Ceva Animal Health is hosting a free two-hour canine cardiology webinar about myxomatous mitral valve disease (MMVD) on Thursday 14th November 2024 at 7:00pm.

The webinar will cover the entire disease process of MMVD in dogs from pathology to current treatment approaches and future advancements in therapy, and will include the following presentations:

• Pathophysiology of myxomatous mitral valve disease (MMVD) and RAAS implication, presented by Darcy Adin and Luca Ferasin (pictured)
• Diagnosis of MMVD in dogs including data from the LOOK-mitral study, presented by Giulio Menciotti and Michele Borgarelli
• Treatment of MMVD: current and future approaches, presented by Jessica Ward and Jon Mochel
• Q&A session and discussion

https://us06web.zoom.us/webinar/register/WN_QyfUofLgRG-YsaXQbkT7Tw#/registration 

The British Small Animal Veterinary Association has published a new edition of its Manual of Canine and Feline Musculoskeletal Disorders, revised and updated under the direction of a new editorial team.

The new editorial team is comprised of Gareth Arthurs and Rob Pettitt, both RCVS Recognised Specialists in Small Animal Surgery (Orthopaedics) and Gordon Brown (no, not that one), an RCVS Diplomate in Small Animal Surgery (Orthopaedics).

Given the considerable evolution in the diagnosis, understanding and treatment options for many orthopaedic disorders, this second edition includes the investigation of lameness, including the use of force plates and kinematics, the current understanding of elbow dysplasia and the wide array of available treatment options, and diagnostic and surgical arthroscopy.

New, advanced surgical techniques, such as tibial osteotomy for cranial cruciate ligament disease, cementless total hip replacement for hip dysplasia and replacement of the trochlear sulcus for patellar luxation have been covered, together with guidance on the level of training and experience necessary to achieve consistently good results.

The manual is divided into four principle sections:

• Lameness investigation

• Musculoskeletal disorders

• Principles of orthopaedic surgery

• Management of specific disorders, ordered by individual joints.

The joint-specific chapters all follow a similar format, comprising the main chapter and then, where relevant, imaging and operative techniques. 

Gareth Arthurs, one of three editors, said: "We feel privileged to have worked with such a broad range of talented authors whose combined international skills, knowledge and experience is impressive and very difficult to match. It has truly been a privilege to work with such a team of inspiring veterinary surgeons with expertise in various fields, and we are confident that the talent of each individual shines through their chapter".

The second edition of the BSAVA Manual of Canine and Feline Musculoskeletal Disorders is available from the BSAVA website: www.bsava.com or by phone: 01452 726700. The online edition is available from: www.bsavalibrary.com

Zoetis has announced that all UK veterinary wholesalers have been supplied with stocks of the new chewable form of Apoquel (oclacitinib).

Apoquel chewable tablets were approved by the Veterinary Medicines Directorate (VMD) in November 2021.

Apoquel Chewable contains the same active ingredient, at the same dosing regime, for the same indications as original Apoquel, but in a palatable formulation which, in a field-study of client-owned dogs, was found to have a 91.6% acceptance rate.¹ 

Dr Carly Mason, President of the British Veterinary Dermatology Study Group (BVDSG), said: “The new chewable form of Apoquel provides owners with a means of controlling itch using a tablet that can be given like a treat or mixed with a meal, making it much easier for owners and more acceptable to their pet.

“In many cases, the chewable formulation will be the obvious first-line Apoquel for veterinarians to prescribe to control canine itching while the underlying cause of allergic dermatitis is investigated.”

Reference

1. Visser M. et al. Acceptance of oclacitinib maleate (Apoquel®) chewable tablets in client-owned dogs with allergic and atopic dermatitis. BMC Vet. Res. 2022;18:103.

PBD Biotech Limited has launched Actiphage, a new test which the company says enables rapid, early identification of Mycobacterium bovis in exotic species.

PBD says Bovine tuberculosis (bTB) is a growing problem for zoos and wildlife parks, especially with the disease’s potential to spread from one species to another, creating a natural reservoir that is difficult to control.  

bTB in zoos came to public attention last year when Devon’s Paignton Zoo detected a single case in one of its antelope. Without access to a test that would deliver rapid results, the zoo had to cull the remaining 10-strong herd of Kafue Flats lechwe. 

