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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.
Preliminary assessment of the leukocyte coping capacity as a point of care marker in horses with stress associated diseases.
BMC veterinary research    December 7, 2025   doi: 10.1186/s12917-025-05179-9
Jandová V, Huber N, AlMheiri FG, Bábor K, Trachsel DS.Stress represents a serious health and welfare concern; however, its objective assessment remains difficult. The equine gastric ulcer syndrome (EGUS) and orthopedic diseases that cause pain are among stress associated diseases in equine medicine. The leukocyte coping capacity (LCC) quantifies oxygen radical generation of neutrophil granulocytes which is altered under stress. Therefore, LCC could be a novel biomarker for stress in horses and we hypothesized that horses with stress associated diseases would have lower LCC values in comparison to horses without these diseases. Methods: In this ob...
Evaluation of the impact of acepromazine on tissue oxygenation in horses sedated with detomidine.
Research in veterinary science    December 6, 2025   Volume 200 106019 doi: 10.1016/j.rvsc.2025.106019
James AL, Vettorato E, Moura RA, Azevedo TMBPR, Mallicote MF, Chiavaccini L.Sedation with α₂-agonists can impair microcirculation and oxygen delivery. This prospective randomized crossover study investigated whether administering acepromazine maleate before detomidine hydrochloride maintains higher peripheral tissue oxygen saturation (StO₂) in sedated horses. Eight healthy adult horses randomly received intravenous detomidine (10 μg/kg) either alone (D) or in combination with acepromazine (20 μg/kg; DA), with a one-week washout. Hemoglobin concentration and central venous oxygen saturation (ScvO₂) were measured at baseline. Tissue oxygen saturation, tissue ...
A Simplified 3D-Plasma Culture Method for Generating Minimally Manipulated Autologous Equine Muscle-Derived Progenitor Cells.
Bio-protocol    December 5, 2025   Volume 15, Issue 23 e5526 doi: 10.21769/BioProtoc.5526
Graide H, Duysens J, Frank T, Mouithys-Mickalad A, Niesten A, Sandersen C, Ceusters J, Serteyn D.Musculoskeletal pathologies present challenges in athletic horses, often leading to functional impairment. The slow or limited regenerative capacity of bone, joint, and tendon/ligament injuries, coupled with the limitations of conventional treatments, highlights the need for innovative therapies such as ortho-biologics and mesenchymal stem/stroma cells. Traditional 2D cell culture systems with fetal bovine serum (FBS) fail to replicate the complexity of the in vivo environment, whereas 3D cultures more accurately mimic native tissue architecture and cell-cell interactions. This study describes...
Association Between Stride Parameters and Racetrack Curvature for Thoroughbred Chuckwagon Horses.
Sensors (Basel, Switzerland)    December 4, 2025   Volume 25, Issue 23 7376 doi: 10.3390/s25237376
van den Broek M, Chan ZYS, De Bruyne C, Garcia-Alamo K, Skotarek Loch S, Pfau T.Increased risk of musculoskeletal injury in galloping racehorses has been linked to decreased stride length and reduced speed over consecutive races prior to the injury. As racetrack curvature influences horses' maximal speed, we hypothesized it also affects stride parameters. During training sessions, twenty-eight wagon-pulling Thoroughbred Chuckwagon horses were equipped with Global Navigation Satellite System (GNSS) loggers, allowing for identification of speed, stride length (SL) and stride frequency (SF), and average speed, SL and SF were calculated for consecutive 100 m sections. Effects...
Preliminary investigation of equine veterinary hospital staff attitudes towards pain assessment in a single centre.
The Veterinary record    December 4, 2025   doi: 10.1002/vetr.6122
Curry O, Everett A, Pearson G, Dwyer C, Duncan J.Despite the availability of several equine pain assessment tools, their use in equine veterinary practice appears limited compared to small animal practice. This study explores potential barriers to equine pain assessment, as reported by staff at a single UK equine teaching hospital. Methods: Nine hospital staff members were interviewed using semi-structured interviews. Key themes were identified through reflexive thematic analysis. Results: Participants acknowledged the importance of pain assessment, yet highlighted limitations in current methods and their inconsistent use. Key challenges inc...
