Analyze Diet

Topic:Nutrition

Nutrition in horses encompasses the study of dietary requirements and feeding practices that support equine health, growth, and performance. It involves the analysis of nutrients such as carbohydrates, proteins, fats, vitamins, and minerals, and their roles in equine physiology. Proper nutrition is essential for maintaining optimal body condition, supporting metabolic processes, and preventing dietary-related disorders. Research in this field examines the nutritional needs of horses at different life stages and activity levels, as well as the effects of various feed types and supplements. This page compiles peer-reviewed research studies and scholarly articles that explore the composition, digestion, and impact of different dietary components on equine health and performance.
Lipid classes in adipose tissues and liver differ between Shetland ponies and Warmblood horses.
PloS one    March 21, 2019   Volume 14, Issue 3 e0207568 doi: 10.1371/journal.pone.0207568
Adolph S, Schedlbauer C, Blaue D, Schöniger A, Gittel C, Brehm W, Fuhrmann H, Vervuert I.Fatty acids, as key components of cellular membranes and complex lipids, may play a central role in endocrine signalling and the function of adipose tissue and liver. Thus, the lipid fatty acid composition may play a role in health status in the equine. This study aimed to investigate the fatty acid composition of different tissues and liver lipid classes by comparing Warmblood horses and Shetland ponies under defined conditions. We hypothesized that ponies show different lipid patterns than horses in adipose tissue, liver and plasma. Six Warmblood horses and six Shetland ponies were housed an...
Assessment of the application for renewal of authorisation of Levucell SC (Saccharomyces cerevisiae CNCM I-1077) as a feed additive for lambs and horses.
EFSA journal. European Food Safety Authority    March 21, 2019   Volume 17, Issue 3 e05639 doi: 10.2903/j.efsa.2019.5639
Bampidis V, Azimonti G, Bastos ML, Christensen H, Dusemund B, Kouba M, Kos Durjava M, López-Alonso M, López Puente S, Marcon F, Mayo B, Pechová A....Levucell SC is the trade name for a feed additive based on viable cells of a strain . The product is currently authorised for use in feed for horses, lambs, dairy sheep and dairy goats, dairy cows and cattle for fattening. This opinion concerns the renewal of the authorisation of Levucell SC as a zootechnical additive for lambs and horses. is considered by EFSA to be suitable for the qualified presumption of safety (QPS) approach to establishing safety for the target species, consumers and the environment. The identity of the strain present in the additive was established. Accordingly, this s...
The health enhancer yeast Saccharomyces cerevisiae in two types of commercial products for animal nutrition.
Letters in applied microbiology    March 19, 2019   Volume 68, Issue 5 472-478 doi: 10.1111/lam.13141
Garcia-Mazcorro JF, Rodriguez-Herrera MV, Marroquin-Cardona AG, Kawas JR.The health enhancer yeast Saccharomyces cerevisiae (SC) is widely used in diets for different animals. Two main types of SC-based products are commercially available, one containing live yeasts and one containing SC fermentation by-products, which are supposedly not dependent on live yeasts for their physiological effects in vivo. Culture-based techniques were applied to study yeasts in two types of commercial products: a product containing live SC (LSC) and a SC fermentation product (SCFP). Three temperatures (25, 30 and 39°C) and two pH levels (4 and 7) were tested. The product with LSC co...
Erratum: Evaluating equine feeding behavior utilizing GrowSafe Systems: a pilot study.
Translational animal science    March 16, 2019   Volume 3, Issue 2 927 doi: 10.1093/tas/txz022
Dickson EC, Kayser WC, Latham CM, Leatherwood JL, Daigle CL, White SH.[This corrects the article DOI: 10.1093/tas/txz002.].
Effect of oral supplementation of probiotic strains of Lactobacillus rhamnosus and Enterococcus faecium on the composition of the faecal microbiota of foals.
Journal of animal physiology and animal nutrition    March 10, 2019   Volume 103, Issue 3 915-924 doi: 10.1111/jpn.13079
Urubschurov V, Stroebel C, Günther E, Romanowski K, Büsing K, Zeyner A.Effects of probiotics on the intestinal microbiota of foals are yet insufficiently studied. The aim of this study was to investigate whether supplementation of Lactobacillus rhamnosus (DSM 7133) and Enterococcus faecium (DSM 7134) influences the bacterial composition of the faecal microbiota of foals. A total of 34 newborn foals were randomly assigned to the placebo group (PG, n = 16) and the treatment group (TG, n = 18). From day 1 to day 14 of life, foals orally received 3 ml of either a probiotic preparation (1.05 × 10 CFU E. faecium and 4.50 × 10 CFU L. rhamnosus) or placebo (...
