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dermatologic conditions and dietary sensitivity - HillsVet

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d/d<br />

z/d z/d<br />

LOW ALLERGEN<br />

DERM<br />

Hypoallergenic<br />

Treats<br />

The most complete line of therapeutic nutrition for<br />

<strong>dermatologic</strong> <strong>conditions</strong> <strong>and</strong> <br />

<strong>dietary</strong> <strong>sensitivity</strong><br />

Treats<br />

● Adverse Reactions<br />

to Food<br />

● Atopic Dermatitis<br />

● Otitis Externa<br />

● Eosinophilic<br />

Granuloma Complex<br />

● Flea Allergy<br />

Dermatitis<br />

Clinical Nutrition to Improve Quality of Life


Easy solutions for all your itchy patients<br />

Kirby<br />

Diagnosis:<br />

Atopic dermatitis<br />

Tx plan: Antibiotics, anti-inflammatories, topical anti-pruritics <strong>and</strong><br />

Hill’s ® Prescription Diet ® d/d ® Canine Skin Support pet food <strong>and</strong><br />

Hill’s ® Prescription Diet ® Hypoallergenic Treats Canine<br />

● Clinically tested nutrition to manage severe<br />

pruritus <strong>and</strong> chronic dermatitis 1<br />

Kirby *<br />

● A multi-center study shows clinical improvements<br />

in erythema, lichenification, <strong>and</strong> excoriation in <br />

just four weeks 2<br />

Lucy<br />

Diagnosis:<br />

Chronic otitis externa<br />

Tx plan: Topical ear medications, anti-inflammatories <strong>and</strong><br />

Hill’s ® Prescription Diet ® d/d ® Feline Skin Support pet food<br />

<strong>and</strong> Hill’s ® Prescription Diet ® Hypoallergenic Treats Feline<br />

Lucy’s ear<br />

● High levels of omega-3 fatty acids help<br />

resolve inflammation quickly<br />

● Single, highly digestible novel proteins<br />

<strong>and</strong> carbohydrates help avoid common <br />

food allergens<br />

Lucy *<br />

Omega-3 fatty acids lead to faster resolution of inflammation<br />

Leukocytes<br />

Resolvin <strong>and</strong> protectin<br />

EPA & DHA<br />

STAGE 1: INFLAMMATION ONSET<br />

Inflammatory insults trigger activation<br />

of leukocytes<br />

STAGE 2: ACTIVE INFLAMMATION<br />

Leukocytes migrate into tissues <strong>and</strong><br />

produce proinflammatory mediators<br />

STAGE 3: RESOLUTION<br />

EPA <strong>and</strong> DHA are substrates<br />

for resolvin <strong>and</strong> protectin, the<br />

metabolites that deliver “braking<br />

signals” to end inflammation<br />

*Images courtesy of David Duclos, DVM, diplomate, ACVD, Animal Skin <strong>and</strong> Allergy Clinic, Lynnwood, WA. Case studies use fictitious names <strong>and</strong> are based on composites of various d/d ® <strong>and</strong> z/d ® user experiences.


Coco Brown<br />

Diagnosis:<br />

Eosinophilic granuloma complex<br />

Tx plan: External parasite control, anti-pruritics PRN <strong>and</strong><br />

Hill’s ® Prescription Diet ® z/d ® Feline Low Allergen pet food<br />

<strong>and</strong> Hill’s ® Prescription Diet ® Hypoallergenic Treats Feline<br />

● Highly digestible hydrolyzed proteins <strong>and</strong><br />

single-source carbohydrates to minimize <br />

the chance of allergic reactions to food<br />

Coco Brown *<br />

● The first <strong>and</strong> only vet exclusive hydrolyzed<br />

<strong>dermatologic</strong> treats for cats, with all the <br />

benefits of z/d<br />

Zeke<br />

Diagnosis:<br />

Facial <strong>and</strong> perineal pruritus with chronic<br />

intermittent diarrhea<br />

Tx plan: Anti-microbials, anti-pruritics PRN <strong>and</strong> Hill’s ® Prescription Diet ®<br />

z/d ® Canine ULTRA Allergen-Free pet food <strong>and</strong> Hill’s ® Prescription Diet ®<br />

Hypoallergenic Treats Canine<br />

● A clinical study showed that 19 of 21 dogs with<br />

concurrent pruritus <strong>and</strong> gastrointestinal symptoms <br />

experienced resolution of GI signs during <strong>dietary</strong> <br />

trial with z/d ULTRA 3<br />

● Clinical studies show z/d ULTRA is useful in the<br />

diagnosis of adverse food reactions in dogs when <br />

fed exclusively for at least six weeks, <strong>and</strong> may be <br />

a valuable alternative to home cooked recipes 3,4<br />

Zeke *<br />

The role of hydrolyzed proteins<br />

Intact protein<br />

Receptor<br />

Mast cell<br />

Hydrolyzed proteins in Hill’s ® Prescription Diet ® z/d ®<br />

Low Allergen, z/d ® ULTRA <strong>and</strong> Hill’s ® Prescription Diet ®<br />