PBD says the Actiphage test can identify bTB and other mycobacterial diseases in animals before clinical symptoms of infection are observed. It can detect with high specificity the presence of any mycobacteria in animal blood within 6 hours in comparison to culturing mycobacteria, which can take up to 12 weeks.

The technology has been successfully applied to blood samples from 17 different species so far, including deer, goats and badgers as well as exotic animals such as lions, giraffes, antelopes, elephants, tigers, kangaroos and camels. Trials have confirmed PBD Biotech’s assay can detect live mycobacteria in blood or milk samples at very high sensitivity, of less than 10 mycobacterial cells per ml of sample.

The test is being presented to delegates at the British Veterinary Zoological Society (BVZS) Congress in Birmingham today by Dr Ben Swift, Research Fellow at the Royal Veterinary College and R&D Director at PBD Biotech.

He said: "The Actiphage detection method provides a major step change in the detection of viable mycobacteria and has the potential to revolutionise the control and understanding of mycobacterial diseases in zoo animals, wildlife and a range of other species.

"The use of bacteriophage means the test can detect mycobacteria before an immune response is fully developed, giving vets, zoo-keepers and other exotics experts a head-start on the race to catch bTB and other diseases in the hope of preventing the unnecessary cull of protected animals."

Nicola Buttler, a Somerset-based veterinary nurse, has been struck off by the RCVS Veterinary Nurse Disciplinary Committee for working whilst under the influence of alcohol.

Ms Buttler was charged with having been under the influence of alcohol whilst at work on two separate occasions. On both occasions, she was working as a locum veterinary nurse.

The first occasion was between 25th and 28th April 2016 in Frome, and the second from 3rd July to 4th July 2016 in Salisbury.

It was also alleged that a prior conviction of drunk driving on 19th November 2013 rendered her unfit to practise as a veterinary nurse.  

The Committee decided to hear the case in Ms Buttler’s absence as it was satisfied that she had properly been served with the notice of hearing and because she had stated that she was aware of the proceedings but did not wish to engage with the process. The Committee also noted that she had not requested any adjournment.

The Committee heard from five witnesses for the first charge, including three veterinary nurses and one veterinary surgeon. They gave testimony that they had had cause to suspect that Ms Buttler was under the influence of alcohol whilst at work due to her demeanour, and recalled Ms Buttler repeatedly retreating upstairs to her accommodation during the working day. Further, an open wine bottle was found in Ms Buttler’s accommodation and was observed to have been drunk during the course of her shift. The Committee found the first charge proved.

The Committee heard from four witnesses in respect of the second charge. Two of the witnesses stated that they smelt alcohol on Ms Buttler’s breath while she was on duty, with one of them stating that Ms Buttler had slurred speech and a flushed face at the end of a fourteen-hour shift. The other two witnesses also presented evidence to support the assertion that Ms Buttler was under the influence of alcohol whilst at work, while the Committee found that Ms Buttler lacked credibility because she had denied having any alcohol on the premises when originally confronted, but later admitted in an email to the College that she had had an open bottle of wine in her bag. The Committee found the second charge proved. 

The Committee then considered the third charge, namely the conviction in 2013. The Committee considered the certificate of conviction obtained from the North East Devon Magistrates Court and was satisfied that Ms Buttler had been convicted of driving with excess alcohol as set out within charge 3.

When considering whether these all amounted to a finding of disgraceful conduct in a professional respect, the Committee was concerned about Ms Buttler showing no insight into her drinking, and the repeated nature of the offences. The Committee also considered that being under the influence of alcohol when working as a veterinary nurse was conduct which fell far short of the standards to be expected of members of the veterinary nursing profession.

It therefore concluded that Ms Buttler was guilty of disgraceful conduct in respect of charges 1 and 2.

The Committee then considered whether Ms Buttler’s conviction (charge 3) rendered her unfit to practise as a veterinary nurse. The Committee concluded that Ms Buttler had not acknowledged the seriousness of her actions in 2013, or learnt any lessons from it. Accordingly, it felt that she continued to pose a risk to animals and the public in the future. The Committee also felt that the conviction undermined the reputation of the veterinary nursing profession because the offence inevitably involved a risk of injury to herself and other road users.

Having found Ms Buttler guilty of misconduct, the Committee went on to consider sanction.

The Committee took into account aggravating factors, including that there was a risk of injury to an animal, the fact that the first two charges involved an element of premeditation, the fact that Ms Buttler was under the influence on more than one shift in each practice, that there is no evidence of insight from Ms Buttler and there is a future risk to animals if she continued to practice unrestricted. 

