Allergies alimentaires pour chats avec le Dr Jean Hofve, DVM

Allergies alimentaires pour chats avec le Dr Jean Hofve, DVM

Publié à l'origine le 7 juin 2013 Merci au Dr Jean d'avoir pris le temps de parler aux Floppycats des allergies alimentaires pour chats.Dr. Le livre de Jean, The Complete Guide to Holistic Cat Care:An Illustrated Handbook, est un excellent livre sur la santé et les soins holistiques des chats.Dr. Jean couvre également les allergies alimentaires chez les chats avec le Dr Jean Hofve sur son site ainsi que dans un article qu'elle a écrit sur Only Natural Pet - "Aperçu des allergies - Partie 1 d'une série en 3 parties". Voici une liste rapide de nos autres entretiens avec le Dr Jean :

• Allergies aux chats avec le Dr Jean
• L'obésité chez les chats avec le Dr Jean Hofve, DVM
• La maladie rénale chez le chat avec le Dr Jean Hofve, DVM
• Conjonctivite du chat et herpès du chat avec le Dr Jean Hofve
• Constipation du chat - Causes, symptômes et traitement de la constipation avec le Dr Jean Hofve
• Allergies alimentaires chez les chats avec le Dr Jean Hofve

Allergies alimentaires pour chats avec le Dr Jean Hofve, DVM

Enregistrement audio :Cat Food Allergies with Dr. Jean Hofve, DVM (cliquez ici) ou écoutez via la vidéo YouTube ci-dessous :Jenny of Floppycats : D'ACCORD. Je pense que c'est enregistré. Avez-vous entendu dire que c'était ?Dr. Jean : Oui.Jenny de Floppycats : OK bien. Nous sommes donc aujourd'hui le 7 juin 2013 et nous allons parler à Jr. Jean Hofve des allergies alimentaires des chats. Dr Jean, merci beaucoup d'avoir fait une autre entrevue avec nous.Dr. Jean : Oh, avec plaisir.Jenny de Floppycats : Pouvez-vous parler en général des causes des allergies ?Dr. Jean : Hé bien oui. Les allergies chez les humains, chez les chiens et les chats, et je suppose chez les tortues et les poissons peut-être, sont causées par les protéines. Pour une raison quelconque, votre corps réagit mal à une protéine. Les allergies sont un gros problème. Ils impliquent tout le système immunitaire. Ils impliquent la fabrication d'anticorps contre une protéine particulière. Chez les chats, les chats et les chiens, les allergies ont tendance à se former à des choses auxquelles ils sont exposés de manière chronique. Alors que les gens peuvent être allergiques à une piqûre d'abeille la première fois qu'ils se font piquer, c'est très rare chez les animaux, et ce genre de réaction anaphylactique est très rare. Mais ce que nous voyons, c'est que nous voyons des allergies à des choses comme le pollen et la poussière, les acariens, et à la nourriture, parfois à la literie, parfois à des choses dans l'environnement, la moquette. Les allergies aux inhalations sont de loin les plus courantes, mais les allergies alimentaires se produisent.Jenny of Floppycats : Vous avez mentionné lors de notre e-mail à ce sujet que de nombreux chats ont des intolérances alimentaires, mais pas vraiment des allergies alimentaires. Existe-t-il un moyen de distinguer des symptômes ce dont il s'agit ?Dr. Jean : Pas bien. Avez-vous un chat qui réagit et vous pensez que c'est à la nourriture? Il y a deux possibilités. La première est qu'il réagit simplement à quelque chose ou à une ou plusieurs choses dans la nourriture comme les colorants ou les arômes ou les conservateurs ou un composant de la nourriture plutôt qu'une allergie. Il est beaucoup plus courant qu'il s'agisse d'une intolérance plutôt que d'une allergie. Mais les deux peuvent provoquer des signes cutanés et des signes gastro-intestinaux comme la diarrhée ou des vomissements. Mais les allergies alimentaires sont beaucoup plus susceptibles de provoquer des symptômes cutanés chez les chats. Chez les chiens, les allergies aux inhalations provoquent généralement des symptômes cutanés et chez les chats dans une certaine mesure. Et les gens sont un peu confus au sujet des allergies aux inhalations. Nous l'appellerions chez les gens le rhume des foins. Mais chez les chiens et les chats, ils n'ont pas de système contre le rhume des foins. S'ils sont allergiques au pollen ou à la poussière ou quoi que ce soit, ils se manifestent généralement par des symptômes cutanés, une éruption cutanée ou une petite dermatite quelque part, ou ils auront une zone où ça démange alors ils commencent à lécher et ils créent un point chaud en allant simplement trop après. Les signes gastro-intestinaux sont plus susceptibles d'être une intolérance alimentaire, mais il pourrait s'agir d'une allergie. Et la façon de le dire est de changer d'aliment. Mais s'il s'agit d'une allergie, le simple fait de changer d'aliment peut ne pas suffire et vous allez vouloir faire un essai de régime. Maintenant, avant de commencer le traitement d'essai, il n'y a pas vraiment de moyen de les distinguer car ils sont si similaires. Mais vous pouvez parier que dans le cas de la diarrhée en particulier, il s'agit plus probablement d'une intolérance alimentaire que d'une allergie. Dans les deux cas, vous verrez une réponse avec un aliment différent, mais une allergie alimentaire, vous devez changer complètement l'aliment. Comme s'il s'agissait d'aliments à base de poulet, vous iriez vers quelque chose comme le lapin. Vous devez changer de protéines.Jenny de Floppycats : D'accord.Dr. Jean : Nous pouvons parler un peu plus en détail de ce qu'implique un essai de régime. C'est un processus assez intense.Jenny de Floppycats : Oui. Étant celui qui a fait passer mes chats de la nourriture sèche à la nourriture humide, tout changement de régime n'est pas si amusant, mais les avantages en valent la peine.Dr. Jean : J'avais un chat, mon propre chat, j'ai connu des chats clients qui mettaient deux ans pour passer de la nourriture sèche à la nourriture humide.Jenny de Floppycats : Oh mon Dieu.Dr. Jean : Et mon propre chat, il a bien mangé la nourriture humide. Mais quand j'ai commencé à donner des aliments crus, le seul chat en mangeait. Elle mangerait n'importe quoi. Elle mangerait un éléphant si je l'attachais au sol. Elle était d'accord avec ça. Mais l'autre chat, Spirit, dont le nom est Spiritess, a eu cette nourriture crue à côté de la nourriture humide pendant trois ans avant que je ne la voie en prendre une bouchée.Jenny de Floppycats : Wow.Dr. Jean : C'était un acte criminel de la convertir, mais elle a regardé [INAUDIBLE 6:08] pendant trois ans manger cette nourriture. C'était une fille têtue, têtue. Mais finalement, elle s'en est remise et elle a adoré la