Full-laparoscopic nephrosplenic space closure with barbed knotless sutures in horses with left dorsal colon displacement without previous colon repositioning.
The Veterinary record    December 4, 2025   doi: 10.1002/vetr.6013
Willems T, Dias ABM, Dedecker L, Matamalas SS, De Lange L, de Beauregard T.Nephrosplenic space entrapment (NSE) has reported recurrence rates of 8%‒23%, and closure of the nephrosplenic space (NSS) has been shown to lower the incidence. Described techniques for nephrosplenic space closure (NSC) with concurrent left dorsal displacement (LDD) of the colon at the time of surgery consist of reducing the displaced colon prior to closure. Methods: A retrospective study was performed to evaluate the medical records of horse undergoing NSC between 2017 and 2024. A total of 18 horses with LDD at time of NSC and 21 without displacement at time of NSC were evaluated. Short- a...
Eco-friendly biodegradation processes for affordable wastewater treatment in agricultural and horse stable environments.
Water science and technology : a journal of the International Association on Water Pollution Research    December 4, 2025   Volume 92, Issue 11 1551-1566 doi: 10.2166/wst.2025.175
Tsytlishvili K.The pursuit of sustainable livestock farming and environmentally responsible agricultural practices has spurred the development of innovative and affordable wastewater treatment technologies. This study investigates new biological treatment approaches that integrate the complementary processes of filtration, biosorption, and biodegradation to enhance eco-friendly wastewater management. A novel treatment concept was developed, representing a modern modification of the biosorption method that combines the oxidation of organic pollutants with ammonium reduction by an immobilized biocenosis, achie...
Whole genome sequencing and phylogenetic analysis of the equine infectious anemia virus associated with 2017 Spain outbreaks.
BMC veterinary research    December 4, 2025   Volume 22, Issue 1 10 doi: 10.1186/s12917-025-05100-4
In 2017, Spain reported its first equine infectious anemia virus (EIAV) outbreak in 34 years, affecting three horses in two unrelated holdings in Candeleda (Ávila) and Serradilla (Cáceres), with no apparent epidemiological link between premises. Phylogenetic analysis of whole genome and the gene revealed that the Spanish EIAV strains form a distinct monophyletic clade, sharing more than 99% nucleotide identity, suggesting a common contamination event. Interestingly, these three viral strains seem to cluster with North American strains, sharing up to 80.12% nucleotide identity, notably with ...
Babesia caballi and Theileria equi in ticks from horses in four Indigenous communities of Costa Rica.
Journal of equine veterinary science    December 4, 2025   Volume 156 105750 doi: 10.1016/j.jevs.2025.105750
Posada-Guzmán MF, Jiménez-Rocha AE, Sánchez-Bermúdez JF, Romero-Zúñiga JJ, Dolz G.Equine piroplasmosis, caused by Babesia caballi and Theileria equi, is endemic in Costa Rica. However, the presence of these hemoparasites in tick vectors has not been documented in the country. Objective: To identify tick species infesting horses in four Indigenous communities and to determine the presence of B. caballi and T. equi DNA in ticks from piroplasmosis-positive horses. Methods: Ticks (n = 1063) were collected from 129 horses in four Indigenous communities. Species identification and sex classification were performed. From 76 PCR-positive horses, 203 ticks were analyzed for B. cabal...
Revisiting genital leptospirosis in large animals: impacts on reproductive health, diagnostic challenges, and future directions.
Journal of clinical microbiology    December 4, 2025   Volume 64, Issue 3 e0052525 doi: 10.1128/jcm.00525-25
Borges ALdSB, Aymée L, Lilenbaum W, Di Azevedo MIN.Leptospirosis, caused by spp. infection, is a globally significant zoonotic disease that affects a wide range of animals. Although renal colonization is well-documented, genital infection by leptospires remained less explored for decades, despite its impact on reproduction. Evidence suggests that genital infection occurs as a primary condition rather than secondary to renal colonization, particularly in cattle suffering from bovine genital leptospirosis (BGL), linked to chronic infections by strains of the Sejroe serogroup. In horses, a similar condition is suggested to be associated with str...
A modern AI framework integrating deep imputation, synthetic data balancing, and explainable modeling for survival prediction in horse colic.
