagnostics in humans, cardiac muscle biopsy is rarely conducted in canines due to the invasive nature and high cost of the procedure. Traditional diagnostics used to rule out other diseases and arrive at a DCM diagnosis include, but are not limited to radiograph(x-ray), echocardiogram, electrocardiogram (EKG), 24-Holter monitoring, and cardiac biomarkers (blood testing). Often, many of these options are limited due to accessibility due to location and the cost prohibitive nature of some of these tests.

 

Presumptive Diagnosis & Misdiagnosis

As a result of limited access to testing for various reasons, presumptive diagnosis and misdiagnosis are of concern. For example, both left and right sided valve disease may lead to characteristics that could lead to pathologies that resemble DCM. In addition, neoplasia, CHF, pericarditis and left atrial rupture can all cause pericardial effusion which leads to increased silhouette of the heart.1 Ignoring these other potential disease pathologies could lead to misdiagnosis and result in inadequate treatment.

 

Treatment of DCM

As we’ve learned within the past two years treatment of cases of DCM vary widely, and are complicated by accompanying disease states, age and nutritional status – among other factors. In general, treatment of DCM depends largely on the severity of disease. Treatment for primary DCM can involve use of pharmaceutical drugs, management of arrythmias, l-carnitine supplementation, taurine supplementation, and diet change. Management of secondary DCM may focus on treating the underlying condition in addition to the treatments listed above.1

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NUTRITION CONSIDERATIONS:

Choline – an abundant nutrient having several important roles within the body and potentially several that may influence DCM in different ways. In humans, choline is important for the regeneration from methionine from homocysteine. When choline is deficient elevated homocysteine elevations occur which likely increases risk of cardiovascular disease. Additional risks related to choline may be indicated by its involvement in the production of trimethylamine N-oxide (TMAO) which promotes inflammation and cardiovascular disease development in humans.1

This review states that choline is deserving of more research to determine if there is a relationship to DCM in canines. It’s important to call out that much of the information in the discussion on choline is from human data highlighting the knowledge gap in this area.

Methionine and Cysteine – These are sulfur containing amino acids which are involved in the synthesis of taurine. There are multiple factors that influence the synthesis of taurine from these two precursors. These influences include low bioavailability, thermal processing of food, diet formulation, deficiency of methionine which is a limiting amino acid – among others. In addition, sulfur amino acid requirements may vary between breed and size of dogs.1

Again, we need more research to determine breed, size and potentially age specific requirements for these nutrients.1 It’s also important to note that we lack the ability to measure functional adequacy of these nutrients highlighting another knowledge gap.

Taurine – Another sulfur containing amino acid, is not considered essential in dogs. This is because canines can synthesize taurine on their own. Taurine is an essential amino acid for cardiovascular function, skeletal muscle, nervous system function and as a component bile acids. Since the initial DCM investigation taurine has been questioned as being essential, however insufficient data exist to make any conclusions.1 That being said, canines with various cardiovascular diseases have been found to have low taurine levels. Further research is needed to determine if low bioavailability of taurine, low taurine synthesis and/or increased requirement of taurine are factors in these pathologies.

Taurine status is also deserving of more research. It is likely that various breeds, and disease states have different taurine requirements. In addition, several factors may influence bioavailability and synthesis of this amino acid. Variables affecting these factors need to be studied in a controlled environment.

Carnitine – Another nutrient that has been given attention is carnitine. This is because carnitine is beta-oxidized to generate continued energy, and 60% of cardiac energy production is through beta-oxidation. Therefore, deficiency or increased need of carnitine may cause cardiac dysfunction leading to cardiac disease such as DCM.1 Like other nutrition considerations discussed, functional assessments for carnitine status are lacking through blood testing. In order to accurately measure carnitine, biopsy of the heart muscle is required.

Taurine, carnitine and a variety of other nutrients and amino acids require specific balances of vitamins and minerals in bioavailable forms for proper function. Examples include, but are not limited to zinc, iron, selenium and niacin. This means that adequate levels of carnitine or taurine could be present but be unable to be utilized properly by the body.

Thiamine – Insufficient evidence exists regarding thiamine deficiency and cardiac function in canines. However, thiamine does play a role in the metabolism of carbohydrates, fats and specific amino acids. Thiamine can also be rendered unavailable by the presence of certain enzymes in some foods. In short, more research is needed to determine if thiamine deficiency, or lack of bioavailability, potentially contributes to the disease process of DCM in dogs.

Copper – Copper is known to play an important role of many enzyme functions, hemoglobin synthesis, nerve structure and function, blood vessels and various tissues. Copper deficiency on cardiac health has been studied in other species, but not dogs. While copper is routinely supplemented, it’s status could be negatively impacted by excess zinc and/or iron.1 This again indicates another knowledge gap in the area of canine nutrition and DCM.

Vitamin E – Vitamin E is a potent antioxidant which has links to cardioprotective mechanisms. Dogs with DCM have been found to have lower vitamin E in comparison to healthy dogs.

Selenium – Selenium deficiency may be related to reduced ability for cysteine synthesis. In addition, selenium deficiency results in increased oxidative stress, and decreases other antioxidant activity. Further, decreased bioavailability of selenium may inhibit the absorption of other metabolic constituents creating further complications. Additional research is needed to determine the involvement of selenium in the pathology of DCM.

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Heavy Metals & Other Toxin Considerations:

Heavy metals and various toxins have well documented roles of nutrient interference in humans, canines and other species:

  • Cyanide can increase the sulfur amino acid requirement
  • Certain raw foods (fruits/vegetables) can inhibit iodine function and increase risk of hypothyroid disease
  • Heavy metals such as arsenic, cadmium and mercury increase taurine requirements since taurine detoxifies these metals
Limitations in Current Available Data:

We know that DCM in dogs is not a new concern. Given that, we also know there are significant limitations to research studies currently available due to small sample sizes, sample bias, sample parameter inconsistencies, lack of complete data and known genetic predisposition. Extrapolating data from a small sample size to a large population can be highly inaccurate because subsets of populations are likely to skew results.

