Laurie Anne Walden, DVM
The thyroid gland produces hormones that regulate the body’s rate of metabolism. The most common thyroid disease in cats is hyperthyroidism, or abnormally high thyroid hormone production. Hyperthyroidism has serious health effects for cats. This disease is rare in dogs.
Hyperthyroidism in cats is usually caused by a benign thyroid gland tumor that produces excess thyroid hormone. Malignant thyroid gland tumors are much less common but do occur in some cats.
Hyperthyroidism has become more common in cats over the last few decades. The disease now affects up to 10% of cats over 10 years old. The reasons for the increase in hyperthyroidism are unclear but might include genetics, substances in the environment, or dietary factors.
Thyroid hormones affect many body systems, so the signs can vary from cat to cat. However, some signs are fairly common in cats with hyperthyroidism. Weight loss in a cat with a good appetite is a classic sign of hyperthyroidism.
Cats with hyperthyroidism often have other disorders at the same time. Some of the most common are heart disease, high blood pressure, and kidney disease. The symptoms of these other conditions can overlap the symptoms of thyroid disease.
Signs of hyperthyroidism include the following:
Hyperthyroidism is diagnosed with a blood test for thyroid hormone level. Because thyroid disease is common in cats, many feline blood panels include a thyroid test. Your veterinarian might recommend routinely screening middle-aged and senior cats for hyperthyroidism, kidney disease, and other common diseases. Blood tests can detect some of these disorders before a cat has any symptoms. Your veterinarian is also likely to suggest thyroid testing if your cat is losing weight or has any other signs of hyperthyroidism.
In most cats, a test for a single type of thyroid hormone (thyroxine, or T4) is enough to diagnose hyperthyroidism. Sometimes additional thyroid hormone tests are needed for diagnosis.
Cats with suspected hyperthyroidism should have other blood tests and urinalysis to screen for conditions like kidney disease. Cats with thyroid disease also benefit from regular blood pressure monitoring. Your veterinarian might recommend imaging studies like radiographs (x-rays), ultrasound, or echocardiography (ultrasound of the heart) to further assess the internal organs.
The goals of treatment are to return the cat’s thyroid function to normal, keep adverse effects of treatment to a minimum, and avoid lowering the thyroid hormone levels below the normal range (a condition called hypothyroidism). Untreated hyperthyroidism causes significant illness and can be life threatening.
Four treatment methods are currently available:
Radioactive iodine and surgery can potentially cure the disease. Medication and diet therapy must be continued for the rest of the cat’s life. Each of these treatment methods has benefits, adverse effects, and costs that must be taken into account for each individual cat. The cat’s overall health and other medical conditions also affect the choice of treatment. Discuss the options with your veterinarian so you can make an informed decision that works for your cat and your family.
Cats being treated for hyperthyroidism need regular monitoring to assess thyroid hormone levels and check for evidence of other diseases. The type and frequency of monitoring depend on the treatment method and the cat’s condition. Kidney disease is fairly common in cats with hyperthyroidism and sometimes doesn’t show up on laboratory tests until the thyroid function is under control, so kidney function is routinely checked in cats being treated for thyroid disease.
For More Information
Feline Hyperthyroidism (American Association of Feline Practitioners): https://catfriendly.com/feline-diseases/hyperthyroidism/
Hyperthyroidism in Cats (Cornell Feline Health Center): https://www.vet.cornell.edu/departments-centers-and-institutes/cornell-feline-health-center/health-information/feline-health-topics/hyperthyroidism-cats
1. Carney HC, Ward CR, Bailey SJ, et al. 2016 AAFP guidelines for the management of feline hyperthyroidism. J Feline Med Surg. 2016;18(5):400-416.
Photo by Dave Francis
Laurie Anne Walden, DVM
The thyroid, a gland in the throat, produces hormones that regulate many body functions. In dogs, the most common thyroid disorder is hypothyroidism, or low thyroid hormone production. Naturally occurring hypothyroidism is rare in cats.
