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Equine Metabolic Syndrome (EMS): Feeding and Management Considerations

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.


Native ponies


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



Common indicators include:


  • Fat deposits along the crest, shoulders, or tail head

  • Easy weight gain

  • Difficulty losing weight

  • History of laminitis



Early recognition allows for more effective management.





Feeding Strategies



Feeding plays a central role in managing EMS.


Key principles include:


  • Low sugar and starch intake

  • High fibre forage

  • Controlled grazing

  • Consistent feeding routines



Managing intake is often more important than the type of feed alone.





The Role of Nutritional Support



Targeted nutritional support may help maintain:


  • Normal metabolic function

  • Balanced nutrient intake

  • Overall wellbeing



Any supplementation should be used alongside appropriate dietary control.





Management Beyond Diet



Effective EMS management also includes:


  • Regular exercise (where appropriate)

  • Weight monitoring

  • Grazing control strategies



Consistency remains the most important factor.





Long-Term Outlook



With careful management, many horses and ponies with EMS can be maintained successfully and lead active lives.


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Dr Silver EMS & Insulin Support PRO
Dr Silver EMS & Insulin Support PRO


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