Monday, March 14, 2011

Arkansas Veterinary Practice Act Definitions Sought for Guiding Exclusion of Farriers, Tooth Floaters, Other Professions

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Before you click "play" on the video, please take a minute to read this text so you will know what you are watching.

It's time for the politics of horsecare again. Or is it the politics of veterinary care?

We're back in Little Rock, Arkansas, and here are the gentlemen of the House Agriculture, Forestry & Natural Resources Permanent Subcommittee of Agriculture. They need to review all bills under their jurisdiction before they are presented to the legislature. We met them before, in late January, when they heard testimony on House Bill 1099 (video of that hearing is also posted). H.B. 1099 would have exempted a long list of animal care professionals from the all-encompassing but loosely defined description of veterinary medicine in the Arkansas Veterinary Practice Act. That bill was not voted forward by the committee.

So Representative Gary Smith came back again on March 9, with House Bill 1712. This bill was much more specific and only dealt with horsecare. In particular, 1712 would have exempted massage therapy, tooth floating, and farriery and hoofcare, although it would have created a state certification program for equine dental technicians.

The video you'll see in this video begins as the hearing for House Bill 1712. It, however, morphed into a presentation of a second bill; likewise, farriery and hoofcare morphed into "the lawful practice of horseshoeing". There is considerable discussion of what the lawful (or unlawful) practice of horseshoeing might be.

This is a very long discussion, but probably worth your time to have a listen. The second bill, known as House Bill 1763, was received more favorably and seems to be a compromise favored by the state veterinary board. Please note, however, that HB1763 is marked by the state government as "re-referred to committee" on the official state web site rather than approved. Reports in the press indicate that the bill was approved. This is a discrepancy.

For those who don't want to go through the video, the second bill went through an amendment process, in part to clarify the description of horseshoeing. The bill was amended to read: Arkansas Code § 17-101-307(b), concerning the practices that are excluded from the practice of veterinary medicine, is amended to read as follows: (b) This chapter shall not be construed to prohibit: (8) Any person: (A) Engaging in the art or profession of horseshoeing.

The meeting to amend HB 1763 was not videotaped, or the video is not available to the public.

If HB 1763 passes the legislature, it does not exempt massage therapy and tooth floating indefinitely; it only gives them a two-year moratorium from cease-and-desist orders from the veterinary board. After two years, some other bill should be waiting in the wings to take over, or these horse professionals may not be able to work in Arkansas.

Hopefully other states can learn from what is going on in these midwest states (Oklahoma and Texas are two other states with recent legislation) as they struggle with the interpretation of what veterinary medicine is, and isn't. According to the existing law in many states, veterinary medicine pretty much encompasses all care of animals. The time to have exempted professions was back when the draft veterinary practice act was introduced, but no one's ears were up then, or else no one ever thought that cease-and-desist letters would be sent out.

It seems pretty obvious that efforts to combine large and small animals or even cattle and horses, or to combine different professions makes it difficult for legislators and for people from agencies and businesses who would testify. It may be that it's every profession for itself. Arkansas has proven that quite clearly.

Another thing that seems obvious is that the legislators are looking for highly credible testimonies on these subjects. There's no question that they don't know much about the flow of services, or what happens when a horseowner needs some work done on a horse.  Before this legislation came up, they probably never gave it a thought beyond the fact that they knew that veterinarians make barn calls. They're getting an education and they're learning that the horse industry in their state employs a lot of people on a lot of levels. And it takes a support crew of professionals of many descriptions to keep a stable of horses adequately prepared for showing, racing or even just recreational riding.

No one who is elected by public votes wants to put people out of work, yet the state government is in the business of enforcing the laws and legislation it has on its books. These legislators have to stand behind their government's previous actions. Change may be necessary, but it may also be incremental...and painstakingly slow.

If I lived in Arkansas and was working in any of these professions, I think I would slow the process down even further and ask for more amendment to HB 1763 by defining each of the professions the way that tooth floating is defined. If someone has a natural hoofcare practice and does not engage in horseshoeing per se, is he or she not exempt? Must a shoe be on the horse for this law to stick? Now's the time to find that out, not when a cease-and-desist letter arrives in the mail. And to get it printed in the bill, not in a verbal assurance.