In dogs, hypothyroidism almost always happens either for no known reason or because of an immune system condition called lymphocytic thyroiditis. Rare causes are cancer and thyroid malformation that’s present at birth. Hypothyroidism is more common in medium and large breeds than in toy breeds. Some breeds may be more likely than others to develop hypothyroidism :
Decreased thyroid hormone levels reduce the overall rate of metabolism in the body and affect many body systems. Changes in the coat and skin are the most common results of hypothyroidism, but some dogs have few or no symptoms. The signs vary from dog to dog and can include the following:
The signs of hypothyroidism are not specific; they can be caused many disorders other than hypothyroidism. Some symptoms can improve with thyroid hormone supplementation even if the dog doesn’t have hypothyroidism. For this reason, hypothyroidism can’t be diagnosed only by the signs or by response to treatment.
Diagnosing hypothyroidism in dogs generally requires blood tests for more than 1 type of thyroid hormone. One of the main hormones produced by the thyroid is thyroxine (T4). Animals with hypothyroidism have a low blood level of T4. Most of the T4 in the blood is bound to proteins. The blood level of protein-bound T4 can be affected by illnesses other than thyroid disease. A blood test for total T4 (which includes protein-bound T4) is sometimes used to screen for thyroid disease, but this test by itself isn’t reliable for diagnosing hypothyroidism. The blood level of free T4 (T4 that is not bound to proteins) is more accurate for diagnosing hypothyroidism. Your veterinarian might recommend additional thyroid function tests if thyroid disease is suspected but not clearly shown on the initial blood tests.
Hypothyroidism is treated by giving a thyroid hormone supplement. This medication is given by mouth once or twice daily for the rest of the dog’s life. Your veterinarian will likely recommend regular blood tests to be sure your dog’s dose is correct (for example, dogs that lose weight after a few months of treatment might need a different dose tailored to the new weight). Most dogs respond well to treatment.
Photo by Jamie Street on Unsplash
Laurie Anne Walden, DVM
Chocolate is one of the top 10 animal toxins reported to the ASPCA Animal Poison Control Center each year. As you shop for Halloween candy and get ready for the holiday season, remember to keep the candy bowl and baking supplies out of reach of your dogs. (Chocolate is dangerous for cats too, but they’re less likely than dogs to eat it.)
What’s Toxic About Chocolate?
The main toxic components of chocolate are methylxanthine compounds, specifically theobromine and caffeine. Cocoa beans and their hulls have relatively high methylxanthine levels. Cocoa butter (the fat from the cocoa bean) contains very little methylxanthine.
Humans process methylxanthines in the body at a different rate than dogs do, so foods containing chocolate and caffeine that are safe for people can be very risky for dogs.
As far as toxicity goes, not all chocolate is created equal: some types of chocolate are more dangerous to dogs than others. Products with high concentrations of cocoa liquor, which is made from cocoa beans, are the most toxic for dogs.
In general, the darker the chocolate, the more dangerous it is for dogs. Dry cocoa powder is more toxic than dark sweet chocolate, and dark sweet chocolate is more toxic than milk chocolate. Mulch made from cocoa bean hulls contains theobromine and is unsafe for dogs. White chocolate has very low methylxanthine levels and doesn’t cause chocolate poisoning.
Chocolate-containing foods can be dangerous for dogs for other reasons too. Dogs that eat food with a high fat content—this includes white chocolate—can develop pancreatitis, a disorder of the pancreas. Baked goods and candies may contain raisins, macadamia nuts, xylitol (a type of sweetener), or other ingredients that are hazardous to dogs.
How Much Chocolate Is Dangerous?
The severity of chocolate poisoning depends on 3 factors:
These 3 factors determine the dose of methylxanthine that a dog has received. The higher the dose, the more severe the consequences.
Figuring out the amount of methylxanthine in a chocolate product isn’t always simple because cocoa content varies. You can get a general idea of your pet’s risk by using a chocolate toxicity calculator like the one at veterinaryclinic.com. The ASPCA Animal Poison Control Center has a mobile app that includes a easy-to-use chocolate calculator and information on other potential hazards.
Signs of Chocolate Poisoning
The signs of chocolate poisoning depend on the dose of methylxanthine. Dogs that eat chocolate can also develop pancreatitis (from the fat content) or have toxic effects from other ingredients. Signs of methylxanthine poisoning usually appear within 6 to 12 hours and include the following:
What to Do if Your Dog Eats Chocolate
If your dog eats chocolate or a caffeine-containing product, estimate how much she ate and make a note of the ingredients. Save the product label if possible. Call your veterinarian’s office if you’re not sure if the amount was safe. If your dog has symptoms of chocolate poisoning or if the amount or type of chocolate was dangerous (for example, if your Chihuahua ate a 2-oz bar of dark chocolate), seek veterinary care right away.
