The Welara Journal

Equine Medical and Surgical Associates, Inc. announced that there is a new product to help control Insulin in order to help prevent Insulin Resistance Laminitis. Dr. Frank K. Reilly, DVM, senior doctor with the practice, states that the best plan is proper early testing, diet and exercise, HEIRO™ Supplement, and retesting to reach our goal against this devastating and potentially deadly disease: The best way to treat Laminitis is to avoid it.

• The only site with step-by-step instructions on proper testing technique to avoid false results. Consulted with Harvard Medical, Stanford Medical, The Mayo Clinic, and John Hopkins Medical.

• The only site with both university lab tests and independent commercial lab tests proven to dramatically control Insulin using HEIRO™. USDA certified organics and super-concentrated Vitamin E combine to keep horses healthy. Examples of HEIRO’s™ before and after effects on Insulin are on the web site.

• The only site with in-depth helpful information on pasture management, good snacks, diet, exercise benefits, and a Veterinarian to consult with your Veterinarian to work together, chart progress, and answer your questions.

What is in HEIRO™?

1. Multiple, pure, USDA certified herbs. At times you will actually see the entire seed. These organicals are unique because:

   a. Safe — are USDA certified for content and purity. Other products on the market are from unregulated sources with possible contaminants and a recent FDA investigation found some with pharmaceutical drugs. Multiple recent articles documenting lead in consumer products from poorly inspected sites. In 2000, the State of California Department of Health Services put out a warning that five (5) Chinese herbal mixtures for Diabetes contained two (2) pharmaceutical drugs.

   b. Not cooked — can cause loss of vitamins.
   c. Not a diluted tea — again, loss of items.
   d. No fillers

Just pure, natural, and safe. Thousands of doses have helped horses across the country. Our web site is the only place where we post real clients with real-world results.

2. Highest level Vitamin E — vascular support, antioxidant protection, anti-inflammatory action. Multiple university researchers recommended.

3. Heiro™, itself, is lab tested for content of multiple items including protein, ESC, starch, minerals such as zinc, selenium, magnesium, calcium, phosphorous, sodium, iron, potassium, manganese, and copper by:

   a. Pennsylvania State Diagnostic Laboratory
   b. Equi-Analytical Laboratory

The USDA certified herbs are a natural and powerful source of minerals and these reports show that. We will post these on the web site soon.

4. Heiro’s™ action to control Insulin is being reviewed for patent application which requires the proprietary knowledge of which herbs and how much. The breakdown of protein, starch and multiple mineral levels is available and we will post soon. Heiro’s™ ability, in many breeds of horses, to rapidly stop Insulin damage is dramatic.

A. What are the signs of Insulin Resistance?

1. Laminitis — acute or chronic. Repeat episodes over the years, pasture turnout stopped but still happens, secondary to Cushings disease, more often in ponies, occurs in the middle of the winter when there is no grass around, only gets hay and no grain and still happens.

2. Overweight either by diet, lack of exercise, or genetics. 25% of people with Insulin Resistance due to genetics. On no grain or little grain and stays big, exercise and still big.

3. Cushings — 2 ways Insulin Resistance is linked with Cushings.
   a. Many with diagnosed Cushings also have Insulin Resistance but this second condition is not diagnosed, so on Pergolide but still does not do well.

   b. Recent study shows Cushings in horses massively under diagnosed, so if these are missed, then more are missed with both Cushings and Insulin Resistance.

4. Age — as they get older, the lose muscle and gain fat. Fat production goes way up in Insulin Resistance because Insulin makes fat and fat produces toxins leading to more and more Insulin. Also as they age, Cushings incidence goes up.

5. Fatigue — can not exercise as well as in the past. Dull, resists riders.

B. What is Insulin Resistance?

• Abnormally high Insulin levels cause metabolic changes leading to increased fat, overweight, fatigue, and eventually Laminitis.

• Why high Insulin? Inability to respond and use Insulin the body produces because the Insulin is not functioning properly; higher and higher Insulin levels are needed to achieve the same effect. These high levels of Insulin damage the body.

C. Why Laminitis in Insulin Resistance?

  Several ways:
• Insulin its self — at high levels damages vessels. Recent Australian study showed by giving the horse a shot of Insulin, it cause profound Laminitis clinically and microscopically.

• Inflammatory proteins — University of Kentucky study shows these elevate in Insulin Resistance and irritate blood vessels leading to blood flow disruption to feet.

• Nutrient shut off — Insulin Resistance disrupts the main energy source to cells, so Laminae dies off.

• Extreme cases — if hyperglycemic, can irritate blood vessels.

• First time entered as a possible cause of Laminitis by Dr. Reilly — Foot Neuropathy. — In diabetic people, nerves to feet desensitized — if in a horse, could have Laminitis but not know of damage as readily. If the horse shows no pain, Laminitis goes on and on until critical. We do not get a warning. Why a possible? 70,000 foot amputations a year in the USA of Insulin Resistance / Diabetic people.

• Overweight — all these problems are not helped by the stress of high weight.

D. How to Diagnose? Need to test. Go to our Insulin Resistance In-depth article, go to Insulin Resistance Article section. http://www.equinemedsurg.com