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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Actinomycosis of the mandible, mimicking a malignancy in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    January 15, 2008   Volume 48, Issue 12 1261-1263 
Vos NJ.Osteomyelitis of the mandible with Actinomyces species was diagnosed in a 4-year-old sports horse with radiographic changes suggestive of neoplasia. Surgical debridement, intravenous and local iodine solution treatment were administered. Mandibular Actinomyces infections are reported in humans and ruminants; they have not been previously reported in the horse. Actinomycose de la mandibule simulant une malignité chez un cheval. Une ostéomyélite de la mandibule à Actinomyces sp. a été diagnostiquée chez un cheval de sport âgé de 4 ans montrant des changements radiographiques ressemblant...
High subclinical West Nile virus incidence among nonvaccinated horses in northern California associated with low vector abundance and infection.
The American journal of tropical medicine and hygiene    January 12, 2008   Volume 78, Issue 1 45-52 
Nielsen CF, Reisen WK, Armijos MV, Maclachlan NJ, Scott TW.Although horse cases frequently are reported during West Nile virus (WNV) outbreaks, few investigations have focused on the epidemiology of this transmission. From April to October 2003 to 2005, mosquito abundance and infection were monitored 3 days per week at an equine research facility at the University of California, Davis. Thirty-two nonvaccinated horses enrolled as controls in a vaccine study were bled monthly, and their serum was tested for evidence of WNV infection by plaque reduction neutralization test (PRNT). In 2004, one positive Culex pipiens pool was associated with a single hors...
Characteristics of collagen fibrils in the entire equine superficial digital flexor tendon.
Okajimas folia anatomica Japonica    January 12, 2008   Volume 84, Issue 3 111-114 doi: 10.2535/ofaj.84.111
Sese M, Ueda H, Watanabe T, Yamamoto E, Hosaka Y, Tangkawattana P, Takehana K.The superficial digital flexor tendon (SDFT) is one of the longest tendons in the horse. In racehorses, disturbance of the locomotor functions of the SDFT occurs most frequently in the central area of the mid-metacarpal region. While many studies have investigated the equine SDFT, there are no reports to date of the morphological characteristics of collagen fibrils in the central and peripheral areas of each of the three regions that comprise the entire tendon: the myotendinous junction (MTJ), the mid-metacarpal region (mM) and the osteotendinous junction (OTJ). Mass average diameter (MAD), wh...
Actinobacillus equuli subsp. equuli associated with equine valvular endocarditis.
APMIS : acta pathologica, microbiologica, et immunologica Scandinavica    January 11, 2008   Volume 115, Issue 12 1437-1442 doi: 10.1111/j.1600-0463.2007.00768.x
Aalbaek B, Ostergaard S, Buhl R, Jensen HE, Christensen H, Bisgaard M.Microbiological and pathological data from a case of equine valvular endocarditis are reported. Limited information is available on the pathogenic potential of equine Actinobacillus species as several strains originate from apparently healthy horses. After the establishment of two subspecies within this species, this seems to be the first report of an etiological association between A. equuli subsp. equuli and equine endocarditis. Furthermore, new information on some phenotypical characteristics of this subspecies is reported, compared to previous findings.
Establishment and characterization of equine fibroblast cell lines transformed in vivo and in vitro by BPV-1: model systems for equine sarcoids.
Virology    January 11, 2008   Volume 373, Issue 2 352-361 doi: 10.1016/j.virol.2007.11.037
Yuan ZQ, Gault EA, Gobeil P, Nixon C, Campo MS, Nasir L.It is now widely recognized that BPV-1 and less commonly BPV-2 are the causative agents of equine sarcoids. Here we present the generation of equine cell lines harboring BPV-1 genomes and expressing viral genes. These lines have been either explanted from sarcoid biopsies or generated in vitro by transfection of primary fibroblasts with BPV-1 DNA. Previously detected BPV-1 genome variations in equine sarcoids are also found in sarcoid cell lines, and only variant BPV-1 genomes can transform equine cells. These equine cell lines are morphologically transformed, proliferate faster than parental ...
