Analyze Diet

Topic:Metabolism

Equine metabolism encompasses the biochemical processes that occur within horses to maintain life, including the conversion of food into energy, the synthesis of necessary compounds, and the elimination of waste products. These processes are essential for supporting various physiological functions such as growth, reproduction, and physical performance. Key components of equine metabolism include carbohydrate, fat, and protein metabolism, each of which contributes to the overall energy balance and health of the horse. Factors influencing metabolic rate and efficiency in horses include age, breed, diet, exercise, and health status. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, regulation, and implications of metabolic processes in equine physiology.
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 ...
Three-dimensional tissue culture supports the structure and function of equine synovial explants over 4 days.
American journal of veterinary research    March 5, 2025   1-8 doi: 10.2460/ajvr.24.11.0357
Arnade H, Ivie IE, Gordon J, Peroni JF.To evaluate the feasibility of short-term 3-D tissue culture in maintaining the structure and function of equine synovial explants and demonstrate that day 4 explant characteristics were not significantly different from day 0. We hypothesized that a 4-day culture period in 3-D explant culture would not significantly disrupt synovial tissue health and function compared to baseline measurements. Unassigned: Synovial explants (n = 24/horse) from healthy carpal joints of 5 horses were cultured in 12-well plates using tissue-stabilizing agar rings. Explants were evaluated in triplicate or quadrupli...
Metagenomic mining unveils a novel GH130 enzyme with exclusive xylanase activity over a wide temperature and pH ranges.
Journal of industrial microbiology & biotechnology    March 4, 2025   Volume 52 kuaf006 doi: 10.1093/jimb/kuaf006
Hemeda AA, Zahran SA, Ali-Tammam M, Ewida MA, Kashef MT, Yassin AS, Mitra A, Youssef NH, Elshahed MS.The equine gut harbors a diverse microbial community and represents a rich source of carbohydrate-active enzymes (CAZymes). To identify and characterize potentially novel CAZymes from a horse's hindgut metagenome, shotgun metagenomic sequencing was performed on DNA extracted from a stool sample of a male horse, followed by CAZyme annotation. Here, we report on the characterization of a novel enzyme (AH2) that was identified, synthesized, cloned, and characterized from the obtained CAZyme dataset. AH2 was identified as a GH130 family member and displayed exclusive xylanase activity, a trait hit...
Dietary supplementation of new-born foals with free nucleotides positively affects neonatal diarrhoea management.
Irish veterinary journal    March 1, 2025   Volume 78, Issue 1 7 doi: 10.1186/s13620-025-00294-3
Penazzi L, Pagliara E, Nervo T, Ala U, Bertuglia A, Romano G, Hattab J, Tiscar PG, Bergagna S, Pagliasso G, Antoniazzi S, Cavallarin L, Valle E....Foals commonly experience diarrhoea in the first weeks of life. Although this condition is rarely life-threatening, it can have significant health consequences. This study investigated whether new-born foals can benefit from a dietary supplement of nucleotides, as already demonstrated in other species. Dietary nucleotides have positive effects on rapidly proliferating tissues and are considered "semi-essential nutrients" since cells have only a limited capacity to synthesize these compounds. The aim of this study was to investigate whether providing foals with a dietary nucleotide supplementat...
Effect of Phenylbutazone Administration on Insulin Sensitivity in Horses With Insulin Dysregulation.
Journal of veterinary internal medicine    February 27, 2025   Volume 39, Issue 2 e70028 doi: 10.1111/jvim.70028
Kemp KL, Yuen NKY, Skinner JE, Bertin FR.Phenylbutazone is prescribed to manage pain caused by hyperinsulinemia-associated laminitis. Phenylbutazone reduces glucose and insulin concentrations in horses with insulin dysregulation (ID) but the underlying mechanism of action is unknown. Objective: Investigate the effect of phenylbutazone on tissue insulin sensitivity in horses. It is hypothesized that the reduced glucose and insulin concentrations in horses with ID receiving phenylbutazone are mediated by a higher tissue insulin sensitivity. Methods: Fifteen light breed horses, including seven with ID. Methods: Randomized cross-over stu...