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft    December 4, 2025   Volume 264 152767 doi: 10.1016/j.aanat.2025.152767
Ozger ZB, Cihan P, Ozaydin I.Artificial intelligence (AI) has emerged as one of the most transformative tools for developing clinical decision-support systems in veterinary medicine. Despite its growing use, its full potential remains underutilized in equine medicine, an area of both high economic and clinical importance. Accurate survival prediction in horses with colic is crucial for timely intervention and improved clinical outcomes. Methods: This study aimed to predict survival outcomes in horse colic cases by developing models that combine traditional machine-learning algorithms (XGBoost, Light Gradient Boosting Mach...
Efficacy of butylated hydroxytoluene nanoparticles in enhancing the quality and preservation of stallion chilled semen.
Veterinary research communications    December 3, 2025   Volume 50, Issue 1 62 doi: 10.1007/s11259-025-10977-5
Khalil WA, Mostafa HE, Derbala MK, Alfattah MA, Alhujaili W, Hassan MAE, El-Harairy MA, Abdelnour SA.Encapsulating natural antioxidants presents a robust strategy to neutralize oxidative stress, thereby improving semen preservation. Therefore, this study aimed to evaluate the efficacy of butylated hydroxytoluene nanoparticles (BHT-NPs) in improving stallion semen preservation by investigating sperm quality, redox balance, semen bacteriology, apoptosis, ultrastructure, and acrosome status of chilled stallion semen preserved at 4 °C for 72 h. This in vitro experiment was evidenced by molecular docking analysis. Twenty-five ejaculates from five stallions were collected and extended with 0 (BH...
A novel dataset of 2,362 equine fecal microbiomes from veterinary teaching hospitals across three countries reveals effects of geography and disease.
Animal microbiome    December 3, 2025   Volume 7, Issue 1 124 doi: 10.1186/s42523-025-00493-x
McAdams ZL, Campbell EJ, Dorfmeyer RA, Turner G, Shaffer S, Ford T, Lawson J, Terry J, Raju M, Coghill L, Cresci L, Lascola K, Pridgen T....Horses and other equids are reliant on the gut microbiome for health, and studies have reported associations between certain clinical conditions and features of the fecal microbiome. However, research to date on the equine fecal microbiome has often relied on small sample sizes collected from single and relatively localized geographic regions. Previous work also largely employs single timepoint analyses, or horses selected based on limited health criteria. Results: To address these limitations and expand our understanding of the core microbiome in health, and the changes associated with advers...
Radiographic imaging of the entheses of the equine thoracic foot.
The Veterinary record    December 3, 2025   Volume 198, Issue 4 e166-e175 doi: 10.1002/vetr.6024
Honnas DH, Fiske-Jackson AR, Fulkerson CV, Wilhite DR.An injury of a tendon or ligament of the equine foot is frequently a cause of lameness. The optimal radiographic projections delineating the entheses of five commonly injured tendons and ligaments of the foot should be described. Methods: The entheses of the collateral ligaments of the distal interphalangeal joint, the collateral sesamoidean ligaments of the navicular bone, the deep digital flexor tendon, the common digital extensor tendon and the distal sesamoidean impar ligament were isolated from a thoracic foot of three cadavers. Three standard radiographic projections (60-degree, dorsopro...
Genetic characterization of equine arteritis virus associated with outbreaks in the UK, 2019.
The Journal of general virology    December 3, 2025   Volume 106, Issue 12 002181 doi: 10.1099/jgv.0.002181
Bhat S, Karunakaran S, Frossard JP, Choudhury B, Steinbach F.Equine arteritis virus (EAV) is the causative agent of equine viral arteritis, a notifiable respiratory and reproductive disease of equids that causes significant losses to the equine industry. This study presents a comprehensive analysis of two EAV outbreaks in the UK in 2019, combining virus isolation, sequencing and phylogenetic analysis to provide a holistic understanding of EAV dynamics in these outbreaks. Genetic characterization revealed that all outbreak strains were similar to viruses detected in the UK and Europe from 2004 to 2011, belonging to phylogroup D and clustering in two grou...
Pharmacokinetics and Safety of a Single Subcutaneous or Intramuscular Dose of Ketamine in Healthy Horses.