Maybe you're one of the people affected by legislative rumblings in Arkansas or other states. Maybe you're hoping this will just go away. Be careful what your wish is: it will be back, if people care about preserving your profession. If no one cares, your profession may be lost in a legislative or legal shuffle one day, and your livelihood along with it.

 © Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Friday, March 11, 2011

Laminitis Prevention Research: Ponies Adapt to Grazing Time Reduction by Eating More in Less Time

Recent laminitis prevention research soon to be presented at a biannual nutrition meeting in the United States suggests that ponies given reduced access to pasture are capable of ingesting considerable amounts of herbage during the time they are turned out and may indeed increase their intake during this time as they become accustomed to the routine.

Intake of large amounts of fructan and other rapidly fermentable carbohydrates by grazing ponies has been linked to the development of laminitis. As a result, it has become common practice for horse owners to follow advice from researchers, farriers, veterinarians and nutrition experts to restrict their ponies’ access to pasture, especially at key times of the day/year in order to reduce the risk.

The study, which was conducted at the Institute of Biological, Environmental and Rural Sciences (IBERS) at Aberystwyth University in Wales, in collaboration with the WALTHAM Equine Studies Group, aimed to investigate the effect of grazing restriction on herbage intake and grazing behavior in ponies.

The grazing behaviour of eight ponies was measured daily over a six-week period to assess their voluntary intake of herbage and to monitor the effects of restricting their access to pasture. Two groups of four pony mares were used. Group A had 24-hour access to pasture while the ponies in group B had three hours of pasture access per day and were stabled for the remaining 21 hours, with ad libitum access to haylage and water.

Herbage intake was estimated during the three hours when all the ponies were at pasture by monitoring the change in weight of each individual over the period. Grazing behaviour was analysed from video footage of the two groups using interval sampling. The ponies in group B had higher estimated grazed herbage intakes than those in group A during the three hours studied and this difference was significant during the final week, when they consumed 40% of their total daily dry matter intake as grass in the three hours at pasture. This compared with an intake of grass of around 25% of their daily dry matter ingested during the first week.

Clare Barfoot RNutr is the research and development manager at SPILLERS®, the British feed company. On learning of this research, she said: “This suggests that ponies with reduced access to pasture are capable of ingesting considerable amounts of grass during the time they are turned out and may indeed progressively increase their intake during this time, indicating that the behavior could be learned. The implication is that reducing ponies’ time out on normally managed pastures with the view to limiting the intake of rapidly fermentable carbohydrates may not be as effective as first thought.”

Reference: J. Ince, Institute of Biological, Environmental and Rural Sciences (IBERS). Aberystwyth University; A. Longland, ELNS, Pantafallen Fach, Tregaron, SY25 6NG C. J. Newbold, Institute of Biological, Environmental and Rural Sciences (IBERS). Aberystwyth University; ;& P. Harris, WALTHAM Centre For Pet Nutrition. (2011) Changes in proportions of dry matter intakes by ponies with access to pasture and haylage for 3 and 20 hours per day respectively for six weeks. Journal of Equine Veterinary Science (in press)

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Thursday, March 10, 2011

Theo Jansen's Anatomical Inspirations: Abstract Musing Can Help You Understand and Appreciate Hoof Design

Spring is in the air and a hoof blog editor's fancy turns to...kinetic sculpture. 
But you'll soon understand why.

To anyone who says we can't improve on the way that horses are trimmed or shod, or the way that lame and sick horses' legs are treated or cared for, I'd have to say we're just not trying hard enough. And the answer is not likely to come from tinkering with the designs and devices we already have in our hands.

Kinetic sculptor Theo Jansen builds 'strandbeests' out of PVC pipe and turns them out on the wild ranges of the sand on Dutch beaches. The goal is for his perpetual motion creations to become permanent, independent citizens of the sands.

Jansen's kite-like sculptures will trot along the beach on PVC legs and coffin joints.
That's right. He wants to turn them loose. It sounds like he's been watching some fantasy beer commercial where the wild horses run free forever.
You can't help but notice that his sculptures' legs and feet mimic the design of horse' limbs, right down to the single digit and breakover action of forward motion via a rotating distal joint.