Hypoallergenic Treats are too small to bridge IgE<br />

receptors — allowing these small proteins to escape<br />

immune system detection, which helps to avoid<br />

allergic reactions.<br />

Histamine<br />

Allergic reaction<br />

Hydrolyzed<br />

protein<br />

No allergic reaction


Ensuring success at home<br />

Client tips<br />

● Hill’s ® Prescription Diet ® d/d ® or z/d ® should continue to be fed after signs disappear<br />

Not all inflammatory skin <strong>conditions</strong> <strong>and</strong> <strong>dietary</strong> <strong>sensitivity</strong> can be cured, but proper nutrition can help<br />

manage signs <strong>and</strong> make pets feel more comfortable.<br />

● Feed only the recommended nutrition <strong>and</strong> be sure everyone in the household is aware of the pet’s needs<br />

Table scraps, edible chew toys, another pet’s food, or treats other than Hill’s ® Prescription Diet ®<br />

Hypoallergenic Treats may contain proteins that could compromise the success of your recommendation.<br />

● All Hill’s ® Prescription Diet ® pet foods are backed by a 100% guarantee for quality,<br />

consistency <strong>and</strong> taste<br />

H<strong>and</strong>ling common objections<br />

“I’d rather feed a grocery br<strong>and</strong> lamb <strong>and</strong> rice pet food.”<br />

Many grocery br<strong>and</strong> lamb <strong>and</strong> rice pet foods contain additional protein sources, such as beef or chicken, <br />

which make these foods unsuitable for pets with skin problems <strong>and</strong> <strong>dietary</strong> <strong>sensitivity</strong>.<br />

“This food is too expensive.”<br />

Feeding Hill’s ® Prescription Diet ® dermatology pet foods costs as little as $0.92 per day, * which is less than<br />

the cost of a bottle of water, newspaper or cup of coffee.<br />

“Aren’t fatty acid supplements just as good?”<br />

Hill’s ® Prescription Diet ® d/d ® pet food is a concentrated source of omega-3 fatty acids, <strong>and</strong> is easier to feed<br />

than the equivalent number of fatty acid supplements.<br />

Nutrition is therapy. Talk to your clients today.<br />

#1 veterinarian recommended for<br />

<strong>dermatologic</strong> <strong>conditions</strong> <strong>and</strong> <strong>dietary</strong> <strong>sensitivity</strong><br />

For more information, call Hill’s Veterinary Consultation Service (VCS) at 1-800-548-VETS (8387) or visit <strong>HillsVet</strong>.com.<br />

*Daily serving of Hill’s ® Prescription Diet ® d/d ® Potato & Salmon Formula Canine Dry: $1.06<br />

1<br />

Knowles JO. Provocative exposure for the diagnosis <strong>and</strong> treatment of certain canine allergies. JAVMA. 1996;149:1303-1306.<br />

2<br />

Data on file. Hill’s Pet Nutrition, Inc.<br />

3<br />

Loeffler A, Lloyd DH, Bond R, et al. Dietary trials with a commercial chicken hydrolysate diet in 63 pruritic dogs. Vet Record. 2004;154:519-522.<br />

4<br />

Loeffler A, Soares-Magalhaes R, Bond R, Lloyd DH. A retrospective analysis of case series using home-prepared <strong>and</strong> chicken hydrolysate diets in the diagnosis of adverse food reactions in 181 pruritic dogs. Vet Dermatol. 2006;17:273-279.<br />

®/ Trademarks owned by Hill’s Pet Nutrition, Inc. ©2010 Hill’s Pet Nutrition, Inc. P-9717


The cost-effective solution for<br />

added omega-3s<br />

20 pound dog<br />

(600 calories per day)<br />

Omega-3 content<br />

Hill’s ®<br />

Prescription Diet ® Hill’s ®<br />

Prescription Diet ®<br />

OTC dry<br />

food plus<br />

d/d d/d<br />

Potato & Salmon<br />

Canine Dry<br />

(27.5-lb. bag)<br />

supplement<br />

125<br />

mg/gelcap<br />

Salmon Canine<br />

Canned<br />

2,100 mg * 4,350 mg †<br />

OTC canned<br />

food plus<br />

supplement<br />

125<br />

mg/gelcap<br />

Number of<br />

additional<br />

supplements<br />

per day ‡<br />

0 15 0 29<br />

Cost per day<br />

for supplements<br />

$ 0.00<br />

$ 2.40<br />

$ 0.00<br />

$ 4.64<br />

Cost per day<br />

for food<br />

$ 0.92<br />

$ 0.33<br />

§ $ 3.90<br />

$ 2.20<br />

††<br />

Total cost per day $ 2.73<br />

$ 6.84<br />

$ 0.92<br />

$ 3.90<br />

*<br />

For a 20-lb. dog fed recommended daily amount from a 27.5-lb. bag of Hill’s ®<br />

Prescription Diet ® d/d ® Canine Dry at suggested retail price.<br />

†<br />

For a 20-lb. dog fed recommended daily amount from a 13-oz. can of Hill’s ®<br />