Lymphangiosarcoma in the nictitating membrane of a horse. Puff C, Herder V, Philipp A, Baumgärtner W.A 15-year-old Haflinger gelding presented with a mass in the left nictitating membrane. Two biopsies and the excised nictitating membrane were taken at different time points as a result of reoccurrence of the mass and submitted for histopathologic evaluation. The horse was euthanized as a result of poor prognosis following the reoccurrence of the mass after surgical removal. Histologically, the mass consisted of dilated, thin-walled vascular clefts and channels, lined by flattened to cuboidal endothelial cells with moderate cellular pleomorphism. There was up to 1 mitotic figure per high power...
Ventral meningomyelocele in a German warmblood foal.
DTW. Deutsche tierarztliche Wochenschrift    January 10, 2008   Volume 114, Issue 12 470-472 
Jacobsen B, Venner M, Gerdwilker A, Wohlsein P.A ventral meningomyelocele was found in a five week old, male German warmblood foal which exhibited central nervous symptoms. This rare malformation in horses may be caused by absent or defective fusion of vertebral bodies leading to herniation of the spinal cord and meninges with subsequent degenerative alterations of the spinal cord.
Small intestine adenocarcinoma in conjunction with multiple adenomas causing acute colic in a horse. Moran JA, Lemberger K, Cadoré JL, Lepage OM.An 11-year-old Andalusian stallion developed marked signs of colic associated with an acute small intestine obstruction. Exploratory laparotomy revealed a distal jejunum full-thickness wall induration and multiple small adherent intraluminal masses. Fifteen centimeters of jejunum, including the induration, and several intraluminal masses were resected. Histologic examination revealed an adenocarcinoma and multiple polypoid adenomas. The horse was discharged, and no complications were reported 12 months postoperatively. Colic was considered secondary to partial jejunal lumen obstruction by the ...
Benign peripheral nerve sheath tumor of the perianal region in a young pony. Sturgeon BP, Milne EM, Smith KC.A 20 x 10 cm, lobulated mass was present in the perianal region of a 4-year-old Dales pony. Histopathology revealed an unencapsulated, loose arrangement of sheets and whorls of narrow mesenchymal cells, situated in the deep dermis. Intervening areas had a myxomatous appearance. The whorls were often arranged around a central structure resembling an axon or a vascular structure. Immunohistochemistry revealed that the elongated mesenchymal cells and central axon-like structures expressed vimentin, S-100, and neuron-specific enolase, but not pancytokeratin, glial fibrillary acid protein, and the ...
Fatal pulmonary hemorrhage associated with RTX toxin producing Actinobacillus equuli subspecies haemolyticus infection in an adult horse. Pusterla N, Jones ME, Mohr FC, Higgins JK, Mapes S, Jang SS, Samitz EM, Byrne BA.A case of fatal pulmonary hemorrhage in a 6-year-old American Paint mare with a 2-week history of intermittent coughing, fever, and epistaxis is described. Significant macroscopic abnormalities at postmortem examination were restricted to the respiratory system, and microscopically, severe pulmonary hemorrhage with suppurative bronchopneumonia was found. Actinobacillus equuli subsp. haemolyticus was cultured from a transtracheal wash performed antemortem as well as from the lungs at necropsy. The presence of airway-associated hemorrhage in conjunction with bacterial bronchopneumonia suggested ...
Insulins in equine urine: qualitative analysis by immunoaffinity purification and liquid chromatography/tandem mass spectrometry for doping control purposes in horse-racing.
Rapid communications in mass spectrometry : RCM    January 9, 2008   Volume 22, Issue 3 355-362 doi: 10.1002/rcm.3360
Kuuranne T, Thomas A, Leinonen A, Delahaut P, Bosseloir A, Schänzer W, Thevis M.Insulin is a peptide hormone consisting of two peptide chains (A- and B-chain) that are cross-linked by two disulfide bonds. To obtain improved pharmacokinetic onset of action profiles of insulin treatment in diabetic patients, recombinant long-, intermediate-, and rapid-acting insulin analogs are produced, in which the C-terminal end of the B-chain plays an especially important role.A review of the veterinary literature reveals the low prevalence of equine type I diabetes mellitus, which indicates that the therapeutic use of insulin in racing horses is unlikely. Although there is no unequivoc...