In addition, confounding variables and lack of control for independent variables can infer correlation when none exists.

 

The FDA Reports & Sample:

The sample population from the FDA reports resulted from a call for submission of DCM cases in dogs eating suspect (boutique, exotic, grain-free) diets. This resulted in a polluted data set for multiple reasons, including breed reporting, media attention, lack of all confirmed and suspect DCM cases reported, and other confounding factors such as health status of the dog. These confounding factors include obesity and other underlying conditions and diseases.

 

SUMMARY

As discussed, DCM has many etiologies, and many variables affecting disease manifestation. Considerable research is needed into these etiologies, and this paper largely serves as a call to action. While researchers state no definitive link can be found between DCM and ‘BEG’ diets, the largest points are that all etiologies of DCM need more investigation and science of nutrition is complex, and oversimplifying suspicions can lead to misguided and incorrect conclusions.

 

1. McCauley SR, Clark SD, Quest BW, Streeter RM, Oxford EM. Review of canine dilated cardiomyopathy in the wake of diet-associated concerns. J Anim Sci. 2020;98(6). doi:10.1093/jas/skaa155

Summary Journal of Animal Science Article, Volume 98, Issue 6, June 2020

In 2018 a blog from a veterinary nutritionist sparked a controversy between ‘BEG’ diets and heart disease in dogs. For the past two years, despite an FDA investigation, scarce and vague scientific data has created major issues for pet owners and the pet industry. For clarity, ‘BEG’ diets are known as Boutique, Exotic protein or Grain Free.

A recent article published in the Journal of Animal Science titled, “Review of canine dilated cardiomyopathy in the wake of diet-associated concerns” that appeared to be a saving grace for many advocates of ‘BEG’ diets. This paper investigated a potential association between grain-free pet food and dilated cardiomyopathy (DCM) in dogs. The authors state, “based on this review of the current literature, there is no definitive relationship between these implicated diet characteristics and DCM.” Despite this statement, realize the purpose of this paper was to identify numerous knowledge gaps surrounding DCM and nutrition, rather than to draw conclusions. While no link between ‘BEG’ (boutique, exotic, grain-free) was found, this does not mean that nutrition and other considerations are not at play.

ARTICLE HIGHLIGHTS:

Background of DCM & Diagnostics:
  • Approximately 75% of all heart disease in dogs is chronic degenerative valve disease, with second most common being DCM.
  • Genetics play a significant role in purebred and mix breed dogs. In addition, various genes are implicated. Certain breeds have a greater genetic predisposition than others.
  • Studies investigating the incidence rate of DCM date back to 1988 until recently. Consistently, the incidence appears to remain between 0.5-1.3% of the canine population. This is inclusive of available FDA data.
  • Diagnosis can be limited by accessibility and affordability of various diagnostic tools. Because of this, other types of heart disease could be misdiagnosed as DCM based on similar presentation.
Multiple Causations & Secondary Factors of DCM:
  • Biopsy of heart tissue shows numerous underlying causes of DCM – including but not limited to infection, inflammation, endocrine disease, heart arrhythmia, toxins and various nutritional deficiencies.
  • Nutritional considerations include fiber content, potassium, choline, methionine, cysteine, taurine, carnitine, thiamine, copper, Vitamin E and selenium. It’s important to note that a deficiency of one or more of these nutrients in direct relation to DCM is an oversimplification and fundamentally incorrect to assume. As discussed below, nutrients have varying and complex roles when it comes to metabolism.
  • Other considerations for consideration include cyanide exposure from food (cassava, tapioca), goitrogenic foods (suppress function of thyroid gland), and heavy metals.
FDA Report Considerations:
  • Boutique pet food manufacturers and exotic protein sources are likely not associated with DCM per current available data and publications.
  • Grain-free foods are also likely not associated with canine DCM, and current data shows any nutritional relationship is likely far more complex than has been portrayed.
  • More research is needed to determine risk factors for DCM including, but not limited to, infection, inflammation, endocrine disease, arrythmias, toxins and various nutritional deficiencies.
  • The FDA data pool was polluted. Meaning that it was a biased data set with subgroups (like golden retrievers, and dogs eating grain-free food being overrepresented) leading to biased conclusions.

AVMA, Nutrition & (lack of) Ethics

How many times have you heard a veterinarian or the American Veterinary Medical Association (AVMA) preach that those who are not veterinarians should not be giving nutritional advice?  Probably more than a few times. Interesting, maybe the AVMA should take their own advice before distributing an unvalidated, unscientific internet blog. Or, maybe they should rise to meet their own ethics pillars when disseminating information which is unable to withstand basic scientific scrutiny. In short, this is a scientific body distributing subpar work that would get a student ejected from any reputable undergraduate or graduate program.

Figure 1 AVMA member email dated May 21, 2020

Unpopular fact is that most, but not all, veterinarians have a knowledge gap when it comes to nutrition, aside from the fact that the little nutrition training they receive is influenced by large food manufactuerers1,2. It is probably time veterinarians started engaging with those that went to school to study things like nutrition and biochemistry since nutrition has everything to do with pathology of disease and disease prevention. If this body continues to ignore their knowledge gap they are going to continue distributing information that is inaccurate and dangerous – which can arguably be considered negligent. Considering these issues, they should probably review their “Core Values” and realign some of their messaging. Is this bold? Sure, but it’s also the truth.

The AVMA, according to the about section of their website:

…is a professional, not-for-profit organization claiming to be the collective voice of the veterinary profession. It is comprised of over 95,000 members from government, private practice, industry, uniformed services and academia that protect, promote and advance the needs of all veterinarians and those they serve.  Their core values state that the AVMA is ethical, inclusive, science-based, animal-focused, member-centric, supportive, fiscally responsible, efficient & innovative3.