nourriture crue au bout d'un moment. Mais mon garçon, c'était une dure à cuire.Jenny de Floppycats : Oui. J'essaie de faire manger Charlie et Trig à la nourriture crue, mais je redoute le processus.Dr. Jean : Oui. Les miens mangent la nourriture crue. Ils aiment le Rad Cat et ils l'aiment encore mieux si je fais la nourriture alors vous y êtes. Ils préfèrent la cuisine de maman. Je souhaite qu'ils ne le fassent pas.Jenny de Floppycats : À droite. Bien sûr qu'ils le font.Dr. Jean : Oui, parce que vous y mettez ce petit arôme supplémentaire appelé amour. Ils savent. Ils savent certainement quand c'est là. Mais une chose que je voudrais souligner à propos des aliments secs par rapport aux aliments humides est que les aliments secs sont beaucoup plus souvent associés aux allergies alimentaires. Cela s'explique en partie par le fait que les aliments secs sont traités thermiquement deux fois. Ils sont cuits à 250 à 260 degrés ou plus à l'usine d'équarrissage, les farines de viande et les farines de protéines qu'ils sont d'abord rendues, puis ils sont soumis à une extrusion qui est un processus à haute pression et à haute température. La chaleur dénature donc les protéines. Les protéines sont des molécules très intéressantes et elles sont toutes repliées dans une configuration très particulière. Le tractus gastro-intestinal sait à quoi s'attendre là-dedans. Il est prêt à gérer certaines configurations. Mais lorsque les protéines sont dénaturées, elles se déforment. Le pliage tourne mal et ils deviennent tous noueux, et le système immunitaire est beaucoup plus susceptible de réagir à cela. Et il y avait en fait une étude de cas publiée sur un chat qui était allergique à la nourriture et qui n'a pas répondu à la forme sèche du régime allergique. Mais quand ils l'ont mis sur la nourriture en conserve du même régime, tout s'est éclairci immédiatement. Les aliments en conserve sont chauffés une fois à environ 160-165 degrés et généralement dans la boîte, et c'est dedans. C'est encore assez élevé pour tuer les bactéries et c'est assez élevé pour dénaturer les protéines. Mais cela ne semble pas avoir autant d'effet néfaste que la transformation des aliments secs.Jenny de Floppycats : Intéressant. Quand j'étais à Denver l'année dernière en passant devant cette usine Purina, je ne sais pas sur quelle autoroute j'étais, mais l'odeur, et cela a du sens à cause de toute la chaleur.Dr. Jean : Oui oui. Et les ingrédients qui entrent dans la nourriture sèche Purina - nous n'avons pas à entrer dans cela. Disons simplement que ce n'est pas vraiment votre steak et vos pommes de terre.Jenny de Floppycats : Oui. C'est peut-être aussi pour ça que j'ai trouvé que ça sentait particulièrement mauvais. OK, je sais que vous avez abordé certains des symptômes, mais juste pour les aligner sous forme de puces, si vous voulez, quels symptômes les chats présentent-ils lorsqu'ils sont allergiques à quelque chose dans la nourriture ?Dr. Jean : S'il s'agit de symptômes cutanés, ils développent généralement ce qu'on appelle la dermatite miliaire par opposition à la dermatite militaire, c'est-à-dire si vous êtes allergique à rejoindre la marine ou quelque chose comme ça. Miliary signifie beaucoup de petites taches. C'est essentiellement une éruption cutanée, et vous avez tendance à la voir surtout sur le visage, autour des yeux et dans cette zone où les cheveux sont fins entre les yeux et les oreilles.Jenny de Floppycats : Oui. OK, j'ai vu ça. Oui.Dr. Jean : Parfois, ils auront des démangeaisons aux pieds, mais c'est généralement autour de la tête. Je l'ai vu un peu à l'arrière des épaules, et ils peuvent faire énormément de dégâts là-bas parce qu'ils peuvent l'atteindre, le visage, ils le poursuivent avec leurs pieds arrière parce que ça démange vraiment. Parfois, vous le voyez sur le ventre. Mais ces symptômes peuvent être des allergies aux inhalations, ils peuvent être de n'importe quel type d'allergies. Ils peuvent être beaucoup de choses. Il est donc important de travailler avec votre vétérinaire pour démêler quelles sont les choses - essayons ceci puis cela, et assurez-vous d'obtenir - une biopsie n'est généralement pas gratifiante car elle dira simplement qu'il s'agit d'une inflammation et ne vous dit rien sur la cause. Maintenant, même si le chat développe un symptôme en réponse à une allergie aux inhalations comme le pollen ou les acariens ou tout ce qui flotte dans l'air, il développe les mêmes symptômes. Mais un essai de régime hypoallergénique aidera souvent à les clarifier également parce que ma théorie est et qu'elle n'a aucun fondement scientifique, mais elle est basée sur 20 ans d'examen, lorsque vous simplifiez le régime ou que vous modifiez le régime pour que ces allergènes courants ne soient pas Là, je pense qu'en simplifiant simplement l'alimentation ou en passant à une conserve ou crue ou maison, il y a moins d'allergènes présentés au système immunitaire. Il y a juste moins de conneries que le système immunitaire doit régler. Et je pense que le simple fait de simplifier les choses donne juste une pause au système immunitaire. Parfois, il est difficile de dire que même s'ils répondent à un essai de régime, il se peut qu'il ne s'agisse pas d'une allergie alimentaire. Il est donc très difficile de le démêler. L'autre symptôme majeur est la diarrhée et les vomissements et parfois les vomissements sont le seul signe. Même si l'inflammation est généralement plus basse dans le tractus, il est très difficile de diagnostiquer sans biopsie ce qui se passe. Mais les maladies inflammatoires de l'intestin, qui sont comme les turbo-allergies, qui auront les mêmes signes, le lymphome intestinal, le cancer, peuvent avoir les mêmes signes. Et certains pensent qu'une allergie alimentaire qui n'est pas traitée peut faire évoluer une maladie intestinale inflammatoire qui peut évoluer vers un cancer. Le fait est que s'il ne s'agit que de vomissements, après 20 ans de pratique, ma conclusion est que les chats aiment vomir, et si souvent. Donc, mon genre de règle de base est que s'ils vomissent une fois par semaine, quelques fois par mois, je ne m'inquiète pas trop à ce sujet, surtout s'il y a de l'herbe ou des cheveux dedans. Vous pouvez mettre cela sur le compte de l'irritation ou tout simplement ils aiment ça. Alors ils se font des choses pour se faire vomir, manger trop vite, trop manger, manger un papillon de nuit. C'est très bien. Mais si cela devient plus fréquent, plus d'une