I
Maybe Jansen's been reading the Hoof Blog and saw this extreme rocker rehab on a foundered foot from Loic Entwistle's photo files in Germany. I'm sorry I don't have more information about this photo. I don't even know if this is Loic's work. But the image has always intrigued me. It's a thought-provoker.

Think backwards for a minute. What if you could be Jensen and design a new hoof for the horse, one that would be easier to work on, to keep sound, to serve the horse on multiple surfaces, in multiple environments, under a rider's weights, in different sports?

What would your design parameters be for the lower limb and hoof? Where would you start--at the bottom? in the middle? Would you specify a model with replaceable (transplantable or implantable) parts?

There's no doubt that Nature designed an amazing structure that functions organically with perfection when everything's right. Humans just seem to muck it up, in one way or another. Bioengineering is on its way to being able to identify weak tissue structures; perhaps digital cushion implants will be possible soon, or coronary band grafting will allow rehab to be completed in six weeks instead of six months.

I suspect most of us would be happy to tinker with the parts to improve them, but we like the design just the way nature has given it to the horse, and to us to work on, to ponder, to study, to capitalize upon, or to admire.



Maybe we should invite Theo Jansen to watch our horses run on the racetrack. What we'd end up with in return might be a little different than what you''d see him sketch on a drawing board. Imagine a silky, kite-like kinetic sculpture floating around the infield of a dark racetrack at night, under its own perptual power, making eerie music like a chorus of call-to-the-post buglers playing a duet with every foghorn on the coast of Maine.

People would pay to see (and hear) something like that. I think they'd pay to see lots of things he does. Keep an eye on him, and his beests. I think he's trying to tell us something



© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
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Tuesday, March 01, 2011

Racetrack Horseshoer's Survey Launched by Grayson Jockey Club's Welfare and Safety of the Racehorse Summit


The Shoeing and Hoof Care Committee of the Grayson Jockey Club Foundation's Welfare and Safety of the Racehorse Summit has compiled an online survey to collect data from horseshoers at US racetracks. Information from the survey will be used to assist the committee's efforts to study how horseshoers are licensed by states or racing jurisdictions, and what changes horseshoers feel may be warranted in the system to improve the education of horseshoers and the welfare of the horses in their care.

A sub-committee of the Welfare and Safety of the Racehorse Summit's Shoeing and Hoof Care committee will use the results of this survey to gain information on topics, ideas and structure for a uniform national racetrack horseshoer test for state licensure. The committee feels that this step, which is similar to the Jockey Club's efforts in unifying Thoroughbred racetrack trainers' tests, will raise the bar of horseshoer qualifications and thereby boost the overall safety of the racehorse.

Hoofcare Publishing and The Hoof Blog have been asked to help disseminate news of the survey into the Thoroughbred racing shoeing community.


The survey is primarily an online questionnaire, and should only take a few minutes to complete.

To preserve the integrity of the survey, only those directly involved with racetrack horseshoeing should fill out the survey. This means: professional horseshoers who earn part or all of their living at the racetrack and are affected by state or track licensing.

An alternative path through the survey is available for trainers, owners, stable employees, racing officials, veterinarians, non-track horseshoers or others who are interested in expressing opinions about the practice of racetrack horseshoeing, but only racetrack shoers should answer the shoeing questions to preserve the survey's validity.


The committee has been collecting information for the past few years on state licensing and tests administered, and has sought the input of racetrack shoers in improving the process of testing new farriers. It is hoped that this survey will be able to reach many more horseshoers at tracks across the country.

A word about the survey: it is an automated program. Once you start to take the survey, you should finish it; you cannot go back and finish it later. The program will also prevent you from answering the survey more than once.

While the survey is anonymous, the Committee would like to hear more opinions from racetrack shoers, and has provided a comment section at the end of the survey for general feedback. Horseshoers are also invited to contact the committee directly to become involved in the efforts of the Welfare and Safety of the Racehorse Summit and the Shoeing and Hoof Care Committee.

Please click on the red survey badge to open the survey:


If viewing on a text-only or mobile device, the direct address of the survey is http://www.surveymonkey.com/s/farriersurvey

If you have any questions before you attempt to complete this survey, please contact Cathy O'Meara at comeara@jockeyclub.com. If you know someone who does not have Internet access but who should take the survey, Cathy will be able to help.

