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 Unfortunately, outdated beliefs still cause many owners to give up on their horses prematurely, leading to unnecessary suffering or euthanasia.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.

Links and resources:

Connect with Elisha Edwards on her website

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

Free Webinar Masterclass:

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.

Links and resources:

Connect with Elisha Edwards on her website

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

Free Webinar Masterclass: Four Steps to Solving Equine Metabolic Syndrome Naturally

Register for my self-paced course, Resolving Equine Metabolic Syndrome...

The thyroid gland plays a crucial role in the metabolic health and overall vitality of horses, yet it is often overlooked or treated only when serious problems arise.

Understanding the role of the thyroid gland and the factors that support or hinder it is the key to long-term equine wellness. Remember that supporting your horse’s health holistically always begins with their diet, lifestyle, and stress reduction.

Recognizing Thyroid Imbalance

Changes in the coat are often the first visible sign of thyroid imbalance. Horses may develop coarse or dry hair, experience hair loss, shed slowly, or grow curly hair. Those changes are all tied to the thyroid and could overlap with pituitary dysfunction.

Metabolism and Temperature Regulation

Thyroid health strongly influences weight and temperature regulation. Horses may gain weight despite appropriate feed and exercise, or show cold intolerance by shivering when others remain comfortable. Those signs reflect compromised heat production and metabolic function.

Hormones and Reproductive Health

Hormones are interconnected, so a thyroid imbalance could also affect the cycling and overall reproductive health of mares. Disruption in one hormone system influences others, highlighting the importance of a holistic approach.

Behavior and Energy Levels

Thyroid imbalance could manifest as depression, fatigue, or anxiety. Horses may withdraw from herd interaction, appear less playful, or become unexpectedly reactive despite consistent training. Physiological health can drive behavioral changes that horse owners should never overlook.

Muscle Health and Mineral Balance

Muscle weakness is another possible sign of thyroid imbalance. Selenium deficiency can also present similarly, highlighting the importance of evaluating mineral balance in addition to glandular health. Minerals often influence multiple systems simultaneously.

Closing Thoughts

Thyroid function is complex because it interacts with the pituitary gland, reproductive hormones, metabolism, and mineral balance. Paying attention to any changes occurring in the hair, coat, weight, temperature tolerance, behavior, and muscle strength can provide practical clues to possible metabolic imbalance. When those signs are present, it is essential to seek the right help to explore whether thyroid health may be a contributing factor.

Links and resources:

Connect with Elisha Edwards on her website

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

Free Webinar Masterclass: Four Steps to Solving Equine Metabolic Syndrome Naturally

Register for my self-paced course, Resolving Equine Metabolic Syndrome Naturally.

Mentioned in this episode:

Learn the 4 Steps to Resolving Metabolic Syndrome Naturally

Sign up for the FREE masterclass today!

Masterclass

In Episode 13 last year, I covered some of what I discussed in my free webinar series, Become Your Horse’s Healer.

We have a replay of that episode today, so tune in to learn how to reset your expectations for your horse’s health.

Understanding Healing Patterns

Horses usually respond to healing programs in four different ways. Some horses respond positively to a new program and show rapid improvement. Others experience a temporary worsening of their conditions as their bodies start the healing process, often marked by fatigue or increased inflammation. Some horses show initial improvement followed by a later setback, while others progress gradually.

Emotional and Physical Health Interplay

Healing is a complex journey that involves physical, emotional, spiritual, and mental health. In addition to addressing their physical symptoms, owners must understand the emotional aspects that might impact their horse's well-being. Challenges may arise when a horse’s physical and emotional health are misaligned. Recognizing all the interconnected elements is essential for comprehensive care and successful healing.

Setting Realistic Expectations and Goals

It is essential to set realistic expectations at the start of a health journey. Each horse has a unique healing trajectory, and patience is paramount. Making rushed decisions due to having unrealistic expectations could lead to setbacks. Owners need to acknowledge their horse's individuality, taking their age, constitution, and any chronic conditions they may have into account. Horses with a more robust constitution and those at risk due to breed characteristics may respond differently. Understanding these factors allows owners to tailor their expectations and approaches accordingly. Setting achievable goals and celebrating small victories allow owners to navigate the healing process with more of a positive mindset.

Addressing Obstacles to Recovery

In some instances, despite your well-intentioned efforts, obstacles may still hinder your horse’s progress. So it is crucial to identify physical and emotional sources of toxicity or address the lifestyle factors that impede the healing process. Gradual changes, observation, and responsiveness to the horse's cues help create a more effective healing environment.

