NEWS

 

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Exciting changes at Animal Acupuncture and Canine Sports Medicine Facility! Update April 2024:

What started as a solo veterinarian house call business 16 years ago has transformed into a successful four doctor acupuncture and rehabilitative medicine clinic!

Two years ago, Dr. Owen reached maximum capacity for the patients she was able to see solo. With the type of services we provide, some of our patients are only in our care for 4-6 weeks, some for 16 weeks, and some weekly for life. Until recently, this has meant that a patient has to no longer require our care for a “spot” to open so that Dr. Owen can start a new patient on their journey to wellness.

In order to facilitate the ability of taking on new patients, Dr. Owen decided to incorporate collaborative care for her patients. Meaning that she can see more patients with a team of competent doctors by her side to aid her in their treatments. So far this has been an amazing journey for our patients. Dr. Owen is pleased to now be able to offer her services with the help of three additional highly trained doctors working alongside her!

With all of this exciting growth, you may notice that the clinic runs a little differently these days (in a good way, we promise!) While your primary veterinarian or veterinary surgeon may recommend you take your pet to our facility to see Dr. Owen, please know that you may see Dr. Owen or any one of our other three highly trained veterinarians at any point during their care.

What does this look like?

In some cases, your pet may start their treatment plan with Dr. Owen but continue subsequent therapy with another doctor via pain assessment and acupuncture treatment. Other times, a different team doctor may start your pet’s treatment plan with any of our doctors continuing their therapy. As a result, sometimes your pet gets to see all four of our doctors which allows really cool perspectives in their care and treatments!

Rest assured that each of our doctors effectively communicate with each other over every patient. Our goal is an early graduation from rehab for all of our pets and when that cannot be achieved, dignity and grace with their senior years. We know that some people have strong preferences as to which doctor they see (and that’s ok!), just let us know whenever you schedule an appointment. However, please be patient with us and our scheduling process while we try our best to accommodate your wishes.

Finally, allow us to introduce our amazing team of veterinarians! Seven years ago, Dr. Cami Wallis joined our team. She is a relief doctor with a heart for integrative medicine and we are blessed to have her with us on Tuesdays and Thursdays. Dr. Wallis is also trained in Chinese food therapy and we have seen amazing results with her integrative style.

Last year, Dr. Delaina Skinner joined our team. Dr. Skinner is a relief doctor who helps us out when we can’t get our personal schedules to meet. She truly provides us “relief” and allows your pet to not go without treatment when our other doctors are not available.

Dr. Lauren Williams is our full-time associate who also joined us last year and is with us Monday through Friday every week. She brings years of general practice and acupuncture experience to our team and does an amazing job with pain management. Dr. Williams also works behind the scenes advocating collaborative care between your primary veterinarian and your specialty veterinarian.

All of our doctors have undergone the appropriate training and play a pivotal role in getting our patients back to walking and functional again. Most importantly, all of our doctors have a true heart for people as well as their pets.

Thank you for your continued support and trust in our care of your pets over the past 16 years and for the years to come!

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Shockwave Therapy Source Users Manual

Piezeowave2vet at elevation usa has published a user’s manual for effective shockwave treatment for a variety of conditions. Dr. Heather Owen, Dr. Ronald Koh, Dr. Evelyn Orenbuch collaborated to provide scientific research to canine shockwave therapy

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Guidelines For Choosing The Right Food For Your Pet.

Pet Foods that Meet WSAVA Guidelines for providing nutrition and safety for our pets.

 

In light of the FDA identifying specific combinations of legumes and exotic animal proteins leading to heart disease in dogs that had not had this kind of heart disease before, we feel that client education is the most important part of moving forward together.  Pet nutrition is very near and dear our hearts as we know the most important drug that you put into a diet is food.  To better understand nutrition, we will start with educating you on how to pick the right food for your pet.  We understand that feeding your pet high quality ingredients is important to you as well as it is an emotional aspect of the human/animal bond.  Feeling like you have picked the wrong food is hurtful.   Our goal is to move forward together.  As Mary Angelou stated, “when we know more, we do better”.  My husband and I teach our children that we “only know what we know” and because of this part of my job is to continue to learn so I can know more and do better.  Sifting through over 400 companies I was astonished on how many companies do not comply with WSAVA guidelines.  Take corn for example (we have more research on corn than any other ingredient in pet food: we know how it affects our dogs when heated (high, low), powdered and in meal).  Corn is also an emotional ingredient: you either don’t care that corn is in your pet’s diet, or you care deeply.  This is also eye opening to us in our profession as shouldn’t we know how every ingredient affects dogs prior to placing it in their food?  Shouldn’t we know our beloved sweet potato as complete as corn? 

