Equine Metabolic Syndrome (EMS) is increasingly recognised as a key factor in many cases of laminitis, particularly in ponies and native breeds. It is a condition linked to how the horse processes energy, making careful management essential. What Is EMS? EMS is characterised by: Insulin dysregulation Increased fat deposition (often regional) Higher risk of laminitis It is not simply a weight issue—it is a metabolic condition requiring ongoing attention. Recognising the Signs