What Is The Most Effective Method For Evaluating And Mitigating The Risk Of Laminitis In A Mature Warmblood Mare With A History Of Equine Metabolic Syndrome, Considering The Mare's Current Diet Consists Of 2% Body Weight In A High-fiber, Low-starch Hay And 0.5% Body Weight In A Balancer Pellet, And She Is Currently Being Managed In A Pasture With Limited Grazing Time And A Deprivation Period Of 12 Hours?

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To effectively evaluate and mitigate the risk of laminitis in the Warmblood mare with EMS, the following comprehensive plan is recommended:

  1. Health Assessment:

    • Body Condition Score (BCS): Assess to ensure she is not overweight, a key risk factor for laminitis.
    • Clinical Signs: Monitor for signs of laminitis, such as hoof pain, heat, or lameness.
  2. Dietary Evaluation and Adjustment:

    • Hay Analysis: Test the hay for sugar and starch content to confirm it is within safe limits (less than 10% ESC + starch).
    • Balancer Pellet Review: Ensure the pellet is free from added sugars and appropriate for EMS management.
    • Consider Supplements: Add omega-3 fatty acids and antioxidants, avoiding any with added sugars.
  3. Grazing Management:

    • Grazing Muzzle: Use to further restrict grass intake during limited grazing periods.
    • Grazing Timing: Avoid grazing during peak sugar times, typically late morning to early evening.
    • Dry Lot Consideration: If possible, move to a dry lot, especially during high-risk periods, to eliminate grass intake.
  4. Exercise Routine:

    • Implement regular, moderate exercise to aid weight management and improve insulin sensitivity, ensuring not to overexert.
  5. Monitoring and Veterinary Care:

    • Regular blood work to monitor insulin levels and assess EMS control.
    • Collaborate with an equine nutritionist to tailor the diet and manage weight effectively.
  6. Hoof Care:

    • Engage a farrier or trimmer experienced in laminitis cases for regular trimming to support hoof health.
  7. Emergency Plan:

    • In case of laminitis signs, implement immediate measures such as removing from pasture, applying ice therapy, and consulting a veterinarian for possible medication or alternative treatments.

By systematically addressing each aspect of the mare's health, diet, and environment, the risk of laminitis can be effectively managed, focusing on prevention and tailored care.