Characterization of agonist-induced endothelium-dependent vasodilatory responses in the vascular bed of the equine digit.
Journal of veterinary pharmacology and therapeutics    January 8, 2008   Volume 31, Issue 1 1-8 doi: 10.1111/j.1365-2885.2007.00912.x
Berhane Y, Bailey SR, Putignano C, Elliott J.The role of endothelium-derived relaxing factors was studied in the regulation of vascular responses in the Krebs perfused equine isolated digit. Perfusion pressure was recorded in response to bolus doses of 5-hydroxytryptamine (6 nmol) alone or co-administered with carbachol (CCh; 0.2 micromol), bradykinin (BK; 0.2 nmol), substance P (SP; 0.2 nmol) or sodium nitroprusside (SNP; 0.2 micromol). N(omega)-Nitro-L-Arginine methyl ester hydrochloride (L-NAME; 300 microm) caused partial but significant inhibition of CCh-induced vasodilatory response, whereas BK and SP-induced responses were resistan...
Streptococcus henryi sp. nov. and Streptococcus caballi sp. nov., isolated from the hindgut of horses with oligofructose-induced laminitis.
International journal of systematic and evolutionary microbiology    January 8, 2008   Volume 58, Issue Pt 1 262-266 doi: 10.1099/ijs.0.65063-0
Milinovich GJ, Burrell PC, Pollitt CC, Bouvet A, Trott DJ.Four Gram-positive, catalase-negative, coccoid-shaped isolates were obtained from the caecum and rectum of horses with oligofructose-induced equine laminitis. Phenotypic and phylogenetic studies were performed on these isolates. Initial biochemical profiling assigned two of the isolates to Streptococcus bovis. The other two isolates, however, could not be assigned conclusively on the basis of their biochemical profiles. Gene sequence analysis demonstrated that the four new isolates were related most closely to Streptococcus suis based on the 16S rRNA gene and to Streptococcus orisratti based o...
Effects of single-dose intravenous phenylbutazone on experimentally induced, reversible lameness in the horse.
Journal of veterinary pharmacology and therapeutics    January 8, 2008   Volume 31, Issue 1 39-44 doi: 10.1111/j.1365-2885.2007.00925.x
Foreman JH, Barange A, Lawrence LM, Hungerford LL.The objective was to test the hypothesis that phenylbutazone (PBZ) alleviates lameness in an adjustable heart bar shoe model of equine foot pain. Eight Quarter Horse mares underwent 4-weekly treatments randomly: 0.9% saline placebo (SAL: 1 mL/45 kg body weight i.v.) with no lameness; SAL with lameness; PBZ (4.4 mg/kg body weight i.v.) with no lameness; and PBZ with lameness. Blinded heart rate (HR) and lameness score (LS) were assessed every 20 min for 2 h and then hourly through 9 h. At 1 h SAL or PBZ was administered. Jugular venous samples were obtained at hours 0, 1, 2, 4, 6, and 8 and wer...
Equine laminitis: membrane type matrix metalloproteinase-1 (MMP-14) is involved in acute phase onset.
Equine veterinary journal    January 8, 2008   Volume 40, Issue 5 482-487 doi: 10.2746/042516408X270353
Kyaw-Tanner MT, Wattle O, van Eps AW, Pollitt CC.Enzymatic separation at the hoof lamellar dermal-epidermal interface may play a role in the development of laminitis and characterising and locating matrix metalloproteinases (MMPs) and their inhibitors (tissue inhibitors of MMPs or TIMPs) in lamellar tissues may further understanding of pathogenesis. Objective: To clone and sequence the cDNA encoding lamellar MMP-14 and TIMP-2, and quantify their transcription in normal and laminitic tissue; and to develop antibody to locate MMP-14 in lamellar tissues. Methods: Tissue samples were obtained from an oligofructose induced model of laminitis. Tot...
Pharmacokinetics of tilmicosin in equine tissues and plasma.