Effects of dietary L-arginine supplementation to early pregnant mares on conceptus diameter-Preliminary findings.
Reproduction in domestic animals = Zuchthygiene    March 8, 2019   Volume 54, Issue 5 772-778 doi: 10.1111/rda.13422
Aurich J, Köhne M, Wulf M, Nagel C, Beythien E, Gautier C, Zentek J, Aurich C.The importance of the amino acid L-arginine (ARG) for conceptus growth and litter size has been demonstrated in various species. L-arginine is part of embryo-derived polyamines, a substrate for nitric oxide synthase and stimulates protein synthesis by the embryo. In the present study, we have investigated whether dietary L-arginine supplementation stimulates early conceptus growth in mares. Warmblood mares with singleton pregnancies received either an arginine-supplemented diet (approximately 0.0125% of body weight, n = 12) or a control diet (n = 11) from days 15 to 45 after ovulation. Dia...
Effect of Cobalt Chloride on Fermentation of Alfalfa and Smooth Bromegrass Hays by Horse Cecal Microorganisms.
Journal of equine veterinary science    March 6, 2019   Volume 77 75-79 doi: 10.1016/j.jevs.2019.02.020
Fehlberg LK, Lattimer JM, Drouillard JS, Douthit TL.Effects of Co on fiber digestibility in horses are largely unknown. Our objective was to evaluate effects of Co chloride on in vitro gas production, VFA production, and dry matter (DM) disappearance (IVDMD) using cecal fluid from 4 cannulated Quarter Horses. Five grams DM of alfalfa or smooth bromegrass hay were provided as substrate with Co added at 0.0, 0.5, 5.0, 25.0, or 50.0 mg/kg substrate DM. Ten milliliters cecal fluid and 140 mL McDougall's buffer were incubated in duplicate, and pH, VFA concentrations, and IVDMD were measured after 48 hours. Gas production, used as an indicator of...
Colic Prevention to Avoid Colic Surgery: A Surgeon’s Perspective.
Journal of equine veterinary science    March 6, 2019   Volume 76 1-5 doi: 10.1016/j.jevs.2019.02.023
Blikslager AT.Management factors associated with colic, particularly related to stall confinement and nutrition, have been linked to alterations in gastrointestinal mucosal transport, motility, and microbiome, which in turn creates conditions that induce colic. In particular, meal feeding creates large changes in water movement in and out of the colon and alters the microbiome. These conditions may in turn result in colic conditions such as large colon impaction or large colon volvulus. In addition, a range of management and nutritional factors have been found to place horses at risk of select colic conditi...
Omega-3 fatty acids and docosahexaenoic acid oxymetabolites modulate the inflammatory response of equine recombinant interleukin1β-stimulated equine synoviocytes.
Prostaglandins & other lipid mediators    March 2, 2019   Volume 142 1-8 doi: 10.1016/j.prostaglandins.2019.02.007
Caron JP, Gandy JC, Brown JL, Sordillo LM.Omega-3 fatty acid (n-3 PUFA) supplementation may have beneficial effects in certain chronic diseases, potentially including osteoarthritis. Favorable effects are attributed, in part, to downstream pro-resolving oxylipid metabolites. We investigated the role of n-3 PUFA and docosahexaenoic acid (DHA)-derived oxylipids (docosanoids) on equine synoviocyte metabolism. We hypothesized that n-3 PUFA and selected docosanoids would modulate inflammatory mediator gene expression by recombinant equine (re)IL-1β-stimulated synovial fibroblasts. Synoviocyte monolayer cultures were prepared from grossly ...