ou deux fois par semaine, et si vous êtes sur un schéma de fréquence croissante, vous voulez étouffer cela dans l'œuf. Vous ne voulez certainement pas que cela aille plus loin sur la route. Et bien sûr, vous pouvez essayer de vous faire plaisir avec un remède contre les boules de poils. Cela différenciera souvent pour vous s'il se passe quelque chose dans le tractus gastro-intestinal par rapport à l'asthme, car le piratage des boules de poils ressemble exactement à de l'asthme. Vous aurez donc envie de les séparer et parfois, le simple fait de donner de la vaseline ou un remède contre les boules de poils vous fera pencher d'une manière ou d'une autre quant à ce qui se passe. Les chats sont compliqués. Il y a tellement de choses, mais si c'est une boule de poils qui sera résolue par la vaseline et que l'asthme ne le sera pas et que les allergies alimentaires ne seront pas différentes avec ça. C'est donc une chose facile à faire à la maison et voir ce qui se passe, mais ne laissez pas cela durer trop longtemps avant de prendre des mesures plus définitives.Jenny de Floppycats : OK, et pouvez-vous simplement expliquer ce que vous entendez par vaseline pour les nouveaux auditeurs ?Dr. Jean : Eh bien, en fait oui, car les remèdes contre les boules de poils sont essentiellement de l'huile minérale ou de la vaseline. J'aime la gelée de pétrole. Il est complètement inerte dans le corps. Il y a plus de carbone dans la chaîne que le corps ne peut en décomposer. Il reste donc dans le tractus gastro-intestinal exactement là où vous le souhaitez. Il gicle les poils jusqu'à sa destination, le bac à litière. Un doigt plein de vaseline, beaucoup de chats l'aiment vraiment. Et le mien préfère bien sûr la marque Vaseline. Ils ne mangeront pas de générique. Les autres chats, génériques, c'est bien. Ils aiment mieux Laxatone que Petromalt mieux que Cadillac, peu importe. Ils sont tous basés sur les mêmes principes. Vous le graissez, vous collez tous les cheveux ensemble et vous le faites glisser à l'autre bout, et la vaseline le fait très bien. Certaines personnes donnent de l'huile végétale ou d'autres types d'huile pour les boules de poils et le problème est qu'elles peuvent faire sortir l'huile de l'estomac, ce qui est bon, mais ces huiles peuvent être décomposées et absorbées par le corps, ce qui n'est pas nécessairement une mauvaise chose. Mais cela ne finit pas son devoir de passeport. Il ne l'obtient que jusqu'à présent et je m'inquiète à ce sujet. Donc j'aime quelque chose qui est inerte, c'est sûr, et ça commence à finir là dans sa même forme. C'est plutôt pratique.Jenny de Floppycats : Alors essayez comme une cuillère à café et vous la servez dans leur bouche ?Dr. Jean : Ce que je fais, c'est que je prends un petit doigt plein, je mets mon petit doigt dans le bocal.Jenny de Floppycats : D'accord.Dr. Jean : Et mes chats vont le manger nature comme ça. D'autres aiment les arômes de certaines préparations de boules de poils. Si vous faites cela, je ferais une assez bonne dose, je pense, sur ceux qui sont dans le tube s'il y a un pouce ou quelque chose, mais faites-le pendant deux ou trois jours de suite et voyez. Donnez-lui un bon essai. Mais si cela ne change rien, alors vous voudrez appeler votre vétérinaire et avoir une discussion sur les possibilités ou ce qu'il ou elle, il est plus probable qu'il s'agisse d'une elle ces jours-ci, ce que je suis heureux de signaler. Jenny des Floppycats : Oh, bien.Dr. Jean : Oui. Ma classe à Colorado State était la première classe où il y avait plus de femmes que d'hommes. Donc ça fait longtemps donc tout va bien.Jenny de Floppycats : Bon. J'ai eu de meilleures expériences avec les femmes, donc je suis heureux d'entendre cela, sans offenser les hommes qui sont là-bas.Dr. Jean : Ce n'est pas que les gars ne peuvent pas être de bons vétérinaires. Mais je pense que les femmes ont tendance à mieux comprendre les chats. La nature du chat est plus féminine si vous regardez le yin yang et des choses comme ça. La nature du chat est plus yin et les chiens sont plus yang. Je pense donc qu'il y a quelque chose dans ce truc chinois là-bas.Jenny de Floppycats : Oui je suis d'accord. Je pense que c'est aussi pour cette raison que les femmes sont toujours associées aux chats.Dr. Jean : Surtout, oui. Sauf pour Jackson.Jenny des Floppycats : Oui, exactement.Dr. Jean : Il a [INAUDIBLE 19:00] trop de rôles.Jenny de Floppycats : Oui. Vous avez donc abordé ce sujet en répondant à certaines des autres questions, mais que se passe-t-il si une intolérance ou une allergie alimentaire n'est pas traitée ?Dr. Jean : Eh bien, une intolérance alimentaire va probablement empirer et vous en aurez assez des dégâts puants dans le bac à litière ou vous en aurez assez de nettoyer ou de marcher dans le vomi de chat. Cela a tendance à se limiter d'eux-mêmes dans la mesure où vous finirez par faire quelque chose. Cela continuera à peu près sans relâche jusqu'à ce que vous corrigiez quelque chose. Les allergies, comme je l'ai dit, peuvent s'aggraver. Ils peuvent se transformer en maladie inflammatoire de l'intestin. They can turn into lymphoma. So that’s a road you don’t want to go down. You want to figure it out as early as possible because they will get worse and the symptoms will get worse and your animal will be more uncomfortable, they’ll be itchy, they’ll be jerky or whatever they’re doing, and it will get worse. And they’ll start losing weight because they’re not absorbing the food, they’re throwing it out on the carpet. Food allergies are more serious because they do involve the whole immune system. And once the immune system is kind of primed to make an allergy, to create an allergenic response with antibodies, the whole nine yards, they tend to do that in response to more things. You may start off with a food allergy, but if you don’t treat it they may then form other allergies. Like if you change an allergic cat food to something they’re not allergic to, if you leave it be, this is why I really emphasize variety and rotating food, if you put them on a different protein, eventually they will probably develop an allergy to that also. I like food rotation, and since I don’t like dry foods for kitties anyway, I’m sure we’ve probably talked about that, with canned foods, once they’re eating canned or if they’re eating raw, it’s much easier. You can vary the flavor of canned food every meal. You can vary the type of protein in the raw diet with