Interesting considering the AVMA has routinely made it clear that their opinion and recommendations are for purchase by major corporations such as Hill’s, Royal Canin and major pharmaceutical companies through various email and marketing campaigns – just for example (see figures 1-4)3. It is also clear that they do not regularly verify and critically review the “scientific” information they distribute to their members who take it as scientific fact4. The AVMA also continues to warn against pathogens in raw food (figure 5), most recently by citing 3 abstracts that were not peer-reviewed, and who’s conclusions either didn’t match what the AVMA claimed, or had conclusions of which data did not support5. These abstracts and their argument also are unable to withstand basic scientific scrutiny. You can read my full analysis of that incident here. Based on this alone we can toss ‘ethical’ and ‘science-based’ from their “Core Values”. Arguably there are a few more, but I’ll be nice. 

(Figures 2-4 below) Figure 5, AVMA Partnerships, accessed via AVMA website May 24, 2020. https://www.avma.org/about/avma-partnerships
Figure 6 AVMA member email dated May 21, 2020

Another example, on May 22nd the AVMA distributed a blog by “PopSugar” which was just another example of them not vetting their sources (see figure 6). This was a non-scientific article that was incomplete, inaccurate and full of dangerous nutritional information. While the blogger interviewed a veterinarian, that veterinarian made her nutritional knowledge gaps apparent. The worst part being that the AVMA shared it, in a member email, which indicates their need to expand engagement to nutrition academics and learn to admit what they do not know. 

Here are just two highlights from that article:

Consult a Board-Certified Veterinary Nutritionist:

The article stresses the importance of consulting a veterinarian or veterinary nutritionist before making food changes for your pet.  We’ve already covered the fact that many veterinarians have nutritional knowledge gaps. A board-certified veterinary nutritionist® is a Diplomate of the American College of Veterinary Nutrition (ACVN®). The ACVN® is the AVMA-recognized specialty organization for nutrition. They are veterinarians who have continued training specifically in the field of nutrition to become board-certified specialists in veterinary nutrition. This can include companion, livestock and exotic species. 

This is a great recommendation, if you can find and afford one. Most articles that advise contacting a veterinary nutritionist fail to acknowledge that there are not enough of them to go around. According to the ACVN website there are only 96 veterinarians that are currently board-certified in animal nutrition. The list narrows further because many do not take appointments with individual clients because they are working in other capacities (such as academia or formulation), not taking new clients, only see clients in person or are retired. The AVMA and ACVN know this, so one could argue that it is an unreasonable recommendation because there simply are not enough to meet demand.

This leaves nutrition advice falling onto the shoulders of veterinarians, many of which are unequipped to fully handle this field. Don’t get me wrong, there are some that are extremely capable in the field of nutrition, some of which whom I’ve been fortunate enough to learn from. The fact remains that the majority are not, and most don’t have the luxury of working with a board-certified nutritionist.

Not to mention the fact that opinions and practice among these board-certified veterinary nutritionists vary widely. Some advocate for the feeding of fresh food, some do not. Some advocate for prescription diets, some do not. The AVMA ignores this wide range of opinions and seems to focus in on those who only promote what their sponsors do. They also ignore that there are other qualified members of the scientific and nutrition communities that are qualified to make nutritional recommendations and evolve the field. So, I guess we can also cross off inclusive, supportive, scientific and efficient from the AVMA core values. 

A 1:1:1 Approximate Ratio Can Help Build A Balanced Food Plan for Your Dog:

Sounds good, right? Wrong. In fact, this is an incorrect and irresponsible recommendation on many levels that it is hard to pick a place to start:

  • It doesn’t fully explain what those ratios mean. Does that ratio recommendation mean a ratio of calories or by weight? These could yield two very different things to the unsuspecting consumer. 
  • There is no account for age/life stage, breed or size of the dog – nor does it account for activity levels which can dramatically shift energy requirements and therefore macronutrient needs. For example, what about large breeds and puppies who have specific protein and energy requirements?
  • Interesting how the recommendation is to refer to balanceit.com – which doesn’t even recommend those macronutrient ratios.
  • The recommendation completely ignores amino acid and fatty acid requirements and seems to imply that providing equal parts protein, fat and carbohydrates would supply all required micronutrients. This is simply not the case at all.

Ultimately calories from protein, fat and carbohydrates should vary based on the age, size, breed, activity level and other variables that determine daily energy requirement (DER). While it is difficult to make a blanket recommendation, here are some general points to consider:

  • According to the National Research Council (NRC) a growing puppy requires a diet that is about 29 percent protein by weight. This protein should provide about 20-25 percent of dietary calories for puppies. The NRC also states that adults need about 18 percent dietary protein6. It’s important to note that many dog foods on the market range from 18-35% of calories from protein and that more research is needed to determine what is actually optimal. 
  • Typically, a range of 5-20% of calories in commercial dog food come from fat. Although 25-50% of the daily energy requirement can be supplied by fat during periods of high caloric need such as growth, lactation, or physical exertion. Remember that fat is nearly twice as nutrient dense as protein and carbohydrates, meaning that it is easy to provide excess calories which may contribute to obesity. This recommendation can also be altered based on disease state or other metabolic factors. Too much fat can also inhibit other nutrients from being provided or metabolized properly, which is yet another factor to consider.
  • The topic of carbohydrates is a highly contested one. There is not an absolute requirement for carbohydrates in dogs – some sources state that without dietary carbohydrates, there is added strain on lipid and protein metabolic pathways to supply glucose precursors6,7. However, newer scientific literature suggests that some working dogs may do better with minimal dietary carbohydrate8. I make this point not in favor of one stance or the other – instead that the field of nutrition is constantly evolving and to highlight the need for engagement all professionals within the field.
  • Remember the primary purpose of carbohydrates in pet food is to supply energy. However, also remember that carbohydrates include both soluble and insoluble fiber; of which both can provide benefit. Fruits and vegetables provide both types of fiber also provide antioxidants. Antioxidants can prevent oxidation (rancidity) of fats, which is important – especially in higher fat diets. Further complicating matters, excess carbohydrates can inhibit various metabolic pathways leading to nutrient deficiency and/or imbalance and even metabolic disease like obesity and diabetes.

