Uw supplement talk 2012 final

Evidence Based Supplements for Pets ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Our role as veterinarians ,[object Object],[object Object],[object Object],[object Object],[object Object]

Nutritional Assessment, Breed Specific/Breed Groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why do we have to go there? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Definitions ,[object Object],[object Object]

Lack of FDA Oversight or …why this is all necessary! ,[object Object]

Almost Total lack of FDA oversight! ,[object Object],[object Object],[object Object],[object Object],[object Object]

Client Dialogue ,[object Object],[object Object],[object Object],[object Object]

Support for our Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence based nutritional supplements ,[object Object],[object Object],[object Object],[object Object]

CE related to supplements 2006-2012 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Many sources of non-verified benefits! ,[object Object],[object Object],[object Object],[object Object]

Our challenges ,[object Object],[object Object],[object Object],[object Object],[object Object]

Key Resources to find evidence based studies (or the best experts if studies haven’t been done) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Keeping our efforts focused on treatment & prevention of common diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What our clients want to know ,[object Object],[object Object],[object Object],[object Object]

Our biggest challenges ,[object Object],[object Object],[object Object],[object Object]

What is the best seal of approval?

Evidence based Supplements: The big 3 ,[object Object],[object Object],[object Object],[object Object]

Fish Oils ( EPA & DHA) ,[object Object],[object Object],[object Object],[object Object]

Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications ,[object Object],[object Object],[object Object],[object Object]

Indications ,[object Object],[object Object],[object Object]

First Evidence: Cardiac ,[object Object],[object Object],[object Object]

Evidence/dosing : Cardiac ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence: cardiac ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence: Cardiac Human ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence: Osteoarthritis-Dogs ,[object Object]

Evidence Osteoarthritis -Cats ,[object Object]

Evidence : others ,[object Object],[object Object],[object Object],[object Object]

Dose/Sources ,[object Object],[object Object],[object Object],[object Object]

Dose: Consumerlab.com ,[object Object],[object Object],[object Object]

Dose/Sources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Liquid supplements 1 ml=180mg EPA 1ml=148mg EPA 1ml=165mg EPA

Capsule Forms (OTC & Veterinary) 391 mg EPA/capsule 325mg EPA/capsule 250 mg EPA/capsule

Challenges: Cost for large dogs Directions: For Adults, take one (1) softgel daily, preferably with a meal. Supplement Facts: Serving Size: 1 Softgel Amount Per Serving - % Daily Value:* Calories 15, Calories from Fat 15, Total Fat 1.5 g - 2%*, Saturated Fat 0 g, Polyunsaturated Fat 1 g **, Monounsaturated Fat 0 g **, Cholesterol < 5 mg - 1%, Fish Oil 1,400 mg (1.4 g) - **, EPA (Eicosapentaenoic Acid) 700 mg - **, DHA (Docosahexaenoic Acid) 280 mg - **, Total Omega 3 Fatty Acids 980 mg - **. *Percent Daily Values are based on a 2,000 calorie diet. **Daily Value not established. Other Ingredients: Gelatin, Vegetable Glycerin, Food Glaze. Contains <2% of: Enteric Coating (Sodium Alginate and Stearic Acid), Ethylcellulose, Medium Chain Triglycerides, Mixed Natural Tocopherols, Soybean Oil. Contains fish (Anchovy, Mackerel, Sardine) ingredients .

Challenges: Compliance 294mg EPA/cup 300 mg EPA/cup 390 mg EPA/cup

Consumerlab.com: Concerns ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Consumerlab.com: Concerns

[object Object],[object Object],Consumerlab.com: Concerns

Joint Supplements ,[object Object],[object Object],[object Object],[object Object]

Evidence: Dogs ,[object Object],[object Object]

Evidence continued ,[object Object],[object Object]

Evidence continued ,[object Object]

Commonly used joint supplement “ingredients” ,[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence: Glucosamine & Chondroitin Sulfate ,[object Object]

Evidence: Humans The GAIT study ,[object Object],[object Object],[object Object]

Evidence: human study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence: humans-prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Challenges: Quality

[object Object],[object Object],[object Object],References from JAVMA April 2005 article

If cats do agility should they get joint supplements???

VetriScience Glycoflex III ,[object Object],[object Object],[object Object],[object Object]

DASUquin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nutramax DASUquin ,[object Object],[object Object]

Challenges: Convenience of “functional foods” ,[object Object],[object Object]

Evidence: Since July 2007 or emerging ,[object Object],[object Object],[object Object],[object Object]

Challenges: Summary ,[object Object],[object Object],[object Object],[object Object]

Challenges: bottom line ,[object Object],[object Object],[object Object],[object Object],[object Object]

Definition ,[object Object],[object Object],[object Object],[object Object]

Indications/Evidence: Human ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence : Pets ,[object Object],[object Object],[object Object],[object Object]

Contra-indications ,[object Object],[object Object],[object Object]

Dr Deb Zoran WVMA Oct 2010 ,[object Object],[object Object],[object Object]

Dr Joe Bartges at WVMA 2010 ,[object Object],[object Object],[object Object],[object Object]

Challenges: Quality Control ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sources ,[object Object],[object Object],[object Object]

Consumerlab.com: viability 2006 ,[object Object]

Consumerlab:2011 ,[object Object],[object Object]

Challenges: which organisms Nutramax Proviable DC® Purina Fortiflora ® VSL#3 Form Paste/capsule packet packet Number of organisms 5 billion/capsule 758 million/pkt 458 billion/pkt Species Enterococus faecium Lactobacillus acidophilus L bifidum L bulgaricus L casei L plantarum Streptococcus thermophilum Enterococcus faecium SF-68 Bifidobacterium breve, B longum, B infantis Lactobacillus acidophilus, L plantarum, L paracasei, L bulgaricus Streptococcus thermophilus.

Veterinary evidence ,[object Object],[object Object]

VetriScience ,[object Object],[object Object]

Challenges: cost Purina Fortiflora Nutramax Proviable VSL #3 Other human products organisms 785M 5B 450B 1B to 36B Cost for 5 billion organisms $2.50 $0.25 $0.02 ?? Published Veterinary research Y Y N N

The future?? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thank you for your attention! Questions? Slideshare.net www.westsidefamilypet.com

Uw supplement talk 2012 final

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Uw supplement talk 2012 final