The Foundation has not provided a deadline date for completing the survey, but you should not delay in submitting your answers if you want to have an impact on the decision-making process.

Notification of this survey is provided as a public service by Hoofcare Publishing. Comments left on this blog post, by clicking on "comment" at the bottom of this article, once published, will be visible to anyone visiting this blog but will not go directly to the Grayson Jockey Club Foundation, so please make comments on their survey feedback area as well.


 © Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
Follow the Hoof Blog on Twitter: @HoofcareJournal
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Friday, February 25, 2011

Umbilical Stem Cells Show Promise in Pilot Study at Rood and Riddle Equine Hospital Podiatry Center

What's underneath that hoof cast? The latest laminitis therapy is virtually invisible to the observer, and may often covered with a foot cast.
The following article is provided by the Rood and Riddle Equine Hospital Podiatry Clinic in Lexington, Kentucky.

Background

Laminitis can be a devastating and expensive disease to treat. Today there is no true cure for the disease. However cases can often be rehabilitated back to varying degrees with the aid of therapeutic shoeing, foot management, and medical therapies. Although special foot management can in some cases return horses back to previous athletic use, others remain severely compromised and lame. Once the lamina detaches and the pedal bone displaces, each case heals back with varying degrees of stability. The tissue that heals the separated lamina is a combination of scar tissue, dysfunctional disorganized horn tissue (epithelial cells) and healthy lamina.

Additionally, these cases can suffer permanent damage to the growth centers of the foot such as the coronary band and the sensitive sole, further limiting their ability to heal. The degree of future stability most likely is dependent upon the type of tissue that heals the diseased region.

What are stem cells? What is regenerative medicine?

Stem cells are cells that have the ability to replicate themselves and regenerate tissue. They play an important role in embryonic and fetal development as well as repairing damaged tissue. Isolating these cells and using them for a targeted treatment with the intention to heal a specific area is the principle behind their potential use.

Stem cell therapy or regenerative medicine is an exciting, but relatively new area which has sparked great interest. Its potential use to influence the type of tissue that heals a diseased or damaged area is a great interest to the veterinary community.

How is Rood and Riddle approaching stem cell therapy for laminitis patients?

Rood and Riddle Equine Hospital is currently working on clinical-based research using stem cells on severe laminitic patients which have proven unresponsive to other treatments. The clinical use of stem cells is still in its early stages, but results appear promising and worth further investigation.

Since many laminitis cases can be rehabilitated with other modalities, it was determined to limit our clinical study to those cases which have been unresponsive to all other treatments. These cases failed to show sole or wall growth after shoeing, foot casting, slinging and, in many cases, after deep digital flexor tenotomy.

Stem cell therapy is an adjunctive therapy, used in conjunction with extensive medical and mechanical treatments. To date, Rood and Riddle's laminitis-specialist veterinarians selected cases based on poor response to the disease's normal treatment protocols at the clinic. (Fran Jurga photo)

To date we have used stem cell therapy on twelve cases as an adjunctive treatment. All but one case has responded with significant sole and wall growth in the affected feet. Typically signs of growth were evident within two weeks.

The one case that did not respond was a severe acute “sinker” (lamellar failure or detachment occurs around the entire hoof capsule causing the coffin bone to “sink”) ; the horse was sloughing the hoof and had severe soft tissue necrosis before treatment.

It is important to note that stem cell therapy alone will most likely offer little benefit in the unstable cases. As with all therapies these feet will require special management (shoeing, casting, sling, and DDF tenotomy) to help stabilize and support the foot while it is healing.

The stem cells used in Rood and Riddle's clinical laminitis research are harvested and cultured from the blood in umbilical cords of foals. (Joanna8555 photo)

Umbilical stem cells from newborn foals

Rood and Riddle's Stem Cell Lab is currently harvesting cells from the umbilical cord blood of newborn foals. Umbilical cord blood is collected at the time of birth, which provides a pool of stem cell which can be cultured and expanded for clinical use.

When these cells are used as a treatment on another horse, they are considered allogenic (from a donor) with the possible risk of rejection. However, no reactions in our cases have been noticed.