We do believe that for all of the dogs affected by the diets that it is not a taurine deficiency but how these exotic proteins and carbohydrates break down in the gastrointestinal tract and block the ability for the dog to use taurine, thus, simply supplementing the dog’s diet with taurine is not the answer.  Now, we know that the dogs affected were healthy prior to the foods, they did not have any outside influences such as flea/tick meds or prescriptions that interfered with their diet or their bodies.  These dogs affected were also not known to have congenital predisposition to heart disease and the genetic implications (following lineage, siblings) did not result in any other dog developing the disease.  That being said, we know that the information provided by the FDA can and should be studied for a way to do better. 

So where do we start?  We are currently looking into this as an industry standard and industry improvement as how did all of these companies end up being able to be sold but did not pass the most elementary cut off test: the AAFCO feeding trial.  We believe in Veterinary Medicine that we can do better than just AAFCO but AAFCO is a starting place, and is the least expensive and easiest to pass trial, as well as humane for the animals, but very few companies comply.   AAFCO feeding trials are extremely important in understanding how a diet will affect pets.  Although this is a very simple test to perform (and we can do better) it is a baseline on which pet foods make/don’t make the cut.  If the pet food companies decide to omit this step or to balance according to guidelines but do not test, that is a red flag to me that they care more about advertising than nutritional quality.  I have included the AAFCO Feeding trial information:

 

AAFCO Pet Food Labeling

Mark Rishniw, BVSc, PhD, DACVIM (SA-IM), DACVIM (CA)


Date Published: 11/21/2018

Pet food marketing can get confusing. The labeling does not provide detailed nutritional information and it’s easily misunderstood by consumers. Try as you might, sometimes reading the label doesn’t give you enough answers. However, the more you know about what pet food labels indicate – and don’t – the better off your pet will be.

What is AAFCO?

AAFCO is the go-to organization for understanding animal feed, including food for pets. It does not regulate or inspect anything, nor is it a government agency. It is a group whose members are government agencies representing the 50 states, Canada, and the federal government. It is not a regulatory body, and has no ability to monitor or enforce specific food manufacturing procedures. Animal feed specialists indicate to them what is appropriate for a specific species, and AAFCO provides model feed laws.

State feed control officials can choose to adopt these model feed laws and individual states can enforce them. There is no law that says manufacturers must follow their guidance. AAFCO does not approve or certify any pet food, treat, or supplement products. The FDA, not AAFCO, regulates pet food, and FDA is a member of AAFCO.

If the manufacturer has followed AAFCO recommendations, they can say so on their product packaging. That is one-way consumers can tell which manufacturers follow the best guidance in the industry.

AAFCO does not necessarily ensure food adequacy and safety, but relies on current scientific knowledge to provide guidelines for pet food composition which, if followed, minimize the risk of malnutrition. On the other hand, the FDA enforces food safety through the Federal Food Drug and Cosmetic Act, which demands that pet foods, like human foods, be “pure and wholesome, safe to eat, produced under sanitary conditions, contain no harmful substances, and be truthfully labeled.” Therefore, pet food manufacturers are legally responsible for providing nutritionally adequate, safe and wholesome products that conform to local, state, and federal law.

AAFCO requires nine components to be printed on a pet food label:

1.    Brand and product name

2.    Net quantity statement

3.    Manufacturer or distributor information

4.    Calorie content statement

- Energy content on a kcal/kg and kcal/common unit as fed basis as well as how this was determined (measured or calculated).

5.    Nutritional adequacy statement

- Specifies whether the product carries a complete and balanced claim, and if so, how the claim was substantiated as well as the species and life stage for which the product is intended.

6.    Guaranteed analysis

- Minimum crude protein and crude fat and maximum moisture and crude fiber (as fed basis) are required; other nutrients are optional.

7.    Ingredient list

- Must be listed in descending order of weight; ingredients must be as defined in AAFCO book; not possible to tell relative contributions of ingredients to any particular nutrients (the ingredient list is not a recipe). Note that ingredients as defined in AAFCO are not often similar to those typically used/defined for human foods; for example, “chicken” must include both flesh and skin and can include bone.

8.    Species designation

9.    Feeding directions

- Must be given for each life stage if diet is formulated for more than one.

- Not detailed, target animal weights can be given as wide ranges, and no requirement for specific equation to use to determine energy needs of target animals. 

What are the different AAFCO nutritional adequacy designations for pet foods?

