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Regular Vet Checkups: Schedule follow-ups to monitor progress and adjust treatment as needed

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Recognizing them before they happen saves you pain, wasted medication, and suboptimal results

This isn't unusual, since drugs like pioglitazone and acipimox can correct metabolic issues without a reduction in extra weight

It is well-recognized that the proportion of complex carbohydrates or fiber (typically found in the diet as long-stem forages) to more simple carbohydrates (such as starches and sugars), as well as abrupt changes in diet, cause fluctuations in the populations of microbes within the hindgut of the horse [109,122124]