They also considered mitigating factors, including the fact that this is the first disciplinary hearing she has faced, that she did not cause any harm to any animal and that she did not gain financially from her conduct.

In reaching its decision Jane Downes, chairing the Committee and speaking on its behalf, said: "The Committee noted that Ms Buttler said she had worked for twenty years without any problem and that she was previously of good character. However because there was no evidence that Ms Buttler would not repeat the conduct with regards to working whilst under the influence of alcohol she could continue to pose a risk to animals or the public in the future. The Committee therefore was bound to consider her removal from the register.

"Although it noted from the brief email correspondence Ms Buttler had sent to the College that she said she did not intend to practice in the future, the Committee decided that until she had shown insight into her behaviour in 2016, she remained a risk to animals. It therefore decided that the proportionate action was to instruct the Registrar to remove her name from the register of veterinary nurses forthwith."

If Ms Buttler chose to re-engage with the College, she could apply for restoration to the register after ten months.

Elanco Companion Animal Health has launched a competition to encourage veterinary professionals to showcase the company's new range of practice support materials for the company's parasiticides, Comfortis and Trifexin.

To enter the competition, you'll first need to order the support materials, which include: waiting room posters, client leaflets and a waiting room leaflet dispenser, modular window hangers, social media artwork and display kits which consist of 19 die-cut colour pieces for waiting room displays. Entry / order forms are available here.

Then create your display and email a digital photograph of it to Elanco before the 29th August 2014.

Matthew Rowe, Senior Brand Manager at Elanco said: "We're asking veterinary practices to use their creativity and imagination when putting up their parasite control displays. Last year's winner, the Animal Health Centre in Torquay, even composed their own song, so the more creative the better!"

The overall winner will win a team celebration worth £1000, and there are £250 Amazon vouchers for 11 regional winners.

For further information contact your local Elanco Companion Animal Health key account manager or email elancocahuk@elanco.com

Veterinary surgeons, human healthcare professionals and experts from the maritime and aviation industries gathered at the Royal Society of Medicine earlier this month to discuss and share knowledge about the contributions of human factors to patient safety.

Amongst the speakers were Catherine Oxtoby MRCVS, Risk Manager at the Veterinary Defence Society, and Dr Huw Stacey, director of clinical services at Vets4Pets.

Dr Stacey explained how Vets4Pets and Companion Care practices are embracing a culture of sharing information when things don’t go according to plan in practice.

He said: "We all face challenges in the workplace, and this event focused on how different professions can share ideas and good practice and how they find solutions to any challenges.

"The culture of aviation and maritime is one of minimising risk and putting safety first, and it is fascinating to compare their approach to that found in medicine and veterinary.

"One common theme we discussed was the wellbeing of both professionals and patients or clients, with tiredness being at the top of the list of things that can negatively affect wellbeing and performance.

"Both aviation and maritime recognised that long shifts, particularly overnight, needed to be reduced in order to improve the outcome for everyone.

"In veterinary and human medicine, tiredness and long shifts are often worn as a badge of honour and being tired at work was something that should be admired, rather than addressed.

"But, tired vets are effectively neglecting themselves and their own wellbeing, which in turn leads to pets not receiving the best level of care in practice.

"This is something we’re taking seriously at Vets4Pets and Companion Care, and we’re currently looking at ways to decrease the risk of overworked and tired vets and vet nurses."

Another area of discussion was around the reporting of near misses and when things don’t go right, and how veterinary professionals need to identify and share the learnings from these events, not only within their practice, but with the wider profession too.

He said: "We need to continually emphasise the concept of a ‘just’ culture, to ensure our colleagues feel confident about reporting incidents open and honestly."

"It is not in the interests of the professional, the patient or the client to bottle things up, and at Vets4Pets and Companion Care we’re encouraging all of our practices to adopt the VDS VetSafe system, which provides a mechanism for sharing incident reports across the profession, enabling us all to learn from them to the benefit of our patients."

The RCVS Standards Committee has approved new guidance on delegating veterinary work to musculoskeletal therapists such as animal physiotherapists.

Musculoskeletal therapists currently have their work underpinned by an Exemption Order to the Veterinary Surgeons Act 1966 which allows them to treat an animal under the direction of a veterinary surgeon who has first examined that animal.

