Table of Contents

List of Contributors xx

Preface xxiii

Acknowledgments xxiv

1 Integration of Nutrition into Clinical Practice 1
Sean J. Delaney, Andrea J. Fascetti, Jennifer A. Larsen, and Paul Brentson

Introduction 1

Average Revenue from Food Sales and the Potential 1

Strategies to Increase Product Sales 2

Recommending an Effective Therapeutic Food 2

Establishing Expectations 2

Performing a Nutritional Assessment 3

Monitoring Patient Response 3

Providing a Variety of Options 3

Recommending Therapeutic Treats 4

Recommending Nutraceuticals and Dietary Supplements 4

Creating or Increasing Revenue from Nutritional Advice 4

Nutritional Advice for Healthy Patients 5

Nutritional Advice for Unhealthy Patients 7

References 7

2 Basic Nutrition Overview 8
Sean J. Delaney and Andrea J. Fascetti

Energy 8

Energy Requirements 9

Essential Nutrients 9

Protein and Amino Acids 10

Fat 12

Carbohydrates 13

Minerals 13

Macrominerals 13

Trace Minerals (Microminerals) 14

Vitamins 14

Water Soluble 14

Fat Soluble 14

Storage Pools for Essential Nutrients 15

Essential Nutrient Deficiency Signs and Clinically Available or Relevant Methods of Assessing Nutrient Status 15

Protein 16

Amino Acids 16

Arginine 16

Histidine 16

Isoleucine 16

Leucine 16

Lysine 16

Methionine (Spared by Cystine) 16

Phenylalanine (Spared by Tyrosine) 17

Threonine 17

Tryptophan 17

Valine 17

Taurine 17

Fat 17

Linoleic Acid 17

Arachidonic Acid (Cat, Not Dog) 18

Minerals 18

Macrominerals (Typically Required at 100 mg/Mcal) 18

Calcium 18

Phosphorus 18

Magnesium 18

Sodium 18

Potassium 18

Chloride 19

Microminerals (Typically Required at

About the Author

The Editors

Andrea J. Fascetti, VMD, PhD, DACVIM (SAIM & Nutrition), is a Professor of Nutrition at the Department of Molecular Biosciences, School of Veterinary Medicine at the University of California, Davis, in Davis, California, USA.

Sean J. Delaney, DVM, MS, DACVIM (Nutrition), is the Founder at Balance It®, a DBA of Davis Veterinary Medical Consulting, Inc. in Davis, California, USA.

Jennifer A. Larsen, DVM, MS, PhD, DACVIM (Nutrition), is a Professor of Clinical Nutrition at the Department of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis in Davis, California, USA.

Cecilia Villaverde, BVSc, PhD, DACVIM (Nutrition), DECVCN, is a small animal nutrition consultant at Expert Pet Nutrition and VIN (Veterinary Information Network).