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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Horse embryo diameter is influenced by the embryonic age but not by the type of semen used to inseminate donor mares.
Theriogenology    April 27, 2018   Volume 115 90-93 doi: 10.1016/j.theriogenology.2018.04.023
Cuervo-Arango J, Claes AN, Stout TAE.The diameter of embryos recovered from mares on Day 8 after ovulation varies greatly, from as little as 130 μm to as much as 2500 μm. Several factors have been proposed to affect embryo size at recovery, one of which is the type of semen (frozen vs fresh or cooled-transported) used to inseminate the mare. In addition, it has been shown that smaller embryos (<300 μm) recovered on Day 8 are less likely than larger embryos to result in successful pregnancy after transfer. However, whether the actual age of the embryo (interval from fertilization to flushing) in relation to its size al...
Glial Cells Missing 1 Regulates Equine Chorionic Gonadotrophin Beta Subunit via Binding to the Proximal Promoter.
Frontiers in endocrinology    April 26, 2018   Volume 9 195 doi: 10.3389/fendo.2018.00195
Read JE, Cabrera-Sharp V, Kitscha P, Cartwright JE, King PJ, Fowkes RC, de Mestre AM.Equine chorionic gonadotrophin (eCG) is a placental glycoprotein critical for early equine pregnancy and used therapeutically in a number of species to support reproductive activity. The factors in trophoblast that transcriptionally regulate eCGβ-subunit (), the gene which confers the hormones specificity for the receptor, are not known. The aim of this study was to determine if glial cells missing 1 regulates promoter activity. Here, studies of the proximal promoter identified four binding sites for glial cells missing 1 (GCM1) and western blot analysis confirmed GCM1 was expressed in equi...
Effects of Equine-Assisted Activities and Therapies on the Affective Network of Adolescents with Internet Gaming Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    April 26, 2018   Volume 24, Issue 8 841-849 doi: 10.1089/acm.2017.0416
Kang KD, Jung TW, Park IH, Han DH.Internet gaming disorder (IGD) has been suggested to be a mental health disorder. Attachment and emotional status in IGD patients are important for understanding the etiology and progression of IGD because both parameters are considered to be associated with the affective network. Equine-assisted activities and therapies (EAAT) have been reported to improve emotional status and attachment in subjects. We hypothesized that EAAT would improve attachment in IGD adolescents with insecure attachment issues and increase functional connectivity (FC) within the affective network. Methods: Subjects com...
Technical note: Evaluation of a wireless pulse oximeter for measuring arterial oxygen saturation and pulse rate in newborn Holstein Friesian calves.
Journal of dairy science    April 26, 2018   Volume 101, Issue 7 6437-6442 doi: 10.3168/jds.2017-14266
Kanz P, Krieger S, Drillich M, Iwersen M.Pulse oximetry is a well-established technique in human and veterinary medicine. In farm animals, it could also be a useful tool for the detection of critical conditions relating to oxygen supply and the cardiovascular system. Among other uses, an innovative application could be the monitoring of fetuses during birth. This could help in the early identification of critical situations and support farmers and veterinarians in their decision to start obstetric or life-support interventions. Until now, however, its use in ruminant medicine was still limited to experimental applications. The object...
Seminal plasma influences the fertilizing potential of cryopreserved stallion sperm.
Theriogenology    April 26, 2018   Volume 115 99-107 doi: 10.1016/j.theriogenology.2018.04.021
Al-Essawe EM, Wallgren M, Wulf M, Aurich C, Macías-García B, Sjunnesson Y, Morrell JM.Seminal plasma (SP) contains proteins that may influence cryosurvival and prevent capacitation-like changes due to freezing and thawing. The objective of this study was to investigate the effect of adding pooled SP from "good" (GF) or "bad" (BF) freezer stallions on sperm cells' fertilizing ability. "Good freezers" refers to stallions that usually produce ejaculates which can withstand cryopreservation, whilst "bad freezer" stallions produce ejaculates which cannot tolerate the freezing process. A heterologous zona binding assay with in vitro matured bovine oocytes was used to assess the bind...
Towards European harmonisation of contagious equine metritis diagnosis through interlaboratory trials.