Journal of veterinary pharmacology and therapeutics    January 8, 2008   Volume 31, Issue 1 66-70 doi: 10.1111/j.1365-2885.2007.00909.x
Clark C, Dowling PM, Ross S, Woodbury M, Boison JO.The macrolide antibiotic tilmicosin has potential for treating bacterial respiratory tract infections in horses. A pharmacokinetic study evaluated the disposition of tilmicosin in the horse after oral (4 mg/kg) or subcutaneous (s.c.) (10 mg/kg) administration. Tilmicosin was not detected in equine plasma or tissues after oral administration at this dose. With s.c. injection, tilmicosin concentrations reached a maximum concentration of approximately 200 ng/mL in the plasma of the horses. Tilmicosin concentrations in plasma persisted with a mean residence time (MRT) of 19 h. Maximum tissue resid...
A nodular granulomatous posthitis caused by Halicephalobus sp. in a horse.
Veterinary dermatology    January 8, 2008   Volume 19, Issue 1 44-48 doi: 10.1111/j.1365-3164.2007.00643.x
Muller S, Grzybowski M, Sager H, Bornand V, Brehm W.This report describes a case of nodular posthitis caused by Halicephalobus gingivalis in a 24-year-old warmblood horse. Macroscopic examination revealed a multinodular, partially ulcerated mass on the external lamina of the prepuce. Nematode migration from unfixed biopsy material in phosphate-buffered saline revealed adult nematodes with the typical morphological features of H. gingivalis: distinctive rhabditiform oesophagus with corpus, isthmus and bulb and the dorsoflexed ovary. The main histopathological features consisted of submucosal confluent granulomatous foci containing cross- and tan...
Pharmacokinetics of tramadol in horses after intravenous, intramuscular and oral administration.
Journal of veterinary pharmacology and therapeutics    January 8, 2008   Volume 31, Issue 1 60-65 doi: 10.1111/j.1365-2885.2007.00929.x
Shilo Y, Britzi M, Eytan B, Lifschitz T, Soback S, Steinman A.Tramadol is a centrally acting analgesic drug that has been used clinically for the last two decades to treat moderate to moderately severe pain in humans. The present study investigated tramadol administration in horses by intravenous, intramuscular, oral as immediate-release and oral as sustained-release dosage-form routes. Seven horses were used in a four-way crossover study design in which racemic tramadol was administered at 2 mg/kg by each route of administration. Altogether, 23 blood samples were collected between 0 and 2880 min. The concentration of tramadol and its M1 metabolite were ...
Actinomyces species as a cause of abscesses in nine horses.
The Veterinary record    January 8, 2008   Volume 162, Issue 1 18-20 doi: 10.1136/vr.162.1.18
Fielding CL, Magdesian KG, Morgan RA, Ruby RE, Sprayberry KA.The characteristics, history, clinical signs, treatment and outcome of nine horses with abscesses caused by Actinomyces species were reviewed. dna sequencing was used to determine the species of one of the isolates. The horses were one to 11 years of age, and the abscesses were most commonly located in the submandibular and retropharyngeal regions. The bacterium was usually cultured as the sole isolate and the horses were most often affected in the autumn. Most of the abscesses were treated with antimicrobials and drainage, but some of them recurred. The horses with submandibular abscesses had...
A comparison of coprological, serological and molecular methods for the diagnosis of horse infection with Anoplocephala perfoliata (Cestoda, Cyclophyllidea).
Veterinary parasitology    January 8, 2008   Volume 152, Issue 3-4 271-277 doi: 10.1016/j.vetpar.2007.12.032
Traversa D, Fichi G, Campigli M, Rondolotti A, Iorio R, Proudman CJ, Pellegrini D, Perrucci S.Anoplocephala perfoliata (Cestoda, Cyclophyllidea), the commonest intestinal tapeworm of horses, can cause colic, intussusceptions, ileal impactions and intestinal perforations. Common diagnostic techniques for A. perfoliata infection, i.e. coprology and serology, show inherent limitations in terms of sensitivity and specificity and new approaches are thus required. Hence, the present study compared the reliability of coprological, serological (i.e. ELISA) and molecular (i.e. nested PCR) methods in detecting A. perfoliata infection in naturally infected horses and in horses treated with a comb...
Sperm morphology and chromatin integrity in Swedish warmblood stallions and their relationship to pregnancy rates.
