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Topic:Adrenal

The adrenal glands in horses are small endocrine organs located near the kidneys, responsible for producing a variety of hormones essential for physiological regulation. These hormones include cortisol, adrenaline, and aldosterone, which are involved in stress response, metabolism, and electrolyte balance. The functioning of the adrenal glands is integral to the horse's ability to respond to stressors and maintain homeostasis. Research in equine endocrinology often focuses on understanding the regulation of adrenal hormones, their role in equine health, and the impact of disorders such as equine Cushing's disease and adrenal insufficiency. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, function, and clinical implications of adrenal gland activity in horses.
Assessment of baseline adrenocorticotropic hormone and insulin concentrations in healthy horses in Saskatchewan over a 1-year period.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf056 doi: 10.1093/jvimsj/aalaf056
Viviani P, Ragno VM, Parker S, Montgomery JB.Endocrine disorders in horses, such as pituitary pars intermedia dysfunction and equine metabolic syndrome, rely on hormone testing for diagnosis, but seasonal and regional variabilities highlight the need for locally generated data. Objective: To characterize monthly blood concentrations of ACTH and insulin over 1 year in healthy horses in Saskatchewan. A secondary objective was to assess the association between these outcomes and the following factors: sex, age, breed, pregnancy status, level of exercise, body condition score, and cresty neck score. Methods: Sixty-eight clinically healthy, c...
Seasonal elevation in equine adrenocorticotropic hormone occurs throughout the contiguous United States and is influenced by latitude and age.
Journal of the American Veterinary Medical Association    August 1, 2025   1-10 doi: 10.2460/javma.25.04.0223
Pinn-Woodcock TL, Llanos-Soto SG, Ivanek R, Goodrich E, Frye E, Wells A, Mullen K, Arbittier E, Hughes L, Berryhill E, Brosnahan P, Buslinger L....To determine whether seasonal variation in equine plasma ACTH concentrations is affected by latitude between 29.7°N and 45.0°N in the US. Unassigned: A cohort study was performed between June 2019 and May 2020 in which plasma ACTH was measured monthly by chemiluminescence immunoassay. The study involved 201 apparently healthy horses from 9 locations within the US classified into northern, central, and southern latitude cohorts. Data analysis was performed with 3 major objectives: (1) identify outlier ACTH concentrations and horses; (2) estimate ACTH upper reference limits to define expected ...
Overnight dexamethasone suppression and cortisol index tests in clinically healthy horses and with crib-biting.
Journal of equine veterinary science    June 10, 2025   Volume 151 105628 doi: 10.1016/j.jevs.2025.105628
Osorio-Cardona JJ, Usuga-Moreno VM, Martínez-Aranzales JR.The dexamethasone suppression test (DST) has been used in humans for the diagnosis of psychiatric problems such as depression, anxiety and Cushing's syndrome, and in horses for the ante mortem diagnosis of dysfunction of the intermediate part of the pituitary. Objective: This study aimed to examine the functionality of the hypothalamic-pituitary-adrenal axis through the DST and the cortisol index (CI), to evaluate the rhythmicity of the circadian cycle of cortisol in healthy horses with crib-biting or windsucking. Methods: A total of 20 Colombian Creole horses of both sexes, under similar mana...
Circulating ACTH and Cortisol Investigations in Standardbred Racehorses Under Training and Racing Sessions.
Veterinary sciences    May 19, 2025   Volume 12, Issue 5 doi: 10.3390/vetsci12050493
Cravana C, Medica P, Fazio E, Satué K, Brancato G, La Fauci D, Bruschetta G.The hypothalamic-pituitary-adrenal (HPA) axis is a neuroendocrine system involved in the coping response to stressful challenges during exercise stimuli. Exercise represents a significant disruptor of homeostasis, inducing an ACTH-cortisol co-secretion, based on different characteristics of exercise in sport horses. Based on this statement, the aim of this study is to evaluate the circulating adrenocorticotropin and cortisol changes in Standardbred trotters, after training and racing sessions, considering the different age and sex. In particular, the aim is to determine to what extent the leve...
Endogenous Nature of Hydrocortisone Acetate in Horse.