The College says it has recognised that there has been confusion over whether musculoskeletal therapists need a veterinary referral for maintenance work, such as massage, in a healthy animal. This may lead to delays in animals receiving maintenance care.

The new guidance, found in Chapter 19 (www.rcvs.org.uk/unqualified) of the supporting guidance to the Code of Professional Conduct, sets out the existing rules for musculoskeletal treatment of illness, disease or pathology, and clarifies that healthy animals do not need a veterinary referral for maintenance care.

The guidance stresses that musculoskeletal therapists are part of the vet-led team, and that any animal, including healthy ones, should be registered with a veterinary surgeon and referred to a vet at the first sign of any symptoms that may suggest underlying health issues.

The guidance also says that vets should be confident that the musculoskeletal therapist is appropriately qualified; indicators of this can include membership of a voluntary regulatory body with a register of practitioners, and associated standards of education and conduct, supported by a complaints and disciplinary process.

In March 2019 the RCVS published the Review of Minor Procedures Regime (www.rcvs.org.uk/document-library/report-to-defra-on-the-review-of-minor-procedures-regime-and/) which noted that the existing exemption order was not suitable for underpinning the work of musculoskeletal therapists, and recommended that this be remedied by reform of Schedule 3 of the Veterinary Surgeons Act, alongside regulation by the RCVS through Associate status for musculoskeletal therapists.

This would allow the RCVS to set and uphold standards for musculoskeletal therapists in a similar way to veterinary nurses, giving further assurance to both the veterinary professions and the public. The recent Legislation Working Party Report recommendations builds on that recommendation, and is currently open for consultation at www.rcvs.org.uk/consultations

Research published in the Journal of Small Animal Practice has shown that vets are commonly prescribing metronidazole to cats and dogs for reasons other than its antimicrobial properties, and frequently in contradiction to antimicrobial use guidelines.

Led by clinicians from Davies Veterinary Specialists, the Royal Veterinary College, and Willows Veterinary Centre and Referral Service, the study assessed the proportion of metronidazole use that was prescribed for non-antimicrobial purposes, and the rationale for it.

A survey was completed by 138 veterinarians, primarily in the UK and working in primary care small animal practice, who treated 332 cases (285 dogs and 47 cats) with metronidazole.

In 42% of cases, metronidazole was selected exclusively for non-antimicrobial targeted therapy, and was most commonly prescribed to treat acute diarrhoea, chronic diarrhoea, or giardiasis.

This, say researchers, is despite recommendations that antimicrobials are very rarely warranted for the management of acute and chronic diarrhoea.

The most common rationale cited by vets to justify metronidazole use was its supposed anti-inflammatory or immunomodulatory properties.

Other reasons included: treatment of suspected or confirmed anaerobic or susceptible bacterial infection, the patient being systemically unwell or having severe disease, treatment of protozoal infections, experiencing a previous positive outcome in a similar case or the same patient, anti-diarrhoeal action and owner or practice expectations.

Dr Justin Ng, lead author of the study, said: “These insights are alarming given that such practices frequently deviate from current antimicrobial use guidelines, potentially contributing to ongoing challenges with antimicrobial resistance and adverse effects on gastrointestinal health.”

https://onlinelibrary.wiley.com/doi/10.1111/jsap.13910 

The RCVS Disciplinary Committee has dismissed a case against Duncan Davidson MRCVS, a South London veterinary surgeon accused of clinical failings in relation to his treatment of a cat and of keeping poor and misleading clinical records.

The Committee heard the case against Dr Davidson, who was the sole practitioner and owner of Mitcham Veterinary Clinic until his retirement from clinical practice in November 2014, at a hearing which concluded on 22nd January.

The first charge against Dr Davidson alleged that, between 7 November 2013 and 13 December 2013, he had failed to provide adequate care to Ameira, an Egyptian Mau cat. The charge was in four parts: that he had inappropriately administered corticosteroids; had failed to administer adequate fluid therapy; discharged the cat to its owner suggesting a referral when he should have suggested or arranged a same-day referral; and that he failed to communicate the urgency of referral/ further investigation of the cat’s condition to her owner.

The second charge was that, between 7 November 2013 and 17 January 2014, he dishonestly made retrospective alterations to Ameira’s clinical records and failed to keep clear, accurate and detailed clinical records.

From the outset Dr Davidson, who attended the hearing, did not admit the charges against him and denied that his conduct, if found proven, constituted serious professional misconduct.

