Feline Nutrition in Focus

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1 Your feedback and input are important. Call VETS (887) weekdays, 8:00 a.m. to 4:0 p.m. CT, visit Dual us at Fiber #05 Control - 5 or us at purinaeditor@collemcvoy.com. #06-0 #07-5 #08-6 Help #09 for - Senior-Cat #0-7 # - 4 Owners # - 47 IU/ml # - 5 A new #4 resource - 57 from Nestlé Purina offers practical tips to rate #5-68 clients with older cats. It covers a range #6 of health - 7issues and emphasizes #7 the - 75 importance Highlyof regular veterinary visits Digestible to keep senior cats healthy. Ingredients Friends for Life: Caring for Your Older Cat is a -page handbook based on information from the Triglycerides erapeutic recently revised Senior Care Treats Guidelines published by the American Association of Feline Practitioners. RESTRICTED NON -RESTRICTED Treats RESTRICTED NON -RESTRICTED The handbook contains information on: Signs of diseases that affect older cats, including diabetes, chronic kidney disease and osteoarthritis Providing optimal nutrition, #05 including - 5 tips on how to #06 entice - 0 finicky cats to eat #07 Effective - 5medication #08 administration - 6 #09 Behavior - changes as cats age #0-7 To order a printed copy of # - 4 Friends for Life, csvetdiets@materialogic.com # - 47 with # your - 5complete name, address #4-57 and phone number. Ask #5 for - item 68 VET 94. An #6 electronic - 7 version is #7 available - 75 at or at the AAFP Web site ( Triglycerides Nutrition@work N e w s & n e w t h i n k i n g f o r v e t e r i n a r i a n s a n d v e t e r i n a r y s t a f f Level feature Level article 5 46 Dual Fiber Control Probiotic Feline Nutrition in Focus 80 Nutrition@work editors recently asked three 65 Nestlé Purina PetCare researchers Microflora for their 79 thoughts on the latest in feline nutrition and how optimal nutrition 56can lead to increased well-being. Senior Care 04 Cats are not small 6 dogs, says Dottie Laflamme, DVM, PhD, DACVN. New evidence is teaching us more about the unique characteristics of cats and ways to enhance their health. One area of focus is nutrient absorption in senior cats. There s a population of older cats that doesn t absorb fat well and tends to lose weight very easily, says Gail Czarnecki-Maulden, PhD. We have ongoing research that looks at matching nutrients to age to help cats maximize nutrient absorption and improve health status. Protein Delivers Deborah Greco, DVM, PhD, DACVIM, believes in the power of protein to optimize a cat s diet. Protein levels should be as high as possible Dual Fiber in feline diets, says Control Greco. As obligate 0 carnivores, cats require more protein Probiotic than dogs. Protein also helps optimize metabolism, so cats have less tendency Microflora to gain weight. It s been shown in Purina studies that increasing protein in weight management diets has a muscle-sparing effect. Increased dietary protein helps preserve lean body mass, and not just during weight loss, agrees Laflamme. There s evidence in nearly 0 9 High Protien Diet Patient s GI Condition Fatty Acids Peak TIME (HOURS) all species that lean body 56 mass is lost with age, which is a risk factor for late-life morbidity and 04 mortality. Anything we can do to help preserve 6 lean body mass is going to help cats achieve long, healthy lives. Probiotics for Balance The role of probiotics in health is emerging, as well as the role of microflora in the intestinal tract and the effect on overall health, says Czarnecki-Maulden. Particularly when an animal is stressed and it doesn t take much for cats bad bacteria can overtake the good bacteria. High Protien Diet We re learning more about how bacteria support proper immune function, and how they send signals to other parts of the body. The changing landscape of feline health and nutrition presents you with many opportunities to provide client counsel. Laflamme Level advises veterinary professionals 5 to enhance their nutrition Patient s GI 5 6 knowledge Condition 80 through 65 continuing 79 TIME (HOURS) education using trusted sources. 56 Providing nutritional 04 advice is a great 6 opportunity for veterinary practices. Build it into extended office visits or in separate consultations, she says. Find out where cat owners are getting their information and the concerns they have, then provide informed responses. Winter 00 Gastro Reaction