The Veterinary record    April 25, 2018   Volume 183, Issue 3 96 doi: 10.1136/vr.104556
Petry S, Breuil MF, Duquesne F, Laugier C.The performance of culture and PCR methods routinely used to diagnose contagious equine metritis (CEM) was evaluated and compared by two interlaboratory trials involving a total of 24 European laboratories, including 22 National Reference Laboratories for CEM. Samples were swab specimens artificially contaminated with bacteria present in the genital tract of Equidae, some with and some without Taylorella equigenitalis, the causative agent of CEM, and T asinigenitalis, responsible for possible misidentification as T equigenitalis Throughout both interlaboratory trials, PCR performed better in t...
Elevated urinary excretion of free pyridinoline in Friesian horses suggests a breed-specific increase in collagen degradation.
BMC veterinary research    April 25, 2018   Volume 14, Issue 1 139 doi: 10.1186/s12917-018-1454-8
Saey V, Tang J, Ducatelle R, Croubels S, De Baere S, Schauvliege S, van Loon G, Chiers K.Friesian horses are known for their high inbreeding rate resulting in several genetic diseases such as hydrocephaly and dwarfism. This last decade, several studies focused on two other presumed hereditary traits in Friesian horses: megaoesophagus and aortic rupture. The pathogenesis of these diseases remains obscure but an important role of collagen has been hypothesized. The purpose of this study was to examine possible breed-related differences in collagen catabolism. Urinary specimens from Friesian (n = 17, median age 10 years old) and Warmblood horses (n = 17, median age 10 years...
Comparison of angiographic dyes and injection techniques for ocular anterior segment angiography in horses.
American journal of veterinary research    April 25, 2018   Volume 79, Issue 5 562-567 doi: 10.2460/ajvr.79.5.562
Pirie CG, LoPinto AJ, Tenney WA.OBJECTIVE To assess and compare 2 injection techniques for conducting ocular anterior segment indocyanine green angiography (ASICGA) and sodium fluorescein (SF) angiography in horses. ANIMALS 3 healthy adult female horses (age range, 19 to 25 years). PROCEDURES Horses were sedated, jugular catheters were placed, and manual restraint was used to ensure proper positioning for the angiography procedure. Two injection techniques (IV and intra-arterial) were performed for each horse 1 week apart. Intravenous injections of 0.25% indocyanine green (ICG; 50 mg) and 10% SF (10 mg/kg) were administered ...
Comparison of the efficacy of various concentrations and combinations of serum, ethylenediaminetetraacetic acid, tetracycline, doxycycline, minocycline, and N-acetylcysteine for inhibition of collagenase activity in an in vitro corneal degradation model.
American journal of veterinary research    April 25, 2018   Volume 79, Issue 5 555-561 doi: 10.2460/ajvr.79.5.555
Kimmitt BA, Moore GE, Stiles J.OBJECTIVE To compare the efficacy of various concentrations and combinations of serum, EDTA, 3 tetracyclines, and N-acetylcysteine (NAC) for collagenase inhibition in an in vitro corneal degradation model. SAMPLE Grossly normal corneas from recently euthanized dogs and horses and fresh serum from healthy dogs and horses. PROCEDURES Serum was pooled by species for in vitro use. For each species, sections of cornea were dried, weighed, and incubated with clostridial collagenase (800 U/mL) in 5 mL of a 5mM calcium chloride-saline (0.9% NaCl) incubation solution and 500 μL of 1 of 19 treatments (...
Case series: periocular habronemiasis in five horses in the Netherlands.
The Veterinary record    April 25, 2018   Volume 182, Issue 26 746 doi: 10.1136/vr.104265
Verhaar N, Hermans H, van Rooij E, van Oldruitenborgh-Oosterbaan MS, Ensink J.In tropical and subtropical climates, infection of periocular tissue by Habronema larvae is a recognised cause of conjunctivitis or blepharitis. To the authors' knowledge, only a few cases of habronemiasis have been described in Western Europe, and it has not been documented previously in the Netherlands. The objective of this report is to describe the occurrence of five cases of (peri)ocular habronemiasis in the Netherlands, of which four date from the past few years. The diagnosis was based on the history, clinical signs and histopathologic examination of biopsy specimens. A granulomatous co...