A summary of the circumstances of the case were that the cat had been admitted to Dr Davidson’s practice on 8 November 2013 with poor appetite and a piece of thread in its mouth. The cat was later admitted, on 21 November, with dehydration and was diagnosed with a linear foreign body (ie the thread) on 25 November 2013. Dr Davidson continued to treat Ameira with corticosteroids and rehydration fluids at the practice but a second opinion was sought by Ameira’s owner from a nearby veterinary practice. This practice referred the cat to the Royal Veterinary College for treatment. Surgery to remove the linear foreign body was undertaken on 13 December 2013, albeit with a poor prognosis, and Ameira subsequently suffered two cardiac arrests and died on 14 December 2013.

In terms of its findings on the first charge, the Committee heard from an expert witness, Mr Hurst, regarding the use of the corticosteroids which were administered to the cat by Dr Davidson on 22, 27 and 30 November 2013 and 5 and 12 December 2013. Although Mr Hurst said that a minority of veterinary surgeons may have provided corticosteroids when the cat was first presented to Dr Davidson on 8 November; when it was determined by Dr Davidson’s colleague Mr Holden that the cat’s condition was due to it having ingested thread, the use of corticosteroids was inappropriate from then on and would be considered contra-indicated. The Committee found this charge proven.

The Committee did not find the charge against Dr Davidson that he failed to provide adequate fluid therapy proven. When the cat was presented to the practice on 21 November 2013 suffering from dehydration, fluid rehydration was given but not administered intravenously. The Committee concluded that intravenous hydration was not necessary because the clinical records from both Dr Davidson and the Royal Veterinary College indicated that Ameira was only moderately dehydrated.

Regarding the referral of Ameira, the Committee could not be sure that the cat was sufficiently unwell on 23 November that it required immediate referral. Dr Davidson had sent Ameira home with her owner on that date on the basis that she was stable and that he would arrange a referral for her on 25 November. There was conflicting evidence from Dr Davidson and Ameira’s owner on the matter of whether, on 23 November, Ameira’s owner was advised that the cat’s condition was critical or that a referral was urgently required. Dr Davidson accepted that he did not seek to make an urgent referral. The charge was not proven.

Regarding the communication of the urgency for further investigation of Ameira’s condition, the Committee found that there was insufficient evidence to suggest that Dr Davidson did not adequately communicate with Ameira’s owner after the diagnosis of a linear foreign body was made on 25 November. According to Dr Davidson, he explained the risk of further damage to the oesophageal and gastrointestinal tract and offered further radiography. This was strongly contested by Ameira’s owner. However, ultimately the Committee were unable to be satisfied as to which version was correct to the necessary standard of proof required.

Regarding the retrospective amendment of clinical records, the Committee found that although there were some “troubling aspects” about the case, particularly evidence of a telephone call with the RCVS Professional Conduct Department in which Dr Davidson said that no retrospective alterations had been made, it was unable to be satisfied so as to be sure of his motivation for changing the records. His contention was that changes had been made as he was concerned he would be subject to civil litigation by Ameira’s owner. However, the Committee found the charge not proven, also taking into account Dr Davidson’s good character and unblemished professional record over 40 years.

However, the Committee did find that Dr Davidson’s clinical records were illegible. Dr Davidson recognised the poor quality of his handwriting, which the veterinary surgeons to whom Ameira was referred were unable to understand. The Committee found this charge proven.

Taking into account the charges it found proven, the Committee then considered whether they constituted serious professional conduct either individually or cumulatively. Judith Webb, who chaired the Committee and spoke on its behalf, said: "It does not consider that on the facts of this case the administration of corticosteroids amounted to disgraceful misconduct."

She added: "The Committee has already emphasised the importance of making legible handwritten records but it does not consider that the failure to do so in this case amounts to disgraceful misconduct.... The Committee has found that Dr Davidson was wrong to make retrospective entries in this case without making it clear when such alterations were made. The Committee does not consider that in this case the making of those alterations was capable of being disgraceful misconduct. The case is dismissed."

Former vet Warwick Seymour-Hamilton, who was removed from the Register in 1994, has had his eleventh attempt at restoration rejected by the RCVS Disciplinary Committee.

Mr Seymour-Hamilton was removed from the Register after his Kent practice was found to have unhygienic and unsterile conditions as well as poor record keeping, although he has always disputed this, maintaining that he was not actually practising at the time of the inspection. 