every batch, which is every couple of weeks or freeze two or three kinds. Make two or three batches, one with protein, one chicken, one bison or emu or whatever you want, or lamb, rabbit, there are all kinds of ones out there if your cats is willing to eat some of the prepared diets. Honest Kitchen makes the dehydrated diet, and they’re not cooked. The diets that aren’t cooked tend not to produce allergies but anything’s possible. But certainly if you take a cat that’s allergic to chicken and because chicken is in everything nowadays, chicken is the most common allergen in dogs and cats right now. If you look at the studies, they don’t necessarily list chicken. But the allergists and internal medicine people say oh yes, totally. It’s number one. So chicken, beef, fish, wheat, corn and diary are the top allergens. But if you change from a processed chicken diet to a raw chicken diet, there’s a good chance that they will not react to the raw chicken because the proteins haven’t been altered. There’s nothing in it that they’re not kind of designed to eat and cats can eat bird without—Chris Rock, you know the comedian?Jenny of Floppycats: Yes.Dr. Jean: Once did a rift about food allergies and he said that all his friends have kids that are allergic to peanuts or shellfish or whatever, and he was like “What is allergic to food? It doesn’t make sense. How could you possibly be allergic to food?” And we don’t get allergic to food. We get allergic to processed foods, cooked in some way to not be allergic to the things that are raw. Raw food diets—now I will caution people that if you have a cat with a severe food allergy, bordering or into inflammatory bowel disease, now you’ve got a leaky gut, you’ve got a gut that’s inflamed, the blood vessels are swollen, the cells are swollen, the junctions between the cells are stretched out and they’re not stable any more. So now what you have is a situation where if you feed raw, potentially the bacteria that’s in all raw meat can get through. So you have a higher risk of salmonella or some other organism getting a foot hold and causing a real bad problem in there. So if you want to switch a sever allergy or an IBD cat to raw, I would say start by cooking it a little bit just so it’s pink and not raw, raw. And then as the gut heals you can cook it less and less and less. I know people who’ve gone straight whole turkey dry food to raw overnight no problems. But it’s an increased risk and of course switching a food abruptly can cause a world of hurt anyway. Cats may be willing to eat it or they may not. So a gradual transition is always the best way to go with a kitty because you’re changing a lot of things when you do that. You’re also presenting a different form of food to the bacteria in the gut. And the bacteria are used to doing one thing and the populations have adjusted to that. If you suddenly feed a whole different thing, you’re going to probably have some diarrhea or some other reaction because if you had never eaten raw food before, you might not react well to it. Your gut may say oh that’s interesting. I don’t know what else, protein, would be different from but I’m sure there’s something.Jenny of Floppycats:  Yes.Dr. Jean: The gut appreciates having a transition period to readjust the populations of the bacteria, to gear up the different enzymes. I think it’s just smarter to do a gradual transition. Now if you have an extremely allergic cat and you’re scared to death that something really bad is going to happen, they’re losing weight, you’re desperate, yes, try cold turkey. Qu'as-tu à perdre? If you have a cat that’s on its way to a very bad state, yes, if you’re that desperate, yes, try it. But in general, we hope that people catch things earlier and you can do it in a more logical fashion.Jenny of Floppycats: Oui. I like gradual in general. It makes more sense.Dr. Jean: Yes, and if you’re transitioning do the digestive enzymes and probiotics to help with that transition. Those are always good. I’d recommend them to put them in the food regardless of what you’re feeding or what you’re changing but especially if you’re doing a transition. Definitely use the digestive enzymes and probiotics.Jenny of Floppycats: D'ACCORD. So treatment options available. You mentioned diet trials, we’ve kind of been talking about them already.Dr. Jean: Yes, a little bit. But what people don’t understand when you’re dealing with an intolerance, you may be able to just change brands and you’ll get a different result. Because if you change the recipe and that one little thing isn’t there anymore, you can change flavors, you can change brands and probably you’ll get a good response. With an allergy, you want to be real clear about the change you’re making and you want to get a completely different set of proteins and carbs because the carbs contain some protein. Corn has a lot of protein. So if you’re going to do that, that’s why they make the venison and rice or rabbit and sweet peas or salmon and sweet potato. But a lot of times if it’s not specifically promoted as a hypoallergenic or a novel protein, that’s what we usually call it, that’s technically more correct, you have to make a complete change from whatever you’re feeding to an entirely new thing, and you have to be very religious about it. So if you’re getting away from chicken and you’re feeding rabbit and rice, and you still give [INAUDIBLE 29:20] or something or fish or something, because most cat foods also have fish meal or fish something in them for Omega 3’s. But if you give Bonito flakes or something or tripe that have chicken, you’re undoing your whole shtick right there because one exposure to that protein is going to cause a new allergenic response to be generated. So it takes 8, 10 sometimes even 12 weeks. Now if your systems are only gastrointestinal, then the response can be very fast within a couple of weeks. But if it’s a skin symptom, those take a long, long time to clear up because those antibodies have to fade out, you have to not stimulate new antibodies every day, and if you accidentally expose them to that allergenic protein, you’re going to have problems. So it’s really important to understand how strict you have to be. If you have multiple cats, they all have to be eating that because a stray molecule could really set off your cat’s whole immune system. It’s like a flea bite allergy where one flea bite can trigger a massive allergic