Nutritional management of allergic skin disease: a roundtable discussion (Sponsored by Royal Canin)

Nutritional management of allergic skin disease: a roundtable discussion (Sponsored by Royal Canin)


Dr. Felsted: Only available through a veterinary channel.

Dr. Garfield: Yes, otherwise we will have an even shorter list to choose from for diagnostic trials in the future.

Dr. Felsted: So there is a huge client educational aspect here?

Dr. Strauss: It is hard enough after you have spent half an hour of client education time to get it right. I can't imagine many people are successful doing it on their own. I emphasize to my clients what it says on the front of the bag may bear no resemblance to what the ingredient list shows. You have to read the label.

Dr. Felsted: How big of an issue is the availability of these diets over the counter for you? Is this a small issue that is making your life slightly more difficult or is this becoming a major problem?


Pitfalls to Avoid in a Diet Trial
Dr. Strauss: It is significant I would say. I don't know if it is a huge problem but it is certainly significant. You start going through the dietary history and a lot of times you just...

Dr. Felsted: They've eaten everything.

Dr. Garfield: Fifteen years ago we were using lamb as the major novel protein. Every dog food manufacturer that exists came out with a lamb-based diet down the road. As those diets came into the marketplace, every patient that came in to see us had been exposed to a lamb-based diet. It either wasn't a restricted diet, or if they were placed on a restricted lamb-based diet, they were not taken off treats, table food, or flavored medications. Therefore the diet change was not diagnostic, and the patient had then been exposed to a novel protein that we could then no longer use as a diagnostic tool. It got us away from lamb fifteen years ago which is a more readily available novel protein than kangaroo. It had just gotten us to where we couldn't use lamb at all. If that continues along the path that it appears to be with venison rabbit and kangaroo, then it is going to make it more and more difficult.

Dr. Liska: You know, perhaps we will come full circle though.

Dr. Strauss: And lamb will be okay again.

Dr. Garfield: Actually, with cats I will use lamb-based diets because at least cats aren't exposed to it as often as dogs and the palatability is good.