FEED ADVICE – HEALTH
Optimal Cushing’s Management: Essential Tips
Cushing’s disease, also known as pituitary pars intermedia dysfunction (PPID) is the most common hormonal disorder in horses. While all horse breeds can be affected, native breeds may be more prone, as well as older horses.
The condition involves an overgrowth in the pituitary gland’s pars intermedia at the base of the brain. This region of the pituitary gland produces hormones that play a crucial role in regulating various bodily functions. This growth leads to an overproduction of adrenocorticotropic hormone (ACTH), which in turn stimulates the adrenal gland to produce excessive amounts of cortisol. Symptoms include abnormal hair growth, chronic infections, laminitis, excessive sweating, increased drinking and urination, weight loss, lethargy, and muscle loss. Other signs may include abnormal fat deposits, reproductive issues in mares, abnormal mammary gland development, and ligament degeneration.
Key Highlights
Cushing’s disease, also known as pituitary pars intermedia dysfunction (PPID), is a common endocrine disorder.
It primarily effects older horses over the age of 15, and is most commonly seen in native breeds such as Welsh and Dartmoor ponies.
Clinical signs include delayed sheeding, abnormal fat deposits and muscle loss.
Treatment options include medications and dietaty management.
Understanding Cushing’s
Cushing’s disease, or PPID (Pituitary Pars Intermedia Dysfunction), occurs when part of the brain’s pituitary gland – the pars intermedia – stops working properly. This gland normally helps regulate hormones that control many of the body’s vital functions.
In horses with Cushing’s, the pars intermedia becomes overactive, usually due to a benign tumour or age-related degeneration. This causes the gland to release too much of a hormone called ACTH (adrenocorticotropic hormone). ACTH then overstimulates the adrenal glands, leading them to produce excessive cortisol – the hormone often referred to as the body’s natural “stress hormone”.
Chronically high cortisol levels can affect nearly every system in the horse’s body. Common signs include a long, curly coat that doesn’t shed properly, weight and muscle loss, increased drinking and urination, laminitis, lowered immunity, and recurring infections. Left unmanaged, these clinical signs can have a serious impact on the horse’s well-being.
Clinical Signs
Identifying the early warning signs and symptoms of Cushing’s disease is crucial for early detection and management of the condition. While the clinical signs can vary, there are several key indicators that horse owners should be aware of.
Physical Changes Seen with Cushing’s
Horses affected by PPID exhibit several distinct clinical features. Abnormal hair growth, known as hirsutism, is commonly seen along the crest of the neck, shoulders, and tail head. In advanced stages, Cushing’s can cause progressive muscle wastage and a loss of musculature along the topline, resulting in a pot-bellied appearance and reduced exercise tolerance. Laminitis, characterised by foot tenderness, lameness, and a characteristic stance, is a recurring issue in horses with PPID, complicating their management. Additionally, PPID compromises the immune system, making affected horses more susceptible to infections, delayed wound healing, and heightened vulnerability to parasitic infestations.
Behavioural Changes seen with Cushing’s
In addition to physical changes, horses with Cushing’s disease often show behavioural alterations that can significantly affect their quality of life and performance. These changes can be subtle but are important to recognise:
Horses may exhibit changes in temperament, becoming more irritable, lethargic, or showing mood swings. This can impact their interaction with handlers and overall behaviour.
Additionally, Cushing’s disease can lead to a decline in energy levels and athletic performance, affecting the horse’s ability to perform tasks or participate in activities as they normally would.
Polyuria (excessive urination) and polydipsia (excessive drinking) are frequent signs, indicating disruptions in fluid and electrolyte balance due to hormonal imbalances.
Diagnosis of Cushing’s
Accurate diagnosis of Cushing’s disease in horses involves a combination of diagnostic approaches. These approaches help assess the horse’s hormone levels and detect any abnormalities associated with the condition.
Diagnostic testing for Cushing’s disease typically includes:
These diagnostic approaches provide valuable information for accurately diagnosing Cushing’s disease in horses and determining the most appropriate treatment strategies.