Initial investigation into the metabolic effects of intra-articular betamethasone on normal and insulin dysregulated horses.
Journal of equine veterinary science    February 22, 2025   Volume 147 105404 doi: 10.1016/j.jevs.2025.105404
Page AE, Rauber-Ramos AM, Humiston M, McPeek JL, Adam EN.Given the metabolic effects of intra-articular (IA) corticosteroids, the goal of this project was to monitor the effects of IA betamethasone in both insulin dysregulated (ID)(n = 3) and non-ID (n = 5) horses. A cross-over design was used where eight geldings were injected with either 9 mg of betamethasone or saline into both metacarpophalangeal joints, followed by regular blood collections for adrenocorticotropin releasing hormone (ACTH), cortisol, insulin, and glucose, as well as pre- and post-administration oral sugar testing. Results were analyzed via two-way repeated measures analysis of v...
Effect of pergolide treatment on insulin dysregulation in horses and ponies with pituitary pars intermedia dysfunction.
Equine veterinary journal    February 18, 2025   doi: 10.1111/evj.14468
Galinelli NC, Bamford NJ, Erdody ML, Mackenzie SA, Warnken T, Harris PA, Sillence MN, Bailey SR.Due to the high frequency of laminitis reported for both conditions, the relationship between pituitary pars intermedia dysfunction (PPID) and insulin dysregulation (ID), and the potential role of dopamine in modifying insulin secretion, requires further investigation. Objective: To evaluate the effect of pergolide mesylate on insulin sensitivity and postprandial insulin and glucose responses in horses and ponies with ID, both with or without concurrent PPID. Methods: Randomised crossover study. Methods: Sixteen horses and ponies, comprising eight matched pairs (PPID+ID or ID-only), were given...
Proteomic analysis emphasizes the adaptation of energy metabolism in horses during endurance races.
BMC veterinary research    February 15, 2025   Volume 21, Issue 1 67 doi: 10.1186/s12917-025-04518-0
Gotić J, Špelić L, Kuleš J, Horvatić A, Gelemanović A, Ljubić BB, Mrljak V, Bottegaro NB.Long-term aerobic exercise during endurance racing places high demands on equine homeostasis. This study aimed to use proteomic analysis to elucidate complex biological responses during endurance exercise. It was hypothesized that different serum proteome changes would be noted, reflecting physiological processes as a response to race. The serum has been taken before and after an 80 km race from 13 endurance horses. Proteomic analysis of samples has been performed by TMT-based quantitative method. Apolipoprotein and haptoglobin values have been validated by enzyme-linked immunosorbent assay a...
The Impact of the Competition on miRNA, Proteins, and Metabolites in the Blood Exosomes of the Yili Horse.
Genes    February 15, 2025   Volume 16, Issue 2 224 doi: 10.3390/genes16020224
Yuan X, Yao X, Zeng Y, Wang J, Ren W, Wang T, Li X, Yang L, Yang X, Meng J.Horse racing may cause stress-induced physiological changes and tissue damage in horses, but the changes in miRNA expression, protein expression, and metabolic substances in the plasma exosomes of the horse after racing are still unclear. This study detected miRNA, protein expression, and metabolic substances in the plasma exosomes of horses before and after competition, providing new insights for post-race recovery and care of horses. Methods: Eight three-year-old horses that had undergone training were selected as the research subjects, with four horses that had not competed as the contr...
Evaluating plasma lactate running speed derived parameters for predicting maximal lactate steady state in teaching horses.
Journal of equine veterinary science    February 14, 2025   105385 doi: 10.1016/j.jevs.2025.105385
Littiere TO, Costa GB, Sales NAA, Carvalho JRG, Rodrigues IDM, Ramos GV, Ferraz GC.In humans, there is an ongoing academic discussion about measuring plasma lactate concentration ([La]) during an incremental exercise test (IET) to establish thresholds that can predict the maximal lactate steady state (MLSS). Training studies on horses have utilized the onset of [La] (OBLA), also known as V, the velocity at which the [La] of 4 mM is reached. This study assesses the effectiveness of four methods for estimating the MLSS in teaching horses. Ten teaching horses underwent a single IET to determine four exercise intensity thresholds for predicting MLSS and performed several constan...