Acta veterinaria Scandinavica    January 7, 2008   Volume 50, Issue 1 2 doi: 10.1186/1751-0147-50-2
Morrell JM, Johannisson A, Dalin AM, Hammar L, Sandebert T, Rodriguez-Martinez H.Artificial insemination is not as widely used in horses as in other domestic species, such as dairy cattle and pigs, partly because of the wide variation in sperm quality between stallion ejaculates and partly due to decreased fertility following the use of cooled transported spermatozoa. Furthermore, predictive tests for sperm fertilising ability are lacking. The objective of the present study was to assess sperm morphology and chromatin integrity in ejaculates obtained from 11 warmblood breeding stallions in Sweden, and to evaluate the relationship of these parameters to pregnancy rates to i...
Cystic echinococcosis in equids in Italy.
Parasitology research    January 6, 2008   Volume 102, Issue 4 815-818 doi: 10.1007/s00436-007-0862-7
Varcasia A, Garippa G, Pipia AP, Scala A, Brianti E, Giannetto S, Battelli G, Poglayen G, Micagni G.Between March 2003 and February 2007, the livers and the lungs of 2,231 horses from various Italian regions were examined for cystic echinococcosis presence at the time of slaughter. Hydatid cysts were found in six horses, namely four from Sardinia, one from Sicily, and one from Tuscany. The location, number, morphology, and fertility of the cysts found were determined. DNA was extracted from the germinal layers and protoscoleces of the fertile cysts and polymerase chain reactions (PCR) were performed in order to strain type DNA isolates for reduced nicotinamide adenine dinucleotide dehydrogen...
Retrospective study of palmar/plantar annular ligament injury in 71 horses: 2001-2006.
Equine veterinary journal    January 4, 2008   Volume 40, Issue 3 237-244 doi: 10.2746/042516408X271217
Owen KR, Dyson SJ, Parkin TD, Singer ER, Kristoffersen M, Mair TS.Constriction of the digital flexor tendon sheath (DFTS) and its contents by the palmar/plantar annular ligament (PAL) is well recognised. However, primary injury of the PAL has not been well documented. Objective: To describe the clinical features of PAL injury, determine its prevalence with or without subcutaneous fibrosis and/or concurrent injury within the DFTS, and assess response to treatment. Methods: Horses were selected for inclusion based upon clinical features consistent with PAL injury and the presence of a thickened PAL (> or =2 mm) verified ultrasonographically. A retrospective...
Effects of long-term oral administration of levothyroxine sodium on glucose dynamics in healthy adult horses.
American journal of veterinary research    January 3, 2008   Volume 69, Issue 1 76-81 doi: 10.2460/ajvr.69.1.76
Frank N, Elliott SB, Boston RC.To determine the effects of long-term oral administration of levothyroxine sodium (L-T(4)) on glucose dynamics in adult euthyroid horses. Methods: 6 healthy adult mares. Methods: Horses received L-T(4) (48 mg/d) orally for 48 weeks. Frequently sampled IV glucose tolerance test procedures were performed on 3 occasions (24-hour intervals) before and at 16, 32, and 48 weeks during the treatment period. Data were assessed via minimal model analysis. The repeatability of measurements was evaluated. Results: During treatment, body weight decreased significantly from the pretreatment value; mean +/- ...
Effects of dexamethasone administration on insulin resistance and components of insulin signaling and glucose metabolism in equine skeletal muscle.
American journal of veterinary research    January 3, 2008   Volume 69, Issue 1 51-58 doi: 10.2460/ajvr.69.1.51
Tiley HA, Geor RJ, McCutcheon LJ.To determine the effects of dexamethasone treatment on selected components of insulin signaling and glucose metabolism in skeletal muscle obtained from horses before and after administration of a euglycemic-hyperinsulinemic clamp (EHC). Methods: 6 adult Standardbreds. Methods: In a balanced crossover study, horses received either dexamethasone (0.08 mg/kg, IV, q 48 h) or an equivalent volume of saline (0.9% NaCl) solution, IV, for 21 days. A 2-hour EHC was administered for measurement of insulin sensitivity 1 day after treatment. Muscle biopsy specimens obtained before and after the EHC were a...
Hypertension and insulin resistance in a mixed-breed population of ponies predisposed to laminitis.