In addition to blood tests, imaging techniques can be used to confirm the diagnosis of Cushing’s disease in horses. These techniques help visualise the pituitary gland and detect any abnormalities associated with the condition.
One imaging technique commonly used is magnetic resonance imaging (MRI). MRI provides detailed images of the pituitary gland, allowing veterinarians to identify any growth or abnormality in the region of the pituitary gland affected by Cushing’s disease.
Imaging techniques, combined with blood tests and other diagnostic approaches, provide a comprehensive evaluation of the horse’s condition. They help confirm the diagnosis of Cushing’s disease and guide veterinarians in developing an appropriate treatment plan.
Treating a Horse with Cushing’s
Treatment for Cushing’s disease in horses primarily involves medication aimed at regulating hormone levels.
One of the most prescribed medications is pergolide. Pergolide works by suppressing the production of adrenocorticotropic hormone (ACTH) and cortisol. Typically administered orally in tablet form of varying strengths, pergolide requires careful monitoring of hormone levels and clinical signs to gauge its effectiveness. Vets often recommend periodic retesting of ACTH levels after initiating treatment and at regular intervals thereafter to assess the horse’s response and adjust the treatment plan as needed. This monitoring ensures optimal management of the condition and supports the horse’s ongoing health.
Dietary Managment for Cushings Disease
Dietary management and environmental adjustments play a crucial role in managing Cushing’s disease in horses. These strategies help support the horse’s overall health and well-being and minimise the impact of the condition.
A low-starch, high-fibre diet is essential, as it helps prevent glucose spikes and reduces the likelihood of insulin dysregulation and laminitis. High-quality forage forms the cornerstone of their nutrition, providing vital nutrients while promoting gastrointestinal health and supporting optimal metabolic function. Supplementing with essential vitamins and minerals such as vitamin E, selenium, and magnesium addresses common deficiencies in PPID-affected horses, supporting overall health and immune function. Hydration management is also vital, ensuring PPID horses, especially those prone to polyuria and dehydration, have continuous access to clean, fresh water. These dietary and management practices are integral to maintaining the well-being and quality of life of horses with PPID.
Did you know the majority of the Pure Feed range is suitable for horses with Cushings? We specialise in low sugar and starch, high fibre feeds, fortified with vitamins and minerals to help address the common deficiencies.
Consider limiting field access during periods of high sugar content. These sugars are naturally present in grasses and can vary depending on factors such as species, time of day, weather conditions, and growth stage.
During certain periods like spring, grass tends to accumulate higher levels of sugar due to factors such as cooler temperatures and increased sunlight. This rapid growth phase, often seen in lush, young grass shoots, can lead to higher concentrations of sugars. In some cases, particularly in certain grass species or under specific environmental conditions, the accumulation of sugars can exceed what is normal for horses to efficiently process. Ideally during this period, horses should have restricted grazing time, or wear a muzzle to limit grass intake.
Conclusion
In conclusion, Cushing’s disease presents a significant challenge in health management. This hormonal disorder impacts horses of various breeds, particularly older individuals, and manifests through a range of clinical signs. Early detection, regular vet checkups, medication and correct diet can help horses with Cushing’s disease live a normal life. Due to the prevalence of Cushing’s, there is continual research and advancement in treatment options offer a more optimistic outlook for horses.
What we recommend for horses with Cushings
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Ready for better results? Start with the right diet.
Get a free, personalised Pure Feed diet plan; fast, expert and tailored to your horse’s goals. Better condition, better performance, better clarity.
Start your plan now via the link in our bio 🩵
Ready for better results? Start with the right diet.
Get a free, personalised Pure Feed diet plan; fast, expert and tailored to your horse’s goals. Better condition, better performance, better clarity.
Start your plan now via the link in our bio 🩵
Even in winter, horses lose essential electrolytes and nutrients through sweat and that can impact hydration, muscle function, and post-exercise recovery.