Effects of Combined Transcriptome and Metabolome Analysis Training on Athletic Performance of 2-Year-Old Trot-Type Yili Horses.
Genes    February 4, 2025   Volume 16, Issue 2 197 doi: 10.3390/genes16020197
Yang L, Li P, Huang X, Wang C, Zeng Y, Wang J, Yao X, Meng J.Training is essential for enhancing equine athletic performance, but the genetic mechanisms that regulate athletic performance are unknown. Therefore, this paper aims to identify candidate genes and metabolic pathways for the effects of training on equine athletic performance through multi-omics analyses. Methods: The experiment selected 12 untrained trot-type Yili horses, which underwent a 12-week professional training program. Blood samples were collected at rest before training (BT) and after training (AT). Based on their race performance, whole blood and serum samples from 4 horses were ch...
The Role of Nutrition in Managing Muscle Disorders.
The Veterinary clinics of North America. Equine practice    January 27, 2025   Volume 41, Issue 1 151-163 doi: 10.1016/j.cveq.2024.11.007
Pagan JD, Valberg SJ.Many myopathies in horses can be managed by exercise regimes and dietary modifications. This includes modifying the amount of nonstructural carbohydrate, fat, amino acids, vitamin E, and selenium based on the horse's specific myopathy, metabolic status, exercise program, and optimal body weight. Because dietary recommendations differ substantially between myopathies, it is imperative to establish a specific diagnosis. A nutritionist will help practitioners select from the myriad of offered products to ensure a balanced diet. This article provides detailed recommendations for a variety of myopa...
Dynamic Adaptation of Hematological Parameters, Albumin, and Non-Esterified Fatty Acids in Saddlebred and Standardbred Horses During Exercise.
Animals : an open access journal from MDPI    January 21, 2025   Volume 15, Issue 3 300 doi: 10.3390/ani15030300
The response to exercise following a rest period may vary among horse breeds based on the importance of the hematological and hematochemical profiles of athletic horses. Ten Standardbred and ten Italian Saddlebred mares were subjected to a 4-week training program after a seasonal rest, and hematological parameters (red blood cells-RBCs; hemoglobin-Hb; hematocrit-Hct; platelets-PLTs; platelet aggregation-AG; aggregation slope-Slope; fibrinogen-Fb), as well as Albumin (Alb) and non-esterified fatty acids (NEFAs), were analyzed. Blood samples were obtained each week during the training program fo...
A Meta-Analysis on Quantitative Sodium, Potassium and Chloride Metabolism in Horses and Ponies.
Animals : an open access journal from MDPI    January 13, 2025   Volume 15, Issue 2 191 doi: 10.3390/ani15020191
Maier I, Kienzle E.The goal of this meta-analysis was to (i) identify any potential differences in the apparent and true digestibility, renal excretion, and retention between ponies and horses and (ii) examine the impact of work on these parameters. Additionally, the study aimed to (iii) evaluate the effects of water deficiency. This meta-analysis used data from 33 studies and plotted them in diagrams similar to the Lucas test against mineral intake. Three studies involved ponies that were later diagnosed with pituitary pars intermedia dysfunction (PPID). These were compared with other data to identify quantitat...
Serum 25(OH) Vitamin D Concentrations in Horses: Effects of Age, Gender, Breed, Skin Colour and Season.
Veterinary medicine and science    January 9, 2025   Volume 11, Issue 1 e70092 doi: 10.1002/vms3.70092
Alemi M, Ahmadi Sheikhsarmast S, Mohri M.The optimal amount of vitamin D required for the proper functioning of the immune system differs from the amount necessary for bone homeostasis. Furthermore, vitamin D metabolism varies among horses. Nevertheless, there is a dearth of information regarding reference values for vitamin D in horses, particularly in the Turkmen breed. The primary objectives of this study were to determine the concentrations of 25-hydroxyvitamin D (25(OH)Vit D) in Turkmen, Thoroughbred and mixed Turkmen × Thoroughbred horses and to explore the effects of various factors on it and its relationship with serum bio...
Genomic-Inbreeding Landscape and Selection Signatures in the Polo Argentino Horse Breed.