The Main Point:

Obviously, this is just barely scratching the surface, since this is such a complex topic. The main point is that this article leaves a lot of room for misinterpretation and error – aside from the fact that this recommendation is not science-based at all. This is obviously a complex topic and is deserving of those who are qualified to discuss it. Because of this, we can add additional ticks against the AVMA core values of being ethical, science-based, animal-focused, supportive, efficient and innovative.

I could go on further about some of the egregious inaccuracies and recommendations in the article, but it would be a moot point. Instead I would rather spend the remainder of my energy and your valuable time expanding upon something that is worth understanding: the science of nutrition.

The Elephant in the Room: What is the Science of Nutrition?

The field of nutrition is a complex one, and it is not explored in depth in human or animal medical school. This topic is really deserving of its own article, because many really don’t fully understand just how complex it is. In fact, the nutrition field has its own set of education and degree structures that as intense, and in some cases more intense than medical programs. Depending on the track, nutrition encompasses working knowledge of many disciplines. These include, but are not limited to biology, microbiology, chemistry, biochemistry, physics, immunology, endocrinology, pathology, and more. Years ago, the nutrition field was looked down upon by many within the scientific community. Only now is that community realizing just how fundamentally important nutrition is to health, medicine and longevity.

But This Is How It Has Always Been Done

We’re in the midst of a paradigm shift, and it is getting ugly. It’s hard for educated professionals to admit what they don’t know. It’s even harder when they get called out for disseminating bad information. However, until they start to engage those who are deserving of a seat at the table, they leave some us no other choice. On the human side we know that highly processed food, and excess soluble carbohydrates are causative factors in various diseases and comorbidities. In animals, we ignore this fact and continue to recommend highly processed foods. We also fail to recognize the role of nutrition in disease prevention and management. The dogma that veterinary medicine should remain the coveted source of recommendations for animal nutrition is one that is losing stature each day. 

Instead of refusing to engage in conversation and advance the field, the veterinary community would be better served by embracing ideas and research from those outside their immediate circle. Only then would the AVMA and the community they claim to represent begin to actually work toward what their ethics pillars state.

Nicole Cammack

Nicci is the owner of award-winning NorthPoint Pets & Company, in Connecticut. She is also the Founder & CEO of Undogmatic Inc. Her undergraduate and graduate education includes biology, chemistry, business, and nutrition. She has worked in the pharmaceutical industry on multiple R&D projects and has had the privilege to learn from leading international figures in the human and pet health industry. She regularly lectures at national conferences, including federal, state, and municipal K9 events. Her current research involves identifying pathogenic risk factors and transmission among raw fed pets through a comprehensive worldwide survey.

www.northpointpets.com
www.undogmaticinc.com

References:

1.         Albala K. The SAGE Encyclopedia of Food Issues. SAGE Publications; 2015.

2.         Nestle M, Nesheim MC. Feed Your Pet Right: The Authoritative Guide to Feeding Your Dog and Cat. Free Press; 2010. Accessed May 25, 2020. https://nyuscholars.nyu.edu/en/publications/feed-your-pet-right-the-authoritative-guide-to-feeding-your-dog-a

3.         We are AVMA. American Veterinary Medical Association. Accessed May 22, 2020. https://www.avma.org/about

4.         Just because it looks like science doesn’t mean it is. NorthPoint Pets & Company. Published April 23, 2020. Accessed May 22, 2020. https://northpointpets.com/just-because-it-looks-like-science-doesnt-mean-it-is/

5.         Apr 20 CD| NR| CN|, 2020. ECCMID studies probe resistant pathogens in pets, pet food, and people. CIDRAP. Accessed May 22, 2020. https://www.cidrap.umn.edu/news-perspective/2020/04/eccmid-studies-probe-resistant-pathogens-pets-pet-food-and-people

6.         Read “Nutrient Requirements of Dogs and Cats” at NAP.Edu. doi:10.17226/10668

7.         Hand et. al. Small Animal Clinical Nutrition. 5th ed. Mark Morris Institute

8.         The effects of the proportions of dietary macronutrients on the digestibility, post-prandial endocrine responses and large intestinal fermentation of carbohydrate in working dogs: New Zealand Veterinary Journal: Vol 57, No 6. Accessed May 24, 2020. https://www.tandfonline.com/doi/abs/10.1080/00480169.2009.64718

Figure 2 AVMA member email dated May 21, 2020
Figure 3 AVMA member email dated May 21, 2020
Figure 4 AVMA member email dated May 21, 2020

The Truth About Feeding Your Pet Raw Goat Milk

If you’re looking for a natural supplement to enhance your pet’s nutrition and hydration, raw goat milk can be an excellent option. This milk is often added to kibble, canned, and raw pet food to provide additional health benefits. Unlike pasteurized milk, raw goat milk retains essential nutrients and probiotics that can aid common digestive issues in pets. However, it’s crucial to keep in mind that consuming unpasteurized milk poses a higher risk of exposure to harmful pathogens. In this blog post, we will explore the scientific evidence supporting the use of raw goat milk as a dietary supplement for cats and dogs.

Truthfully? It’s Both Fact & Fictionraw pet food with goat milk

Many pet food companies claim that goat milk can be a miracle cure for digestive problems, allergies, and even appetite stimulation. However, these claims are not backed up by any scientific studies or peer-reviewed research specifically focused on cats and dogs. Of particular concern is the recommendation to use goat milk as a sole milk replacement for orphaned puppies and kittens. This is not a safe or sufficient source of nutrition, as we will explain below. While goat milk does have some benefits, it’s important to be aware of the misinformation that can surround it.

Goat milk is indeed different from cow milk and can be easier to digest due to its smaller fat globules.2 In addition, it contains a wide range of vitamins, minerals, enzymes, and fatty acids that could potentially boost your pet’s immune system and help with common allergy issues. However, there is a lack of published research to support these anecdotal claims of benefit for cats and dogs consuming goat milk.

Is Goat Milk Complete and Balanced for Cats & Dogs?