Comparison of desflurane and propofol at equipotent doses in combination with a constant rate infusion of dexmedetomidine on global and peripheral perfusion and oxygenation in horses.
American journal of veterinary research    April 25, 2018   Volume 79, Issue 5 487-495 doi: 10.2460/ajvr.79.5.487
Neudeck S, Kästner SBR, Wittenberg-Voges L, Rohn K, Hopster K.OBJECTIVE To determine global and peripheral perfusion and oxygenation during anesthesia with equipotent doses of desflurane and propofol combined with a constant rate infusion of dexmedetomidine in horses. ANIMALS 6 warmblood horses. PROCEDURES Horses were premedicated with dexmedetomidine (3.5 μg•kg, IV). Anesthesia was induced with propofol or ketamine and maintained with desflurane or propofol (complete crossover design) combined with a constant rate infusion of dexmedetomidine (7 μg•kg •h). Microperfusion and oxygenation of the rectal, oral, and esophageal mucosa were measured bef...
Virus-neutralising antibody responses in horses following vaccination with Equivac® HeV: a field study.
Australian veterinary journal    April 25, 2018   Volume 96, Issue 5 161-166 doi: 10.1111/avj.12694
Tan R, Hodge A, Klein R, Edwards N, Huang JA, Middleton D, Watts SP.To determine the antibody responses to a commercial Hendra virus vaccine (Equivac® HeV) in a field environment. Methods: A group of 61 horses received a primary vaccination course comprising two doses administered 3-6 weeks apart (V1, V2) and a 3rd dose (V3) given 6 months after the second. This was followed by booster vaccinations at 12 monthly intervals (V4, V5). Antibody titres were assessed using a virus-neutralisation test. Results: Neutralising antibodies against HeV were not detected prior to vaccination. Antibodies were detected in 54/57 horses at 3 weeks after V1 and 51/51 had ...
Antimicrobial labelling in Australia: a threat to antimicrobial stewardship?
Australian veterinary journal    April 25, 2018   Volume 96, Issue 5 151-154 doi: 10.1111/avj.12677
Hardefeldt LY, Gilkerson JR, Billman-Jacobe H, Stevenson MA, Thursky K, Browning GF, Bailey KE.Antimicrobial resistance is a public health emergency, placing veterinary antimicrobial use under growing scrutiny. Antimicrobial stewardship, through appropriate use of antimicrobials, is a response to this threat. The need for antimicrobial stewardship in Australian veterinary practices has had limited investigation. A 2016 survey undertaken to investigate antimicrobial usage patterns by Australian veterinarians found that antimicrobial dose rates were varied and often inappropriate. Doses of procaine penicillin in horses and cattle were often low, with 68% and 90% of respondents, respective...
Circulating miRNAs as Putative Biomarkers of Exercise Adaptation in Endurance Horses.
Frontiers in physiology    April 24, 2018   Volume 9 429 doi: 10.3389/fphys.2018.00429
Cappelli K, Capomaccio S, Viglino A, Silvestrelli M, Beccati F, Moscati L, Chiaradia E.Endurance exercise induces metabolic adaptations and has recently been reported associated with the modulation of a particular class of small noncoding RNAs, microRNAs, that act as post-transcriptional regulators of gene expression. Released into body fluids, they termed circulating miRNAs, and they have been recognized as more effective and accurate biomarkers than classical serum markers. This study examined serum profile of miRNAs through massive parallel sequencing in response to prolonged endurance exercise in samples obtained from four competitive Arabian horses before and 2 h after the ...
Comparison of 3 corneal cytology collection methods for evaluating equine ulcerative keratitis: Cytobrush, kimura platinum spatula, and handle edge of scalpel blade.
Veterinary ophthalmology    April 24, 2018   Volume 22, Issue 2 153-160 doi: 10.1111/vop.12574
Proietto L, Beatty SS, Plummer CE.To compare corneal cytology samples from three common sampling techniques: cytobrush (CB), Kimura platinum spatula (KS), and the handle edge of a scalpel blade (SB). Methods: Equine patients presenting to the University of Florida College of Veterinary Medicine with ulcerative keratitis were included. Following diagnosis of corneal ulcer and sampling for microbial culture, two cytology samples per technique were collected with sterile CB, KS, and SB in a randomized order. Cytologic evaluation was performed by two observers masked to collection method. Objective measures of sample cellularity, ...