Prescription Diet ® d/d ® Salmon Canine Canned at suggested retail price.<br />

‡<br />

Derm Caps ES $39.99/250 capsules from Healthypets.com website. Accessed<br />

September 1, 2009.<br />

§<br />

Purina ® Dog Chow ® $18.49/20-lb. bag from petfooddirect.com. Accessed<br />

October 23, 2009.<br />

††<br />

Pedigree ® Healthy Skin & Coat Choice Cuts in Gravy Food for Dogs $1.29/13-oz.<br />

can from petfooddirect.com. Accessed October 23, 2009.<br />

Dermatology pet foods<br />

d/d<br />

● Single, novel protein sources<br />

help avoid common food<br />

allergens<br />

● Increased omega-3 <strong>and</strong> -6 fatty<br />

acids manage inflammation<br />

<strong>and</strong> nourish skin<br />

z/d<br />

LOW ALLERGEN<br />

z/d<br />

● Hydrolyzed animal proteins<br />

help eliminate potential for <br />

allergic response<br />

● Added antioxidants help<br />

maintain a healthy immune <br />

system <strong>and</strong> skin barrier <br />

function<br />

Hypoallergenic<br />

Treats<br />

Treats<br />

● All the benefits of z/d in<br />

a tasty treat<br />

● Compatible with the full<br />

line of Hill’s ® dermatology<br />

pet foods<br />

®/ Hill’s, Prescription Diet, d/d <strong>and</strong> z/d are trademarks owned by Hill’s Pet Nutrition,<br />

Inc. Purina <strong>and</strong> Dog Chow are registered trademarks of Société des Produits Nestlé S.A.<br />

Pedigree is a registered trademark of Mars, Incorporated. ©2010 Hill’s Pet Nutrition, Inc.


Dermatology pet foods<br />

d/d<br />

● Single, novel protein sources<br />

help avoid common food<br />

allergens<br />

● Increased omega-3 <strong>and</strong> -6 fatty<br />

acids manage inflammation<br />

<strong>and</strong> nourish skin<br />

z/d<br />

LOW ALLERGEN<br />

z/d<br />

● Hydrolyzed animal proteins<br />

help eliminate potential for <br />

allergic response<br />

● Added antioxidants help<br />

maintain a healthy immune <br />

system <strong>and</strong> skin barrier <br />

function<br />

Hypoallergenic<br />

Treats<br />

Treats<br />

● All the benefits of z/d in<br />

a tasty treat<br />

● Compatible with the full<br />

line of Hill’s ® dermatology<br />

pet foods<br />

®/ Hill’s, Prescription Diet, d/d <strong>and</strong> z/d are trademarks owned by Hill’s Pet Nutrition,<br />

Inc. Purina <strong>and</strong> Dog Chow are registered trademarks of Société des Produits Nestlé S.A.<br />

Pedigree is a registered trademark of Mars, Incorporated. ©2010 Hill’s Pet Nutrition, Inc.<br />

The cost-effective solution for<br />

added omega-3s<br />

20 pound dog<br />

(600 calories per day)<br />

Omega-3 content<br />

Hill’s ®<br />

Hill’s ®<br />

Prescription Diet ® Prescription Diet ®<br />

OTC dry<br />

food plus<br />

d/d d/d<br />

Potato & Salmon<br />

Canine Dry<br />

(27.5-lb. bag)<br />

supplement<br />

125<br />

mg/gelcap<br />

Salmon Canine<br />

Canned<br />

2,100 mg * 4,350 mg †<br />

OTC canned<br />

food plus<br />

supplement<br />

125<br />

mg/gelcap<br />

Number of<br />

additional<br />

supplements<br />

per day ‡<br />

0 15 0 29<br />

Cost per day<br />

for supplements<br />

$ 0.00<br />

$ 2.40<br />

$ 0.00<br />

$ 4.64<br />

Cost per day<br />

for food<br />

$ 0.92<br />

$ 0.33<br />

§ $ 3.90<br />

$ 2.20<br />

††<br />

Total cost per day $ 0.92<br />

$ 2.73<br />

$ 3.90<br />

$ 6.84<br />

*<br />

For a 20-lb. dog fed recommended daily amount from a 27.5-lb. bag of Hill’s ®<br />

Prescription Diet ® d/d ® Canine Dry at suggested retail price.<br />

†<br />

For a 20-lb. dog fed recommended daily amount from a 13-oz. can of Hill’s ®<br />

Prescription Diet ® d/d ® Salmon Canine Canned at suggested retail price.<br />

‡<br />

Derm Caps ES $39.99/250 capsules from Healthypets.com website. Accessed<br />

September 1, 2009.<br />

§<br />

Purina ® Dog Chow ® $18.49/20-lb. bag from petfooddirect.com. Accessed<br />

October 23, 2009.<br />

††<br />

Pedigree ® Healthy Skin & Coat Choice Cuts in Gravy Food for Dogs $1.29/13-oz.<br />

can from petfooddirect.com. Accessed October 23, 2009.

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