Dogs with chocolate poisoning may need to be hospitalized for treatment. Your veterinarian might induce vomiting or might recommend that you do this at home—but don’t try to make your dog vomit without checking with your veterinarian first (induced vomiting is not always the best or safest approach). The prognosis depends on the severity of the symptoms.
Image credit: CDC/Debora Cartegena
Laurie Anne Walden, DVM
In cats and dogs, chronic (long-term) pain causes subtle behavior changes that can be mistaken for normal effects of aging. Pain can also cause unwanted behaviors like house soiling. Don’t assume that changes in behavior, activity, or mood result from aging, anxiety, or human emotions like resentment or anger. Your pet could be in pain instead.
Arthritis is one of the most common causes of chronic pain in older animals but can go undetected, especially in animals like cats that are biologically programmed to hide their pain. Signs of acute pain (caused by injury) are easier to spot. Whatever the cause of your pet’s pain, recognizing the signs is the first step to helping your pet feel better.
If you think your pet may be in pain, consult a veterinarian. Never treat an animal’s pain with over-the-counter medications, herbs, supplements, or other remedies without checking with your veterinarian first. Many over-the-counter pain remedies, like acetaminophen (Tylenol), ibuprofen (Advil and Motrin), and naproxen (Aleve), are toxic or even fatal to dogs and cats. Your veterinarian can suggest safer and more effective measures for your pet.
Signs of Pain in Cats
Signs of Pain in Dogs
15 Signs of Pain in Dogs (PDF, American Animal Hospital Association): https://www.aaha.org/globalassets/02-guidelines/pain-management/painmgmt_15signs.pdf
How Do I Know if My Cat Is in Pain? (American Association of Feline Practitioners): https://catfriendly.com/feline-diseases/signs-symptoms/know-cat-pain/
How to Tell if Your Dog Is in Pain (PDF, American Animal Hospital Association): https://www.aaha.org/globalassets/02-guidelines/pain-management/painmanagement_dogs_web.pdf
Photo by Priscilla Du Preez
Laurie Anne Walden, DVM
Seizures can be upsetting to watch but are usually over quickly. A pet that has had a seizure for the first time should see a veterinarian. Seizures that last longer than 5 minutes or that happen in clusters (2 or more seizures in a day) are emergencies.
What Is a Seizure?
Seizures are involuntary movements caused by abnormal electrical activity in the brain. How a seizure looks depends on the type of seizure.
Is It a Seizure?
Some other conditions can look like seizures. Heart disease can cause fainting spells that look very similar to seizures. Other nervous system disorders, orthopedic problems, pain responses, trembling, and even extreme itching can mimic seizures.
If your pet has an episode of unusual movement or behavior, you don’t have to decide whether it was a seizure. Take your pet to a veterinarian and be prepared to describe the episode in as much detail as possible. A video can be very helpful. The veterinarian will ask how long the episode lasted, what your pet did (paddling the legs, urinating, etc), and whether your pet had access to toxins or medications before the episode. Your veterinarian will also need to know if your pet has had seizures before and if so, your pet’s age at the first seizure.
A true seizure is followed by a period of disorientation or other unusual behavior. Watch for this phase and tell your veterinarian if you see it. True seizures also begin with an aura phase (nervousness, seeking attention), but pet owners don’t often witness this phase.
Causes of Seizures
The many possible causes of seizures can be classified as things outside the brain (problems elsewhere in the body that affect brain function), things inside the brain (structural problems with the brain itself), or epilepsy.
Primary epilepsy is the most common diagnosis in dogs that start having seizures between the ages of about 6 months and 6 years. It is genetic in some breeds but can happen in dogs of any breed. Primary epilepsy is uncommon in cats. Dogs with primary epilepsy seem normal between seizures. Not being normal between seizures could be a sign that the seizure is caused by something else.
Veterinarians perform diagnostic tests to look for the cause of the seizure and rule out other conditions that mimic seizures. Primary epilepsy is diagnosed by not finding another cause for the seizure. Your veterinarian might recommend referring your pet to a veterinary neurologist.