Journal of veterinary pharmacology and therapeutics    December 3, 2025   Volume 49, Issue 2 141-149 doi: 10.1111/jvp.70037
Rangel A, Sellon DC, Sanz MG, Pinnell E, Pietras ZM, Villarino NF.Pharmacokinetics (PK) of intramuscular (IM) and subcutaneous (SC) ketamine in horses has not been described. This study aimed to evaluate the PK and safety of ketamine and its metabolites after a single SC or IM administration. In Phase 1, two horses received 0.5 or 1 mg/kg of ketamine via SC and IM routes. In Phase 2, eight horses received 0.5 mg/kg IM. Plasma or serum concentrations of ketamine and major metabolites were determined by a validated liquid chromatography-mass spectrometry method at baseline and selected intervals post-administration. Subcutaneous administration resulted in ...
Gut microbial signatures and cardiac-microbiota axis in Yili horses with divergent exercise-induced cardiac remodeling.
Frontiers in microbiology    December 3, 2025   Volume 16 1689293 doi: 10.3389/fmicb.2025.1689293
Bao Y, Wang T, Adina W, Yao R, Chu H, Yao X, Meng J, Wang J, Ren W, Zeng Y.This study aimed to investigate how different training outcomes affect the gut microbiota composition in racehorses. Twenty-six Yili horses underwent a 9-month conditioning training regimen under uniform husbandry and management conditions. Post-training, the horses were divided into an excellence group (D. Y group) and a general group (D. P group) based on their athletic performance, with the top 10 performers constituting the D. Y group and the bottom 10 the D. P group. Cardiac morphology and function were quantitatively assessed via echocardiography, and metagenomic sequencing was performed...
The effect of full-limb flexion tests on static and dynamic muscle activity and locomotion asymmetry in owner-sound horses.
Equine veterinary journal    December 2, 2025   doi: 10.1111/evj.70130
Jonkhart M, Serra Bragança FM, Smit IH, Brommer H, Suskens JJM.Flexion tests are commonly used in equine locomotion examinations to identify underlying locomotor issues, yet their neuromuscular effects remain poorly understood. Response variability raises concerns about their clinical value in lameness assessments and pre-purchase evaluations. Objective: Primarily, to investigate the effect of full-limb flexion tests on static (flexed position) and dynamic (subsequent trot-up) muscle activity. Secondarily, to assess their effect on locomotion asymmetry during trotting. Methods: In vivo experiments. Methods: Sixteen warmblood horses were randomly assigned ...
Metformin Protects Against Persistent Atrial Fibrillation in an Equine Model.
Circulation. Arrhythmia and electrophysiology    December 2, 2025   Volume 18, Issue 12 e013850 doi: 10.1161/CIRCEP.125.013850
Haugaard SL, Schneider MJ, Kjeldsen ST, Sattler SM, Bastrup JA, Saljic A, Birk JB, Hansen C, Synnestvedt JN, van Hunnik A, Sobota V, Carstensen H....Horses are one of the few animals that spontaneously develop atrial fibrillation (AF), making them a powerful model for studying AF mechanisms and treatment effects. Despite the initial effectiveness of treatment in horses and humans, AF-induced atrial remodeling compromises its long-term success. Observational studies have suggested that metformin may reduce the risk of AF, but its effects on progressive AF-induced atrial remodeling have yet to be evaluated in a high-fidelity large animal model. Unassigned: Here, we used a longitudinal horse model of tachypacing-induced self-sustained AF to c...
Equine coronary sinus and great cardiac vein anatomy relevant to cardiac electrophysiology.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    December 2, 2025   Volume 64 1-13 doi: 10.1016/j.jvc.2025.11.006
Ibrahim L, Cornillie P, Buschmann E, Demeyere M, van Loon G.The coronary sinus (CS) and great cardiac vein (GCV) are crucial in cardiac electrophysiology and can be arrhythmogenic in humans. In horses, CS/GCV catheterisation is increasingly performed for arrhythmia diagnosis and treatment. Improved anatomical understanding of these structures is needed to clarify relationships to surrounding structures. Methods: Postmortem examinations of 64 adult warmblood equine hearts were carried out. Middle cardiac vein and vein of Marshall ostia locations were described. Right atrial myocardial sleeve (MS) length was measured from the CS ostium. In 23 horses, CS/...