Pathological classification of equine recurrent laryngeal neuropathy.
Journal of veterinary internal medicine    April 24, 2018   Volume 32, Issue 4 1397-1409 doi: 10.1111/jvim.15142
Draper ACE, Piercy RJ.Recurrent Laryngeal Neuropathy (RLN) is a highly prevalent and predominantly left-sided, degenerative disorder of the recurrent laryngeal nerves (RLn) of tall horses, that causes inspiratory stridor at exercise because of intrinsic laryngeal muscle paresis. The associated laryngeal dysfunction and exercise intolerance in athletic horses commonly leads to surgical intervention, retirement or euthanasia with associated financial and welfare implications. Despite speculation, there is a lack of consensus and conflicting evidence supporting the primary classification of RLN, as either a distal ("d...
Salpingopharyngeal fistula as a treatment for guttural pouch mycosis in seven horses.
Equine veterinary journal    April 24, 2018   Volume 50, Issue 6 781-786 doi: 10.1111/evj.12830
Watkins AR, Parente EJ.Guttural pouch mycosis (GPM) is a cause of nasal discharge, dysphagia and fatal haemorrhage in the horse. Objective: To report the complications and success of salpingopharyngeal fistulation in horses with GPM. We hypothesised that creating a direct static opening into the guttural pouch from the pharynx would cause a regression of fungal plaques due to a change in the guttural pouch environment and that this treatment would result in resolution of infection prior to secondary complications. Methods: Retrospective case series. Methods: The medical records of all horses diagnosed with GPM that ...
Canine, feline, and equine corneal vascular neoplasia: A retrospective study (2007-2015).
Veterinary ophthalmology    April 24, 2018   Volume 22, Issue 1 76-87 doi: 10.1111/vop.12571
Shank AMM, Teixeria LBC, Dubielzig RR.Corneal vascular neoplasms (hemangioma and hemangiosarcoma) are rare in all species. Reported cases are single case reports in a single species. Archived cases of corneal hemangioma and hemangiosarcoma from dogs, cats, and horses were obtained from the Comparative Ocular Pathology Lab of Wisconsin (COPLOW, Madison, WI), tabulated, and examined. This retrospective study describes the breeds, ages, tumor types, and characteristics of vascular neoplasms that appeared to be primarily corneal in location, in feline, canine, and equine patients, with gross and histologic images. There is a discussio...
Unraveling cryptic epizootiology of equid trypanosomosis in Punjab state of India by parasitological and sero-molecular techniques.
Acta tropica    April 23, 2018   Volume 185 18-26 doi: 10.1016/j.actatropica.2018.04.018
Parashar R, Singla LD, Batra K, Kumar R, Kashyap N, Kaur P, Bal MS.To unravel equid trypanosomosis caused by Trypanosoma evansi in Punjab state of India, a cross sectional study was designed by utilizing parasitological and sero-molecular tools with objective to assess the prevalence of T. evansi in association with various risk factors in all agroclimatic zones of Punjab state of India. Parasitological Romanowksy stained thin blood smears (RSTBS) to detect patent infection, molecular techniques polymerase chain reaction I (PCR I; TBR 1/2 primers; targeting minichromosomal satellite DNA of T. evansi), polymerase chain reaction II (PCR II; TR 3/4 primers; targ...
An epistatic effect of KRT25 on SP6 is involved in curly coat in horses.
Scientific reports    April 23, 2018   Volume 8, Issue 1 6374 doi: 10.1038/s41598-018-24865-3
Thomer A, Gottschalk M, Christmann A, Naccache F, Jung K, Hewicker-Trautwein M, Distl O, Metzger J.Curly coat represents an extraordinary type of coat in horses, particularly seen in American Bashkir Curly Horses and Missouri Foxtrotters. In some horses with curly coat, a hypotrichosis of variable extent was observed, making the phenotype appear more complex. In our study, we aimed at investigating the genetic background of curly coat with and without hypotrichosis using high density bead chip genotype and next generation sequencing data. Genome-wide association analysis detected significant signals (p = 1.412 × 10-05-1.102 × 10-08) on horse chromosome 11 at 22-35 Mb. In thi...
