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CRP/Albumin Ratio (CAR) – A disease severity index

C-Reactive Protein (CRP) and albumin have long been used independently as markers for prognosis.  Patients with either high inflammation or low albumin have tended to have worse outcomes.  The use of the C-reactive protein/ albumin ratio (CAR) is growing in human medicine as a prognostic index for disease severity. With the growing use of CRP […] Read more »

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Cancer Risk Assessment – Understand, Implement, and Interpret.

Background: Early detection of disease allows for more treatment options and often results in better outcomes. Canine cancer is unfortunately a disease that can stay well hidden for a long time before becoming clinically evident, far into development. The Cancer Risk Assessment (CRA) is a blood test to screen apparently healthy dogs for early signs […] Read more »

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Cancer Risk Assessment for dogs

Background: Early detection of disease allows for more treatment options and often results in better outcomes. Canine cancer is unfortunately a disease that can stay well hidden for a long time before becoming clinically evident, far into development. The Cancer Risk Assessment (CRA) is a blood test to screen apparently healthy dogs for early signs […] Read more »

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What’s the deal with Magnesium?

It’s clear magnesium (Mg) is important – it’s a cofactor to over 600 enzymatic processes within the body, and the second most abundant intracellular cation.  Mg is required for DNA, RNA, protein synthesis, and energy metabolism through its involvement in cell receptor processes. Receptor DysfunctionEvery receptor needs Mg to function.  It is involved in the […] Read more »

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B12 and VitD Insufficiency

Cobalamin (B12) and 25-hydroxy-vitamin D (25D) are dietary derived in both cats and dogs.  Studies have shown 25D insufficiency to be a major problem in both species and worsen with age (1,2).  B12 malabsorption is strongly associated with both chronic enteropathies (IBD) and exocrine pancreatic insufficiency (EPI) (3,4).  But is there a relationship between the two? […] Read more »

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Cobalamin and Folate Deficiencies in Cats and Dogs

It is common practice to utilize the term “B12/folate” as if it were one, which makes sense when looking at their biological pathways. Both are required for the methylation of homocysteine to methionine. However when discussing sources and deficiencies, they are very different. Whereas the opportunities for cobalamin deficiency are numerous, folate deficiencies are far less common. […] Read more »

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The Complexities of B12 Complexes

Cobalamin (B12) metabolism requires many complex pathways, in which a breakdown of any could lead to B12 deficiency.  In a system that has many points for breakdown, having adequate B12 begins with a quality food source.  Like vitamin D, animal protein is the primary source of B12 – a concern with vegan diets. Provided there is […] Read more »

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Comparison of Oral and Parenteral Cobalamin Supplementation in Dogs

It is well documented that cats and dogs with chronic enteropathies (CE), intestinal lymphoma, or exocrine pancreatic insufficiency are often cobalamin (B12) deficient (1,2). Problems with intrinsic factor binding to ileal receptors in the diseased tissue leads to B12 deficiency. Current supplementation protocol calls for repeated parenteral injections of hydroxycobalamin over 6 weeks bypassing the diseased tissue. […] Read more »

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Vegan Pets: Are they getting their essential vitamins?

As humans we tend to humanize our pets, known as anthropomorphism.  Birthday parties, outfits, special treats, Americans are truly making their pets part of the family. Nutrition and the desire to provide high-quality food is a booming business and with a growing prevalence of pet owners moving to a meat-less diet due to health, environment, or […] Read more »

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Integrating CRP into routine practice

In dogs, C-reactive protein (CRP) is a major acute phase protein produced in response to inflammation and the release of cytokines.   It has been shown to be an effective measure of general inflammation.  Inflammation is involved in both the initiation and propagation of many disease processes.  While non-specific, it is very sensitive to developing problems. […] Read more »