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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

No bones about it! The FDA Calls Bones for Dogs a Definite 'No-no'

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April 28, 2010 / (23) comments


Last week, while we were talking about things as lofty as the Supreme Court, and as bottom-feeding as Kim Kardashian, the FDA quietly put out an alert about feeding bones to dogs. As in, it’s a big no-no.

Here’s what they had to say:


Here are 10 reasons why it’s a bad idea to give your dog a bone:

1. Broken teeth. This may call for expensive veterinary dentistry.

2. Mouth or tongue injuries. These can be very bloody and messy and may require a trip to see your veterinarian.

3. Bone gets looped around your dog’s lower jaw. This can be frightening or painful for your dog and potentially costly to you, as it usually means a trip to see your veterinarian.

4. Bone gets stuck in esophagus, the tube that food travels through to reach the stomach. Your dog may gag, trying to bring the bone back up, and will need to see your veterinarian.

5. Bone gets stuck in windpipe. This may happen if your dog accidentally inhales a small enough piece of bone. This is an emergency because your dog will have trouble breathing. Get your pet to your veterinarian immediately!

6. Bone gets stuck in stomach. It went down just fine, but the bone may be too big to pass out of the stomach and into the intestines. Depending on the bone’s size, your dog may need surgery or upper gastrointestinal endoscopy, a procedure in which your veterinarian uses a long tube with a built-in camera and grabbing tools to try to remove the stuck bone from the stomach.

7. Bone gets stuck in intestines and causes a blockage. It may be time for surgery.

8. Constipation due to bone fragments. Your dog may have a hard time passing the bone fragments because they’re very sharp and they scrape the inside of the large intestine or rectum as they move along. This causes severe pain and may require a visit to your veterinarian.

9. Severe bleeding from the rectum. This is very messy and can be dangerous. It’s time for a trip to see your veterinarian.

10. Peritonitis. This nasty, difficult-to-treat bacterial infection of the abdomen is caused when bone fragments poke holes in your dog’s stomach or intestines. Your dog needs an emergency visit to your veterinarian because peritonitis can kill your dog.

 

----


Scary, indeed. I’ve seen plenty of these disasters, too. Thing is, I don’t completely agree that bones are always to be so feared. While cooked bones are on my no-no list too (because they shatter and splinter), I stop short of the dogmatic, "no bones about it" approach espoused by the FDA.

That’s because raw, meaty bones offer plenty of benefits, and the risks can easily be mitigated with common sense tactics. Although some risks remain, the dental and behavioral benefits of ripping and chewing meat off bones can be well worth it in many cases — though certainly not all.

Some of you may know that I’ve undergone something of a conversion on the subject of raw over the past few years. It’s not that I feed the BARF-style diet you may have heard about — I still feed my dogs a commercial prescription diet (for a few reasons, including cost, which I’ll not go into here), along with home cooked add-ins — but I no longer fear the raw meaty bones the BARF diet and others like it employ.

Since opening my mind to the case for raw meaty bones, I’ve taken to offering my dogs raw chicken necks and backs, lamb shanks, and the occasional femoral head. Here’s how I approach it:

1. I source raw, meaty bones from high quality butchers. In my case, from the local farmer’s market or Whole Foods — places I trust to stock the super-fresh, humanely raised and slaughtered meats I prefer.

2. I mostly stick to chicken necks and backs because the bones are soft and highly digestible.


3. When I do feed the bigger bones, I stick to weight-bearing bones, leaving ribs and others alone just in case they’re small enough to get swallowed whole.

4. I leave lots of meat hanging off the bigger bones. But this only works if I’m the one deboning the cut, since bones offered at the butcher’s are almost always devoid of any meat.

(Alternatively, you might enjoin your butcher to respect the dog’s portion by generously avoiding the bone. Sure, they may look at you as if you don’t really understand the price you’re paying for your fancy meat, but it’s worth it just to see their almost universal expression of horror.)

5. On the bigger bones, I always stay around to watch and listen to my dogs: Not only is it entertaining to observe them enjoying themselves, but if I’m there I can be vigilant for the first sounds of teeth scraping bone — a sure sign that the bone is “killed.”

At that point I take it away to spare their teeth, offering a crunchy carrot or apple slice in its place to ease the inevitable separation anxiety. ("Where did my fabulous bone go?")