There are four possible AAFCO nutritional adequacy statements that can appear on pet food labels. These must be printed verbatim as one of the following:

1.    [Diet X] is formulated to meet the nutritional levels established by the AAFCO [Dog /Cat] Food Nutrient Profiles for [gestation/lactation / growth / maintenance / All Life Stages]

- if the life stage is growth or all life stages, the claim must also include one of the following depending on calcium content of the product (maximums vary):

- “including growth of large size dogs (70 lb. or more as an adult)”

- “except for growth of large size dogs (70 lb. or more as an adult)”

2.    Animal feeding tests using AAFCO procedures substantiate that [Diet X] provides complete and balanced nutrition for [gestation/lactation / growth / maintenance / All Life Stages]

3.    [Diet X] provides complete and balanced nutrition for [gestation/lactation / growth / maintenance / All Life Stages] and is comparable in nutritional adequacy to a product which has been substantiated using AAFCO feeding tests.

4.    This product is intended for intermittent or supplemental feeding only.

How are AAFCO feeding trials conducted?

The guidelines for an AAFCO feeding trial vary depending on the diet type being evaluated. There are four protocols: maintenance, growth, gestation/lactation, and all life stages. Although the minimum standards for each type of trial must be met, companies may add on other components to a feeding trial, such as plasma amino acid measurement, digestibility studies, full blood chemistry panels, and complete blood counts to gain additional information about the suitability of their diets for the life stage being tested.

Foods can be put through AAFCO feeding trials even if they do not qualify for a “formulated to meet AAFCO” feeding statement due to deficient or excessive levels of nutrients. One example is veterinary therapeutic diets formulated for chronic kidney disease, which are intentionally formulated to contain phosphorus (+/- protein) at concentrations below the AAFCO Food Nutrient Profiles for adult maintenance; many of these have passed maintenance feeding trials and thus have a “feeding trial” nutritional adequacy statement on the bag. If they have not undergone feeding trials, they must carry the statement: “This product is intended for intermittent or supplemental feeding only.” Such diets are not allowed to reference the AAFCO Food Nutrient Profiles on the label. Theoretically, the flip side is that diets that fail feeding trials but contain nutrient levels within the specified minimum and maximum concentrations per AAFCO Food Nutrient Profiles can be marketed with a “formulated to meet” adequacy statement. Ideally, diets are formulated to comply with the concentrations specified by the AAFCO Food Nutrient Profiles and then pass appropriate feeding trials.

For adult maintenance canine and feline diets, the feeding trial guidelines are:

  • 8 animals older than 1 yr. must start the test.

  • At the start all animals must be a normal weight and health, and weight is monitored weekly. Complete veterinary examinations are mandated at initiation and completion of the test.

  • A blood test is to be taken from each animal at the start and finish of the test for four parameters: (hemoglobin, packed cell volume, alkaline phosphatase, albumin).

  • For 6 months, the animal must only eat the food being tested.

  • The animals finishing the test must not lose more than 15 percent of their body weight.

  • During the test, none of the animals used are to die or be removed because of nutritional causes.

  • 6 of the 8 animals starting must finish the test.

  • Data are compared to a concurrent control group or to historical colony averages.

For growth canine and feline diets, the feeding trial guidelines are:

  • 8 animals NO older than 8 weeks must start the test. Juvenile animals should be obtained from at least 3 dams.

  • At start all animals must be normal weight & health, and weight is monitored weekly. Complete veterinary examinations are mandated at initiation and completion of the test.

  • A blood test is to be taken from each animal at the start and finish of the test (hemoglobin, packed cell volume, alkaline phosphatase, albumin).

  • For 10 weeks, the animal used must only eat the food being tested.

  • During the test, none of the animals used are to die or be removed because of nutritional causes.

  • 6 of the 8 animals starting must finish the test.

  • Data are compared to a concurrent control group or to historical colony averages

For reproduction canine and feline diets, the feeding trial guidelines are:

  • 8 animals older than 1 year and on at least their 2nd heat must start the test

  • At start all animals must be normal weight & health, and weight is monitored weekly. Complete veterinary examinations are mandated at initiation and completion of the test. Offspring are examined within 72 hours of birth and at the end of the test.

  • A blood test is to be taken from each animal at the start and finish of the test (hemoglobin, packed cell volume, alkaline phosphatase, albumin).

  • Litter size is recorded.

  • From onset of estrus to 4 weeks after parturition, the animal (and offspring) used must only eat the food being tested.

  • During the test, none of the animals used are to die or be removed because of nutritional causes.

  • 6 of the 8 animals starting must finish the test.

  • Data are compared to a concurrent control group or to historical colony averages.

Do AAFCO feeding trials accomplish what they claim to accomplish?

Many pet owners and clinicians have raised the concern that AAFCO feeding trials do not represent what really happens in a pet’s life, i.e., that feeding a diet for six months is not the same as feeding a diet for 10 years. That is true. However, although AAFCO trials are imperfect, they do identify most serious acute and semi-acute nutritional deficiencies or excesses, and some minor ones. Furthermore, manufacturers are free to supplement the minimum protocol requirements with additional measures of nutritional adequacy. Also, consider that diets for growth, gestation/lactation, or all life stages get tested more rigorously compared to maintenance since the nutritional demands of those animals are greater.