Drug testing and analysis    April 14, 2025   doi: 10.1002/dta.3897
Kong FKW, Wong ASY, Wan TSM, Ho ENM.Hydrocortisone acetate, a synthetic acetate ester of hydrocortisone, was detected in horse blood samples collected from Thoroughbreds. Hydrocortisone acetate is generally considered an indicator for exogenous administration in horses. As hydrocortisone acetate has been previously reported to be endogenous in selected mammals, a proof-of-concept study was performed to evaluate the possible endogenous nature of hydrocortisone acetate in horses by in vitro incubation experiments using homogenized horse brain tissue.
Collecting equine whole blood in glass tubes does not decrease adrenocorticotropic hormone concentration compared to plastic tubes.
Journal of the American Veterinary Medical Association    March 27, 2025   1-5 doi: 10.2460/javma.25.02.0122
Stapley ED, Bertin FR.Pituitary pars intermedia dysfunction is diagnosed using immunoreactive ACTH concentrations. Glass reportedly binds ACTH, but the clinical relevance of using glass blood tubes for measuring equine ACTH concentrations is controversial. This study investigates whether the collection of whole blood into glass EDTA tubes and storage for up to 6 hours changes ACTH concentrations compared to plastic EDTA tubes. Unassigned: This was a cohort study. Whole blood was collected into both glass and plastic EDTA tubes from 9 horses > 12 years of age, including 4 with pituitary pars intermedia dysfunction a...
Association Between Adrenocorticotropic Hormone Concentration and Clinical Signs of Pituitary Pars Intermedia Dysfunction in Swiss and Austrian Equids.
Journal of veterinary internal medicine    March 17, 2025   Volume 39, Issue 2 e70008 doi: 10.1111/jvim.70008
Fouché N, Doras C, Schüpbach-Regula G, Scherer A, Freudenschuss B, Gerber V.There remains a scarcity of data concerning the relationship between the clinical signs associated with PPID and plasma ACTH concentrations. Objective: Report the frequency of clinical signs in the study cohort and identify individual clinical signs or combinations of clinical signs associated with high ACTH concentrations. Methods: Two hundred eighty equids were examined by private veterinarians. Methods: A cross-sectional study of animals with clinical suspicion of PPID was conducted between August and November. Private practitioners completed an online questionnaire reporting detailed infor...
Meta-Analysis and Mechanism-Based Modeling of Synovial and Plasma Pharmacokinetics and Adrenal Suppression Following Intra-Articular Injection of Methylprednisolone Acetate in Horses.
Journal of veterinary pharmacology and therapeutics    March 10, 2025   doi: 10.1111/jvp.13504
Yu R, Jusko WJ.This study assesses the pharmacokinetics (PK) of published methylprednisolone (MPL) data in horses following intra-articular (IA) administration of MPL acetate (MPA) and the associated adrenal suppression. The concentrations of MPL/MPA in synovial fluid, blood, and urine, as well as hydrocortisone (HC) in plasma, were digitized from multiple sources in the literature. A minimal physiologically based pharmacokinetic model and a linked indirect response model with a circadian rhythm baseline were applied. Concentrations of MPA in joints followed a triexponential decay, converting to MPL. The cle...
Renin-Angiotensin-Aldosterone System Profiling in Horses Before and After Exercise.
Journal of veterinary internal medicine    March 6, 2025   Volume 39, Issue 2 e70036 doi: 10.1111/jvim.70036
Holbrook T, Hernandez J, McCarrel T, Lester G, Sleeper M, Domenig O, Adin D.The impact of exercise on the classical and alternative renin-angiotensin-aldosterone system (RAAS) pathways has not been studied in horses. Objective: We hypothesized that exercise would activate both RAAS pathways and that endurance exercise would cause more activation of the classical pathway compared to short-duration, high-intensity exercise in horses. Methods: Twenty-five horses (21 client-owned and 4 research) were included in 4 exercise groups (10 Arabians, 50-mile ride [A-E]; 4 thoroughbreds, 1-mile treadmill exercise [TB-TM]; 5 thoroughbreds, 1-1/16th-mile race [TB-R]; and 6 quarter ...
The Effect of Season and Breed on Hypothalamic-Pituitary-Adrenal Axis Hormones, Metabolic Hormones, and Oxidative Markers in Ponies and Horses.