6. Some pets are "gulpers." Dogs that swallow without chewing are not good candidates for any kind of bones, rawhides … or most toys, either.

7. I mostly feed raw cuts out of doors, just as nature intended: Maybe it’s just me, but though I’m not a clean freak, I can’t abide cartilagenous goo, or slippery, stray fat on my floors.

8. If my dogs aren’t used to a certain meat, I offer only a small portion (half a neck?) to see how it sits with them. If the stool is a bit soft, I can be pretty sure to avoid feeding this kind of food. Common sense, right?

Those are my rules, anyway. And neither I nor others I know who routinely follow these rules have yet to end up at the ER vet with the kind of bony disasters the FDA would have you fear. But then, it takes plenty of dedication to feed bones safely. And, yes, it’s important to recognize that nothing in life is risk-free.

But do we really need an alert from the FDA on bone-feeding? Hmmm … Given the kind of bony disasters I’ve seen in the past, I’ll concede that we probably do. Still, I would have liked a line in there somewhere with a nod to exceptions.

 

Dr. Patty Khuly

 

Art of the day: "Can't fool me with rubber bones" by The Giant Vermin

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COMMENTS (23)
1
Bones
by Dagmar on 04/28/2010 03:39am

Dear Dr Patty,

I could not agree more with you on the above mentioned subject! The benefits of raw bones (not talking about pork bones though) far outweigh the risks in my opinion.
I would only like to add a little bit on the kind of bones. I recently learned that one should not feed femurs as those bones bear the weight of the whole cow (talking about 1000kg and more) and those bones obviously are extremely strong, harder than dog teeth. That means that dog teeth can chip.
I find anyway that butchers never leave enough meat on those bones and therefore I prefer for my dogs the bones of the spine or lamb pelvis.
Another important thing you mentioned is to watch dogs when they eat a bone.
Keep on writing you interesting posts, I am reading them all!

Dagmar
www.animalconnection.com.au

2
by itserich on 04/28/2010 07:09am

I get bones from a local farmer at 5 pounds for $1. With three dogs no problems yet, and none of them have ever needed a teeth cleaning. I put them in their cages and give them bones. I use it as a babysitter, good for an hour or so.

3
Small dogs
by Jenna on 04/28/2010 07:46am

I'm wondering if this would be the same for all dogs, or just big dogs with long snouts? Specifically, I have a pug with the smushed in face only a Mother could love (and all those crazy pug lovers out there too!) I've wanted to give her bones but have been unsure if feeding them to her would be more dangerous?

Any thoughts on this?

Thank you!
Jen

4
Windings
by EAB on 04/28/2010 08:30am

Merrick makes many flavors of canned food, one being "WingDings." It's whole chicken wings in gravy and such, but they are prepared in a way that makes them very softs and safe to eat. Tina loves em.

5
Antlers
by sportsk9 on 04/28/2010 08:47am

Antlers provide a great non-splintering alternative - especially if you have a pup with allergies to lamb, chicken, or beef or sensitive stomachs. I'm a huge fan of a nice raw marrow bone, when I can get Buffalo (as I have a pup severe allergies). The defleshed marrow bones make great food stuffable toys for later too. :-)



6
by SkeptVet on 04/28/2010 09:29am

"And neither I nor others I know who routinely follow these rules have yet to end up at the ER vet with the kind of bony disasters the FDA would have you fear"

Is this really sufficient proof that these rules work and people should feel free to ignore the FDA warning and feed bones? As you yourself point out, nothing in life, or medicine, is risk free. The trick is figuring out when the benefit justifies the risk. After the fractured teeth, vomiting, constipation, and couple of cases of septic peritonitis I've seen from feeding bones, I'd like to be darned sure there is a benefit to them before telling my clients to take such a risk.
Sure, behaviorally they're fun to chew, but there are safer things that are just as much fun.

If you are correct that feeding bones reduces dental disease, then this would have to be balanced against the risks of feeding bones so we could decide if this benefit justified the risks. The problem, is that there is little evidence beyond anecdote that bones do any good, and there are certainly better and safer alternatives. Brushing is clearly shown to reduce periodontal disease and has no risks in most dogs who accept it with little training. It also has the advantage of being low cost.