response head to toe and they can be really, really miserable from one flea. So it’s just that easy to trigger the response when they’re already primed and ready. They’re on hyper vigilant immune surveillance in that way. If I see one of those suckers popping its head over the horizon, I am going to blast it to Mars. You really have to give the immune system a chance to settle down and say alright, OK, I think we’re in the clear. I think we’ve got them all. And then once all the symptoms are cleared up, if you’re feeling lucky you can try to reintroduce the suspect proteins back, but be ready for a bad reaction. My philosophy is why provoke it? Just stay with alternate proteins forever. C'est facile. One study not too long ago in the last couple of years, they actually went out and tested over the counter medicine formulas that were promoted to be kind of hypoallergenic. They were venison and green pea or whatever they were. And they found that one of them did not have any venison in it at all but it had soy and chicken. So there’s a lot of cross contamination that can happen. The hypoallergenic diets made by Hills and Purina and Royal Canin and whoever else is out there, those are pretty strict. I would go with the canned formula and I would maybe try and rotate those and try different things. There has been some evidence that after a few months, maybe 4, 5, 6 months, you may be able to switch back. But at that point you may be able to go to a home cooked or a raw, commercial raw or homemade raw, whatever you want. I just wouldn’t go back to the diet that you had before. If your cat reacted badly to Meow Mix, don’t feed Meow Mix ever. There’s lots of alternatives. I really like raw and homemade and even canned for cats. You’re just going to have those problems to begin with. It’s easier to rotate your proteins. It’s easier to keep the immune system a little off kilter so it doesn’t freak out every time it sees something new. That’s always a better way to go. Just don’t provoke.Jenny of Floppycats: À droite. D'ACCORD. So talking about  prevention and you have mentioned this but again just to lay the question out there, how can you prevent food allergies or intolerances? Go back to rotation?Dr. Jean: Oui. Don’t feed dry foods. If you must for some strange reason, you live in a [INAUDIBLE 34:15] and you’re always on the road, you can certainly even arrange other things for that. But if you’re traveling for some reason with your cat and it’s got to have dry food because you’re in the middle of Nevada and that’s all you can find, yes, it’s OK to have your cat be able to eat some dry food if in an emergency. That can be in the repertoire as a treat or something. But if the basic diet is not dry food, you have a lesser chance of creating allergies in the first place. And if you feed a variety of foods, then the immune system isn’t getting the same trigger every day, and it’s things that you feed every day for a long time or frequently for a long time, those are the things that are likely to cause the reaction.Jenny of Floppycats:  OK.Dr. Jean: I think food rotation is great. Most nutritionists do not agree with that. But a few do.Jenny of Floppycats:  I think it is even from a chronic renal failure cat who’s dealing with that and trying to get him to eat anything, I think if he had been exposed to more then I would have had a little more success. So I think it’s beneficial in a lot of ways.Dr. Jean: À droite. And there actually have been studies on a variety of animals and they found that if they’re exposed to a varied diet when they’re very young, just after weaning, 8, 12 weeks old, and you start feeding them a variety maybe then, years later they’ll still be willing to try more things. But cats that are fed dry food from kitten hood, very hard to position because they don’t recognize anything else as food. Canned food isn’t food because that’s not what they’re used to. A different dry food isn’t food because that’s not what they’re used to. I’ve seen cats get into some pretty serious trouble with that because—there was actually—this woman called me and she was looking for Friskies Ocean White Fish that was made at a certain plant because her cat wouldn’t eat anything else. And that plant was closing down. So she was looking for cans with the particular code on the top. She had 142 cans left and if she didn’t find more the cat was going to have some—if he would stop eating, get hepatic lipidosis, probably not make it or just starve himself to death. Cats will do that. Cats are stubborn enough to if they don’t want to eat they will not and they will starve themselves. They’re very unique in that way. Most other animals, when they get that hungry they’ll give in but not cats. Boy, I’m hard headed Norwegian and cats make me look like a wimp.Jenny of Floppycats:  [LAUGHTER] Yes, I experienced that stubbornness in the transition process, very annoying.Dr. Jean: Oui. When I was raising my kittens, they got everything. They got raw, they got canned, they got dry, they got every kind, they got lasagna. They were exposed to a wide variety of things. And now they’re pretty easy to change. Put a new food down and they’ll eat it. Now there’s a syndrome in cats where you put a new food down, they’ll eat it for two days like gang busters and they’ll never eat it again. Do not rush out and buy a case of a food that you think your cat really loves. If it passes three or four days and they’re still eating it, maybe yes. Maybe they’re going to be OK. But if they’re used to eating variety—my cats—there are foods that I think are good for my cat just like my mom fed me broccoli. Never liked it, still don’t, but I’m getting over it. I’m really trying. I’ll eat it in Chinese food at this point. But there are foods that I just think are better for them, it’s variety, and I want them to maintain their willingness to eat a variety of things. I’ll put it down until they eat it. Sometimes I have to put cheese on it, or a little baby food or something. But I make them eat it. It’s like tough love in this house. They need to maintain that willingness because you don’t know, we could have a blizzard. We had a fairly good—we had 7 inches of snow on May 1st. So you might not be able to get to the grocery store for a few days and if you run out of that, then you’re in trouble like the Ocean White Fish kitty. You want them to be willing to do that and you’re just going to