Mr Seymour-Hamilton made an application for restoration on the basis that he did not want to be restored to the Register in order to practise veterinary surgery, but so that he could more easily achieve recognition from academics and drug companies for his work on herbal and natural remedies.

Mr Seymour-Hamilton's dispute over the original findings of the 1994 case was ruled inadmissible.

In considering his application, the Committee took into account the fact that he had not accepted the original findings from 1994 nor had he, over the course of his various applications for restoration, shown any insight into his original conduct or the serious concerns about his fitness to practice raised in previous restoration hearings.

It also considered that Mr Seymour-Hamilton had been off the Register for 29 years and would need to have demonstrated prolonged, intensive and formal training to ensure he met the Day One Competences required of a veterinary surgeon.

The College submitted that he had made no such attempts and so would pose a significant risk to animal health and welfare if he were allowed to practice again.

The Committee also considered that Mr Seymour-Hamilton had indicated that he had practised veterinary surgery while off the Register – including conducting two spay procedures in Calais, France – and had used his own animals to try out new and untested ‘herbal remedies’.

The College submitted that this indicated someone who didn’t have due regard to the importance of the current level of skills, experience and qualifications required in order to undertake veterinary surgery competently, and therefore posed a risk to animal health and welfare.

Dr Kathryn Peaty MRCVS, chairing the Committee and speaking on its behalf, said: “The College invited the Committee to consider that where, as here, some 29 years have passed since this veterinary surgeon has practised, there has been no intensive, and prolonged re-training, no acceptance of the original findings and no insight into concerns about his fitness to practise, there will inevitably be a serious risk to the welfare of animals and the wider public interest if the applicant is restored to the Register.

The Committee agrees, and considers that the applicant has not shown the required insight as to the steps he needs to take to return to safe veterinary practice.”

Accordingly, the Committee decided that it would not be in the public interest to restore Mr Seymour-Hamilton to the Register.

www.rcvs.org.uk/disciplinary

Ceva Animal Health, maker of Adaptil and Feliway, has launched its popular annual competition in which practices are invited to set up displays about fireworks in their waiting rooms and post a photograph on the company's Facebook page in October.

Additional credit is given if the display includes a den, and the top ten displays win a luxury chocolate hamper. 

Ceva says the aim of the exercise is to highlight preventative steps pet owners can take to manage their pets' firework fears and the benefits of building a den to help calm and reassure dogs during the firework festivities,

Claire Russell, pheromone product manager at Ceva Animal Health, said: "Our display competition is one of the highlights of the veterinary practice year with veterinary professionals creating innovative displays that capture the imagination of their clients and help educate them on the preventative measures that they can adopt at home to help manage their pet’s firework fears."

Ceva has a range of marketing materials for veterinary practices to use in the competition, including waiting room materials.

For further information, contact your local Ceva territory manager.

IVC Evidensia has launched the latest in a series of products developed in collaboration with various partners for the exclusive use of its practices.

AniDent is a dental care range for cats and dogs - a rinse, a toothpaste and a gel - created with Virbac to help prevent periodontal disease. 

Anident joins VetSoothe, a range of dermatology products which includes shampoos, ear cleaners and skin wipes, developed with Vetruus.

Earlier in the year, IVC also launched Joints & Mobility with Omega-3s, an addition to it's VetPro range, developed with one of the company's orthopaedic experts, Jamie McClement.

On the equine side, the company has also launched EquiXcellence, a range of equine nutritional health and wellbeing supplements.

VetSurgeon asked what longer term plans the company has for its exclusive brand product range.

An IVC Evidensia spokesperson said: "We're developing own brand veterinary products specifically where we think we can see areas we can add value for our practices, pet owners, and patients. In the case of Anident, we saw there was an opportunity to make oral care easier by offering a range of options to suit pet owners' needs.

"In the case of Joints & Mobility with Omega-3s, there is research which has shown that high levels of Omega-3s EPA & DHA can greatly support freedom of movement and pain, which was the key focus when developing the product.

"We plan to continually enhance our own brand portfolio across our UK and Europe practices with some exciting product launches on the horizon."

Photo: Gerhard Putter BVSc MRCVS MANZCVS (Veterinary Dentistry and Oral Surgery) Diplomate of the European Veterinary Dental College uses Anident on a big cat