Journal of veterinary internal medicine    March 6, 2025   Volume 39, Issue 2 e70047 doi: 10.1111/jvim.70047
Vaughn SA, Lemons MB, Hart KA.Endocrine function in ponies differs from horses, with seasonally increased concentrations of plasma adrenocorticotropic hormone (ACTH) and an increased risk of insulin dysregulation. Objective: (1) Season and breed differences exist in concentrations of hypothalamic-pituitary-adrenal axis and metabolic hormones; and (2) systemic oxidative status is significantly different between ponies and horses and correlates with endocrine hormones. Methods: Thirty-four healthy Welsh ponies and 14 healthy Quarter horses. Methods: Blood was collected from Welsh ponies and Quarter horses in the same region ...
Time but not storage of equine plasma in silicate-coated tubes affects adrenocorticotropic hormone stability.
American journal of veterinary research    February 6, 2025   1-5 doi: 10.2460/ajvr.24.11.0362
Johnston TJ, Stewart AJ, Dryburgh EL, Bertin FR.Pituitary pars intermedia dysfunction (PPID) is diagnosed by measuring the ACTH concentrations. Due to the reported instability of ACTH, it is recommended to transfer centrifuged plasma into cryovials; however, in practice, cryovials are infrequently used, and serum (red-top) tubes are used instead. This study investigated whether this procedure affects ACTH concentrations and the diagnosis of PPID. Unassigned: This was a cohort study. Blood was collected into EDTA tubes from 9 horses with PPID and 7 controls. After centrifugation, plasma was either aliquoted into a cryovial or into a serum tu...
Distribution and sequence analysis of the melanocortin 2 receptor in horses and ponies.
Domestic animal endocrinology    November 20, 2024   Volume 90 106896 doi: 10.1016/j.domaniend.2024.106896
Cash CM, de Laat MA.The melanocortin 2 receptor (MC2R) has relevance to equine pituitary pars intermedia dysfunction (PPID), as it is the primary binding site for ACTH, which circulates at elevated concentrations in animals affected by PPID. Despite this, little is known about MC2R in equine species. The overall aim of this investigation was to determine MC2R mRNA expression in tissues relevant to PPID in healthy horses and to examine the MC2R gene sequence in a cohort of horses and ponies with and without PPID. The study found that the MC2R gene was expressed in both adrenal and pituitary gland tissues as report...
Effect of age on amplitude of circulating catecholamine’s change of healthy cyclic mares.
Veterinary research communications    June 24, 2024   doi: 10.1007/s11259-024-10443-8
Satué K, Fazio E, Velasco-Martínez MG, Fauci D, Cravana C, Medica P.Catecholamines (CATs) are neurotransmitters and allostatic hormones whose plasma concentrations are physiologically modified in various species such as human, rats, mice and donkeys, with advancing age. However, currently these mechanisms are less well elucidated in horses and more specifically in mares. The hypothesis of this study was that, as in afore mentioned species, the CATs could experience physiological changes with advancing age. The objective of this study was to evaluate the concentrations of adrenaline (A), noradrenaline (NA), dopamine (DA), and serotonin (5-HT) in mares of differ...
Effect of age on androgens pattern in cyclic mares.
Research in veterinary science    April 24, 2024   Volume 173 105276 doi: 10.1016/j.rvsc.2024.105276
Satué K, Fazio E, Damiá E, Barbiera G, Medica P, Cravana C.Androgens are produced in both sexes. In females produced by the adrenal gland and the ovaries they play a crucial role in regulating ovarian function, estrogen synthesis and follicular growth. Age leads to a reduction in androgen concentrations, although, at present, these mechanisms are not elucidated in mares. The objective of this study was to evaluate the concentrations of testosterone (T), androstenedione (A) and dehydroepiandrosterone (DHEA) in mares of different ages. Blood samples were drawn from seventy cyclic Spanish Purebred mares belonging to five age groups: 3-5 years, 6-9 year...
Detection of doping peptides and basic drugs in equine urine using liquid chromatography-mass spectrometry.
Drug testing and analysis    August 7, 2023   doi: 10.1002/dta.3544
Flores L, Hargrave S, Clifford A, Alarcio G, Moeller BC.The abuse of prohibited agents including peptides and basic small-molecule drugs is an area of great concern in horseracing due to their high potential to act as doping agents. These compound classes include agents such as growth hormone-releasing peptides, peptide analgesics, beta-2-adrenergic receptor agonists, and quaternary ammonium drugs that can be challenging to detect and regulate because of their chemical properties and potential rapid elimination following administration. The use of highly sensitive and selective analytical techniques such as liquid chromatography-mass spectrometry (...