As a supplement to a complete and balanced diet, goat milk and milk products have the potential to provide benefit. However, this should not be considered as the sole source of nutrition. The major reason for this is because goats are ruminants. The word ruminant comes from the Latin word ruminare, which means “to chew over again.”3 Ruminants are mammals that eat a plant-based diet. We know that dogs and cats are omnivores and carnivores respectively, and their diet is therefore vastly different. Because their diet is different, the composition of their milk will also be different from that of another species. Considering this it is important to note that goat milk is inadequate to nutritionally sustain other infant species on its own. 

For orphaned puppies and kittens, or those that need supplementation it is best to consider a balanced milk replacer or finding a species appropriate milk donor.4

Nutrient Content of Various Species Milk

Comparing the nutrient content of milk from dogs, cats, cows and goats we can consider the following5:

  • Fat contained in cow and goat milk is less than half that in dog and cat milk
  • Protein contained within cow and goat milk is less than half that in dog and cat milk
  • Calcium & phosphorus content of cow and goat milk is significantly lower than that of dog and cat milk which can risk deficiency and proper skeletal development
  • Lactose amounts are higher in cow and goat milk than in cat and dog milk. This can cause diarrhea and dehydration leading to further complications.
  • Because the fat content of cow and goat milk is much lower than cat and dog milk, the calorie content is also significantly lower. This means that dogs and cats, especially puppies and kittens would not adequately be able to consume all of the calories and nutrients necessary for proper growth and development
  • Per this chart, the analysis of cat and dog milk is closer to each other than either cow or goat milk

Not All Bad News

The above points do not negate the practice of feeding goat milk products to pets. In fact, especially for kibble fed pets, raw goat milk provides increased moisture intake, which can improve digestion. Probiotic benefits of raw goat milk also cannot be ignored. Goat milk can also entice picky eaters since dogs and cats both love the taste. It can be used intermittently, or during fasting for those pets who may need light or bland meals due to certain conditions. While most pets can benefit from raw goat milk as a dietary supplement, it is potentially most beneficial for pets with digestive issues and those in need of immune support. 

Raw goat’s milk can be given to your pet by itself as a treat, as a topper for raw food, canned food, or over kibble. 

About the Author: Nicole Cammack

Nicci is the owner of award-winning NorthPoint Pets & Company, in Connecticut. She is also the Founder & CEO of Undogmatic Inc. Her undergraduate and graduate education includes biology, chemistry, business, and nutrition. She has worked in the pharmaceutical industry on multiple R&D projects and has had the privilege to learn from leading international figures in the human and pet health industry. She regularly lectures at national conferences, including federal, state, and municipal K9 events. Her current research involves identifying pathogenic risk factors and transmission among raw fed pets through a comprehensive worldwide survey.

www.northpointpets.com
www.undogmaticinc.com

References:

1. Katafiasz AR, Bartlett P, Lansing E. Motivation for Unpasteurized Milk Consumption in Michigan, 201. :5.

2. Lad SS, Aparnathi KD, Mehta B, Velpula S. Goat Milk in Human Nutrition and Health – A Review. Int J Curr Microbiol Appl Sci. 2017;6(5):1781-1792. doi:10.20546/ijcmas.2017.605.194

3. Latin Definition for: rumino, ruminare, ruminavi, ruminatus (ID: 33778) – Latin Dictionary and Grammar Resources – Latdict. Accessed June 6, 2020. https://latin-dictionary.net/definition/33778/rumino-ruminare-ruminavi-ruminatus

4. Can goat milk be used as a milk replacer for puppies and kittens? University of Wisconsin Madison Shelter Medicine Program. Accessed June 6, 2020. https://www.uwsheltermedicine.com/library/resources/can-goat-milk-be-used-as-a-milk-replacer-for-puppies-and-kittens

5.  Hand et. al. Small Animal Clinical Nutrition. 5th ed. Mark Morris Institute

 

Are All Human Foods Dangerous for Dogs?

Every day there is more information made available to educate owners on various diets available. Commonly discussed and debated topics include grain-free foods and the age-old practice of giving your pets “table food.” Should we feed human food to our pets? The short answer is it depends. Some of these foods can be very beneficial and some could have unintended negative consequences.

How to Save Money on Your Pet’s Diet During Tough Times

As the pandemic continues, many pet owners are facing financial difficulties, causing them to rethink their pet’s diet. Raw and canned pet food feeding households are switching to kibble or supplementing with it to save money. In this article, we’ll explore some factors to consider when making the switch.

Calculating Carbohydrate Content

When looking for a lower cost alternative to raw or canned pet food, consider a lower carbohydrate kibble. To determine the percentage of carbohydrates, add together the percentages of protein, fat, moisture, fiber, and ash. Since ash is often not listed on the label, estimate it to be around 6-8%. Subtract the total from 100 to get the carbohydrate content.

Protein Quality

A low carbohydrate kibble does not automatically guarantee adequate or high-quality protein. Your dog or cat needs to consume a certain amount of total grams of protein rather than an overall percentage. If you’re transitioning from raw to kibble or supplementing your pet’s raw diet with kibble, it’s crucial to reach out to pet food companies and request:

  • Third-party digestibility data for the specific formula you are considering feeding. Do they conduct digestibility testing for all of their formulas? Just one? Or none?  This is important because if the food is not highly digestible, then the amount of protein is irrelevant since the animal may not be able to utilize it.
  • A typical AAFCO nutrient analysis to determine if they regularly analyze their formulas for adequate nutrition that meets or exceeds AAFCO standards. Over time companies average these analyses together (typical) in order to provide a profile of that food over time. Most companies don’t conduct these tests and will instead provide a “targeted analysis” which represents the nutrition of that food as formulated on paper. It may not actually represent what is in the final product – AND if the company does not provide digestibility data it may mean that those nutrients may not be absorbed or metabolized adequately.
  • Pay attention to the calorie ratios of the food you are considering. Specifically, look at protein to calorie, carbohydrate to calorie, and fat to calorie ratios. This information will help you determine if the food is suitable for your pet’s specific needs. It may also indicate the accuracy of claims made on the packaging.

adding raw dog food to dry dog food

Adding Fresh Food

Adding fresh fruits and vegetables to your pet’s bowl can provide numerous health benefits, whether you feed kibble or raw. Using foods that may otherwise go to waste can also help reduce costs. Fresh fruits and vegetables contain antioxidants that neutralize toxic free radicals, reducing oxidative stress and DNA damage.