Pure Refuel is designed to make recovery simple. It provides a balanced combination of electrolytes, amino acids, antioxidants, and pre- and probiotics to support hardworking muscles, hydration, and overall wellbeing after work.
Whether your horse is training, competing, hunting, or hacking, Refuel helps them bounce back effectively.
Recovery made simple 🍒
Even in winter, horses lose essential electrolytes and nutrients through sweat and that can impact hydration, muscle function, and post-exercise recovery.
Pure Refuel is designed to make recovery simple. It provides a balanced combination of electrolytes, amino acids, antioxidants, and pre- and probiotics to support hardworking muscles, hydration, and overall wellbeing after work.
Whether your horse is training, competing, hunting, or hacking, Refuel helps them bounce back effectively.
Recovery made simple 🍒
Wishing all our wonderful customers, horses and supporters a very Happy Christmas! 🎁✨
Thank you for being part of the Pure Feed family this year 🩵
Wishing all our wonderful customers, horses and supporters a very Happy Christmas! 🎁✨
Thank you for being part of the Pure Feed family this year 🩵
We love hearing how Pure Feed is making a difference! Here’s Jemma’s experience with Yogi:
"Honestly, my horses were on another feed for nearly 10 years before I switched them to Pure about a year ago and the difference has been huge. They absolutely love the feed, their coats and condition look incredible, and they just seem so much happier.
Yogi can be really sharp in the winter, but since being on Pure, I haven’t needed to give him a calmer at all! I rave about you guys to anyone who’ll listen!"
- Jemma & Yogi 🩵
We love hearing how Pure Feed is making a difference! Here’s Jemma’s experience with Yogi:
"Honestly, my horses were on another feed for nearly 10 years before I switched them to Pure about a year ago and the difference has been huge. They absolutely love the feed, their coats and condition look incredible, and they just seem so much happier.
Yogi can be really sharp in the winter, but since being on Pure, I haven’t needed to give him a calmer at all! I rave about you guys to anyone who’ll listen!"
- Jemma & Yogi 🩵
Soft, minty and easy to chew, Meadow Mash is perfect for older horses, fussy eaters or those who struggle with long fibres.
The high water content helps keep your horse hydrated and their gut moving, especially when they’re stabled more during wet weather or on box rest.
Fibre and hydration go hand in hand for a normal digestive system, and Meadow Mash provides both in one tasty, easy-to-digest mash 💚
Soft, minty and easy to chew, Meadow Mash is perfect for older horses, fussy eaters or those who struggle with long fibres.
The high water content helps keep your horse hydrated and their gut moving, especially when they’re stabled more during wet weather or on box rest.
Fibre and hydration go hand in hand for a normal digestive system, and Meadow Mash provides both in one tasty, easy-to-digest mash 💚
Did you know Pure Feed is a complete feed?
That means every scoop already includes:
✔️ A full balancer
✔️ Fibre
✔️ Slow-release energy
No need to buy separate balancers, oils, or extra supplements; it’s all already in there!
Simple for you, balanced for your horse, and often far more cost-effective than feeding multiple products. Fibre-first nutrition that saves you money 🩵
Did you know Pure Feed is a complete feed?
That means every scoop already includes:
✔️ A full balancer
✔️ Fibre
✔️ Slow-release energy
No need to buy separate balancers, oils, or extra supplements; it’s all already in there!
Simple for you, balanced for your horse, and often far more cost-effective than feeding multiple products. Fibre-first nutrition that saves you money 🩵
🎄 Office Holiday Hours 🎄
Just a reminder, our office will be closed for the festive period:
🎄 Closed: 20th December - 1st January
🎄 Reopens: 2nd January
If you need help over the holidays, our info@purefeed.com
email will be monitored, and we’ll get back to you as soon as possible.
Looking to top up your feed while we’re away?
Use our stockist map on the website to find your nearest Pure Feed supplier.
From all of us at Pure, wishing you and your horses a happy, safe festive season!