Subchondral and Osteochondral Unit Bone Damage in the Fetlock Region of Sport Horses Using Low-Field MRI: Case Series.
Animals : an open access journal from MDPI    December 2, 2025   Volume 15, Issue 23 3468 doi: 10.3390/ani15233468
De Zani D, Rabbogliatti V, Rabba S, Auletta L, Longo M, Zani DD.Damage to the osteochondral unit is a common cause of lameness in horses. Published descriptions of MRI findings of osteochondral unit and subchondral damage are currently lacking, and only a few reports describe outcomes in sport horses. The aims of this case series retrospective study were to describe different MRI patterns of osteochondral/subchondral pathology in the fetlock joint using low-field MRI and to provide outcome information. A total of 35 sport horses were included. Data regarding detailed clinical history, treatment and outcome were evaluated. MRI identified a total of 39 bone ...
Long-Term Prognosis of Complete Rupture of the Superficial Digital Flexor Tendon in 25 Horses – A Retrospective Study.
Schweizer Archiv fur Tierheilkunde    December 2, 2025   Volume 167, Issue 12 659-667 doi: 10.17236/sat00468
Stäubli T, Theiss F, Bischofberger A.A total of 48 horses with unilateral (n = 44) or bilateral (n = 4) overstrain-induced complete rupture of the superficial digital flexor tendon (SDFT) in the forelimbs were retrospectively analysed. A telephone questionnaire, carried out an average of 5,9 years post-injury, served as a long-term follow-up in 25 horses. The mortality rate associated with SDF tendonitis was 12,0 % (3/25). Superficial digital flexor tendonitis did not recur in 76,0 % (19/25) of the horses, but at least one subsequent episode occurred in 24,0 % (6/25). The results of this study indicate that it is reasonable...
Dexmedetomidine Prolongs the Duration of Ropivacaine Corneal Anesthesia After Subconjunctival Injection in Healthy Horses.
Veterinary ophthalmology    December 1, 2025   Volume 29, Issue 2 e70124 doi: 10.1111/vop.70124
Lee S, Hector RC, Hess AM, Wotman KL.To determine whether dexmedetomidine prolongs corneal anesthesia following subconjunctival ropivacaine injection in healthy equine eyes. Methods: Ten horses with normal ophthalmic exams were enrolled in a randomized, blinded, crossover experiment with a minimum 4-week washout between treatments. Baseline corneal touch thresholds (CTT, cm) were measured via esthesiometry and a subconjunctival injection was performed in the treatment eye with ropivacaine (R, 0.3 mL 0.5%) or dexmedetomidine-ropivacaine (DR, 0.1 mL 0.5 mg/mL + 0.2 mL 0.5%) and saline (control, 0.3 mL) in the contrala...
Generalized steatitis in a miniature horse filly with laminitis and a positive outcome at 18-month follow-up.
The Canadian veterinary journal = La revue veterinaire canadienne    December 1, 2025   Volume 66, Issue 12 1292-1296 
Johnson A, Karam B, Schroeder O, McKaig L, Loesch K.A 12-month-old miniature horse filly was presented because of laminitis, suspected lymphangitis, and pyrexia. Although the filly's initial physical examination and diagnostic tests suggested an infectious etiology, ultrasonographic findings were suspicious for generalized steatitis. This was confirmed histopathology. The filly experienced full recovery with continued resolution of clinical signs at 18 mo after presentation. This case included aspects similar to those of previously reported clinical presentations, as well as long-term follow-up in a breed that is not overrepresented, providing...
Multi-pathogen lower respiratory tract infection including a fungal agent in a yearling mustang filly.
The Canadian veterinary journal = La revue veterinaire canadienne    December 1, 2025   Volume 66, Issue 12 1279-1285 
Calero IM, McKenzie EC, Johns JL.This report describes the diagnosis and successful management of a yearling filly with Coombs-positive anemia, thrombocytopenia, and fungal pneumonia. Diagnostic procedures, including thoracic ultrasonography and radiography, respiratory pathogen PCR testing, and evaluation of tracheal wash and bronchoalveolar lavage samples established multi-pathogen lower respiratory tract infection including a fungal agent. Orally administered voriconazole was a key component of treatment in this case to successfully eliminate fungal infection, alongside therapies for managing hematologic disease. This case...