There are a number of chewing products that have the Veterinary Oral Health Seal, which indicates they have provided good evidence of benefit in terms of preventing periodontal disease with minimal, acceptable risks
(http://www.vohc.org/accepted_products.htm). Granted, these are commercial products, because to do the necessary testing to prove something works takes money. No one is likely to test raw bones unless a non-profit or interest group can raise funds to do so since obviously they cannot be sold as a proprietary product. This isn’t the result of some sinister conspiracy among pet chew makers, just the reality that it takes resources to do science. Unfortunately, those who object to this are stuck making claims about the benefits of bones that they can’t support in any objective way.

Here are a couple of evidence-based reviews of veterinary preventative dentistry.

http://www.hillsvet.com/media/HillsVet/USARG/Research/FeaturedResearch/assets/en/TIS0115_Dental_Email.pdf

http://www.ncbi.nlm.nih.gov/pubmed/15909451

Bottom line is that the benefits are unclear, the risks are clear though it is uncertain how common they are, so I see no good reason to recommend feeding bones. Like everything, more data could certainly change that, and if a few good trials come out that feeding bones dramatically reduces periodontal disease with minimal risk, I’ll be happy to change my recommendation.

7
Legislating against evolu
by DoganDogs on 04/28/2010 10:29am

Legislating against evolution, plain and simple.

So they are basically saying "dont feed dogs the food they've eaten for hundreds of thousands of years".
What kinda food should we give to our dogs?

Let me guess, the kind that comes in a bag and is made by a giant corporation that can pay lobbyists to pass silly laws which benefit corporation's bottom line.

If dogs could pay lobbyists what kind of food do you think they would ask for?

I think we should lobby for some common sense within the government ranks.

8
Applauds DoganDogs...
by rubypaige on 04/28/2010 11:01am

Well said Dogan! I fed my dogs Science Diet religiously for many years until my precious dog got cancer and I finally realized that better nutrition would maybe have helped her immune system.Carbohydrates and the high soy do not make sense. Dogs need high fat and oils. Supplementing a little variety of these oils, cod liver, salmon oil and flax( flax okay for dogs NOT for cats) is good for your dog!

After my dog went through surgery and radiation I completely changed my dogs diet and I cooked the organic meat, veg and grain and she went on to live to be 18 yrs old. I used the anti cancer diet from Barker's Grub book and I learned so much from Dr. Goldstein's book The Nature of Animal Healing.
I now have two dogs and I recently, after much research, finally decided to try the b.a.r.f. diet and I am so happy that I have done that. I see the benefits far outweigh cooked food but I do believe VARIETY and VARIATION are good too. I am very lucky to have a fantastic pet food deli in my neighborhood in Minneapolis named Woody's Pet Deli. I get human grade meats ground with organs and or bones ground super fine and I feed that raw with a variety of veg or kibble. My dogs coats have shine that is remarkable and they are calmer and content. The other day while walking we met someone with two smalls dogs and I noticed the distinct look to their coats and a shine that looks like "light" itself. I asked what they are fed and I was told they are on a raw diet. Made sense to me! I am so happy to have switched.
http://www.woodyspetdeli.com/
I feed the chicken backs raw in the yard and one dog I can count on eating the whole back just perfectly but the other dog... mini eskie /papillon (Papimo cross breed) has a very tiny mouth and so I cut the back with a kitchen shears into 3 or 4 sections and I always keep close attention to them when they are dining on the bones! Such JoY ! http://www.rawmeatybones.com/readerspics7.php
The raw meaty bones site really helped me understand a lot about it. It's written by a vet and the photo gallery is outstanding. I hope no animal ever suffers from eating this way but life is risk and this is a natural way to eat. Humans can choke and suffer from "eating" also but we eat, live, and do our best!

9
Great post!
by Tripawds on 04/28/2010 11:27am

Thanks for these great tips! We've added a link to this post in a Raw Food For Pets topic we started last year in our Eating Healthy discussion forum. Many Tripawds members feed their dogs a BARF diet and will appreciate your point of view and advice.

As I started reading this, I feared we might have to reconsider the raw chicken Wyatt often gets at mealtime or the periodic bones he enjoys so much. But then we wouldn't get all the compliments we do about what clean teeth he has!

