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  • The Laminitis Site
Friends of The Laminitis Site

Welcome to Friends of The Laminitis Site

Members, please use your FoTLS password to access this website (see your welcome email).

Not a member?  Join here for information & support for laminitis, EMS, PPID and related topics (£12 donation payable annually):

Join Friends of TLS
MAY 2026
THANK YOU FOR YOUR PATIENCE WHILE WE UPDATE AND REWRITE THIS WEBSITE TO GIVE THE MOST COMPREHENSIVE, UNBIASED & UP-TO-DATE INFORMATION ABOUT LAMINITIS, EMS/ID & PPID AVAILABLE ON THE INTERNET.


If you have joined Friends of The Laminitis Site and cannot find the information you are looking for on this website, please do not hesitate to email us (reply to your welcome email) or ask on the FoTLS Facebook group.


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Laminitis
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Equine metabolic syndrome (EMS) & insulin dysregulation (ID)
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PPID (formerly called Equine Cushing's disease)
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X-rays (radiographs) & trimming to realign the feet
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Join the FoTLS Facebook support group
Index for Articles

Hyperinsulinaemia Associated Laminitis
BEVA 2022 EMS & Laminitis
Corticosteroids and laminitis
How high does insulin have to be to cause laminitis (HAL)?
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Research showing that hyperinsulinaemia causes hyperinsulinaemia associated laminitis

Equine Metabolic Syndrome/Insulin Dysregulation
Alternative Grazing Systems
EMS v PPID
Insulin testing
Is your horse a healthy body condition/fat score?
Recommendations on EMS
Restricting grass intake
​SGLT2 Inhibitors - Ertugliflozin, Canagliflozin....
Testing insulin after feeding (Liphook)

PPID
EMS v PPID
​Giving pergolide (Prascend)
Interpreting ACTH results
PPID and Laminitis = Insulin Dysregulation
What is the withdrawal period for pergolide?

Feet, Trimming & X-rays
A guided realigning trim
​​Assessment of a pony left front foot
Club foot
​Comparison x-rays of laminitic pony LF at 2 and 5 weeks post laminitis onset
​Donkey feet & laminitis
​Heel first v toe first landings
Hoof boots for laminitis rehabilitation
Hoof Casts (and Dental Impression Material DIM)
Laminitis corrective trim
Mapping the foot
Marking feet for x-rays
Marking up feet for x-rays using barium and nail varnish
Normal v abnormal feet/foot features
​Rasping the laminar wedge to restore the true toe line
Realigning trim explanation
​Recognising a healthy foot
Taking foot photos
The deep digital flexor tendon and laminitis
Trimming overgrown feet
True frog apex & stretched frog
​Under-run heels



Disclaimer: The information, suggestions and links (hereafter referred to as “information”) contained in this website are provided for information purposes only and should not be relied upon nor replace professional veterinary advice.  Information is non-veterinary, is based as far as possible on current research, does not constitute advice or diagnosis, and should be discussed in full with all relevant vets and hoofcare or other professionals.  No responsibility is taken for the accuracy or suitability of information contained in this website, and no liability accepted for damages of any kind arising from use, reference to or reliance on any information contained in this website.  If you suspect your horse has laminitis or is ill, please consult your vet. 
The Laminitis Site is a charitable company registered in England & Wales No. 8530292, recognized by HMRC as a charity for Gift Aid.  Registered office: Akerian, Dewlish, Dorchester, Dorset, DT2 7NA. 
The Laminitis Site France is an association registered in Charente, France No. W163004578.