Assessment of the hypothalamic-pituitary-adrenocortical axis function using a vasopressin stimulation test in neonatal foals.
Journal of veterinary internal medicine    July 11, 2023   doi: 10.1111/jvim.16808
Elder E, Wong D, Johnson K, Robertson H, Marner M, Dembek K.Bacterial sepsis is the leading cause of death in foals and is associated with hypothalamic-pituitary-adrenocortical axis (HPAA) dysfunction. HPAA function can be evaluated by an arginine-vasopressin (AVP) stimulation test. Objective: Administration of AVP will stimulate a dose-dependent rise in systemic adrenocorticotropin-releasing hormone (ACTH) and cortisol in neonatal foals. There will be no response seen in corticotropin-releasing hormone (CRH) and baseline AVP will be within reference interval. Methods: Twelve neonatal foals, <72 hours old. Methods: HPAA function was assessed in foals...
Evaluation of the effect of glucocorticoid treatment on adrenocortical functions by monitoring endogenous hydrocortisone in horses.
The Journal of veterinary medical science    May 8, 2023   Volume 85, Issue 6 647-652 doi: 10.1292/jvms.23-0011
Kikuchi M, Nagata SI, Ishige T, Minamijima Y, Hirota KI, Tozaki T, Kakoi H, Kizaki K.Glucocorticoid preparations have anti-inflammatory effects, and are commonly used in the equine clinical setting; however, such treatments can cause a number of side effects. Adrenal insufficiency is an adverse effect induced by the suppression of adrenal function following drug administration. This study aimed to investigate the influence of two glucocorticoid preparations, dexamethasone and hydrocortisone, on adrenocortical function in horses. The usual doses of dexamethasone and hydrocortisone preparations in equine practice were administered intramuscularly to six horses, and peripheral bl...
Successful surgical removal of a pheochromocytoma in a mare via trans-costal approach.
Equine veterinary journal    February 22, 2023   Volume 55, Issue 6 1012-1020 doi: 10.1111/evj.13931
O'Brien TJ, Pezzanite LM, Acutt EV, Vilander AC, Hassel DM, Hector RC, Hendrickson DA.Pheochromocytomas have been previously reported in horses, but successful antemortem diagnosis and surgical removal without recurrence of clinical signs have not been described. Objective: To report the clinical presentation, diagnostic evaluation, surgical technique, anaesthetic management and post-operative care of a mare diagnosed with pheochromocytoma. Methods: Clinical case report. Methods: An 18-year-old Quarter Horse mare presented for recurrent episodes of colic, profuse sweating, muscle fasciculations and agitation over a 2-month period. Clinical, clinicopathologic and ultrasonographi...
The hypothalamic-pituitary-adrenal axis response to ovine corticotropin-releasing-hormone stimulation tests in healthy and hospitalized foals.
Journal of veterinary internal medicine    January 18, 2023   Volume 37, Issue 1 292-301 doi: 10.1111/jvim.16604
Johnson K, Peterson J, Kopper J, Dembek K.The hypothalamic-pituitary-adrenocortical axis (HPAA) response to sepsis can be impaired in critical illness. Corticotropin-releasing hormone (CRH) stimulation test might assess HPAA function in foals. Objective: To evaluate plasma cortisol, ACTH, arginine vasopressin (AVP), and endogenous CRH (eCRH) response to different doses of ovine CRH (oCRH). Methods: Healthy (n = 14) and hospitalized (n = 15) foals <7 days of age. Methods: In this prospective randomized study, oCRH (0.1, 0.3, and 1 μg/kg) was administered intravenously and blood samples were collected before, 15, 30, 60, and ...
Longitudinal assessment of adrenocortical steroid and steroid precursor response to illness in hospitalized foals.
Domestic animal endocrinology    August 31, 2022   Volume 82 106764 doi: 10.1016/j.domaniend.2022.106764
Dembek K, Timko K, Moore C, Johnson L, Frazer M, Barr B, Toribio R.Sepsis is a major cause of morbidity and mortality in neonatal foals. Relative adrenal insufficiency (RAI), defined as an inadequate cortisol response to stress, has been associated with sepsis, prematurity, and poor outcome in newborn foals. In addition to cortisol, the adrenal gland synthesizes several biologically important steroids and steroid precursors, including aldosterone, androgens, and progestogens. However, concentration of these hormones during hospitalization and their association with the severity of disease and mortality in critically ill foals have not been completely evaluate...