American journal of veterinary research    January 3, 2008   Volume 69, Issue 1 122-129 doi: 10.2460/ajvr.69.1.122
Bailey SR, Habershon-Butcher JL, Ransom KJ, Elliott J, Menzies-Gow NJ.To determine the metabolic phenotype of a group of laminitis-prone ponies when at pasture in summer, compared with when at pasture in winter. Methods: 40 ponies of various breeds predisposed to recurrent pasture-associated laminitis and 40 unaffected control ponies. Methods: Body condition score and size of the crest of the neck were assessed, blood samples obtained, and blood pressure measured by use of an indirect oscillometric technique, while ponies were kept on winter pasture (last week of November or beginning of December) and again on summer pasture (June). Serum insulin concentration a...
Lameness, athletic performance, and financial returns in yearling Thoroughbreds bought for the purpose of resale for profit.
Journal of the American Veterinary Medical Association    January 3, 2008   Volume 232, Issue 1 85-90 doi: 10.2460/javma.232.1.85
Preston SA, Trumble TN, Zimmel DN, Chmielewski TL, Brown MP, Hernandez JA.To characterize lameness during training and compare exercise variables and financial returns among yearling Thoroughbreds that were bought for the purpose of resale for profit. Methods: 40 yearling Thoroughbreds. Methods: Prospective study. Methods: Horses purchased at yearling sales (summer 2004) were trained prior to resale at 2-year-olds in training sales (spring 2005). Horses were monitored daily for diagnosis and treatment of lameness during training. Selected variables, including sex, age, purchase price, lameness, distance (No. of furlongs) galloped during training, and financial retur...
In vitro cell compatibility and antibacterial activity of microencapsulated doxycycline designed for improved localized therapy of septic arthritis.
The Journal of antimicrobial chemotherapy    January 3, 2008   Volume 61, Issue 2 332-340 doi: 10.1093/jac/dkm491
Haerdi-Landerer MC, Suter MM, Steiner A, Wittenbrink MM, Pickl A, Gander BA.For the treatment of septic arthritis in large animals, the local application of antibiotics as a slow release system may be an appropriate means to reach high local bioactivity and low systemic side effects and drug residues. In this study, doxycycline microspheres were developed and tested in vitro for their drug-release properties, suitability for intra-articular application and antimicrobial activity. Methods: The development of a slow release system was achieved by microencapsulation of the drug into poly(lactide-co-glycolide) microspheres by a novel ultrasonic atomization method. Drug el...
Follicle and systemic hormone interrelationships during spontaneous and ablation-induced ovulatory waves in mares.
Animal reproduction science    January 3, 2008   Volume 106, Issue 1-2 181-187 doi: 10.1016/j.anireprosci.2007.12.018
Ginther OJ, Jacob JC, Gastal MO, Gastal EL, Beg MA.The characteristics of ovulatory follicular waves were studied for spontaneous waves and waves induced during the next estrous cycle by ovarian follicle ablations and administration of PGF2alpha 10 days after ovulation in 21 mares. In the induced group, both the days of the FSH surge and day of deviation were more synchronized, LH concentrations were greater before and after deviation, estradiol concentrations were greater after deviation, and the ovulatory follicle grew at a faster rate (3.4+/-0.2 compared with 2.7+/-0.1 mm/day). The frequency of two dominant follicles/wave was not different ...
Effects of an intravenous endotoxin challenge on glucose and insulin dynamics in horses.
American journal of veterinary research    January 3, 2008   Volume 69, Issue 1 82-88 doi: 10.2460/ajvr.69.1.82
Tóth F, Frank N, Elliott SB, Geor RJ, Boston RC.To evaluate the effects of endotoxin administered IV on glucose and insulin dynamics in horses. Methods: 16 healthy adult mares. Methods: Each week of a 2-week randomized crossover study, each horse received an IV injection (duration, 30 minutes) of Escherichia coli O55:B5 lipopolysaccharide (LPS) in 60 mL of sterile saline (0.9% NaCl) solution (20 ng/kg) or sterile saline solution alone (control treatment). Frequently sampled IV glucose tolerance test procedures were performed at 24 hours before (baseline) and 24 and 48 hours after injection; glucose and insulin dynamics were assessed via min...