run into fewer problems over time.Jenny of Floppycats: Oui. I talked to a Ragdoll cat breeder one time and she mainly fed her cats raw, but also can and dry food. And I was like what? Why do you feed them dry food at all if you’re into the raw thing? She’s based in Florida and she said I want to expose the kittens to everything so that if there’s a hurricane and I can’t get food they can have food. So yes, it makes sense and it goes back to what you were talking about earlier.Dr. Jean: I keep a little dry food on hand. Sometimes I use it as a treat. If they’re really bugging me, used to keep a bowl of it in my desk drawer because one cat, between me and the computer, that’s OK, I have a good place for that. Two cats can barely fit, and when the third one comes up, it’s like OK. That’s it, and I take a handful of dry, throw it through the door out, and they would be occupied then for a while, and then [INAUDIBLE 41:00] would get to play again. But as a treat, why not? I get popcorn for dinner every once in a while. I can go to Dairy Queen once in a while. I don’t do it every day but once in a while is not going to hurt anything. I’m anti-dry as a mainstay of the diet or even every day. But once in a while as a treat, I do want them to be willing to eat it. So I keep some stashed away. There’s a bag on the top of the refrigerator.Jenny of Floppycats:  Yes.Dr. Jean: You just want lots of options. With a kitty, it’s really, really important because you don’t know when you’re going to really, really need it.Jenny of Floppycats: Oui. Hurricanes and snow are not things I really think about in Kansas City, but yes.Dr. Jean: Yes, we had a blizzard a number of years ago in March and we had I think three or four feet of snow. My street got plowed because it was a snow route, it was the ambulances and there is a hospital a few blocks away so that was the main drag for the ambulances and fire trucks so it got plowed. But I couldn’t get my car out for days. It took me a week to dig out. And there was nothing within walking distance if you didn’t have snow shoes and a really stout heart you weren’t going to be getting anything you hadn’t stocked up on beforehand. And that was fine. We got over that. And by the way, when the post office says rain, hail, sleet or snow, they don’t really mean it.Jenny of Floppycats:  Not for three or four feet?Dr. Jean: No, and they actually didn’t deliver for almost a week when everybody else could get out, they still couldn’t deliver the mail. It was really weird because it was way more than what it should be but you know, the post office has its problems. You know how Congress is—that whole thing. Then it snowed a couple of weeks later only 7 inches and we lost power for 4 days. I couldn’t get my car out of the garage because it was a flat roof and the snow weighed it down. The garage door wouldn’t clear it and there was no power. I couldn’t even open it manually. The door wouldn’t budge, and that was a real disaster. So you don’t know. We were out with the hurricanes, people were without power for days, weeks even. It’s good to have keep your supply handy but make sure that you have cats that will go along with that program.Jenny of Floppycats: Oui. D'ACCORD. I have some questions from readers but you had also mentioned that you wanted to talk about drugs. So did you want to do that before I ask the reader questions?Dr. Jean: Yes, because that’s pretty simple. The number one drug of choice in cats with severe allergies is Prednisolone. It’s a form of steroid. Prednisone is a little different and cats metabolize Prednisolone better and it doesn’t require the liver to get involved. If there’s ever any reason to give Prednisone, you must have Prednisolone. Make sure your vet gives you Prednisolone. So that’s the number one. Sometimes they’ll give an injectable to give you a few weeks of relief in which you can be working on the other things, the diet and all that. Depo Medrol is the common one. One side effect is diabetes and I’ve seen it in cats their first shot of Depo Medrol. They get diabetes.Jenny of Floppycats:  Oh my gosh.Dr. Jean: The very first shot. I had a client, it happened to him twice, which is why he ended up at our clinic. It’s like “I can’t believe this happened to two cats, the same thing, first shot, boom.” Overweight cats are more susceptible because their insulin is already screwed up. If they’re eating dry food their insulin is already screwed up. So you give a steroid on top of it, steroids and insulin work hand in glove. If you have a cat in a diabetic crisis, one of the drugs they give it is steroids. So closely tied in is a known side effect of the Depo drugs so you want to be very careful about that. But if your cat’s really miserable, treat it, even get a shot that lasts a few days, try [INAUDIBLE 46:36] or something that’s just short actin. But you’ve got to give them relief if they’re in pain. Inflammatory bowel disease is painful. If you’ve got an inflamed gut, you are miserable. That’s just not a happy thing. I think maybe in that case they really aren’t having a lot of fun vomiting. It’s just so severe. If they don’t respond to that, there are other drugs Cyclophosphamide, these are chemotherapy drugs. Even Prednisolone is a chemotherapy drug. So what they’re doing is thumping on the immune system and shutting down the immune response, period, right now, right away, for good. This is totally nasty immune system. Then you’re still prone to infections and other lovely things like that. These are serious drugs and they’re useful if you have a real problem and your cat is miserable. I wouldn’t say never use them but I’d say try them and see first. Try not to go there but there are cases where suppose you’ve been traveling and the cat sitter has been cleaning up vomit every day and never bothered to tell you or you weren’t accessible climbing Mount Everest, maybe and you didn’t have a cell phone. I would still carry my iPhone to take pictures I’m sure. But I can imagine scenarios where all of these things would be in the worst possible configuration. You’ve got to be prepared for that kind of thing. I can see situations that could get out of hand and you wouldn’t really realize it. You’ve got 12 cats. You don’t know who’s puking. And by then you figure out it’s the one that’s losing weight. You may be in a tough spot so those drugs do have their place. You want to use them the shortest period