A lot of us raw feeders choose to feed raw due to health conditions, disease prevention, and/or personal choice. While much of the evidence supporting these diets is anecdotal, there is a lot of research emerging to support these diets. Regardless, we do know there is sufficient published evidence to show the detriments of processed kibble and canned foods. For this reason, many of us worry about transitioning back. The good news is the researchers at the University of Helsinki DogRisk group have shown that feeding just 20% fresh food with processed food (i.e. kibble and canned food) reduces the incidence of inflammatory biomarkers quite significantly. 

Consider Freeze-Dried Foods

If you’re feeding commercial raw, consider freeze-dried foods. Traditionally, these foods have been cost-prohibitive, but there are now highly digestible and affordable brands, such as Northwest Naturals and Vital Essentials. These foods are shelf-stable, lightweight, and easy to store or transport.

Conclusion

Switching to a lower cost alternative to raw or canned pet food can be stressful, but it doesn’t have to be. By considering the factors discussed in this article, you can make a more informed decision about what to feed your pet during these tough times. Remember, adding fresh foods and considering freeze-dried options can help you save money while still providing your pet with a healthy diet.

*This article is for informational purposes only. It is not meant to provide medical advice or replace the advice of a qualified veterinarian.

About the Author: Nicole Cammack

Nicci is the owner of award-winning NorthPoint Pets & Company, in Connecticut. She is also the Founder & CEO of Undogmatic Inc. Her undergraduate and graduate education includes biology, chemistry, business, and nutrition. She has worked in the pharmaceutical industry on multiple R&D projects and has had the privilege to learn from leading international figures in the human and pet health industry. She regularly lectures at national conferences, including federal, state, and municipal K9 events. Her current research involves identifying pathogenic risk factors and transmission among raw fed pets through a comprehensive worldwide survey.

www.northpointpets.com
www.undogmaticinc.com

Considerations for Pet Food Bulk Buying and Shelf Life

As a pet owner, you’re probably familiar with the idea of buying pet food in bulk. It can be a convenient way to save money and ensure you always have enough food for your beloved pets. However, with the current economic situation and the impact of the SARS-CoV-2 coronavirus, it’s important to reconsider this practice. While it’s understandable to want to stock up on essentials, including pet food, there are some things to keep in mind.

Industry data sources show that many pet owners have stocked up on pet food, often purchasing enough to last for months. While this might seem like a smart move, it can actually lead to problems, particularly if packages are opened or damaged. In this article, we’ll explore why buying pet food in bulk might not be the best choice right now, and what you can do instead to ensure your pet stays healthy and well-fed.

Let’s take a look at the specific types of pet food for more information:

Considerations for Buying Dry Pet Food in Bulk

An unopened bag of dry pet food (kibble) can last up to 24 months, but fish-based food may only last for a little over a year. This is assuming that the manufacturer has ensured proper levels of tocopherols as natural preservatives. However, once the bag is opened, the shelf life of pet food becomes relatively short and should be consumed within 30-45 days. You can extend the shelf life of pet food by freezing it and using airtight containers, but be cautious when using plastic bins as they may pose health concerns. Unfortunately, most pet food companies do not evaluate the stability of their food and its nutrients after the bag has been opened.

The Risks of Improper Storage

When pet food is stored for a long time, especially if the package is opened or damaged, there is a significant risk of fats spoiling, mycotoxin contamination, pathogenic bacteria, and storage mites. Dumping bags of kibble into dry food storage containers is one of the most common mistakes. Improper storage of kibble is a major reason for food-related illness in pets, which is often not considered until it’s too late. To learn more about the dangers of pet food storage containers, read our other blog here

Caution When Buying in Bulk

If you have a small pet or one that only eats a small amount of kibble, be cautious when purchasing a large bag of pet food. While the affordability of a large bag may seem tempting, bacterial growth, infestation, and rancidity may make your pet ill and erase any cost savings. To purchase in bulk, it’s best to buy smaller bags and store them in a freezer if possible. Remember to rotate the stock and avoid mixing old food with newly-opened bags to reduce the risk of cross-contamination and rancidity.

Considerations for Buying Canned Pet Food in Bulk

Once opened, canned food can be refrigerated and stored for a couple of days. However, it should ideally be used within the same day. Many who feed canned pet food know that many dogs and cats won’t touch canned food after it’s been refrigerated. Depending on the amount your pet consumes you may want to consider brands that offer a smaller can size to avoid tossing out extra food from larger cans. 

The shelf life of most canned varieties of foods is 2-3 years. Therefore, stocking up is generally not a problem. Although, when shopping online or at discount retailers it is always a good idea to check the dates on the items you purchase.  One of the benefits of shopping small is that canned food is carefully tracked and rotated within the inventory to ensure maximum shelf life. 

Considerations for Buying Freeze-Dried Pet Food in Bulk

Easily becoming the “unofficial” pet food of the pandemic, freeze-dried foods offer the best of both worlds – lesser processed food AND shelf-stability.  Generally, these products take up less room and weigh substantially less than kibble and canned food so storage is also a plus. This is actually an option many raw feeders use when traveling to cut down on weight and the use of refrigeration and freezing. Many kibble, canned and raw feeders actually use freeze-dried as a supplement to regular meals, intermittently replacing meals and/or as treats. 

At first, glance, freeze-dried foods may have the perception of being more expensive, but in fact, may be just as or more affordable than canned and raw food options. These foods have had most of their moisture removed, which is also the bulk of the weight and what takes up the most amount of room which gives the perception of less food. Instead what you’re left with is a highly nutrient-dense, and likely a higher digestible product which you can choose to add water back to. Lastly, pets love freeze-dried foods since they are typically higher in meat and are generally much more palatable. 