Fédération Equestre Internationale endurance events: Risk factors for failure to qualify outcomes at the level of the horse, ride and rider (2010-2015).
Veterinary journal (London, England : 1997)    April 23, 2018   Volume 236 44-48 doi: 10.1016/j.tvjl.2018.04.011
Bennet ED, Parkin TDH.An epidemiological study of elite endurance riding was conducted using data from every Fédération Equestre Internationale (FEI) endurance event from 2010 to 2015, comprising 82,917 starts. The aim of the study was to identify risk factors associated with failure to qualify outcomes for horses during FEI endurance rides. The FEI endurance rules state that, during a ride, horses must be assessed by veterinarians several times, giving veterinarians the opportunity to prevent those horses exhibiting signs of lameness or metabolic problems from continuing further. Multivariable logistic regressio...
Cytokine-induced interleukin-1 receptor antagonist protein expression in genetically engineered equine mesenchymal stem cells for osteoarthritis treatment.
The journal of gene medicine    April 22, 2018   Volume 20, Issue 5 e3021 doi: 10.1002/jgm.3021
Gabner S, Ertl R, Velde K, Renner M, Jenner F, Egerbacher M, Hlavaty J.A combination of tissue engineering methods employing mesenchymal stem cells (MSCs) together with gene transfer takes advantage of innovative strategies and highlights a new approach for targeting osteoarthritis (OA) and other cartilage defects. Furthermore, the development of systems allowing tunable transgene expression as regulated by natural disease-induced substances is highly desirable. Bone marrow-derived equine MSCs were transduced with a lentiviral vector expressing interleukin-1 receptor antagonist (IL-1Ra) gene under the control of an inducible nuclear factor-kappa B-responsive prom...
Fédération Equestre Internationale (FEI) endurance events: Riding speeds as a risk factor for failure to qualify outcomes (2012-2015).
Veterinary journal (London, England : 1997)    April 22, 2018   Volume 236 37-43 doi: 10.1016/j.tvjl.2018.04.012
Bennet ED, Parkin TDH.This study examined the association between riding speed and elimination in Fédération Equestre Internationale (FEI) endurance events. A total of 35,061 horse starts from 1st July 2012 to 31st December 2015 were included in a multivariable logistic regression model containing 25 different risk factors. Riding speeds in individual stages ('loops') were included as individual risk factors in studying the progress of horses through loops 1-3 of each endurance ride. The possibility of real-time, 'mid-ride' predictive modelling was explored by modelling both riding speeds and sudden changes in sp...
A review of Eimeria infections in horses and other equids.
Veterinary parasitology    April 22, 2018   Volume 256 58-70 doi: 10.1016/j.vetpar.2018.04.010
Dubey JP, Bauer C.There is considerable confusion concerning validity of Eimeria species in equids, and endogenous developmental stages and pathogenicity of equid Eimeria. This paper summarizes worldwide information on history, structure, life cycle, pathogenicity, prevalence, epidemiology, and diagnosis of Eimeria infections in equids. The following conclusions were drawn. Although three species of Eimeria; E. solipedum, E. uninugulata, and E. leuckarti were named from horses, only E. leuckarti is a valid species infecting equids, including horses, donkeys and zebra. We consider E. solipedum, E. uninugulata an...
Viral, Serological, and Antioxidant Investigations of Equine Rhinitis A Virus in Serum and Nasal Swabs of Commercially Used Horses in Poland.
BioMed research international    April 22, 2018   Volume 2018 8719281 doi: 10.1155/2018/8719281
Bażanów B, Frącka A, Jackulak N, Romuk E, Gębarowski T, Owczarek A, Stygar D.Equine rhinitis A virus (ERAV) is considered to be an important pathogen in horses, but relatively few studies are available. Objective: The purpose of this study was to verify ERAV seroprevalence in selected horses in Poland, in addition to correlation between ERAV and age and sex of analysed animals and the antioxidant status. Methods: The material collected from clinically healthy horses was tested using the VNT (353 serum samples) and virus isolation method (44 nasal swabs). 27 serum samples with antibody titers between 0 and ≥1 : 2048 were chosen for further analysis. The study was ...
