Today, we are exploring how our mindset can influence the decisions we make about challenges to our horses’ health.

Whether you are dealing with a common issue or a new diagnosis that feels overwhelming, it is essential to stay grounded in practical knowledge and clear reasoning rather than emotion because disease labels can sometimes influence our perspective and choices in ways that do not serve the best interests of the horse.

What Disease Labels Really Mean

Disease labels are clinical tools that help classify health problems in horses, based on their blood tests, symptoms, and behavior. They can provide a framework for understanding what is happening in the body and guide the appropriate care. Some diagnoses, such as insulin resistance, are straightforward, while others may not be quite as clear. The key is to know whether a diagnosis will guide your next step or limit your perspective.

When Diagnosis is Useful

When progress has stalled or the symptoms fail to add up, a well-defined diagnosis will clarify what you are dealing with. Knowing the specific problem will allow you to tailor your support holistically, through diet, nutrition, stress management, and other natural approaches.

The Power of Belief and Fear

Disease labels can shape an owner's mindset, often leading to fear-based decisions. When a horse receives a diagnosis, the label can carry emotional weight, narrowing all that the owner may believe is possible. That fear may prevent a deeper exploration of other options, which could influence the horse’s energy and its recovery.

The Laminitis Example

Beliefs about laminitis have evolved drastically. Years ago, pads and shoes were considered the only option for comfort. Today, however, many horses recover with patience, proper hoof care, and the right nutrition. Unfortunately, outdated beliefs still cause many owners to give up on their horses prematurely, leading to unnecessary suffering or euthanasia.

The Cushing’s (PPID) Example

PPID is another condition that evokes fear. While some horses may require lifelong medication, others can improve naturally through holistic management. High ACTH results do not always mean a permanently broken pituitary. Each case is unique, so it is essential to avoid assuming the worst before exploring all options.

How Beliefs Shape Outcomes

What an owner believes about their horse’s condition will directly influence its healing. Negative expectations can impair recovery, while confidence and calm leadership encourage it. Horses mirror the emotions of their owners, so if you believe your horse can heal, you create the space for that healing to happen.

Emotional Leadership

Your emotional state guides your horse. If you stay grounded, hopeful, and consistent, your horse will feel safer and more able to recover. That mindset will also protect you from burnout by replacing your anxiety and grief with trust.

Managing Financial Fear

Avoid letting your financial fears drive your decisions before fully understanding what is truly needed. Financial pressure often amplifies the stress of a diagnosis, so owners may assume they will be liable for massive costs before exploring all options. Yet many horses recover with far less expense and intervention than expected.

Old Beliefs

Many beliefs about equine health stem from decades-old assumptions or limited studies. Always question the source of your information. Was it from a solid, well-designed study, or just anecdotal experience? Our modern understanding continues to evolve, and open-mindedness can make all the difference between despair and recovery.

Health and Recovery Gray Areas

Equine health often lies in the gray areas, and recovery could...

As we move from summer to fall, and temperatures at night start to cool, subtle changes begin to occur in our horses.

Shorter days trigger powerful hormonal shifts, often before we even notice. Those shifts play an essential role in the health of our horses- especially those with metabolic conditions.

Hormone Shifts and Metabolism

Seasonal hormone shifts influence how horses process sugar, maintain muscle, and manage inflammation. In fall, ACTH levels naturally rise, increasing cortisol to drive fat storage and coat growth in preparation for winter. When those hormones remain elevated for too long, however, problems like delayed shedding, thick coats, sweating, muscle loss, inflammation, and a higher risk of laminitis may emerge.

Fall as a High-Risk Season

Far more horses tend to experience metabolic flare-ups in the fall as it brings a dangerous mix of hormonal shifts, fat storage, and higher pasture sugar levels, all of which raise the risk for equine metabolic syndrome and PPID. As horses naturally conserve energy and build fat reserves before winter, insulin resistance also tends to worsen.

Testing and Diagnosis

A single test showing high ACTH in fall is not enough to diagnose PPID. As ACTH naturally rises seasonally, it is essential to use multiple test results, and get a complete health profile before deciding on lifelong medication.