Most of these products have expiration dates of 2 years or more – however, there is evidence on the human side to suggest that these foods have shelf lives of 20-30 years. Not something we would recommend planning on, but if the situation was dire, they are an option.

Check out some of our favorite freeze-dried options from Northwest Naturals and SmallBatch.

Considerations for Buying Frozen Raw Pet Food in Bulk

As of the publication date of this article, it is likely that a meat shortage will affect the pet food supply. The closure of slaughter and packing outlets due to COVID-19 infections among workers is taxing the supply chain. This, in turn, is already having a domino effect on the number of animals that will be bred and raised for consumption. Farmers and ranchers do not want to invest in raising animals that they will be unable to send for slaughter – a grim aspect of the reality we are facing.

If you have visited a grocery store recently you know our meat prices are rising, and this will likely happen for raw pet products too. If you don’t feed raw and think you are safe, it’s not the case. While this will impact all pet food types, it will likely be seen in raw and fresh food categories first. 

Stocking up more than a couple of months’ worth, depending on the quality of the packaging may yield some of the same problems we see with kibble. Fats within the raw are susceptible to oxidation, and nutrient loss as time passes. If you have the ability to stock up, you may also want to consider supplementing with freeze-dried foods that have a longer shelf life. 

If you are a raw feeder and need more information on switching or supplementing to kibble and other affordable options please read here.

*This article is for informational purposes only. It is not meant to provide medical advice or replace the advice of a qualified veterinarian.


About the Author: Nicci Cammack

Nicci is the owner of award-winning NorthPoint Pets & Company, in Connecticut. She is also the Founder & CEO of Undogmatic Inc. Her undergraduate and graduate education includes biology, chemistry, business, and nutrition. She has worked in the pharmaceutical industry on multiple R&D projects and has had the privilege to learn from leading international figures in the human and pet health industry. She regularly lectures at national conferences, including federal, state, and municipal K9 events. Her current research involves identifying pathogenic risk factors and transmission among raw fed pets through a comprehensive worldwide survey.

www.northpointpets.com
www.undogmaticinc.com

 

 

 

 

fresh strawberries for dogs

Should I Feed My Pet Fresh Fruits & Vegetables?

Should we be adding fresh fruits and vegetables to our pet’s meals?

It seems like every week, we hear one thing and the next week it changes (like the great butter vs margarine debate). When it comes to our pets, nutrition is almost like a religion with many different beliefs and philosophies. Unfortunately, many of these arguments are based more on emotion than science. Although there is scientific evidence to support various nutrition philosophies, the interpretation of evidence can lead to potentially unsafe practices.

To make matters worse, marketing practices can further confuse pet owners and veterinarians, leaving them unable to distinguish fact from fiction. Despite this, we have seen significant shifts in recommendations for both humans and pets and diet-related diseases like insulin-dependent diabetes and obesity cannot be ignored. In humans, there is ample evidence to support a causal relationship between high intake of processed foods (containing refined carbohydrates/sugars) and insulin-dependent diabetes, obesity, and other metabolic-related diseases. It makes sense that we would worry about the same issues in our pets, considering that most dry pet foods contain between 40-60% refined carbohydrates.

Can Pets Digest Carbohydrates?

We know vegetables are important in the human diet, some more nutritionally beneficial than others, and the same applies to our pets. While the debate amongst many within the pet nutrition industry may disagree – our dogs are not wolves (read more here), and they can digest carbohydrates. While the ability to do this varies between various breeds, the focus of this blog isn’t the ability of our pets to digest carbs – instead, it is the benefits they obtain from fiber, antioxidants, and other phytochemicals contained within fruits and vegetables.

Our canines & felines need muscle meat, organ & bone partly due to the bioavailability of amino acids and other nutrients. If you were to give your dog the option of meat or plants/vegetables, studies show they would choose meat. However, when offered together, most dogs and some cats will consume fruit or vegetables too. Some trial and error with various cooking methods, chopping, mincing, or even blending in a food processor may entice those who may be pickier.

Why Supplementing Your Pet’s Diet with Vegetables is Importanthungry dog with fruit and vegetable bowl

As a pet owner, you may wonder if it’s necessary to supplement your pet’s diet with vegetables, especially if they don’t seem to like them. After all, isn’t pet food already complete and balanced? While pet food does provide the necessary nutrients, adding vegetables to your pet’s diet can provide additional benefits.

Vegetables and plants are abundant in vitamins, minerals, carbohydrates, fiber, and even beneficial bacteria. However, for pets that primarily consume canned and/or kibble food, adding fresh plant-based foods can provide protective benefits. Canned and kibble foods tend to have high levels of carcinogenic chemicals called advanced glycation end products, or AGEs.

The Negative Effects of AGEs

AGEs are naturally present in animal-based products, and additional AGEs form during the cooking process. Since dogs and cats primarily eat these types of food their entire life, their toxic load is much higher as a result. Toxic loads can negatively impact various organ systems, overall health, and even shorten the lifespan of pets and people.

The good news is that antioxidants and other phytochemicals present in fruits and vegetables, particularly leafy greens and berries, help to ward off some of the negative effects of AGEs. By adding fresh, organic, raw, or lightly cooked plants and veggies to your pet’s diet, you can help to reduce the toxic load and improve their overall health.

The Limitations of Commercial Pet Food

Even the best raw, kibble, or dehydrated foods lack the benefits of fresh, organic, raw, or lightly cooked plants and veggies. By supplementing your pet’s diet with fresh plant-based foods, you can help to provide a well-rounded and balanced diet that supports their health and well-being.

Fruits and veggies you can feed to your pets include:
  • Leafy greens (rotate for variety)
  • Green beans
  • Broccoli/Cauliflower
  • Summer squash
  • Blueberries
  • Watermelon
  • Pineapple
  • Apples

….just to name a few!

What Foods are Safe for Dogs and Cats?