[Impact of nutrition and probiotics on the equine microbiota: current scientific knowledge and legal regulations].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 26, 2019   Volume 47, Issue 1 35-48 doi: 10.1055/a-0824-5210
Langner K, Vervuert I.The hindgut microbiota of the horse is a complex structure which can be highly influenced by the diet or nutrients such as starch. For instance, a diet rich in starch promotes the growth of bacteria that can utilize starch and produce lactate while it reduces the growth of fiber fermenting cellulolytic bacteria. Therefore, attempts are made to balance the hindgut microbiota and to minimize the impacts of feeds which are rich in starch such as the supplementation of probiotics. Up to date only different strains of the yeast (SC) are officially registered probiotics for horses in the European U...
In Vitro Digestibility Measurement of Feedstuffs in Donkeys Using the DaisyII Incubator.
Journal of equine veterinary science    February 14, 2019   Volume 75 122-126 doi: 10.1016/j.jevs.2019.02.002
Tassone S, Renna M, Barbera S, Valle E, Fortina R.Successful studies on in vitro digestibility measurement of feedstuffs with fecal inoculum have been reported for horses, whereas data on donkeys are currently lacking. In this study, we evaluated the use of the Daisy Incubator for in vitro digestibility measurement of feedstuffs using donkey feces as source of microbial inoculum. The method was tested using seven feedstuffs commonly used in donkey diets (alfalfa, bromegrass, ryegrass, and timothy hays; wheat bran and wheat straw; barley grains). Feces were obtained from four female donkeys, and incubations were carried out at 1-week interva...
Feeding Behavior of Mangalarga Marchador Weanlings Fed Sorghum Silage Versus Grass Hay.
Journal of equine veterinary science    February 13, 2019   Volume 75 90-92 doi: 10.1016/j.jevs.2019.02.001
Prado Silva RH, Carneiro de Rezende AS, Felipe da Silva Inácio D, Norberto F, Saraiva de Melo Queiroz JN, Melo MM, Colares de Araújo Moreira D....Mangalarga Marchador foals in Minas Gerais, Brazil, are usually weaned during the dry season, when there is a scarcity of forage. Although sorghum silage has been used to feed weanlings, the effect on their feeding behavior in comparison with grass hay has not been reported. Twelve Mangalarga Marchador weanlings were randomly assigned to two groups of six animals: SS: sorghum silage; VH: Vaquero hay. Both groups received commercial concentrate in the proportion of 1.2 kg.100 kg of the live weight and forage ad libitum. The animals were filmed for 48 hours, being timed: forage intake time, wate...
Effect of dietary supplementation with long-chain n-3 fatty acids during late gestation and early lactation on mare and foal plasma fatty acid composition, milk fatty acid composition, and mare reproductive variables.
Animal reproduction science    February 13, 2019   Volume 203 33-44 doi: 10.1016/j.anireprosci.2019.02.005
Kouba JM, Burns TA, Webel SK.The effects of dietary marine-derived n-3 fatty acids (FA) on mare milk and mare and foal plasma FA, postpartum ovarian follicular growth and prostaglandin concentrations were evaluated. Sixty days prior to expected foaling dates, mares were assigned to one of three diets: corn oil (CORN, n = 6), docosahexaenoic acid (DHA) diet (D; 12.64 g/d, n = 7), or eicosapentaenoic acid (EPA) and DHA (ED; 8.84 g EPA, 10.43 g DHA/d, n = 7). Milk and plasma were collected for FA analysis. Follicular data were recorded through the first postpartum ovulation. Post-ovulation serial blood samp...
Association between nutritional values of hays fed to horses and sensory properties as perceived by human sight, touch and smell.
Animal : an international journal of animal bioscience    February 5, 2019   Volume 13, Issue 9 1834-1842 doi: 10.1017/S1751731118003725
Julliand S, Dacremont C, Omphalius C, Villot C, Julliand V.Although hay is the foundation of most equine diets, horse owners rarely ask for biochemical analysis and the routine practice is to choose hay based on its 'perceived' nutritional value. The present study aimed at exploring the relationship between sensory properties as perceived by sight, touch and smell, and the nutritional value of hay measured by biochemical analysis using a 'free sorting task' method. Fifty-four non-expert participants were asked individually to: (1) observe 21 hays samples, (2) group together hays that they perceived as similar for each of the three modalities (hay appe...
Development of a mathematical model for predicting digestible energy intake to meet desired body condition parameters in exercising horses.