Insulin, Inflammation, and Weight

Insulin is fundamentally a fat-storage hormone. If it is high, horses cannot lose weight. Chronic inflammation from laminitis or hoof pathologies drives insulin even higher, and elevated cortisol keeps blood sugar high, locking horses into a state of fat storage. That combination often causes gain weight and soreness in the fall.

Diet and Forage Management

Careful forage management is the foundation of supporting metabolic horses. Prioritize low-sugar hay and limit access to rich pasture, especially during high-risk seasons, like fall. Slow feeders, soaking hay, and controlled turnout can all help regulate sugar intake. Consistency in diet not only stabilizes insulin and energy levels but also reduces the risk of flare-ups.

Lifestyle and Stress

Stress management is as important as diet. Horses need freedom to move, regular forage, and companionship to regulate their cortisol levels and maintain metabolic balance. Stalled or isolated horses, or horses with long gaps between feedings suffer higher stress levels, which compounds hormone problems, and no supplement can overcome the damage caused by chronic stress and inappropriate living conditions.

Long-Term Management

Consistency is essential. Progress may seem slow at times, but steady attention to low-sugar forage, regular exercise, and stress reduction leads to lasting improvements. Expect seasonal setbacks, but they will be temporary. Over time, consistent care helps horses rebuild their health and resilience.

Hormonal Considerations in Mares

Mares can be susceptible to seasonal hormonal shifts. Changes in daylight and hormone levels often affect their cycles, behavior, and comfort. For mares with metabolic issues, those fluctuations may add another layer of stress, making careful monitoring and consistent management even more essential.

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This week, we are diving into skin problems with horses.

Skin problems are hard to ignore. They are right in your face, so they grab your attention instantly.

Types of Skin Problems in Horses

Skin issues range from dry, flaky skin to severe allergic reactions. Horses may suffer from hives, sweet itch, infections like rain rot or mud fever, and chronic itchy skin. These conditions may appear as sudden, alarming outbreaks or develop into persistent, long-term struggles.

Why Skin Problems Demand Attention

Unlike hidden health issues, skin problems are visible and alarming, often pushing owners to act quickly. Acute flare-ups can appear to be emergencies, and chronic flare-ups may frustrate owners when topical treatments and medications only provide temporary relief.

Beyond the Surface

The skin is an organ and part of the immune system. When reactions occur externally, it is a sign of deeper imbalances, such as inflammation, immune dysfunction, or a toxin overload that can also affect internal systems.

Digestive Problems

Digestive problems often correlate with skin flare-ups. Ulcers, leaky gut, and poor liver function can raise histamine levels, leading to hives, itching, and chronic skin irritation. When the liver and gut cannot properly eliminate toxins, issues frequently surface in the skin.

The Role of Histamines

Histamine release is a natural immune response that can cause symptoms like swelling, itching, and hives. Horses with gut issues often produce excess histamine, making them more prone to skin outbreaks. Treating your horse only with antihistamines can suppress symptoms, but that does not solve the root cause.

Diet and Allergens

Some feeds can trigger skin reactions. Allergies or intolerances (such as to alfalfa) may take years to appear as acute symptoms. Long-term toxic buildup from feed, medication, or supplements can overload detox pathways and weaken skin health.

Liver Health

The liver plays a central role in detoxification. Over time, medications, poor nutrition, or stress can overwhelm the liver, leading to chronic skin problems. Supporting liver health is the key to sustainable recovery.

Triggers

Hormone imbalances and stress can affect skin health. Stress-related cortisol and adrenaline spikes increase histamine production, sometimes also triggering ulcers and hives. Managing stress is critical for restoring balance.

Long-Term Solutions

Quick fixes rarely last. Holistic management focuses on supporting digestion, detox pathways, nutrient balance, and emotional well-being. Owners may need to experiment and make gradual adjustments to find lasting solutions.

Key Takeaways

Skin health reflects whole-body health. A methodical approach that addresses gut health, liver function, diet, hormones, and stress will lead to lasting improvements, whereas symptom-only treatments will keep horses stuck in recurring cycles.

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Join my email list to be notified about new podcast releases and upcoming webinars.

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