OK so here’s a live wire issue for you: How do vets choose which foods to recommend? What goes into this decision? How educated, effective and ethical is it really?
Some of you are smart; you’ve been around the block more than a few times and now you’re jaded on the vets and nutrition thing. I don’t doubt that you have a reason to be. Nutrition is one of the few areas in which we vets don’t necessarily excel. And we’re not alone. That’s a perfect mirror of the human medical paradigm, too.
Nutrition is a big black box when it comes to science. We just don’t know as much about the intricate workings of the highly integrated system of organs involved as we’d like to think we do.
I’m just as cynical as you are. I speculate this dearth of knowledge exists (at least in part) because there’s not a lot of money to be made in human medicine when it comes to food. So our science is weak on nutrition because commerce drives most of our medical developments—and there’s little cash to be had in the slippery science of nutrition, despite the pressing social need for it.
Take the issues of obesity and diabetes in humans. There’s lots more money to be made off drugs than in nutritional and behavioral solutions combined. The system is built so that scarce research dollars get channeled into money-making ventures wherever possible—to the detriment of obese diabetics (especially within low-income populations where drugs are less affordable) and the overburdened service arm of our inefficient healthcare system.
Vet medicine lags even further in real science on nutrition, though the relatively recent explosion in pet healthcare and food markets might have you suspecting otherwise. Just as drugs seem to run the show in human medicine, packaged foods, made by an oligarchy of pet food producers, play an identical role in the veterinary version of nutrition research.
Add in the “grassroots” commercial factor—where vets have been recruited to sell foods at a sizable margin based on our “expert knowledge”—and it makes the already-cynical among us feel even more justified in our skepticism.
Here’s a little history lesson:
When vet medicine began to get more specialized and pets surfaced as the new focus of our profession’s attention (thanks to the cultural shift in attitudes on the importance of pets in American family life), nutrition science in schools was present in abundance—due to the influence of agricultural animal medicine in the curriculum.
But vet schools were forced to re-shape their research and curricula to support pet medicine’s emerging potential. In the process, many schools effectively outsourced nutrition, preferring to concentrate on the sexier, more service-oriented sciences.
This made some sense at the time—since industry already had nutrition in the bag, as it were. Our dwindling funds were better spent in other areas, were they not? Especially now that states didn’t want to fund us because we’d moved away from agribusiness support. If we wanted to survive (and survival was indeed in question for a lot of schools, including mine for a time) we had to accept some help from industry, didn’t we?
So our researchers were hired away to more affluent industry jobs with gleaming labs and cozier retirement packages. In turn, the pet food companies promised to work closely with us in the development of their foods while sponsoring our research and funding scholarships to our students.
Never mind that a veterinary school should be an independent research institution free from industry influence. Never mind that the pet food companies had near-full control of our profession’s future when it comes to food. Sure, there were some holdouts. But all schools were affected to one degree or another.
Tomorrow I’ll discuss how this historical change in research and education has effectively shaped how we practice vet medicine today—and what it means for you and your pets.
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There seems to be a scientific basis behind some of them ... if you have a diabetic person, you change their diet, so why not do the same for diabetic cats? The z/d has low MW proteins to reduce immune response (makes sense based on intestinal function). Have you seen (or not seen) clinical responses when you use vet diets? I ask partly out of scientific interest (PhD in molbio) and partly because my vet just gave me z/d for my severely IBD cat.
Brooke June 11th, 2007 09:27:00 PM
Dr. Patty,
Do you have any recommendations for current vet students who wish to have a better understanding of what little we DO know about animal nutrition, preferably without the 'help' of the food companies?
Ingrid June 12th, 2007 10:22:00 AM
Brooke: For pets with GI absorption issues (inflammatory issues, cancers, pancreatic enzyme disorders), these hydrolyzed proteins seem to help quite a bit. They're more readily absorbed, goes the party line. Indeed, Z/D is perhaps the most "useful" new food to hit the market in many many years.
Dr. Patty Khuly June 13th, 2007 07:58:00 AM
Ingrid: Yes, I have a suggestion. Lobby your faculty and administration for more comprehensive, independent nutrition programs. Push for new faculty hires through your student government. Recruit students at other stchools to help stir the pot nationwide. Use the pet food recall as a perfect plank for beginning a student-led, grassroots movement to improve nutrition curricula. Easier said than done, of course. But a journey of a thousand miles...
Also--Feel free to accept all pet food freebies, but don't feel you owe them anything in return beyond your personal opinion and your questions. (It's great practice for handling the reality of drug company tactics you'll face throughout your professional life.) When you graduate, accept a job at a practice that doesn't rely on pet food retail as a big percentage of your income. Strive to charge reasonable prices for your *services* not for your products. recognize that your value lies in your skills, not in your role as a pharmacist or pet food retailer.
How was that?
Dr. Patty Khuly June 13th, 2007 08:11:00 AM
Oh--I almost forgot: As to the learning nutrition thing...when I was in school, there were at least a couple of schools that offered externships in small animal clinical nutrition. If they still exist, take time out of your fourth year to spend a couple of weeks getting comfortable with nutrition in a clinical setting. That's what's largely missing from our nutrition training, IMHO.
Dr. Patty Khuly June 13th, 2007 08:14:00 AM
Thanks Dr. Patty. Your comments are well taken. I'm very interested in nutrition and sadly, I am not really looking forward to that part of vet school as I start in August. Actually, I feed a raw diet and feel like I'm going to have to remain 'in the closet' until I feel out the atmosphere, but that also rules out any dealings with the pet food companies. It's such a loaded issue...
Thank you for responding to my inquiry and for your helpful suggestions.
Ingrid June 13th, 2007 09:00:00 AM
http://www.petfood-bad.blogspot.com/
Here's an article that the Canadian Veterinary Journal refused to publish by a Canadian vet who is speaking up about the dangers of prescription diets.
It was eventually publilshed on the VIN network, and is now on this blog for the public to be able to access.
cat girl June 16th, 2007 08:06:00 AM
Interesting post.
I find the general lack of knowledge regarding nutrition among veterinarians frustrating, to say the least. How many even read Dr. Debra Zoran's very thoughtful article on feline nutrition? I've seen prescription diets like c/d, w/d, z/d, m/d, and k/d fail and fail again. Studies show cats fed prescription diets are the most likely to be obese.. Yet, these diets continue to be prescribed with little thought, it seems.
I've worked with many cats with IBD, diabetes, kidney disease... and have found the internet and a few veterinarians who make themselves available online a much better resource than the prescription diets.
Check out felineoutreach.org, catnutrition.org, catinfo.org, and yourdiabeticcat.com - all great sources for information on feeding cats properly.
Lynette June 16th, 2007 12:41:00 PM
I promise to check them all out, Lynnette. Thanks for offering.
Dr. Patty Khuly June 20th, 2007 11:16:00 AM
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