2 utic s H Di Ing PRODUCT HIGHLIGHT New Options for Optimal GI Health Purina Pro Plan Puppy Formulas With OptiStart Healthy puppies get natural protection from their mothers, but their immune systems may not be fully developed at weaning. Disruptions, including weaning, stress and travel, can be challenging to the development and maintenance of a puppy s system. Purina Pro Plan Puppy Formulas ONLINE UPDATE On-the-go Info for You, Your Clients with OptiStart provide easy-to-digest, natural milk proteins to help support a puppy s developing immune system. Purina Veterinary Diets Canine and Feline GI HealthPacks There s a new, convenient approach to nutritional management of dogs and cats with GI problems. Purina Veterinary Diets Canine and Feline GI HealthPacks combine the benefits of highly digestible Purina Veterinary Diets EN Gastroenteric Formulas and Purina Veterinary Diets FortiFlora Canine and Feline Nutritional Supplements, which help promote normal intestinal microflora balance. Petcentric Places iphone Application From dog parks and beaches to campgrounds and hotels, a new petcentric places iphone application lets users quickly locate pet-friendly destinations and services. Convenient features make it easy to search, share photos, add and rate locations, and access pet tips. Our petcentric places application puts fun and helpful on-the-go tools just a touch away for iphone users and allows them to spend more time with their pets, says Laura Lee, digital brand manager, Nestlé Purina PetCare. The application Each canine GI HealthPack contains: Five.5-ounce cans of EN Canine 0 one-gram packets of FortiFlora Canine Each feline GI HealthPack contains: Six 5.5-ounce cans of EN Feline 0 one-gram packets of FortiFlora Feline can be downloaded at no charge from the itunes App Store SM. Challenging Cases Webcast Now Online A webcast presented by Deborah Greco, DVM, PhD, DACVIM, and Michael Lappin, DVM, PhD, DACVIM, is available online. The one-hour presentation covers managing feline diarrhea, helping diabetic cats with renal disease, controlling feline chronic rhinosinusitis, caring for patients with liver disease and more. Find the webcast at Participants can earn one hour of CE credit. ate Nutrition Know-How rapeutic Treats Q: WHY IS CORN A COMMON INGREDIENT IN PET FOODS? Highly Digestible Ingredients Corn and other grains are commonly used in dry pet foods, primarily as sources of digestible carbohydrates, but also as sources of essential fatty acids. Carbohydrates from corn are used to provide energy and to help supply the body s glucose needs. While the protein content of corn is low, protein from corn can be found in higher amounts in corn gluten meal. Corn gluten meal is a highly digestible source of many essential amino acids. There are numerous myths about corn in pet food. One suggests that corn is hyperallergenic, contributing to food allergies. Allergies can form against almost any protein, including the protein in corn. However, even though corn is widely used in commercial pet foods, allergies to corn are unusual, based on the most common food allergens identified in dogs and cats during clinical evaluations. Thus, the evidence refutes this myth about corn. Another common myth is that corn is a filler in pet foods. Fillers are defined as non-nutritive substances used to extend food volume. Since corn is highly nutritious, providing highly digestible carbohydrates, essential fatty acids and amino acids, corn does not qualify as a filler.