Journal of animal science    February 5, 2019   Volume 97, Issue 5 1945-1955 doi: 10.1093/jas/skz041
Zoller JL, Cavinder CA, Sigler D, Tedeschi LO, Harlin J.Maintaining optimal body condition is an important concern for horse owners and managers as it can affect reproductive efficiency, athletic ability, and overall health of the horse; however, information regarding dietary requirements to maintain or alter BCS in the horse is limited. A recently developed model had high accuracy in predicting the energy required to alter BCS in the horse. However, the model was restricted to sedentary mares, while many horses are subject to physical work. The objective of this study was to expand the scope of that model to include exercising horses by incorporat...
Dietary-induced modulation of the hindgut microbiota is related to behavioral responses during stressful events in horses.
Physiology & behavior    February 3, 2019   Volume 202 94-100 doi: 10.1016/j.physbeh.2019.02.003
Destrez A, Grimm P, Julliand V.The bidirectional communication between the central and the enteric nervous system named the gut-brain axis has been widely recognized. The gut microbiota has been implicated in a variety of stress-related conditions including anxiety, depression and irritable bowel syndrome based on rodent studies or correlative analysis in human patients. The aim of the present study was to investigate to what extent changes in behavior during stressful events and in the microbial composition of the colonic ecosystem were associated in horses. The microbiota alterations were induced by a change from a high-f...
Effects of body weight gain on insulin and lipid metabolism in equines.
Domestic animal endocrinology    January 24, 2019   Volume 68 111-118 doi: 10.1016/j.domaniend.2019.01.003
Blaue D, Schedlbauer C, Starzonek J, Gittel C, Brehm W, Einspanier A, Vervuert I.The objective of this study was to illuminate the changes in serum NEFA concentrations during a combined glucose-insulin test (CGIT) and basal serum triacylglycerides (TGs) with increasing BW in Shetland ponies and warmblood horses. Therefore, basal blood samples were taken during fasting and a CGIT was performed in 19 healthy equines (10 Shetland ponies, 9 warmblood horses) (t0). After one (t1) and two (t2) year(s) of receiving 200% of their maintenance metabolizable energy requirement, procedures were repeated in the same equines. Sixteen of 19 equines had no signs of insulin dysregulation c...
Evaluating equine feeding behavior utilizing GrowSafe Systems: a pilot study.
Translational animal science    January 18, 2019   Volume 3, Issue 1 288-294 doi: 10.1093/tas/txz002
Dickson EC, Kayser WC, Latham CM, Leatherwood JL, Daigle CL, White SH.Equine research and management is limited to single-housing systems if individual animal intake is to be precisely recorded. Even then, dry forage intake is difficult to quantify accurately due to stomping or mixing hay with fecal matter and bedding. In cattle management, GrowSafe Systems (GrowSafe) is a commonly used tool to closely monitor individual animal feeding data using radio frequency identification (RFID) tag technology. Animals are equipped with a unique RFID tag that is read by the feed bunks each time the animal lowers its head into the bunk to consume feed. The objectives of this...
Garlic (Allium Sativum) Supplementation Improves Respiratory Health but Has Increased Risk of Lower Hematologic Values in Horses.
Animals : an open access journal from MDPI    January 2, 2019   Volume 9, Issue 1 13 doi: 10.3390/ani9010013
Saastamoinen M, Särkijärvi S, Hyyppä S.Garlic () is claimed to have numerous beneficial properties to the health of humans and animals. It is commonly used for example to treat respiratory diseases and infections in horses' lungs. However, in addition to its possible positive influences, garlic may also have adverse health effects. The hypotheses of this study were that garlic supplementation may help to clear mucus in the airways, but also causes declining hematologic values in prolonged feeding. To our knowledge, this is the first organized study in controlled conditions to show the health effects of garlic supplementation for ho...
Effect of maternal diet on select fecal bacteria of foals.
Translational animal science    December 24, 2018   Volume 3, Issue 1 204-211 doi: 10.1093/tas/txy141
Pyles MB, Fowler AL, Bill VT, Harlow BE, Crum AD, Hayes SH, Flythe MD, Lawrence LM.Adult horses depend on the microbial community in the hindgut to digest fiber and produce short-chain fatty acids that are use for energy. Colonization of the foal gastrointestinal tract is essential to develop this symbiosis. However, factors affecting colonization are not well understood. The objectives of this study were to evaluate the age-related changes and effects of maternal diet on select fecal bacterial groups in foals from 1 to 28 d of age. Thoroughbred foals ( = 18) were from dams fed forage and one of two concentrates: an oat-based (OB) or corn and wheat middlings-based (CWB) pell...