International journal of molecular sciences    December 24, 2024   Volume 26, Issue 1 26 doi: 10.3390/ijms26010026
Azcona F, Molina A, Demyda-Peyrás S.Analyzing genetic variability and inbreeding trends is essential for effective breed management in animal populations. To this, the characterization of runs of homozygosity (ROH) provides a good genomic approach to study the phenomena. The Polo Argentino (PA) breed, globally recognized as the best adapted to playing polo, is known for its strong influence of Thoroughbreds, intense selective breeding, and extensive use of reproductive biotechnologies. This study investigates the PA's genomic variability, by characterizing the ROH landscape and identifying ROH islands (ROHi) as potential genomic...
An ongoing concern: 20 years of research on equine atypical myopathy.
The Veterinary record    December 13, 2024   Volume 195, Issue 12 e5039 doi: 10.1002/vetr.5039
François AC, Renaud B, Kruse CJ, Marcillaud-Pitel C, Votion DM.Anne-Christine François, Benoît Renaud, Caroline-Julia Kruse, Christel Marcillaud-Pitel and Dominique-Marie Votion of the Atypical Myopathy Alert Group discuss insights from 20 years of research and surveillance on equine atypical myopathy.
Eastern Equine Encephalitis Virus: The Importance of Metabolism and Aging.
International journal of molecular sciences    December 12, 2024   Volume 25, Issue 24 13318 doi: 10.3390/ijms252413318
Kordowitzki P.Eastern equine encephalitis virus (EEEV) is a mosquito-transmitted alphavirus that, among humans, can cause a severe and often fatal illness. The zoonotic EEEV enzootic cycle involves a cycle of transmission between and avian hosts, frequently resulting in spillover to dead-end vertebrate hosts such as humans and horses. Interestingly, it has been described that the W132G mutation of the very low-density lipoprotein receptor (VLDLR), the receptor of EEEV, significantly enhanced the VLDLR-mediated cell attachment of EEEV. The patient's metabolism plays a pivotal role in shaping the complex lan...
Comparison of long and short rest periods during high-intensity interval exercise on transcriptomic responses in equine skeletal muscle.
Physiological genomics    December 11, 2024   doi: 10.1152/physiolgenomics.00066.2024
Takahashi K, Mukai K, Takahashi Y, Ebisuda Y, Hatta H, Kitaoka Y.The purpose of this study was to elucidate the skeletal muscle transcriptomic response unique to rest duration during high-intensity interval exercise. Thoroughbred horses performed three 1-min bouts of exercise at their maximal oxygen uptake (10.7-12.5 m/s), separated by 15 min (long) or 2 min (short) walking at 1.7 m/s. Gluteus medius muscle was collected before and at 4 h after the exercise and used for RNA sequencing. We identified 1,756 and 1,421 differentially expressed genes in response to the long and short protocols, respectively using DEseq2 analysis [false discovery rate (FDR) cutof...
The effect of feeding order of forage and oats on metabolic and digestive responses related to gastric emptying in horses.
Journal of animal science    December 4, 2024   skae368 doi: 10.1093/jas/skae368
Jensen RB, Walslag IH, Marcussen C, Thorringer NW, Junghans P, Nyquist NF.Feeding order of forage and concentrate might affect gastric emptying and subsequently digestion in horses. The objective of this study was to measure gastric emptying in combination with metabolic and digestive responses in the plasma and caecum, respectively, when changing the feeding order of oats (O) and hay (H) (oats first then hay: O-H vs. hay first then oats: H-O). Four caecum cannulated horses were used in a 2×2 crossover design, with two 12-day periods consisting of 10 d of diet adaptation and two days of data collection. Hay was fed at 0600, 1400 and 2000 h, while oats were fed in ...
Horses with previous episodes of laminitis have altered insulin responses to seasonal oral sugar testing and grazing compared to horses with no known history of laminitis.