🎄 Office Holiday Hours 🎄
Just a reminder, our office will be closed for the festive period:
🎄 Closed: 20th December - 1st January
🎄 Reopens: 2nd January
If you need help over the holidays, our info@purefeed.com
email will be monitored, and we’ll get back to you as soon as possible.
Looking to top up your feed while we’re away?
Use our stockist map on the website to find your nearest Pure Feed supplier.
From all of us at Pure, wishing you and your horses a happy, safe festive season!
Condition Mix vs Condition Pellets – what’s the difference?
Condition Mix 🌿
Chaff-based complete feed packed with fibre, oils, and nutrients in a natural, forage-style texture. Supports chewing, saliva production, and steady hindgut fermentation — ideal for poor doers who enjoy a chaff-based feed.
Condition Pellets 🟤
All the benefits of the Mix, but in a compact, easy-to-feed pellet. Perfect for fussy eaters or horses that don’t like soaked feed. Fully balanced to support condition, energy, and digestive health — no soaking needed.
Not sure which is best for your horse? Get expert guidance with our free personalised diet plan 👉 link in bio
Condition Mix vs Condition Pellets – what’s the difference?
Condition Mix 🌿
Chaff-based complete feed packed with fibre, oils, and nutrients in a natural, forage-style texture. Supports chewing, saliva production, and steady hindgut fermentation — ideal for poor doers who enjoy a chaff-based feed.
Condition Pellets 🟤
All the benefits of the Mix, but in a compact, easy-to-feed pellet. Perfect for fussy eaters or horses that don’t like soaked feed. Fully balanced to support condition, energy, and digestive health — no soaking needed.
Not sure which is best for your horse? Get expert guidance with our free personalised diet plan 👉 link in bio
Stockley Trading have been trusted Pure Feed stockists for many years, with teams in Littlehampton and Midhurst who hold exceptional technical knowledge of our full range. Whether you need support with condition, energy levels, weight management or specific ingredients, they can guide you to the right feed with confidence!
And of course, while we were at the Littlehampton store, we couldn’t resist topping up on some Pure Treats and a bag of Pure Easy!
Stockley Trading have been trusted Pure Feed stockists for many years, with teams in Littlehampton and Midhurst who hold exceptional technical knowledge of our full range. Whether you need support with condition, energy levels, weight management or specific ingredients, they can guide you to the right feed with confidence!
And of course, while we were at the Littlehampton store, we couldn’t resist topping up on some Pure Treats and a bag of Pure Easy!
Pure Condition Pellets = condition without the fizz 💜
A low sugar, low starch, high fibre formula that builds topline and condition through fibre and oil, not fast-release starch. Ideal for horses that need extra condition but stay sensible.
And the best part? It’s a complete feed, meaning every scoop includes:
✔️ A full balancer
✔️ Fibre
✔️ Slow-release energy
Simple, balanced, and fizz-free.
Pure Condition Pellets = condition without the fizz 💜
A low sugar, low starch, high fibre formula that builds topline and condition through fibre and oil, not fast-release starch. Ideal for horses that need extra condition but stay sensible.
And the best part? It’s a complete feed, meaning every scoop includes:
✔️ A full balancer
✔️ Fibre
✔️ Slow-release energy
Simple, balanced, and fizz-free.
Most winter mornings bring frosty grass ❄️ Pretty, but frosted grass = higher sugar.
For horses prone to laminitis, metabolic issues, or digestive sensitivity, sudden sugary grass can cause gut upset and blood sugar spikes.
Our top tip: serve a bowl of Pure Meadow Mash before turnout!
As a high-fibre, low-sugar hay replacer, Meadow Mash gently fills the gut, helping to:
🌱 Reduce the appetite for frosted grass
🌱 Support stable hindgut fermentation
🌱 Maintain consistent blood glucose levels
🌱 Provide essential fibre without excess starch or sugar
A simple, science-backed way to protect digestion and keep winter feeding consistent.
Most winter mornings bring frosty grass ❄️ Pretty, but frosted grass = higher sugar.