Long live the worms: methods for maintaining and assessing the viability of intestinal stages of Parascaris spp. in vitro.
Parasitology    December 18, 2018   Volume 146, Issue 5 685-693 doi: 10.1017/S0031182018002019
Scare JA, Steuer AE, Shaffer CL, Slusarewicz P, Mousley A, Nielsen MK.In vitro maintenance of helminth parasites enables a variety of molecular, pharmaceutical and immunological analyses. Currently, the nutritional and environmental in vitro requirements of the equine ascarid parasite, Parascaris spp., have not been determined. Additionally, an objective method for assessing viability of Parascaris spp. intestinal stages does not exist. The purpose of this study was to ascertain the in vitro requirements of intestinal stages of Parascaris spp., and to develop a viability assessment method. A total of 1045 worms were maintained in a total of 212 cultures. Worms o...
Dietary effect of lemon verbena extract on selected blood parameters and on plasma oxidative profile in Avelignese horses.
Animal science journal = Nihon chikusan Gakkaiho    December 16, 2018   Volume 90, Issue 2 222-228 doi: 10.1111/asj.13057
Palazzo M, Vizzarri F, Cinone M, D'Alessandro AG, Martemucci G, Casamassima D.The effect of Lippia citriodora extract on selected blood parameters and on plasma oxidative markers in Avelignese horses was evaluated. Twenty-four horses were divided into three groups, consisting of eight animals each. Results of two experimental groups, 0.5 mg of verbascoside per kg of metabolic body weight (bw ) in the low-dose group (LVB) and 1.0 mg of verbascoside per kg of metabolic body weight (bw ) in the high-dose group (HVB), were compared to the control group (CON). Groups fed L. citriodora extract (HVB and LVB) showed a significant decrease in triglycerides, total cholesterol ...
Effects of sodium caseinate on hindgut fermentation and fiber digestion in horses.
Journal of animal science    December 14, 2018   Volume 97, Issue 2 813-819 doi: 10.1093/jas/sky436
Jordan KV, Drouillard JS, Douthit TL, Lattimer JM.Eight cecally cannulated Quarter Horses were used in a replicated 4 × 4 Latin square experiment conducted in four 14-d periods to determine effects of sodium caseinate (casein) on hindgut fermentation and fiber digestion. During each period, horses were assigned to one of four treatments consisting of control (water; CON), 0.125 g casein/kg BW (LOW), 0.25 g casein/kg BW (MED), or 0.5 g casein/kg BW (HI). Casein was solubilized in 800 mL water and dosed directly into the cecum at 0700 and 1900 hours using a metal dosing syringe. Smooth Bromegrass hay (CP 8.50%), water, and salt were provided a...
The Equine Gastrointestinal Microbiome: Impacts of Age and Obesity.
Frontiers in microbiology    December 7, 2018   Volume 9 3017 doi: 10.3389/fmicb.2018.03017
Morrison PK, Newbold CJ, Jones E, Worgan HJ, Grove-White DH, Dugdale AH, Barfoot C, Harris PA, Argo CM.Gastrointestinal microbial communities are increasingly being implicated in host susceptibilities to nutritional/metabolic diseases; such conditions are more prevalent in obese and/or older horses. This controlled study evaluated associations between host-phenotype and the fecal microbiome / metabolome. Thirty-five, Welsh Mountain pony mares were studied across 2 years (Controls, = 6/year, 5-15 years, Body Condition Score (BCS) 4.5-6/9; Obese, = 6/year, 5-15 years, BCS > 7/9; Aged, = 6 Year 1; = 5 Year 2, ≥19 years old). Animals were individually fed the same hay to maintenance (2% bo...
Influence of dietary restriction and low-intensity exercise on weight loss and insulin sensitivity in obese equids.
Journal of veterinary internal medicine    December 5, 2018   Volume 33, Issue 1 280-286 doi: 10.1111/jvim.15374
Bamford NJ, Potter SJ, Baskerville CL, Harris PA, Bailey SR.The importance of including exercise with dietary modification for the management of obese equids is not clearly understood. Objective: To evaluate the effect of a practical low-intensity exercise regimen, in addition to dietary restriction, on indices of insulin sensitivity (SI) and plasma adipokine concentrations in obese equids. Methods: Twenty-four obese (body condition score [BCS] ≥ 7/9) horses and ponies. Methods: Over a 12-week period, animals received either dietary restriction only (DIET) or dietary restriction plus low-intensity exercise (DIET+EX). All animals were provided wit...