Evaluation of diets under AAFCO guidelines also includes examination of the nutrient content of the diet being tested. The nutrient content can be determined either from testing a sample of the finished diet or by using the nutrient content of the individual ingredients in the food to calculate the diet composition. The latter is less desirable, since ingredients are inherently variable in nutrient content and because processing and nutrient interactions could alter bioavailability in the final diet. There is no requirement for either in vivo or laboratory testing of pet food products if the formulation method of substantiating nutritional adequacy is used.

Some companies have performed lifelong feeding trials to demonstrate that their diets provide complete and balanced nutrition for the expected feeding duration (i.e., “for life”).

How can you identify the pet foods that have undergone “more rigorous” testing of their pet food, rather than just the AAFCO statement on the bag?

Unfortunately, you can't. Even veterinarians can’t. The pet food label is really a legal document, and is not designed to convey significant nutritional information. As much as some sources (such as internet ranking lists) would like it to be possible, you cannot evaluate 'quality' from the label, especially from ingredient lists. You need to consider the manufacturer (reputation, experience, investment in AAFCO trials and research, etc.), cost, availability, and your subjective clinical impressions of how your pets are doing on various diets.

Board certified veterinary nutritionists in clinical practice are alerted to dietary issues with specific diets because of extensive interaction with clients, practitioners, and each other. Therefore, these specialists are often a reliable resource for determining which diets are causing disease problems.

 

 

In addition, the World Small Animal Veterinary Association Nutrition Toolkit developed by the WSAVA Global Nutrition Committee provides many useful nutrition resources including Recommendations on Selecting Pet Foods. This document lists eight questions you can ask pet food manufacturers to help evaluate their suitability:

1.    Employment of a full-time qualified nutritionist (PhD in animal nutrition or board-certified by the American or European specialty veterinary colleges).

2.    Who formulates the diets and what are the credentials of this individual?

3.    Location of food production and manufacturing

4.    Method of substantiating complete and balanced claims. If formulation method is used, are the foods analyzed to determine nutrient profile?

5.    Details of quality control measures

6.    Availability of complete nutrient profile (“typical analysis”) for products

7.    Calorie content

8.    Availability of any product research (published in peer reviewed journals or elsewhere).

Dr. Rebecca Remillard (a board-certified nutritionist and consultant for the Veterinary Information Network, the parent of Veterinary Partner) has suggested that companies manufacturing veterinary therapeutic diets generally use the same standards of quality in their over-the-counter diets. It is ideal for a manufacturer to have a qualified nutritionist as a full-time employee rather than just as a consultant. Dr. Cailin Heinze, also a board-certified nutritionist, additionally prefers companies that perform testing above and beyond AAFCO trials, especially with veterinary therapeutic diets. Furthermore, Dr. Heinze looks for company longevity as a sign of a successful track record, and is critical of “guerrilla marketing” in pet supply stores (aggressive, emotion-based strategies directly to consumers). Finally, she looks for companies willing to share full nutritional profiles (e.g. full or typical analysis) of their diets rather than just a guaranteed analysis, and provide updated information with regular batch testing.

Understanding what’s best for your pet isn’t always easy. Oftentimes the only way to get a clear answer to your question is to telephone (not email) the manufacturer. However, the best chance for your pet’s good health is to begin with a food bearing an AAFCO nutritional adequacy statement on its label.

Although our list is not 100% complete, we do know that Purina, Science Diet, Royal Canin, Eukanuba, Annamaet, Bill Jac, Nature's Logic, Wellness core and Wellness Complete do pass the WSAVA guidelines and all perform AAFCO studies. We have about 200 unanswered emails out there.  As we continue to receive information, we will continue to update this information to you.  We are happy to answer any further questions that you may have. 

 

 

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We Have Moved!!

We have officially moved! Our new location is at 4505 S Peoria Ave. Tulsa, OK 74105

 
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Halloween Open House.

It's a Great Remodel, Charlie Brown!
Please join us on Friday, Oct. 30th, from 8 a.m. to 5 p.m. to welcome our new team, during our Halloween themed open house! We will have costume contests for dogs and their people, door prizes and LOTS of food for everyone! Come by with your kids for safe trick or treating anytime between 8 and 5. We look forward to seeing everyone! 🎃

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Changes are in the Air.

There have been a lot of changes around here lately and there are still a few more to come. We may be a bit rough around the edges for a bit so please be patient with us while we are in this transition phase. 

This site is also a work in progress and may not be fully functional for bit.

Thank you for your patience.

Animal Acupuncture

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