For horses prone to laminitis, metabolic issues, or digestive sensitivity, sudden sugary grass can cause gut upset and blood sugar spikes.
Our top tip: serve a bowl of Pure Meadow Mash before turnout!
As a high-fibre, low-sugar hay replacer, Meadow Mash gently fills the gut, helping to:
🌱 Reduce the appetite for frosted grass
🌱 Support stable hindgut fermentation
🌱 Maintain consistent blood glucose levels
🌱 Provide essential fibre without excess starch or sugar
A simple, science-backed way to protect digestion and keep winter feeding consistent.
🎄 Holiday Hours Reminder! 🎄
Plan ahead for Christmas to make sure your horse doesn’t miss out:
❄️ Last dispatch for online orders: 17th December
❄️ Office open until: 19th December
❄️ Office closed: 20th December - 1st January
❄️ Office reopens: 2nd January
If your needing Pure Feed while we`re closed, remember to check out our stockist map to find the closed stockist to you!
🎄 Holiday Hours Reminder! 🎄
Plan ahead for Christmas to make sure your horse doesn’t miss out:
❄️ Last dispatch for online orders: 17th December
❄️ Office open until: 19th December
❄️ Office closed: 20th December - 1st January
❄️ Office reopens: 2nd January
If your needing Pure Feed while we`re closed, remember to check out our stockist map to find the closed stockist to you!
Did you know the entire Pure Feed range is completely molasses free?
We never rely on sweeteners to make our feeds tasty. Horses naturally prefer fibre-rich ingredients, and our formulations are designed to work with their digestive system, not against it with added sugar.
Many feeds use molasses as a shortcut: it’s cheap, it binds pellets easily, and it guarantees sweetness. But it also increases sugar levels and can make feeds unsuitable for horses with metabolic or digestive sensitivities.
At Pure Feed, we take a different approach.
Our pellets are bound using linseed and we use carefully balanced fibre and oil sources, not molasses. This means:
• Lower sugar and starch levels across the entire range
• Consistent, gut-friendly nutrition
• No artificial sweetness masking poor-quality ingredients
• Suitable for good doers, laminitics, and horses with EMS or digestive sensitivities
Delicious, nutritious, and naturally palatable - that’s the Pure Feed way 🩵
Did you know the entire Pure Feed range is completely molasses free?
We never rely on sweeteners to make our feeds tasty. Horses naturally prefer fibre-rich ingredients, and our formulations are designed to work with their digestive system, not against it with added sugar.
Many feeds use molasses as a shortcut: it’s cheap, it binds pellets easily, and it guarantees sweetness. But it also increases sugar levels and can make feeds unsuitable for horses with metabolic or digestive sensitivities.
At Pure Feed, we take a different approach.
Our pellets are bound using linseed and we use carefully balanced fibre and oil sources, not molasses. This means:
• Lower sugar and starch levels across the entire range
• Consistent, gut-friendly nutrition
• No artificial sweetness masking poor-quality ingredients
• Suitable for good doers, laminitics, and horses with EMS or digestive sensitivities
Delicious, nutritious, and naturally palatable - that’s the Pure Feed way 🩵
We`ve made feeding easy! Know the right amount to feed your horse by following our simple guide.
Pure Condition Pellets have a high oil content to promote weight gain and maintain condition💜
In their pelleted form, they are designed to help tempt fussy eaters and can be fed dry or mixed with water to form a mash. Pure Condition Pellets include our premium natural balancer with the full spectrum of vitamins and minerals that horses require.
If you`re uncertain about their nutritional requirements, leave it to the pros—claim your free diet plan from our expert nutrition team. Got questions? We`re always here to help!
📞 01458 333 333
💻 www.purefeed.com
💬 Direct Message us
#thepurefeedcompany #purecompetitionpellets #feedingrates #allyoufeedislove #purefeed
We`ve made feeding easy! Know the right amount to feed your horse by following our simple guide.