Journal of equine veterinary science    December 4, 2024   Volume 145 105254 doi: 10.1016/j.jevs.2024.105254
Kaufman KL, Suagee-Bedore JK, Johnson SE, Ely KM, Ghajar SJ, McIntosh BM.Forage is essential for equine health and performance, but intake of elevated pasture nonstructural carbohydrates (NSC) may exacerbate metabolic disorders. This study aimed to investigate the influence of laminitis history on metabolic and morphometric responses in grazing horses. Twelve non-pregnant mares (15 ± 3.4 yrs) were selected based on previous diagnosis of laminitis (PRELAM; n=6) or not (NOLAM; n=6). Horses were maintained on 8.5-ha pasture. Weekly pasture samples were clipped at random for nutrient analysis. Monthly blood samples were collected and analyzed for glucose and insulin c...
Essential oil supplementation improves insulin sensitivity and modulates the plasma metabolome of hyperinsulinemic horses.
Frontiers in veterinary science    December 2, 2024   Volume 11 1444581 doi: 10.3389/fvets.2024.1444581
Loos CMM, Zhao S, Li L, Li J, Han W, Vanzant ES, McLeod KR.The objective of this study was to investigate the effect of essential oil (EO) supplementation on insulin sensitivity (IS) and the plasma metabolome in insulin dysregulated (ID) horses. Horses were blocked by degree of IS and assigned randomly to treatment: oral daily bolus (50 mL) of either a plant derived EO supplement or carrier (CON). Mares were housed in dry lots with access to grass hay and supplemented individually twice daily with a concentrate to meet nutrient requirements for mature horses. Before and after 6 wks of treatment, mares underwent a combined glucose-insulin tolerance ...
Effects of Hyperthermia and Acidosis on Mitochondrial Oxidative Phosphorylation.
Journal of applied physiology (Bethesda, Md. : 1985)    November 27, 2024   doi: 10.1152/japplphysiol.00418.2024
Davis MS, Bayly WM, Hansen CM, Barrett MR, Blake CA.The intracellular environment of skeletal muscle can develop pronounced hyperthermia and acidosis during strenuous exercise, and these alterations in the typical intracellular conditions have been shown to alter mitochondrial respiration. However, the impact of these conditions on ATP synthesis is poorly understood. We used Thoroughbred racehorses to test the hypothesis that both hyperthermia and acidosis decrease the rate of ATP synthesis, but that athletic conditioning mitigates this loss of phosphorylation capacity. Isolated mitochondria were harvested from skeletal muscle before and after ...
Changes in blood physiological and biochemical parameters and intestinal flora in newborn horses and mares with angular limb deformities.
Frontiers in veterinary science    November 26, 2024   Volume 11 1503117 doi: 10.3389/fvets.2024.1503117
Ma Y, Liu Y, Li H, Yang K, Yao G.Angular limb deformities (ALDs) are a common skeletal development disorder in newborn foals. This condition affects the growth and development of foals and severely impacts their future athletic performance and economic value, causing significant financial losses to the horse industry. Placentitis, metritis, and severe metabolic diseases during mare pregnancy are significant causes of ALDs in newborn foals. It has been established that intestinal flora disorders can easily lead to inflammatory and metabolic diseases in the host. However, the incidence of ALDs in foals in Zhaosu County, Xinjian...
Nutraceutical Supplement Mitigates Insulin Resistance in Horses with a History of Insulin Dysregulation During a Challenge with a High-Starch Diet.
Animals : an open access journal from MDPI    November 25, 2024   Volume 14, Issue 23 doi: 10.3390/ani14233385
Loos C, Castelein A, Vanzant E, Adam E, McLeod KR.Insulin dysregulation (ID) is associated with an increased risk of laminitis which often necessitates the need for clinical intervention. To test the contention that the prophylactic supplementation of nutraceuticals could mitigate ID in susceptible horses, 16 mature horses with a history of ID were supplemented with either the placebo (n = 8) or nutraceutical (n = 8) once daily. Horses were housed in dry lots with ad libitum access to grass hay and fed a concentrate twice daily to provide 0.5 g starch/kg BW/meal. A combined glucose-insulin tolerance test was performed on all horses before and...
Nutraceutical Supplement Mitigates Insulin Resistance in Horses with a History of Insulin Dysregulation During a Challenge with a High-Starch Diet.