Physical response of dogs supplemented with fish oil during a treadmill training programme.
Journal of animal physiology and animal nutrition    December 5, 2018   Volume 103, Issue 2 653-660 doi: 10.1111/jpn.13033
Pellegrino FJ, Risso A, Relling AE, Corrada Y.The rise in popularity of dog sports competitions has led to the evaluation of improvements in dog physical performance. The potential benefit of dietary supplementation with fish oil (FO) on the physical performance of human beings and horses has been reported. However, such effect has not been studied in dogs. We therefore evaluated the effect of FO dietary supplementation on heart rate (HR), rectal temperature (RT) and thigh circumference (TC) in dogs during aerobic treadmill training, and further determined HR response and blood lactate (BL) concentration during an incremental exercise tes...
Management factors and clinical implications of glandular and squamous gastric disease in horses.
Journal of veterinary internal medicine    November 29, 2018   Volume 33, Issue 1 233-240 doi: 10.1111/jvim.15350
Sykes BW, Bowen M, Habershon-Butcher JL, Green M, Hallowell GD.To date, risk factors for equine glandular gastric disease (EGGD) have not been described in Thoroughbred racehorses. Objective: To determine management factors associated with EGGD, identify clinical signs in affected horses, and compare these to equine squamous gastric disease (ESGD). Methods: The study was carried out on 109 Thoroughbred racehorses from 8 training yards (3 in the United Kingdom and 5 in Australia). Methods: Gastroscopic examination alongside a questionnaire regarding management, feeding, exercise, and health. Results: Management factors and clinical signs were different for...
Gut microbiome composition is associated with spatial structuring and social interactions in semi-feral Welsh Mountain ponies.
Microbiome    November 22, 2018   Volume 6, Issue 1 207 doi: 10.1186/s40168-018-0593-2
Antwis RE, Lea JMD, Unwin B, Shultz S.Microbiome composition is linked to host functional traits including metabolism and immune function. Drivers of microbiome composition are increasingly well-characterised; however, evidence of group-level microbiome convergence is limited and may represent a multi-level trait (i.e. across individuals and groups), whereby heritable phenotypes are influenced by social interactions. Here, we investigate the influence of spatial structuring and social interactions on the gut microbiome composition of Welsh mountain ponies. We show that semi-feral ponies exhibit variation in microbiome composition ...
Pyrrolizidine alkaloids in commercial feedstuffs for horses.
Equine veterinary journal    November 9, 2018   Volume 51, Issue 4 495-499 doi: 10.1111/evj.13033
Rückert C, Emmerich I, Hertzsch R, Vervuert I.Pyrrolizidine alkaloids are secondary plant metabolites with hepatotoxic effect in humans and several animal species. In recent studies, foods such as herbal teas and honey have been found to be contaminated with pyrrolizidine alkaloids. Objective: The aim of this study was to identify and assess pyrrolizidine alkaloids in compound feeds manufactured for horses and containing either alfalfa or a blend of herbs. Methods: Forty-eight feed products for horses were included in the study. The feedstuffs were analysed for 28 selected pyrrolizidine alkaloids by liquid chromatography-mass spectrometry...
Chronic iron overload causing haemochromatosis and hepatopathy in 21 horses and one donkey.
Equine veterinary journal    November 5, 2018   Volume 51, Issue 3 304-309 doi: 10.1111/evj.13029
Theelen MJP, Beukers M, Grinwis GCM, Sloet van Oldruitenborgh-Oosterbaan MM.Iron toxicosis is rarely reported in horses and chronic excessive oral iron intake has not been reported to cause clinical symptoms in equids. Objective: This case series describes 21 genetically unrelated horses and one donkey with chronic iron overload causing haemochromatosis and hepatopathy. Methods: Case series. Methods: All equids showing clinical signs compatible with chronic liver disease presented to Utrecht University and diagnosed with iron overload and haemochromatosis based on histopathological evaluation of liver tissue and/or blood transferrin saturation levels of >80% and pr...
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