While there are only a few things dogs and cats can’t have, quantity is what matters. Here are some guidelines to keep in mind:

  • Monitor Onion Intake – Large amounts of onions can cause Heinz body anemia in pets, but small amounts in tomato sauce are usually fine. Garlic is safe in moderation and may benefit the immune system, while also serving as an effective flea & tick preventative.
  • Avoid Grapes and Avocados – Grapes and avocados may affect pets differently, so it’s best to avoid them altogether.
  • Experiment with Fruits and Vegetables – It’s okay to experiment with new fruits and vegetables one at a time, and observe for any adverse reactions. Fresh and healthy table food can be shared with your pet in moderation. 
  • Cats and High-Starch Foods – For cats specifically, avoid high-starch foods like potatoes, pumpkin, and grain-based products. Cats lack adequate enzymes to digest carbohydrates. Instead, focus on low-starch vegetables that are rich in antioxidants to support their digestive system.

How much to add?

These additions for cats should be kept low, however, they can be added to dog’s diets in greater amounts. Cats should consume no more than 5%, and dogs should be no more than 15-20%.

 

*This article is for informational purposes only. It is not meant to provide medical advice or replace the advice of a qualified veterinarian.

 

About the Author: Nicole Cammack

Nicole is the founder & owner of multiple-award winning NorthPoint Pets & Company, in Connecticut, USA. She has completed undergraduate work in biological sciences, business and holds an M.S. in Nutrition. Currently, Nicole is pursuing a PhD in Comparative Biomedical Sciences (Canine Nutrition/Metabolomics) at the prestigious University of Georgia in the USA.
Her background includes experience in the pharmaceutical industry on multiple R&D projects and has had the privilege to learn from leading figures in the human and pet health industries. Nicole has been heavily involved in police canine nutrition within the USA, helping to improve the modern care and feeding of working dogs. Her interests include working dog nutrition, raw feeding, pathogens, metabolomics, and nutrition’s relationship to disease in humans and canines. Her current research involves the exploration of the canine urinary metabolome and the relationship to diet.

Publications: Cammack, N.R., Yamka, R.M., and Adams, V.J. (2021). Low Number of Owner-Reported Suspected Transmission of Foodborne Pathogens From Raw Meat-Based Diets Fed to Dogs and/or Cats. Frontiers in Veterinary Science 8. doi: 10.3389/fvets.2021.741575.

https://www.frontiersin.org/articles/10.3389/fvets.2021.741575/full

Contact:

www.northpointpets.com

https://www.linkedin.com/in/nicole-cammack-8400084b/?trk=author_mini-profile_title

 

 

Just Because It Looks Like Science Doesn’t Mean It Is

On April 21, 2020, AVMA shared a CIDRAP article on MDR pathogens in raw meat diets for dogs.

Grain-Free Dog Food Controversy: We Need Less Marketing and More Science

Since the controversy surrounding grain-free dog food and its potential association with dilated cardiomyopathy (DCM), pet food companies have been working hard to market their products as safe and healthy. However, two main marketing campaigns have emerged among these companies, and they may not be entirely truthful.

The Two Marketing Campaigns: Grain-Inclusive and Grain-Free

One campaign promotes grain-inclusive products, claiming that they have always offered them, but they have now revamped, re-released, or repackaged them in response to FDA announcements regarding DCM. However, it is important to note that grain-inclusive foods do not guarantee protection against DCM, and some of these companies may be exploiting the issue for profit.

The other campaign involves companies that predominantly offer grain-free products, which may have rushed to market with grain-inclusive products in response to the DCM controversy. Unfortunately, there is not enough data on the digestibility of many of these ancient grains to support their effectiveness in preventing DCM, and some grains may even negatively impact nutrient absorption. Additionally, there are ethical and sustainability concerns surrounding some ancient grains.

Knowledge Gap in Animal Nutrition and the Need for Scientific Education

The DCM controversy highlights a significant knowledge gap in animal nutrition and the need for more rigorous testing standards and scientific education for consumers. Pet food companies have been complacent in formulating to consumer demand without adequate scientific backing, leading to misleading marketing and a lack of transparency.

Rather than pandering to consumer demand and perpetuating misinformation, companies should prioritize scientific education and transparency. Adding taurine stickers or claiming to offer ancient grains does not solve the problem and may only contribute to consumer confusion and mistrust. Private marketing companies and consulting groups should also be held accountable for contributing to the problem instead of working towards a solution.

reading pet food ingredient labelSteps towards True Transparency

Pet food companies can take steps towards true transparency by improving testing standards, educating consumers on nutrition and testing methods, and being honest about the limitations and potential risks of their products. The private marketing companies and consulting groups are also just as guilty – taking advantage of an opportunity instead of contributing to a solution. It is time for the industry to prioritize science over marketing and truly work towards improving the health and wellbeing of our pets.

Necessary Changes for Transparency

What should have been done is ask companies to make several changes leading in the direction of real, instead of perceived transparency:

  • Tell consumers who formulated your food. What are their qualifications and experience? 
  • Release both 3rd party digestibility data and 3rd analytical data for all formulas they offer.
  • Rethink before using the word proprietary with retailers and consumers – it’s certainly not an impressive or appreciated tactic and raises more questions than answers.
  • Focus on education and science: help consumers on how to understand these reports. Since data can be intimidating, don’t use it as a way to hide from answering the hard questions. And don’t use the fact that they’re complicated keep you from making them publicly available.
  • Admit that we have significant knowledge gaps that need to be addressed and examine how your company could contribute to bridging those gaps. 
    • Does that mean contributing funds to new and/or ongoing research?
    • Does that mean designing and conducting new research?
    • Or both?
  • Honesty still goes a long way, especially when it comes to our pets – nobody has all the answers!

Prioritizing the Health and Wellbeing of our Pets

At the end of the day, everyone needs a break from marketing. Retailers and consumers need to demand better. Demand that companies take time to examine, and re-examine the data, talk to the consumers and retailers in order to learn where education opportunities are – rather than marketing opportunities. Ignorance of these problems will only breed more of the same. It’s time to break the cycle.