3 NUTRITION UPDATES AT CONFERENCE Get up-to-date information on how to handle challenging cases during the Nestlé Purina Symposium at the Western Veterinary Conference in Las Vegas, p.m., Feb. 6. The 00 symposium, Critical Updates on Canine and Feline Health, will feature: Wait, Wait, Don t Tell Me Controversial and Challenging Feline Cases, Deborah Greco, DVM, PhD, DACVIM, Nestlé Purina Feline IBD: The Good (Diets), the Bad (Bacteria) and the Ugly (Diagnosis), Debora Zoran, DVM, PhD, DACVIM, Texas A&M University Treatment of Liver Disease: Medical and Nutritional Aspects, David Twedt, DVM, DACVIM, Colorado State University PRACTICE TIPS Encouraging Repeat Product Sales Tips on boosting repeat sales* 9% Verbal reminders during appointment/checkout 64% In-clinic signage 4% Postcard mailings 6% Collateral 8% Client s *Average of fall 009 survey responses From Problem to Success: A Weight Loss Program That Works and Grows Relationships, Not Girth, Margie Scherk, DVM, DABVP (feline), Cats Only Veterinary Clinic, British Columbia Visit the Nestlé Purina booth during WVC and receive a free gift for attending in-booth presentations or taking the Purina Veterinary Diets Challenge. Encourage Trial We provide samples so our clients can try out a product for five to seven days before they make a purchase. Tony Myer, DVM, Forest Villa Animal Clinic, Dallas, Texas Display Products Our inventory counter is prominently located, so clients walk by it on the way to the exam room. Dale Cupp, DVM, Cabin Point Veterinary Hospital, Disputanta, Virginia CASE STUDY CORNER Appetite Assistance Even the healthiest cats can be finicky eaters. When cats are ill, they may simply quit eating. While Purina Veterinary Diets FortiFlora Feline Nutritional Supplement is primarily used for the dietary management of diarrhea and promoting gastrointestinal and immune system health, it can also be an effective palatability enhancer. Jennifer Ponce Veterinary Technician Studio City, California Ponce has enticed sick cats to eat by sprinkling FortiFlora on food. We keep FortiFlora on hand at all times to use during feedings, says Ponce. We also send it home with patients if they re on antibiotics. Ponce says the inviting qualities of FortiFlora are immediate. The cats definitely like the flavor of FortiFlora, and we ve had really good success, she says. Word got around the hospital, so now we put it on nearly every hospitalized patient s food. Ponce recommends trying FortiFlora with cats that have not responded to cyproheptadine as an appetite stimulant. Managing product inventory and encouraging repeat sales help bolster clinic profitability. In a recent issue of Nutrition@work, we asked readers what s working in their clinics. They shared these tips on methods used to boost sales: Restock Regularly We order weekly, so we always have the right amount of product on hand. Josie Thompson, DVM, Civic Feline Clinic, Walnut Creek, California Make It Personal Our receptionist makes note of when customers last purchased a particular product and reminds them when it s time to replenish. Customers appreciate the attention to detail, and three out of five will make a purchase. LM Bogoslavsky, DVM, Animal Hospital & Clinic of Sherwood, Sherwood, Arkansas Educate Clients Be sure to use focused communication to educate clients from entrance to exit. Brian Jenkins, DVM, Aloha Animal Hospital, Hanover, Pennsylvania Know Your Customers Keep a list of pets on special diets, then order enough to cover them plus a bit more for new patients. That way you have just enough. Cathy Schultz, DVM, Ambassador Animal Hospital, Fayetteville, North Carolina And the winner is Margaret Warner, DVM, Waterhouse Animal Hospital, Fresno, California, was randomly selected from the readers who responded to our survey. She will receive a set of Purina Clinical Handbooks, valued at $400. Return this issue s survey to be eligible for an upcoming drawing.

4 Is Online Top of Mind? Many pet owners are looking online for information about pet health and nutrition. These new options are playing increasingly important roles in how pet owners communicate with each other and perhaps how you and your clients communicate. Tell us more below, then detach, fold (mailing side out) and mail. Thank you! Number of veterinarians in my practice: Number of technicians in my practice: Number of certified/licensed technicians in my practice: What online resources are you currently using to communicate with current and potential clients? (please check all that apply) Clinic Web site E-newsletter Facebook Twitter Online advertising Other (please specify) None What online tools have you found particularly effective and why? Ask Nutrition Know-How Here s my question for a future column in Nutrition Know-How: Your question could appear in a future issue of Nutrition@work. Just drop this card in the mail or your question to purinaeditor@ collemcvoy.com. You ll also be entered in a drawing to win a free set of Purina Clinical Handbooks, valued at $400. I agree to allow use of my name and comments in Nestlé Purina PetCare publications and electronic media. (Printed name and title) (Hospital name) (Address) (P.O. box not acceptable) (City/State/ZIP) (Required) (Signature)