Use of a Fogarty balloon catheter for management of distal nasolacrimal duct atresia in a standing sedated horse.
The Canadian veterinary journal = La revue veterinaire canadienne    December 1, 2025   Volume 66, Issue 12 1273-1278 
Bourassi S, Jack H, Florczyk A.A 4-year-old Arabian cross paint mare was referred for evaluation of chronic mucopurulent discharge and epiphora of the left eye. Ophthalmic and radiographic evaluations confirmed distal nasolacrimal duct atresia with absence of the nasolacrimal orifice. Initial minimally invasive treatments, including guidewire-assisted catheterization and diode laser photoablation, were unsuccessful. Definitive treatment was achieved using a Fogarty arterial embolectomy catheter under standing sedation. Controlled balloon inflation and deflation enabled progressive dilation of the obstructed duct, and a surg...
Treatment evaluation using ultrasonographic scanning of the spleen in Arabian horses affected by babesiosis.
Open veterinary journal    November 30, 2025   Volume 15, Issue 11 5799-5805 doi: 10.5455/OVJ.2025.v15.i11.35
Almaqhawi AA, El-Jalii IM, Al-Sabi MNS, Al-Ali A, Khalid AM, Abduljawad M, Shawaf T.Equine babesiosis is a widespread protozoan disease in Saudi Arabia. The most common finding of clinical babesiosis is splenomegaly, which can be detected using non-invasive splenic ultrasonography. Unassigned: This study aimed to investigate changes in the spleen size in horses infected with babesiosis using ultrasonography before and after treatment. Unassigned: This study employed 15 male and female Arabian horses. Each animal was examined clinically for clinical signs, and blood samples were collected in plain tubes to detect antibodies against . The spleens of healthy and affected horses ...
Introducing an Innovative Pain Scale for Assessing Postpartum Pain in Mares: Preliminary Clinical Evaluation.
Animals : an open access journal from MDPI    November 30, 2025   Volume 15, Issue 23 3454 doi: 10.3390/ani15233454
Bolesławska-Szubartowska J, Kucharczuk M, Skrabska A, Zbysław A, Adamowicz J, Alszko A, Domagalska-Stomska K, Durska M, Dziekcierów A....Pain after giving birth is commonly observed in horses, yet there has not been a specific tool developed for assessing this pain in postpartum mares. The goal was to adapt existing equine pain scales and to preliminarily validate a practical pain scale for use by veterinarians and caregivers after foaling. Methods: The pain scale was developed by adapting items from other pain scales, including established orthopedic and colic equine pain scales, and incorporating caregiver feedback. The final scale includes eight areas for assessing pain: behavior, facial expressions, vital signs, udder exami...
Tackling equine antimicrobial resistance: introducing REIN In AMR.
The Veterinary record    November 28, 2025   Volume 197, Issue 11 454 doi: 10.1002/vetr.70144
Barber C, McGlennon A, Whitlock F, Grewar J, Spalding S, Newton R, Dewé T.Charlotte Barber, Abigail McGlennon, Fleur Whitlock, John Grewar, Sophie Spalding, Richard Newton and Tamsin Dewé introduce a new government-funded initiative to strengthen the surveillance of antimicrobial resistance in the equine sector.
Bile acids segregate metabolic syndrome in a cohort of 100 deeply phenotyped horses.
Communications biology    November 27, 2025   Volume 8, Issue 1 1711 doi: 10.1038/s42003-025-09111-7
Donnelly CG, Peng S, Pflieger L, Manfredi J, Coleman M, Rappaport N, Price ND, Finno CJ.Metabolic syndrome (MetS)-encompassing obesity, insulin resistance, dyslipidemia, and hypertension-is prevalent in both humans and horses, offering a unique opportunity to explore shared pathophysiological mechanisms across species in a controlled model organism. In this first report from the Pioneer 100 Horse Health Project (P100HHP), we conducted a longitudinal, multi-omic analysis of 108 deeply phenotyped horses to interrogate individual health trajectories for precision insights into MetS. We identified two primary metabotypes: one characterized by elevated unsaturated triglycerides (TGs) ...