Seasonal variation of endogenous adrenocorticotropic hormone concentrations in healthy non-geriatric donkeys in Northern California.
Frontiers in veterinary science    August 12, 2022   Volume 9 981920 doi: 10.3389/fvets.2022.981920
Humphreys S, Kass PH, Magdesian KG, Goodrich E, Berryhill E.Elevated plasma adrenocorticotropic hormone (ACTH) is often used to diagnose pituitary pars intermedia dysfunction (PPID) in horses. The hormone naturally increases in the fall in horses, and donkeys have been found to have higher ACTH concentrations than horses. However, circannual variation of ACTH has not been assessed in donkeys. The objective of the study was to establish seasonal variation of basal plasma ACTH concentrations over the course of a year in clinically healthy, non-geriatric donkeys. It was hypothesized that donkey ACTH concentrations would be higher than those reported in ho...
Perinatal Stress in Immature Foals May Lead to Subclinical Adrenocortical Dysregulation in Adult Horses: Pilot Study.
Journal of equine veterinary science    January 21, 2022   Volume 111 103869 doi: 10.1016/j.jevs.2022.103869
Clothier J, Small A, Hinch G, Brown WY.The persistent endocrinological effects of perinatal stress due to gestational immaturity in horses are unknown, although effects have been reported in other livestock species. This pilot study tested the hypothesis that persistent adrenocortical dysregulation is present in horses that were gestationally immature at birth by assessing the salivary cortisol response to exogenous ACTH. Case horses (n = 10) were recruited with histories of gestation length < 315 d or dysmaturity observable through neonatal signs. Positive controls (n = 7) and negative controls (n = 5) were recruited wher...
Serum cortisol in mules intended for agricultural work.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 153-155 doi: 10.1294/jes.32.153
Calixto LC, Martinez JR.Cortisol is a hormone secreted by the adrenal glands that is stimulated by physiological and pathological factors and has been studied widely in equids, but not in mules. The objectives of this study were to obtain a reference value for serum cortisol in mules destined for agricultural activities and to identify age- and gender-related differences in the value. The concentration was obtained in blood samples using a commercial sandwich ELISA specific for cortisol. The concentration was 96.3 ± 40.6 ng/ml and similar between age groups and genders.
Corrigendum to: “The Rho kinase (ROCK) inhibitor Y-27632 reduces the β 2-adrenoceptor density but enhance cAMP formation in primary equine bronchial epithelial cells” [Eur. J. Pharmacol. 2021 Sep 15; 907:174323].
European journal of pharmacology    December 22, 2021   Volume 915 174724 doi: 10.1016/j.ejphar.2021.174724
Schellenberg LM, Regenthal R, Abraham G.This research paper investigates the influence of the Rho kinase (ROCK) inhibitor Y-27632 on β2-adrenoceptor density and the generation of a cellular messenger called cAMP in horse bronchial cells. The […]
Circulating Hypothalamic-Pituitary-Adrenal Axis Hormones and Insulin Concentrations in Horses and Ponies.
Journal of equine veterinary science    November 14, 2021   Volume 111 103810 doi: 10.1016/j.jevs.2021.103810
Vaughn SA, Norton NA, Hart KA.Mechanisms resulting in breed predispositions to insulin dysregulation (ID) are poorly characterized. Cortisol antagonizes insulin, and free, biologically active cortisol can be increased in ID. Breed-related differences in serum free cortisol fraction (FCF) could contribute to ID, but FCF has not been quantified in equidae predisposed to ID, such as ponies. To compare FCF and other hypothalamic-pituitary-adrenal (HPA) axis hormones between horses and ponies during health and ID. We hypothesized: (1) FCF is higher in ponies than horses in health, and is higher still in ponies with ID and obes...
The Rho kinase (ROCK) inhibitor Y-27632 reduces the β2-adrenoceptor density but enhance cAMP formation in primary equine bronchial epithelial cells.