5 BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO. 66 MINNEAPOLIS, MN POSTAGE WILL BE PAID BY ADDRESSEE NESTLÉ PURINA SWEEPSTAKES 400 FIRST AVE N SUITE 700 MINNEAPOLIS MN NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES Official Sweepstakes Rules No Purchase Necessary. A purchase does not improve one s chances of winning. By entering the Sweepstakes, entrants agree to comply with and be bound by the Official Rules. Failure to comply with the Official Rules may result in disqualification from the Sweepstakes. Sweepstakes open to all licensed veterinarians in the 50 United States and District of Columbia and their hospital/clinic employees who are 8 years or older. Employees of Nestlé Purina PetCare Company; their affiliates, advertising and promotional agencies; and their immediate families or those living in the same household of such employees are not eligible. To enter, complete and mail the attached card or your name, title, hospital name and address, and your answers to the above questions to purinaeditor@collemcvoy.com. All entries (U.S. mail and ) must be received by :59:59 p.m. ET on Feb. 6, 00. In the event of a dispute as to who submitted an entry, the entry will be deemed submitted by the holder of the account. One () winner will be selected in a random drawing on or about Mar., 00, from all eligible entries received. Winner will receive one free set of the Purina Clinical Handbooks, valued at $ Odds of winning depend upon the number of eligible entries received. Taxes are winner s sole responsibility. If an individual cannot be contacted, is ineligible or fails to respond with mailing information within 4 days, an alternate winner will be selected. Submission of an entry () constitutes permission to use entrant s name, address (city/state) and entry for advertising/publicity purposes, without further compensation, unless prohibited by law; () grants Sponsor and its agents the right to modify, adapt and/or edit entry; and () constitutes entrant s consent to irrevocably assign and transfer all rights, title and interest in the entry, including, without limitation, all copyrights. However, Sponsor is under no obligation to publish or use any entry. Judge s decisions shall be final in all matters pertaining to the Sweepstakes. Nestlé Purina PetCare Company, its officers, directors, agents and employees are not responsible for and shall not be liable for: () garbled, illegible, incomplete, damaged, misdirected, late, lost, or failed electronic or mailed entries; () telephone, electronic, hardware or software program, network, Internet or computer malfunctions, failures or difficulties; () errors or delays in transmission; (4) any condition caused by events beyond the control of the Sponsor which may cause the Sweepstakes to be disrupted or corrupted; (5) any losses or damages of any kind caused by the prize or resulting from acceptance or use of the prize, or from participation in the Sweepstakes; or (6) any printing or typographical errors in any materials associated with the Sweepstakes. The Sponsor and its judging organization may prohibit you from participating in the Sweepstakes if, at their sole discretion, you repeatedly show a disregard for the Sweepstakes s Official Rules, or act: (a) in a manner they determine to be not fair or equitable; (b) with an intent to annoy, threaten or harass any other entrant or the Sponsor; or (c) in any other disruptive manner. Sponsor reserves the right in its sole discretion to cancel, terminate or suspend this Sweepstakes should viruses; bugs; unauthorized human intervention; systems malfunctions, failures or difficulties; or other causes beyond the control of the Sponsor and its agencies corrupt or affect the administration, security, fairness, proper play or conduct of the Sweepstakes. All federal, state, and local laws and regulations apply. Void where prohibited. For the name of the winner, contact purinaeditor@collemcvoy.com. LIMIT ONE ENTRY PER PERSON, REGARDLESS OF MEANS OF ENTRY. ENTRY IN THIS SWEEPSTAKES CONSTITUTES YOUR ACCEPTANCE OF THE OFFICIAL RULES. Sponsor: Nestlé Purina PetCare Company, Checkerboard Square, St. Louis, MO 664. Trademarks owned by Société des Produits Nestlé S.A., Vevey, Switzerland.

6 s Low Carbohyd Diet Triglyc Nutrition@work Nestlé Purina PetCare Company, 90 Chouteau, St. Louis, MO 60 utic H Di Ing PRSRT STD U.S. POSTAGE PAID St. Louis, MO Permit No. 475 w ydrate iet Dual Fiber Control Feline GI Diseases Therapeutic Highly Digestible Ingredients IU/ml USEFUL MATERIALS Video Educates About Level 5 46 Cornell University College of Veterinary Medicine, 80 in partnership with Nestlé Purina, has released 65 Gastrointestinal Diseases in Cats, a new 79 video that helps owners understand common GI disorders. It is the latest client education resource offered by Cornell s Partners 56 in Animal Health program. The 04 video includes information on clinical signs, diagnostic 6 workups and disease management. Covered topics include inflammatory bowel disease, GI parasites, dietary sensitivity, antibiotic-induced diarrhea, therapeutic diets, probiotics and more. The video is available to veterinarians for client education, either online or on DVD. Visit purinavets.com (Clinic Tools), purinaveterinarydiets.com (For Your Cat), or partnersah.vet.cornell.edu/pet. To order a copy of the video, csvetdiets@materialogic.com with your complete name, address and phone number. Ask for item VET 958. Nut r ition@work In This Issue: 00 Symposium Speakers Announced Add to Product Sales New iphone App for Pet Owners Printed in the U.S.A. Trademarks owned by Société des Produits Nestlé S.A., Vevey, Switzerland Th Fatty A Pea

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