Animals : an open access journal from MDPI    November 25, 2024   Volume 14, Issue 23 doi: 10.3390/ani14233385
Loos C, Castelein A, Vanzant E, Adam E, McLeod KR.Insulin dysregulation (ID) is associated with an increased risk of laminitis which often necessitates the need for clinical intervention. To test the contention that the prophylactic supplementation of nutraceuticals could mitigate ID in susceptible horses, 16 mature horses with a history of ID were supplemented with either the placebo (n = 8) or nutraceutical (n = 8) once daily. Horses were housed in dry lots with ad libitum access to grass hay and fed a concentrate twice daily to provide 0.5 g starch/kg BW/meal. A combined glucose-insulin tolerance test was performed on all horses before and...
Effect of phenylbutazone administration on the enteroinsular axis in horses with insulin dysregulation.
Journal of veterinary internal medicine    November 22, 2024   Volume 39, Issue 1 e17256 doi: 10.1111/jvim.17256
Kemp KL, Skinner JE, Bertin FR.Phenylbutazone is prescribed for laminitis-associated pain and decreases glucose and insulin responses to an oral glucose test (OGT) in horses with insulin dysregulation (ID). Objective: Investigate the effect of phenylbutazone administration on the enteroinsular axis in horses. Methods: Sixteen horses, including 7 with ID. Methods: Randomized cross-over study design, with horses assigned to treatment with phenylbutazone (4.4 mg/kg IV q24h) or placebo (5 mL 0.9% saline). On Day 9 of treatment, an OGT was conducted, followed by a 10-day washout period, administration of the alternative trea...
Short-term clinical and biochemical responses following treatment with dapagliflozin or ertugliflozin in horses with hyperinsulinemia: A retrospective case series.
Domestic animal endocrinology    November 19, 2024   Volume 90 106894 doi: 10.1016/j.domaniend.2024.106894
Sundra T, Knowles E, Rendle D, Kelty E, Lester G, Rossi G.The metabolic and lipid profiles of horses treated with sodium-glucose cotransporter 2 inhibitors are not well understood. This retrospective study evaluated blood parameters in hyperinsulinemic horses treated with either ertugliflozin (0.05 mg/kg) or dapagliflozin (0.02 mg/kg) orally once daily. Blood samples were collected at baseline (day 0) and after 7 and/or 30 days of treatment. Statistical analyses were conducted using Wilcoxon signed-rank, Mann-Whitney and Spearman's rank correlation tests. Thirty-four horses received dapagliflozin and 24 received ertugliflozin. Significant (p<0.05)...
Investigation Into the Equine Metabolism of Phosphodiesterase-4 Inhibitor Roflumilast for Potential Doping Control.
Drug testing and analysis    November 17, 2024   doi: 10.1002/dta.3822
Philip M, Karakka Kal AK, Subhahar MB, Karatt TK, Graiban FM, Ajeebsanu MM, Joseph M, Jose SV.The phosphodiesterase 4 (PDE4) inhibitors constitute a relatively modern class of medications that are known for inducing bronchodilation and exhibiting anti-inflammatory properties within the body. Due to these properties, there is concern regarding their potential misuse as performance-enhancing substances in competitive sports. This study delves into the metabolic conversion of roflumilast in thoroughbred horses following oral administration and in vitro experimentation using equine liver microsomes and Cunninghamella elegans. High-performance liquid chromatography coupled with a Q Exactiv...
Identification of altered blood metabolic pathways in equines following ethyl pyruvate administration using non-targeted metabolomics.
Scientific reports    November 12, 2024   Volume 14, Issue 1 27684 doi: 10.1038/s41598-024-75734-1
Kwak YB, Seo SA, Kim M, Yoon J.Ethyl pyruvate (EP) has emerged as a promising compound with potential therapeutic benefits attributed to its anti-inflammatory and antioxidant properties. This study aimed to understand the effects of EP on plasma metabolites and immune cells in horses, utilizing advanced liquid chromatography-mass spectrometry (LC-MS)-based metabolomics, quantitative polymerase chain reaction (qPCR), and blood chemistry analyses. Our comprehensive analysis detected 2,366 ions, and 126 metabolites were accurately identified. Remarkably, EP administration induced significant changes in 28 metabolites at 1 h a...