Chronic Nature of Diseases and Pathology

Chronic diseases in horses are particularly challenging. Conditions such as side bone, ring bone, and bone remodeling in the feet or joints that show tissue changes complicate issues. Horse owners must learn to distinguish inflammation from degeneration because once tissues (especially bone) start changing, it complicates recovery. Setting realistic expectations is crucial for determining whether or not full recovery is possible.

Genetic Predispositions and Melanomas

Genetic predispositions, like melanomas or related conditions, impact a horse's health. (White and grey horses often have melanomas due to genetic factors.) Improvement is possible in those cases, especially when owners can recognize the genes that influence the disease expression. Managing a horse’s diet, nutrition, and lifestyle is crucial for modulating genetic expression and switching off detrimental genes to mitigate their effects.

Constitution and Environmental Factors

The constitution of a horse is influenced by factors starting in the womb. In some horses, constitutional weaknesses show up as susceptibility to allergies or illnesses. With proper care, strengthening a horse's constitution is possible. With certain breeds, especially easy-keepers that are predisposed to conditions like insulin resistance, owners may need to tailor their expectations to incorporate genetic and environmental factors.

Managing Expectations for Aging...

This week, we are revisiting the topics of insulin resistance and equine metabolic syndrome (EMS).

Those issues have been on my mind recently due to the many questions I have received, and because I am currently working on a project with an insulin-resistant mare that is struggling to make any progress at the facility I manage.

Join me as I share my insights on how these recoveries typically unfold.

Act Early and Monitor Progress

Recognize any changes in your horse before they become serious problems. Prevention is always the key, as long-term, unmanaged insulin resistance can lead to laminitis and permanent damage.

The Danger of Repeated Relapses

Each time a horse swings between recovery and relapse, it becomes harder to reverse insulin resistance. Aim for consistent recovery, with no symptoms and healthy blood work. After that, you will need to maintain those results through controlled management.

Safe Grass Reintroduction

Horses benefit from a natural herd life and grazing, but returning to pasture should be gradual. Monitor the horse closely for swelling, fat pads, or any early sign of regression, and adjust its turnout times accordingly.

Key Physical Signs

Fat pads behind the shoulders or on the tail dock, and a crested neck, are usually indicators of insulin resistance, even before blood work confirms it. Unexpected weight gain or puffiness can also signal trouble.

Behavioral Clues

Food aggression and irritability can result from poor satiety-hormone regulation and blood sugar swings. That is often mistaken for personality, but improving the metabolic balance usually reduces that behavior.

Thirst and Urination Changes

Increased thirst and urination may indicate that the horse's body is working hard to flush out excess sugar. That often tends to occur in spring or when grass intake increases.

Edema and Fluid Retention

Swelling in the sheath, udder, legs, or above the eyes often links to high sugar intake and reduced movement. Increasing the horse's daily activity can quickly improve that.

Laminitis Risks

High insulin can damage hoof tissues, and reduced movement worsens the problem. Support hoof comfort, but keep the horse moving to break the inflammation–insulin cycle.

General Inflammation and Soreness

Insulin resistance can cause full-body soreness, joint stiffness, and mobility issues, which can sometimes be mistaken for aging. Addressing diet and movement can often reverse those symptoms, even in older horses.

Consistent Management

Recovery is not always linear. Track the symptoms over 30, 60, and 90 days, and adapt your management, if necessary, for any setbacks caused by weather, limited movement, or dietary slips.

Final Thoughts

Insulin resistance and equine metabolic syndrome require early recognition, consistent management, and ongoing monitoring. Watching for key physical and behavioral signs, addressing issues before there are any changes in the blood work, and maintaining a steady diet and movement routine will allow you to break the cycle of relapse and protect the long-term health of your horse.

Links and resources:

Connect with Elisha Edwards on her website

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

Free Webinar Masterclass: Four Steps to Solving Equine Metabolic Syndrome...

Today, we are focusing on how much a horse should eat.

Horses should not eat continuously, but determining the right amount of food and finding the right balance between enough and too much can be complicated, particularly for horses with insulin resistance or metabolic issues.

Metabolic and Insulin-Resistant Horses

Feeding horses with metabolic issues and insulin-resistance the correct amount can often be the missing piece once their exercise and nutrition are optimized. Some horses can self-regulate easily, while others need careful management to avoid overeating.

Feeding the Right Amount of Hay

A widely accepted guideline is to feed horses between 1.5% and 3% of their body weight in hay per day. That is not a hard and fast rule, however, as hard keepers and some thoroughbreds may require more, while easy keepers and metabolic horses may need less. The key is to adjust the quantity according to the individual needs of each horse.

Finding the Right Balance

Horses can usually cope with three to four hours without food, but extended gaps should be avoided, especially within a 12-hour window. Feeding them too much can increase weight gain and metabolic issues, while over restricting can slow their metabolic rate, raise their stress levels, compromise their immunity, delay healing, and increase the risk of ulcers.