Pure Condition Pellets have a high oil content to promote weight gain and maintain condition💜
In their pelleted form, they are designed to help tempt fussy eaters and can be fed dry or mixed with water to form a mash. Pure Condition Pellets include our premium natural balancer with the full spectrum of vitamins and minerals that horses require.
If you`re uncertain about their nutritional requirements, leave it to the pros—claim your free diet plan from our expert nutrition team. Got questions? We`re always here to help!
📞 01458 333 333
💻 www.purefeed.com
💬 Direct Message us
#thepurefeedcompany #purecompetitionpellets #feedingrates #allyoufeedislove #purefeed
Supporting your horse`s condition shouldn’t mean compromising on behaviour, digestive comfort, or metabolic support.
Pure Condition Mix, designed as a high-calorie, nutritionally complete feed, which provides slow-release calories from fibre and oil rather than cereals and molasses. That means:
✔ Condition without fizz
✔ Digestive comfort and steadier energy
✔ A genuinely balanced feed with every vitamin and mineral included
Because it’s cereal and molasses-free, and naturally low in sugar and starch, it’s also a smart choice for horses who are metabolically sensitive or who simply feel better on fibre-first nutrition.
Why owners love it:
• Helps build condition and topline with calm energy
• Supports weight and topline through winter
• Gentle on the gut and highly palatable
• No need for extra balancers or feeds
If you’re looking for a feed that delivers condition and keeps your horse level-headed, this is the feed for you!
Supporting your horse`s condition shouldn’t mean compromising on behaviour, digestive comfort, or metabolic support.
Pure Condition Mix, designed as a high-calorie, nutritionally complete feed, which provides slow-release calories from fibre and oil rather than cereals and molasses. That means:
✔ Condition without fizz
✔ Digestive comfort and steadier energy
✔ A genuinely balanced feed with every vitamin and mineral included
Because it’s cereal and molasses-free, and naturally low in sugar and starch, it’s also a smart choice for horses who are metabolically sensitive or who simply feel better on fibre-first nutrition.
Why owners love it:
• Helps build condition and topline with calm energy
• Supports weight and topline through winter
• Gentle on the gut and highly palatable
• No need for extra balancers or feeds
If you’re looking for a feed that delivers condition and keeps your horse level-headed, this is the feed for you!
Even in Winter, horses lose electrolytes through sweat - especially during schooling, jumping or fast work ❄️
Pure Refuel replaces what’s lost, fast, supporting hydration, muscle function and recovery when your horse needs it most!
@swintonequestrian shows us her routine: tack up, train, Refuel 🩵
Even in Winter, horses lose electrolytes through sweat - especially during schooling, jumping or fast work ❄️
Pure Refuel replaces what’s lost, fast, supporting hydration, muscle function and recovery when your horse needs it most!
@swintonequestrian shows us her routine: tack up, train, Refuel 🩵
Have you noticed your older horse struggle with chaff? Our Veteran Pellets deliver all the benefits of a chaff-based feed squished into a pellet! Even better they soak down into an easy to eat mash, perfect for horses who struggle with chewing!
#purefeed #thepurefeedcompany #allyoufeedislove #equinenutrition
Have you noticed your older horse struggle with chaff? Our Veteran Pellets deliver all the benefits of a chaff-based feed squished into a pellet! Even better they soak down into an easy to eat mash, perfect for horses who struggle with chewing!
#purefeed #thepurefeedcompany #allyoufeedislove #equinenutrition
Ever wondered how we can save you money? It’s all down to Pure Feed being a complete feed. That means every bag contains everything your horse needs: fibre, energy, vitamins, minerals, and oil. No need to buy multiple feeds or top up with extra supplements to balance their diet! #purefeed #thepurefeedcompany #allyoufeedislove #equinenutrition
Ever wondered how we can save you money? It’s all down to Pure Feed being a complete feed. That means every bag contains everything your horse needs: fibre, energy, vitamins, minerals, and oil. No need to buy multiple feeds or top up with extra supplements to balance their diet! #purefeed #thepurefeedcompany #allyoufeedislove #equinenutrition
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