What to Do if Your Pet Has a Seizure
Treatment depends on the cause of the seizure. Dogs with epilepsy generally have repeat seizures, and the choice of medication depends on the frequency and severity of the seizures. Epilepsy is a lifelong condition that can be managed but can’t be cured, so dogs with epilepsy usually need medication for life. Whatever the cause of the seizure, work in partnership with your veterinarian to develop your pet’s treatment plan. Anticonvulsant medication has specific dosage requirements, so don’t change the dose or timing of your pet’s medication without consulting your veterinarian.
Photo by Anne Dudek
Laurie Anne Walden, DVM
Toxins from algae in a pond killed 3 dogs in Wilmington earlier this month. The same type of algae has been found in a public park pond in Charlotte. The only way to know if algae is harmful is by testing the water in a laboratory, so for safety, keep your dog away from all scummy or discolored water.
Harmful Algal Blooms
Algae are tiny plantlike organisms that live in water. Some algae produce toxins that cause serious illness. Under certain conditions, algae grow quickly into collections called algal blooms. Algal blooms are most likely to form in warm water that is high in nutrients like nitrogen. Hot weather and stagnant water increase the chance of algal growth.
Algal blooms can form in either fresh or salt water. The most common type of harmful algae in fresh water is cyanobacteria, or blue-green algae. Another type of algae causes red tide in salt water.
Avoid water with signs of potentially harmful algal blooms:
Symptoms of Exposure
People and animals can be exposed to algal toxins through skin contact with contaminated water, by drinking contaminated water or eating contaminated food (like fish), or by inhaling water droplets in windblown spray. Dogs are typically exposed when they play or wade at the edges of bodies of water with algal blooms.
Not all algal blooms are toxic. But with some types of algae, exposure to only a small amount of toxin can be fatal within hours or days. Algal toxins can damage the liver, nervous system, kidneys, and digestive tract. Symptoms depend on the type of toxin and the amount of exposure and include the following:
What to Do if Your Pet Is Exposed
If your dog comes in contact with questionable fresh or salt water, bathe or at least rinse him off with clean (tap) water right away, before he licks his fur. Take precautions to avoid exposure to yourself; wear gloves or wash your hands after rinsing your dog.
Take your dog to a veterinary clinic if she has swallowed water containing algae or has licked her fur after wading in water with an algal bloom. Symptoms of toxin exposure constitute a medical emergency, so seek veterinary care immediately if your dog is vomiting or stumbling after water contact.
The Centers for Disease Control and Prevention (CDC) and the NC Department of Health and Human Services (DHHS) recommend these precautions:
Cyanobacteria: Protecting Children & Dogs (NCDHHS): https://epi.dph.ncdhhs.gov/oee/algae/protect.html
Harmful Algal Bloom (HAB)-Associated Illness (CDC): https://www.cdc.gov/habs/index.html
Photo source: https://www.usgs.gov/media/images/harmful-algal-blooms-6
Laurie Anne Walden, DVM
Cats need to scratch objects. Scratching is normal for cats, and even declawed cats engage in this instinctive behavior. You can’t train your cat not to scratch, and it wouldn’t be humane to try. But there are ways to direct your cat’s scratching so she’ll scratch more where you want her to and less where you don’t.
Why Cats Scratch
Understanding why cats scratch helps us figure out how to convince them to use a scratching post and not the sofa.
Cats have a physical need to scratch. Scratching grooms the nails, flexes the claw-retracting apparatus, and stretches the muscles.
Scratching is also a communication method for cats. Cats are territorial, and scratching is one way they mark their territory. When cats scratch, they leave visual signs (scratch marks) and scents (from glands in their paws) as signals for other animals.
Anxiety—for example, from conflict with other pets—can increase a cat’s marking behaviors. If your cat is clawing the furniture more than usual, stress is a possible reason. Punishing a cat for scratching could certainly increase his anxiety level.
Giving Cats Things to Scratch
Cats have individual preferences for scratching surfaces. The right type of scratching post is whatever type your cat likes best. You might need to try several before finding your cat’s favorite. Here are some general tips:
To encourage your cat to use the scratching post, try these ideas:
Keeping Cats From Scratching Other Things
Living With a Clawed Cat (American Association of Feline Practitioners): https://catfriendly.com/cat-care-at-home/living-clawed-cat/
Scratching (The Ohio State University Indoor Pet Initiative): https://indoorpet.osu.edu/cats/basicneeds/scratching
Photo by Jonas Vincent
Laurie Anne Walden, DVM
Dog urine can turn grass yellow or brown. Lots of other things can also cause grass to die or change color, so before you blame your dog, make sure the grass spots really are caused by dog urine (you might need to consult a lawn care specialist).