10
Power chewers
by skoslabs on 04/28/2010 11:36am

I have a chocolate lab that can do amazing things to bones; he broke a raw "knuckle" bone (end of the femur)into about 3 pieces one time and almost swallowed one of the pieces whole before I got it out of his mouth. I can't imagine the vet bills I would have incurred had he gotten that into his stomach.
I've never had a lab that chewed like this, so I'm pretty careful about what treats he gets (a chicken back would take him about 2 seconds to eat) but it would be nice to find something to satisfy that urge for him without risking his health.
Someone above mentioned deer antlers, but the only ones I'm able to find are 4 inches long and not recommended for dogs over 40 lbs.
As for their diet, my two labs are fed Nutro Max dry and supplemented with homemade chicken and rice, and I am very satisifed with the results.

11
Take it Away?
by vsparky on 04/28/2010 12:18pm

"At that point I take it away to spare their teeth".
You MUST know your dog or this can induce a trip to the emergency room for yourself. My dog is the most mild mannered, easy going dog I have ever met. He is a true family member. However, basal instincts kick in and he is a dog when it comes to raw beef. I was devastated the first time that he bit me but understand that he is just an animal, with instincts. I have been taking his food away from him since he was a puppy, he has no problem with it unless it is beef. He is a Chowchow and I really don't recommend taking away a bone for any Chowchow. Please just be careful, you don't want to pay for emergency treatment for yourself or your dog.

12
Dog bite: Take it away.
by EAB on 04/28/2010 12:35pm

The command is "leave" and when given that command, a dog should immediately ignore and/or drop what it's doing. If your dog is taking "possession" of something in your presence, that's a training issue that needs to be addressed. My dog owns NOTHING and granted permission to use, eat, or play with what I provide. If I want it back, I get it back. Those are the rules. For a safe doggie environment, those HAVE to be the rules.

13
Power Chewer
by Andrew on 04/28/2010 01:03pm

I'm still on the fence about trying this myself although I completely believe in the merits of it since I do raw feed part of my dog's diet, the other is home cooked. Anyway I have what could be called a "power chewer" he's a 65lb long lean package of canine destruction so he really doesn't get much along the line of chews anymore unless completely edible, ie occaisonal greenie, which are gone in a minute or less. Could anyone suggest what type of bone would be best, something softer and more digestable like a chicken neck or something more robust and weight bearing?

Back when I was still an inexperienced dog owner we had issues with the "Red Barn" brand stuffed bones you can get at pet stores because he would break pieces up and chew them into lovely bone dust. So any advice, suggestions, etc would be appreciated.

14
Bones!
by zanna.russell on 04/28/2010 03:05pm

Very helpful tips, folks, thanks!

The FDA issuing warnings about dogs eating bones has me shaking my head. Don't they have anything better to focus on? Granted, not everyone was born with enough common sense, but dire warnings aren't going to stop people from doing what they want to do, consequences notwithstanding. Just look at how many people still smoke. Also, I think Dogan's comment was right on the money.

I love giving raw beef bones to my dogs almost as much as they love getting them. I love the almost feral way my guys tear into them. I'll never forget the first time I gave our Dobie a big, nasty, raw, fleshy knuckle bone - he had en expression on his face like he'd seen God, utter rapture. We have a place near us, Launderdog, that has a freezer full of marrow bones and raw, pre-packaged foods and I can get raw knuckle bones at my super market. My dogs adore them but they only get them when they are supervised; they seem to find them especially satisfying as an "after dinner chew".

I've not yet had a problem with bones from a digestive or tooth standpoint, but then I throw them away when they get to be what I feel is too small. My Dobie can pulverize bone like no dog I've ever seen and he seems to relish the crunching. My Corgi loves the bones too, but once she's taken all the flesh and marrow off, she loses interest.

I've always wanted to try the BARF diet, but time and cost have been a factor. It would be fantastic if we had a plaed like Woody's Pet Deli! Our dogs get lots of veggies and some fruit with their kibble now and as treats. When fed with a meal, we steam the veggies in the microwave for a few minutes to start breaking them down so the nutrients are more easily absorbed. Surprisingly, we have found that the broccoli, carrots and apples actually help our flatulent Dobie, reducing the quantity of gas and he no longer peals paint or makes our eyes water. I think I'll give the chicken necks and backs a try - I'm sure my guys will be deliriously happy.