Sperm quality assays: How good are they? The horse perspective.
Animal reproduction science    April 22, 2018   Volume 194 63-70 doi: 10.1016/j.anireprosci.2018.04.077
Love CC.Sperm quality assays have increased in number in the last 10 years. Most of these assays are flow cytometry based in application and are modified from assays that have been developed to measure somatic cell function. The goal of any sperm quality assay should be to advance the clinicians/researchers understanding of sperm cell function and the relationship to fertility. While these assays appear to measure somatic cell-like functions in sperm there tends to be little understanding how the results of these assays relate to fertility.
Effect of Road Transport on the Equine Cecal Microbiota.
Journal of equine veterinary science    April 21, 2018   Volume 68 12-20 doi: 10.1016/j.jevs.2018.04.004
Perry E, Cross TL, Francis JM, Holscher HD, Clark SD, Swanson KS.The effects of travel stress on the equine cecal microbiota are poorly understood. We hypothesized that travel would affect the equine cecal microbiota. Cecally-cannulated horses (n = 6) were randomly assigned to one of two groups, travel (n = 3) and control (n = 3). Horses received a basal diet (Strategy, Purina Animal Nutrition) with 1.2% body weight mixed grass/alfalfa. Travel horses were transported to an unfamiliar location, stalled to simulate weekend horse show conditions, and then returned to the Southern Illinois University Equine Center. Control horses remained at the equine cente...
Ultrasonographic Reference Values of Kidney Dimensions and Clinicopathological Findings Associating the Transcutaneous Ultrasound-Guided Renal Biopsy in Donkeys (Equus asinus).
Journal of equine veterinary science    April 21, 2018   Volume 68 1-11 doi: 10.1016/j.jevs.2018.04.001
Hussein HA, Ibrahim A, Ali MF.This study aimed to establish normal ultrasonographic reference values of kidney dimensions in donkeys (Equus asinus) and to describe and evaluate the clinicopathological variations associated with ultrasound-guided renal biopsy. The ultrasonographic dimensions of the right and left kidneys were conducted on 16 donkeys, which were then divided into two groups; eight each for biopsy of the right kidney (RK) and left kidney (LK). Three ultrasonographic cineloops were obtained at 17th intercostal space daily for 3 consecutive days. Renal length, width, and dimensions of the cortex, medulla, and p...
Effect of cooling rate on sperm quality of cryopreserved Andalusian donkey spermatozoa.
Animal reproduction science    April 20, 2018   Volume 193 201-208 doi: 10.1016/j.anireprosci.2018.04.069
Demyda-Peyrás S, Bottrel M, Acha D, Ortiz I, Hidalgo M, Carrasco JJ, Gómez-Arrones V, Gósalvez J, Dorado J.The aim of this study was to evaluate the effect of different cooling rates on post-thaw quality of cryopreserved donkey spermatozoa. Eighteen ejaculates from six adult Andalusian donkeys (three ejaculates per donkey) were collected using an artificial vagina. Pooled semen samples (two ejaculates per pool) were divided into three aliquots, and frozen in Gent freezing extender using three different cryopreservation protocols (P): P1 (conventional slow freezing, as control): semen pre-cooled in an Equitainer for 2 h and frozen in liquid nitrogen (LN) vapour; P2 (controlled pre-freeze cooling r...
Effects of fat supplementation on plasma glucose, insulin and fatty acid analysis in ponies maintained on a forage-based diet.
Journal of animal physiology and animal nutrition    April 19, 2018   Volume 102, Issue 4 1069-1076 doi: 10.1111/jpn.12905
Williams T, Rude B, Liao S, Mochal-King C, Nicodemus M.The objective of this study was to observe how fat incorporated into an equine forage-based diet through supplementation altered levels of plasma glucose, insulin and fatty acids. Five Shetland/Hackney cross pony mares were fed alfalfa pellet diets top dressed with commercially available vegetable oil (blend of soya bean, canola and corn oils) at 0%, 5%, 10% or 15% of diet. Ponies were randomly assigned one of four diets to start, with a 14-day adjustment period between transitioning to another one of the four diets. Ponies were gradually adapted to the new diet within the 14-day period before...