Why Does Urine Discolor Grass?
Dog urine contains nitrogen, which is produced by the body’s normal breakdown of protein. Nitrogen helps plants grow, but too much nitrogen damages plants, causing “burn” or “scald.” Fertilizers are designed to deliver the right amount of nitrogen at specific application rates. A small amount of nitrogen from dog urine can act as a fertilizer, so a patch of urine-scalded lawn might be surrounded by a ring of healthy green grass where the urine was less concentrated.
Urine also contains salts and is often a bit acidic. Salts and acid can damage plants, but nitrogen is the main reason that urine discolors grass.
Female dogs may be more likely than male dogs to cause urine spots on grass because they usually urinate large amounts in one location. Male dogs tend to urinate small volumes in lots of different places. But male dogs who urinate a lot in one area can also cause lawn burn.
How to Prevent Urine Spots on Grass
If urine spots on the lawn are new for your dog, consult your veterinarian. Your dog might need a urinalysis to check for a medical problem, like a urinary tract infection, that has changed the properties of the urine.
Don’t treat a healthy dog for a grass problem. Don’t change to a low-protein diet or feed any supplements or foods that claim to change the urine chemistry or pH (unless your veterinarian has diagnosed a medical condition that needs these treatments). These products could be risky for a dog who doesn’t need them and probably won’t solve the grass discoloration anyway.
These methods are safe for your dog:
Photo by 78Li
Laurie Anne Walden, DVM
Leptospirosis is a disease caused by infection with Leptospira bacteria. The disease is zoonotic, meaning that it can pass from animals to humans. The bacteria are spread through the urine of infected animals and can remain in water or soil for months.
Who’s at Risk
Many different animals can carry Leptospira. Rodents are the most common sources of infection in people. Farm animals, wild animals, and dogs can also be carriers. (Cats are very rarely infected.)
Leptospirosis is a public health hazard for people around the world. People are most often infected through contact with contaminated water, including recreational contact like swimming. Heavy rainfall and flooding increase the risk. Other routes of infection are direct contact with animal urine and contact with contaminated soil or food.[1,2]
Dogs are infected the same way as people: through contact with urine, contaminated soil, or contaminated objects. Dogs can also be infected by eating infected animals. Pregnant dogs can pass the infection to puppies through the placenta.
Dogs are at increased risk for leptospirosis if they have access to any of the following:
Leptospirosis was once considered a disease mostly of working dogs and other outdoor dogs. But small-breed dogs that live in cities and have no access to outdoor water sources are also at risk because rodents carry the disease.
Leptospirosis causes a wide range of problems, including kidney failure, liver failure, lung disease, eye damage, blood clotting disorders, and death. Some dogs infected with Leptospira have mild disease or no symptoms at all. The severity of disease depends on the Leptospira strain and the dog’s immune system, among other factors.
Symptoms of leptospirosis in dogs vary but can include the following:
Leptospira infection can be diagnosed with blood tests. Dogs suspected of having leptospirosis generally also need other tests, such as urinalysis, x-ray examination, and ultrasound.
Dogs with leptospirosis are treated with antibiotics. Most require hospitalization for supportive care and intravenous fluid treatment. The prognosis is good for most dogs that are treated early in the course of disease. Dogs with kidney failure that is not aggressively treated and those with lung complications have a poorer chance of survival.
Dogs with leptospirosis can infect people and other dogs. People handling infected dogs should take precautions like wearing protective clothing and avoiding contact with the urine.
Leptospira vaccines are available for dogs. Talk to your veterinarian about your dog’s risk for leptospirosis. In some geographic areas, veterinarians recommend leptospirosis vaccination for all dogs, including those that live mostly indoors.
Other precautions to reduce the risk of infection are washing hands after handling dogs, wearing gloves when cleaning or collecting dog urine, and using antibacterial solutions to clean surfaces that might be contaminated with urine. The Centers for Disease Control and Prevention recommends avoiding contact with contaminated water (don’t wade barefoot in floodwater!) or wearing protective clothing around potentially contaminated water or soil.
1. Leptospirosis. Centers for Disease Control and Prevention website. https://www.cdc.gov/leptospirosis/index.html. Accessed July 9, 2019.
2. Leptospirosis. World Health Organization website. https://www.who.int/zoonoses/diseases/leptospirosis/en/. Accessed July 9, 2019.