Stem cells can also be collected from fat or bone marrow and used specifically for that horse if needed. The best source of cells, timing, dose, administration, and route still need to be determined.


Case Study from Rood and Riddle Equine Hospital's Podiatry Clinic

The following case is a severe bilateral front foot sinker. This case had a deep digital flexor tenotomy, foot cast, and partial hoof wall resection. She failed to show any signs of wall or sole growth over a two-month period of time.

Stem cell therapy and foot casts were applied on both front feet as a last effort to save her. Within two weeks she showed signs of healthy wall and sole growth and improving her comfort level. Currently this mare is doing well; it has now been six months since treatment and she is turned out in a small paddock.


Left and right foot radiographs before treatment. Stem cell therapy was begun at this time along with foot casts and antibiotics.  Two weeks later the coronary band and sole began to show healthy growth.(Scott Morrison images)

These are radiographic images of a 10 year old thoroughbred mare with severe sinking of both front feet before and after stem cell therapy. The mare was treated with deep digital flexor tenotomy, foot casts and partial wall resections. The foot did not show any signs of improvement for over 2 months.

 This photo was taken at six weeks post stem cell treatment. Note the new, healthy wall growing from the coronary band. (Scott Morrison image)
Left and right feet six months after therapy with umbilical stem cells. (Scott Morrison images)
Watch for more news about the use of umbilical and other stem cells in horse foot problems.

Rood and Riddle Podiatry Clinic veterinarians working on the stem cell treatment cases mentioned in this article are (from left to right) clinic director Dr Scott Morrison, Dr Vern Dryden and Dr Raul Bras.
TO LEARN MORE: The Second Annual North American Veterinary Regenerative Medicine Conference (NAVRMC) is scheduled for June 2-4, 2011, at the Marriott Griffin Gate Resort in Lexington, Kentucky.  Held in collaboration with the University of California at Davis Center for Equine Health, Alamo Pintado Equine Medical Center and Rood & Riddle Equine Hospital, the NAVRMC is a three-day working meeting consisting of scientific presentations and discussion sessions on all aspects of stem cell therapy and regenerative medicine in horses and small animals.

The conference will bring together researchers and practitioners to discuss and apply this promising area of veterinary medicine. Topics will be a blend of research and practical application discussions.

New to the NAVRMC in 2011 is a special session for horsemen. The half-day forum, set for June 4, is open to all horse owners, trainers, and equine professionals who are interested in learning more about this rapidly growing area of veterinary science.

For complete NAVRMA sponsorship information, membership fees, and conference registration please visit www.navrma.org.

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Sunday, February 20, 2011

Winter Worry: Icelandic Horses Fell Through the Ice



Today's video is from the "greatest hits" vault here at Hoofcare & Lameness. Back in 2009, a near-tragic event in Iceland was captured on film: eleven champion Icelandic horses and riders plunged into a lake when the ice cracked and broke beneath them. The water was just deep enough that the horses could not get themselves out.

What happened next makes this video all the more worth watching. Luckily a film crew was on hand, and the footage was edited into an Animal Planet report.

Animal Planet asked for commentary from our friend Professor Hilary Clayton, BVMS, PhD, DACVSMR, MRCVS. At the time, Professor Clayton was the Mary Anne McPhail Dressage Chair in Equine Sports Medicine at Michigan State University's College of Veterinary Medicine, and she was probably the only academic expert in the gaits of Icelandic horses in the USA at that time. She'll be a familiar face to many on this video.

Many apologies for the quality of this video; it was the only version available, but it should be good enough for you to see what happened. Uncut footage can be seen (and heard in Icelandic) on YouTube from the original tape.

What's the lesson to be learned here? They did measure the ice before the horses arrived, but perhaps not in the right spot. It is well-known that Icelandic horses are shod with studs and/or studded nails for these ice tolts, as they are called, but it's doubtful that the shoes caused the ice to crack and break.  Perhaps the sunny day and the combined weight and impact of the line of horses was simply too much for the ice.

To learn more:
Read about a seminar on Icelandic horseshoeing at Cornell vet school

Click here to learn more about HoofSearch, the monthly live-linked directory of new peer-reviewed research on hoof science and equine lameness.


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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.