Factors That Matter

The needs of horses vary according to their breed, body condition, health status, and even past experiences with food scarcity or starvation. Herd dynamics can also influence intake, as dominant horses often consume more than their share, leaving others with less. Noticing which horse controls access to the hay and how it interacts with its herd mates can reveal any hidden imbalances in feeding.

Managing Intake

Slowing their eating tends to be more effective than feeding horses less. Using small-hole slow-feed nets, providing smaller portions often, and placing hay in different locations can help owners control their food intake. Owners should also encourage their horses to move by using track systems, ponying them, or taking short walks, as that supports their metabolism, increases satiety, and reduces the urge to graze constantly. The increased muscle mass will also increase the metabolic rate of a horse, helping to manage its weight more effectively.

Special Considerations

Horses with insulin resistance or other metabolic issues tend to become hungry more often, as blood sugar fluctuations affect their satiety hormones. Owners should provide those horses with a low-glycemic forage and high-quality nutrition. They should also ensure they exercise regularly, using track systems, ponying them, or taking short walks to support their metabolism, increase satiety, and reduce the urge to graze constantly. As their nutrition improves, those horses may even naturally reduce their eating to play and interact with other horses.

Practical Feeding Adjustments

When horses have free access to food, it can be challenging to know exactly how much they eat, so observing their behavior is often the best way to gauge their intake. It is also essential to consider pasture consumption, especially when the grass is abundant, to prevent calorie overload. Proper storage and presentation of hay will reduce waste, which sometimes means holding off on topping up until the horse has finished eating.

Planning Strategically

Horses train their humans to feed them on cue, so when owners become strategic about their feeding times, it helps to maintain a healthy balance between satisfaction and overfeeding.

Links and resources:

Connect with Elisha Edwards on her

This week, we are focusing on dosing.

In this episode, I explain the concept of the minimum effective dose, which is the smallest dosage required for the body to respond to or benefit from. The same principle applies to horses when adjusting their nutrition or adding supplements. The aim is to provide just enough to see a positive response, without going so far that it causes unwanted or harmful effects.

Dosing Principles

In pharmacology, the ideal dosing range lies between the minimum effective dose and the maximum tolerated dose. That principle also applies to nutritional supplementation in horses, where exceeding the minimum effective dose could lead to side effects or adverse reactions. The goal is always to use the smallest amount that elicits a benefit, minimizing waste and risk.

Why Less Is More

Once a supplement starts to work, increasing it will not necessarily improve the results. It will likely reduce the effectiveness and strain the body. So, always start with just enough to be effective.

Individual Tolerance and Sensitivity

Every horse responds differently to supplements. Factors like breed, health history, and immune strength all play a role. One horse may tolerate pasture or a supplement easily, while another may react badly to the same thing. Sensitivity varies widely, so dosing should be based on the individual horse rather than generalized standards.

Understanding the Modern Horse

Today, horses are often nutrient-deficient due to poor food quality, high toxicity levels, and chronic stress. Those factors increase sensitivity and reduce nutrient absorption, leading to horses with leaky gut, immune disorders, or genetic diseases that require a more individualized approach to their supplementation.

Start Low

Many people tend to overdo supplementation, thinking more is better. That mindset could be harmful for sensitive animals like horses. When starting with a low dosage, you allow room to adjust upward if necessary and can avoid overloading the body. High doses can cause intolerance and side effects that could be mistaken for a problem with the supplement itself.

Special Considerations

The form and bioavailability of nutrients are the keys to determining whether or not a horse can absorb and benefit from them. For horses with inflammation, metabolic issues, or digestive stress, gentle and minimal intervention is always better. By avoiding multivitamins and using single, targeted nutrients instead, horse owners can support more precise and effective recovery.

Form Matters

Nutrient forms differ in their bioavailability. For example, magnesium oxide is less bioavailable than magnesium citrate or magnesium glycinate. When absorption is poor, you may need higher doses to see results, which can push the dose closer to the maximum tolerated limit without any real benefit. Choosing well-absorbed, high-quality forms helps ensure the horse benefits without adding stress to the body.

Watch for Absorption Issues

Stress and chronic health conditions can impair nutrient absorption. Even the best supplement will not help if the horse cannot digest or utilize it. Bloodwork is helpful, but if levels do not improve with supplementation, the issue may be poor absorption rather than insufficient dosing.

Over-Supplementing and Nutrient Competition

Supplements with too many ingredients can cause nutrients to compete for absorption, reducing their effectiveness. For example, copper and zinc interfere with each other when given together. Complex formulas can overwhelm the body, adding to its load. In many cases, simplifying the diet is more effective than increasing supplementation.

Reset and Rebuild

In...