3. Sykes JE, Hartmann K, Lunn KF, Moore GE, Stoddard RA, Goldstein RE. 2010 ACVIM small animal consensus statement on leptospirosis: diagnosis, epidemiology, treatment, and prevention. J Vet Intern Med. 2011;25(1):1-13.
Photo by Matt Jones on Unsplash
Laurie Anne Walden, DVM
A recent study of 114 recipes for homemade diets for cats found that all of the diets were nutritionally inadequate in some way. Most of the recipes, which were either posted online or published in books, were deficient in at least 1 nutrient. Some recipes included ingredients (like onions and garlic) that are toxic to cats. Other studies have found similar problems in recipes for home-cooked diets for dogs.[2-4]
Some pet owners choose to make their own dog or cat food because of a pet with food allergies, a desire to feed natural products, a distrust of commercial pet food, or another reason. Preparing dog and cat food at home is time-consuming and expensive, and owners who undertake it generally just want to take good care of their pets. Dogs and cats rarely require home-prepared diets, but if you decide to make your pet’s food yourself, check the resources for safe recipes at the end of this article.
Potential Problems With Homemade Pet Food
Recipes for home-prepared dog and cat diets are often not nutritionally complete and balanced. Deficiencies in nutrients like iron, taurine, and calcium can lead to anemia, heart disease, and bone disease. Because many recipes are deficient in the same nutrients, rotating among different diets and ingredients won’t necessarily balance the diet.
Home-prepared diets must be supplemented with the right mix of vitamins and minerals. General-purpose multivitamins for dogs or cats are usually not sufficient for pets eating homemade diets. Some vitamin supplements are made for pets eating fortified commercial diets, not those eating homemade diets with lower vitamin and mineral levels.
Oversupplementation is also a possible problem. Too much vitamin D, for example, can damage the kidneys. The choice and amount of nutrients to include in a supplement depend on the ingredients of the chosen diet.
Some homemade diet recipes include potentially unsafe ingredients. Others are based on misconceptions about dog and cat nutrition. Dogs and cats don’t need to eat raw meat, which poses a risk of bacterial contamination for the pet eating it and also for people in the household.[5,6] Bones in the food can damage the digestive tract unless they are ground up. Many recipes (and commercial diets) promote the mistaken idea that there is something wrong with feeding grain to dogs. In fact, grain-free diets might be linked to heart disease in dogs.
Where to Find Recipes
The safest homemade diets for dogs and cats are formulated by board-certified veterinary nutritionists. These specialist veterinarians have extensive training in animal nutrition. Veterinary nutritionists develop recipes for healthy animals and can also customize diets for animals with diseases or specific nutritional needs.
If you use a recipe from a veterinary nutritionist, be sure to follow the recipe and feeding instructions exactly. Ingredient substitutions can change the nutritional balance of the diet.
1. Wilson SA, Villaverde C, Fascetti AJ, Larsen JA. Evaluation of the nutritional adequacy of recipes for home-prepared maintenance diets for cats. J Am Vet Med Assoc. 2019;254(10):1172-1179.
2. Heinze CR, Gomez FC, Freeman LM. Assessment of commercial diets and recipes for home-prepared diets recommended for dogs with cancer. J Am Vet Med Assoc. 2012;241(11):1453-1460.
3. Larsen JA, Parks EM, Heinze CR, Fascetti AJ. Evaluation of recipes for home-prepared diets for dogs and cats with chronic kidney disease. J Am Vet Med Assoc. 2012;240(5):532-538.
4. Stockman J, Fascetti AJ, Kass PH, Larsen JA. Evaluation of recipes of home-prepared maintenance diets for dogs [published correction appears in J Am Vet Med Assoc. 2014;245(2):177]. J Am Vet Med Assoc. 2013;242(11):1500-1505.
5. Freeman LM, Chandler ML, Hamper BA, Weeth LP. Current knowledge about the risks and benefits of raw meat-based diets for dogs and cats. J Am Vet Med Assoc. 2013;243(11):1549-1558.
6. van Bree FPJ, Bokken GCAM, Mineur R, et al. Zoonotic bacteria and parasites found in raw meat-based diets for cats and dogs. Vet Rec. 2018;182(2):50.
Photo by Caroline Attwood on Unsplash
Laurie Anne Walden, DVM