European journal of pharmacology    July 8, 2021   Volume 907 174323 doi: 10.1016/j.ejphar.2021.174323
Schellenberg LM, Regenthal R, Abraham G.The present study addresses the effect of the Rho-kinase (ROCK) inhibitor Y-27632 on the β-adrenoceptor density and β-agonist-stimulated intracellular second messenger cAMP formation in primary equine bronchial epithelial cells (EBEC). Y-27632 significantly decreased the β-adrenoceptor number (B) without markedly affecting the receptor affinity (dissociation constant, K) to the radioligand [I]-iodocyanopindolol (ICYP). In contrast, Y-27632 augmented the β-agonist-stimulated intracellular cAMP production. Herein, Y-27632 markedly increased the maximal cAMP responses (E) (isoproterenol >...
Adrenal Gland Ultrasonographic Measurements and Plasma Hormone Concentrations in Clinically Healthy Newborn Thoroughbred and Standardbred Foals.
Animals : an open access journal from MDPI    June 19, 2021   Volume 11, Issue 6 1832 doi: 10.3390/ani11061832
Lauteri E, Mariella J, Beccati F, Roelfsema E, Castagnetti C, Pepe M, Peric T, Barbato O, Montillo M, Rouge S, Freccero F.Adrenal hormones, ACTH plasma concentrations and the ultrasonographic evaluation of the adrenal glands are considered complementary in clinical evaluations of the hypothalamic-pituitary-adrenal (HPA) axis function in several species. In dogs, age, size and weight have a significant effect on the ultrasonographic size of the adrenal glands. In neonatal foals, ultrasonographic evaluation and measurements of the adrenal glands have been demonstrated to be reliable; however, the effect of individual variables on ultrasonographic features has not been investigated, and the clinical usefulness of ad...
Relationship between endogenous plasma adrenocorticotropic hormone concentration and reproductive performance in Thoroughbred broodmares.
Journal of veterinary internal medicine    May 24, 2021   Volume 35, Issue 4 2002-2008 doi: 10.1111/jvim.16145
Tsuchiya T, Noda R, Ikeda H, Maeda M, Sato F.Pituitary pars intermedia dysfunction (PPID) is an endocrine disorder the clinical signs of which include infertility, but few reports have examined the relationship between PPID and reproductive performance in broodmares. Objective: Broodmares with infertility of unknown etiology were screened for PPID using baseline endogenous plasma ACTH concentrations, and its relationship with subsequent reproductive performance was analyzed. Methods: Sixty-seven Thoroughbred broodmares. Methods: Adrenocorticotropic hormone concentrations were measured in autumn. The broodmares were divided into 3 groups ...
Evaluation of the sensitivity and specificity of basal plasma adrenocorticotrophic hormone concentration for diagnosing pituitary pars intermedia dysfunction in horses: A systematic review.
Veterinary journal (London, England : 1997)    May 21, 2021   Volume 275 105695 doi: 10.1016/j.tvjl.2021.105695
Tatum RC, McGowan CM, Ireland JL.Measurement of basal adrenocorticotrophic hormone (ACTH) is currently used to diagnose pituitary pars intermedia dysfunction (PPID) in horses, yet a systematic review of the evidence for its use has not been undertaken. This study aimed to systematically review evidence regarding the sensitivity and specificity of the basal ACTH diagnostic test. Electronic databases were systematically searched in January 2019, September 2020 and January 2021, for English language publications published prior to these dates. Screening, data extraction and quality assessment of publications was undertaken by th...
The effects of an alpha-2-adrenoceptor agonist, antagonist, and their combination on the blood insulin, glucose, and glucagon concentrations in insulin sensitive and dysregulated horses.
Veterinary journal (London, England : 1997)    January 15, 2021   Volume 269 105610 doi: 10.1016/j.tvjl.2021.105610
Box JR, Karikoski NP, Tanskanen HE, Raekallio MR.Alpha-2-adrenoceptor agonists are sedatives that can cause fluctuations in serum insulin and blood glucose (BG) concentrations in horses. The objectives of this study were to investigate the effects of detomidine and vatinoxan on BG, insulin, and glucagon concentrations in horses with and without insulin dysregulation (ID). In a blinded cross-over design, eight horses with ID and eight horses without ID were assigned to each of four treatments: detomidine (0.02 mg/kg; DET), vatinoxan (0.2 mg/kg; VAT), detomidine + vatinoxan (DET + VAT), and saline control (SAL). Blood samples were taken at 0, ...
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