Dr. Nicole Rambo and equine specialist Heather discuss a case where an allergy panel suggested a horse was allergic to wheat, explaining that true feed allergies in horses are rare and many blood or hair tests are unreliable. They describe how elimination diets followed by ingredient reintroduction are the most reliable way to confirm a feed reaction. The episode also explains why wheat middlings and wheat bran are commonly used in pelleted feeds, noting they provide moderate energy, protein, and fiber while improving pellet quality. They also clarify that, unlike humans with celiac disease, horses do not appear to have a gluten-triggered autoimmune response.

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