of time possible and really be working on getting around it in other ways. Herbs are helpful, acupuncture can be helpful, homeopathy can be helpful, all of these things take time to work. Natural therapies tend to take time.Jenny of Floppycats: À droite. Gradual.Dr. Jean: Yes, because you’re working with the body instead of just shutting it down. I know to dial down something it takes more time and effort than to flip a switch. People have to be prepared for something that they’re going to have to deal with for a while. Stress plays a role in all of this too because stress with the immune system, you can get all kinds of weird reactions from that. I had a kitty that we finally got her dermatitis cleared up, finally. And she came in for her vaccine. It was due for rabies, it was a situation he had little kids. And I said I really don’t want to vaccinate this cat. And he—there was a reason why we really had to do it. And I only gave rabies, and in three weeks she was back with the same.Jenny of Floppycats:  No.Dr. Jean: I said OK, that’s it. C'est ça. We’ll never again. There are people that absolutely refuse to forgo vaccines, but vaccines call on the immune system for a big response and while it’s in the neighborhood well why not react to something else. So an allergy to anything can show up as skin systems in a cat, anything. It’s difficult to tease apart a skin condition. But very few of them are food allergies. On the other hand, ear infections in cats, more likely to be food allergies. Ear infections, you wouldn’t think, but I had a dermatologist that I worked with at CSU and she said she felt that 50% of cat ear infections were actually allergy based.Jenny of Floppycats:  Wow.Dr. Jean: Yes, I haven’t seen anybody else say that but they don’t usually separate skins and ears and things. Ears respond to steroids, topical steroids. So then you never know what caused it. If you’ve got a chronic bad ear, yes, change the diet.Jenny of Floppycats: Intéressant. Well that kind of goes into one of the first questions, is there a way to differentiate between food allergies and environmental allergies was one of the reader’s questions.Dr. Jean: Pas vraiment. Pas vraiment. A diet trial is your first recourse because both could respond to steroids. Allergy testing in cats, there are blood tests for allergies in dogs and there’s skin testing which requires anesthesia, big deal. Neither of them is worth a darn in cats. So really kind of trial treatment is the only way you’re going to know. And the only way you’re going to really know is once they respond to a novel diet you have to start reintroducing other food. If it’s an inhalant allergy, when they start to wear off it’s going to come back for its natural response. Inhalant allergies sometimes respond to a diet change. It gets really complicated. But there’s no good way to differentiate them in a cat, not without a lot of time and effort and you might never know.Jenny of Floppycats:  Right, process of elimination.Dr. Jean: Right, and you may never know. You could try moving to a place that has different allergens if this cat is fighting with an inhalant allergy. But if it’s dust mites, then no matter where you are.Jenny of Floppycats: Oui. OK, this one, my rag doll has gas. What kitten food additives could cause this and recommendations?Dr. Jean: Well there are 27 categories of additives that are allowed in pet food and many, many additives in each of the 27 categories. So it’s impossible to say which. However, gas forming bacteria, big one. So digestive enzymes and probiotics.Jenny of Floppycats:  Would be the solution?Dr. Jean: Oui. And if you’re feeding dry food, get them off of dry food and especially kittens should not have a major part of their diet as dry food. That’s just wrong on so many levels.Jenny of Floppycats:  You’ve answered this one but just to make it clear because it was asked, can certain foods make a cat throw up?Dr. Jean: Yes, if it’s an intolerance, any of those additives can do it. It could be an allergy. It could be a lot of things. And like I said, cats like to throw up so they will create circumstances for themselves to throw up. They’ll eat your [INAUDIBLE 54:40]. They’ll find something. They’ll find a bug or something to eat to make themselves throw up. It’s just when it gets more frequent then you start to say OK, this may be a real problem. But a kitten throwing up, that’s a problem. So yes, definitely get that checked out.Jenny of Floppycats:  I think this is for an adult cat. Sorry, I should have told you new question. So, new question.Dr. Jean: It would be an issue in kittens.Jenny of Floppycats: Yes, yes. That’s actually good to know. Here’s the next one. My kitty has a sensitive stomach to cat biscuits/food. Is it healthy to feed them raw mince, I think this might have come from a British reader, or chicken cooked with rice/veg as their diet or will they be lacking in vitamins, minerals, etc.Dr. Jean: Well in extreme cases where you don’t want to use steroids and they’re in bad shape, you can do a meat and rice and maybe a couple of veggies. Veggies don’t add much nutritionally. If they’re cooked then some of the vitamins are gone but they can’t digest then unless they’re cooked or puréed or broken down somehow. There’ll say give ground lamb and rice for a couple of weeks or even a couple of months. But that is not a complete diet. In fact it is very, very difficult to get all the [SILENCE]. So you can do it for a while, not in a kitten, not in a kitten because they need their vitamins and minerals, but now that I’m on kitten, kitten on the brain. But yes, cats need meat. They definitely need meat. You cannot give a cat a vegan diet or even a veggie diet. That’s just ridiculous. I have a fairly extensive article on my website about vegetarian cats on LittleBigCat.Jenny of Floppycats:  I’ll link to it.Dr. Jean: I’ve heard mince used in a couple of different ways. Sometimes it’s the canned or what they would call tinned food. That’s fine, sir. Oh dear, my alarm is going off for some reason. I wonder why. It’s probably reminding me to call you in a different time zone or something. But yes, if you could, just get him off of the dry food because that’s probably part of the problem. But if you’re mincing the meats, sure. But not just minced vegetables and rice, and you don’t want to do it in an unbalanced way for more than a few weeks.Jenny of Floppycats: D'ACCORD. The next one, I have a rag doll with apparently a sensitive stomach. He doesn’t throw up all the time but much more frequently than the other two. If he has anything with beef, he throws up within a minute. Is this an allergy or is this hard to digest? I’m speaking of cat foods not table food.Dr. Jean: It could be either one. I saw a remarkable video one time. They had an endoscope in a dog’s stomach that was known to be allergic, I think it was to wheat. They had the endoscope looking at the wall of the stomach and they went in with a drop of concentrated wheat gluten.Jenny of Floppycats:  Oh, how cool.Dr. Jean: And it was like watching a volcano erupt. It touched the stomach and the inflammation was instantaneous and massive. It was just amazing. The dog was under anesthesia.Jenny of Floppycats:  Right, right, but just thinking about him and his everyday life.Dr. Jean: It could be an allergy. I think it’s probably more likely to be an intolerance because either one could cause inflammation. But an allergy involves the whole immune system and the whole antibody response. Once that response is formed, it can be pretty instantaneous but an intolerance is still more likely because there may be something in the food that the stomach has a similar reaction to and says oh no. So it could be either one. It’s hard to say with cats but obviously don’t feed him beef and be aware that natural flavors could include beef. There’s a whole lot of things that beef could be in so you’ve got to be careful. Here’s a point that we ought to make probably is that grain free—there’s nothing intrinsically wrong with grains as opposed to any other carbs. Carbs are not good for cats and low carb diets are best, wheat free or gluten free or corn free or soy free, yes, those all can be allergens. They’re uncommon allergens and if your cat is allergic it’s much more likely to be through a meat. There have been cases where dogs have been proven to be allergic to gluten. They have celiac disease. But it’s real rare, it’s real rare. So if your cat is reacting to something that has corn in it, don’t assume that corn is the culprit because chances are it’s fish or chicken.Jenny of Floppycats:  OK, interesting. OK, the last question says not sure how to word it but with my cat Merlo, we thought for a couple of months we were dealing with food allergies but it turned out to be dry FIP. If we had had diagnosis earlier we would have had the time to try PI or interferon, is that how you say that.Dr. Jean: Yes, interferon doesn’t work particularly well sometimes.Jenny of Floppycats:  And he would not have lost as much weight from trying new foods. So I guess it’s not a question, but…Dr. Jean: Maybe, maybe. Still it’s a fatal disease. It might have bought him a little more time but I would not beat yourself up over that. The food would have been a very minor issue with that going on. In the case of FIP, FIP itself is already an aberrant immune response. It’s a hyper immune response. So now you have an animal that could react to anything at any moment that at the moment is reacting to corona virus or something else. FIP is not caused by the virus. It’s associated with the virus. Flies are associated with garbage. It doesn’t mean flies cause garbage. But the idea that corona virus causes FIP to my mind it’s involved certainly. But is there a causation? There’s not really proof of that in my mind. But you have an immune system that’s reacting abnormally and it’s the inflammation caused by the immune system and the immune plaque and just the crazy immune response. That is what kills them.Jenny of Floppycats:  Yep, that’s awful.Dr. Jean: It’s a horrible disease. And dry FIP can look like anything. It’s very, very tough.Jenny of Floppycats:  Knock on wood. I hope I don’t have to hear much more about those sort of stories. Awful.Dr. Jean: Oui. And FIP is not as contagious as everybody thinks, and the vaccine is completely worthless. Do not vaccinate your cat for FIP.Jenny of Floppycats:  [LAUGHTER] Sorry, just completely worthless just made me laugh.Dr. Jean: Well it is, it is, and there’s not an expert on the planet, anybody that really understands the immune system, nobody recommends that vaccine, or FIV for that matter.Jenny of Floppycats:  I know that vaccinations is on our list of topics so hopefully we can cover that soon. Is there anything else that you wanted to touch on?Dr. Jean: Well the vaccine allergy connection, that’s certainly there. Let me look at our list here. Yes, I think we’re good. I think we’re good.Jenny of Floppycats:  Well thank you so much for your time and I look forward to future interviews.Dr. Jean: Yes, we’ll do it when I get back from my trip. I’m getting ready way early. The weather up there is pretty good even, it has been for months which is unusual. I think by the time we get there it will be all good. And bear 399, the grizzly that lives in our neighborhood, he has three new cubs. So her last three cubs are still in the area and the two surviving cubs from the previous litter are also there. So now we have at least 5 in the area. How about that.Jenny of Floppycats:  That is really cool.Dr. Jean: Oui. We used to see mostly black bears but now we see more grizzlies, like see them. We see a lot of grizzlies up there now. So it’s wonderful that their population is rebounding and 399 she’s a very smart bear. She hangs around culture bay and the human habitation because the big males will not come in there. Her cubs are safe from males that are not the father who would kill the cubs if they catch them, but they won’t come in that close to humans. She is a smart bear.Jenny of Floppycats:  [LAUGHTER] Sounds like it. Well that’s cool that you get to experience that every year because well it’s something more to look forward to.Dr. Jean: Oui. I’m going to go over this afternoon and repair the screen house that the curious bears kind of tore apart last year.Jenny of Floppycats: Bon. Well thank you again and I’ll reach out next month sometime and I’ll certainly let you know when this gets transcribed and up on the site.Dr. Jean: OK, perfect.Jenny of Floppycats:  Thanks and have so much fun.Dr. Jean: If I just sit in my hammock for two weeks I’ll have fun.Jenny of Floppycats:  I get it.Dr. Jean: Yes.Jenny of Floppycats:  All right, well I will talk to you soon.Dr. Jean: D'ACCORD. Take careJenny of Floppycats: Passe un bon weekend. Bye.Dr. Jean: Au revoir.