Re: the biting chowchow, I second vsparky's comment that it is a training issue not just "dogs will be dogs". It is also a matter of deciding who is actually in charge. My Dobie is a very sweet dog and can become completely focused on whatever wonderful thing I've given him, but he knows better than to challenge me for anything - food, ball, bone... _I_ rule this roost, not him. "Drop it" and "Leave it" are the the best, most useful commands you can ever teach, besides "come".

15
Rawhide Bones
by barnzie3 on 04/28/2010 03:06pm

What about the rawhide type bones? My father says they are bad for dogs too. My dog has been eating them right along and hasn't had any problems yet. Are these ok or do these have their own set of problems?

Thanks, Rick

16
IBD, Small Dog
by P on 04/28/2010 04:00pm

Jenna, I have a Tibetan Spaniel who inherited her sire's relentless itching. The sire's problem was cured with a Barf diet so I decided to try it with my 8 mo. old Tibbie puppy. I gave her a chicken wing and she knew exactly how to eat it. It did take 6 months for her to quit itching completely so a raw diet is not a quick fix. She gets mostly chicken backs, wings, and thighs. She also gets small pieces of pork or lamb neck bones. Make sure the butcher saws through the center revealing the marrow.

My IBD boy lived with many conditions that were solved with a Barf diet. He gets no grains of any kind even rice and no supplements or chemicals like preservatives. He needs to have real food. Again pork and lamb neck bones must be saw through the center. Chicken bones are fine. I have the butcher split turkey necks through or I pound them with a hammer under paper.

One dog stealing another's bone can be a problem so I give them in their crates while I read. I rarely have to wipe down their crates as they are molecule hunters.

Regarding the nutrition in bones? I believe it is arrogant to suggest what we know about nutrition today is complete. I believe there are many nutrients in bones not yet discovered. The dogs tell us so and their shining health is the best sign. When you buy bones from your butchers, use the ones that are too big to make bone broth. If you haven't seen real bone broth lately, you will see a huge difference between the real stuff and the broth from the store. Before I figured out my dog's problem was IBD, he had a horrible digestive problem my vet really couldn't solve and he prescribed Hills ID. This was before I realized the dog is also sensitive to rice so this diet did not solve the problem with the vomiting and hunched posture. But feeding him real bone broth was a relief for him from fasting. It is healing and should be considered to get a dog eating again. Vets would do well to stock this stuff frozen. Thaw in warm water.

I too applaud DoganDogs. I think commercial kibbles will keep pets alive but won't keep them healthy.

The FDA lost their credibility when the found no problems with Bisphenol A. They are on the take to the corporations.

17
by MaggieL on 04/28/2010 04:08pm

"Sure, behaviorally they're fun to chew, but there are safer things that are just as much fun. "

Can you please convince my dogs of this please? The fake plastic bones sit untouched for years, while a nice fresh bone is always received with joy.
Edible chews like dry tracheas or bully sticks last all of 10 minutes if we're lucky. Not exactly same psychological benefit. Additionally the risks the FDA lists for bones also apply to almost anything a dog can put in it's mouth. I know two unrelated, medium sized dogs who died by choking on a tennis ball. Fetchydog still gets to play with them. Nothing in life is risk free and I'm willing to trade a bit of safety for a fulfilling life.

18
Corn Cobs
by SkipperBoo on 04/28/2010 10:47pm

Please advise owners how dangerous letting dogs have corn cobs are. Mine ate one and seemed ok, saw vet first day due to vommiting, although eating and bowels ok. Second day, had to have emergency surgery and specialized trauma care for 24 hours. So lucky to still have him, but a very bad and very expensive lesson.

19
by Will on 04/29/2010 12:31am

"Legislating against evolution, plain and simple.

So they are basically saying "dont feed dogs the food they've eaten for hundreds of thousands of years"."

There's nothing in Darwinian theory that says organisms evolve to a perfect fit for a given environment, nor do domestic dogs in the US live in anything close to the primordial conditions of their wolfy ancestors. Evolution leads to the survival of the adequate, not the perfect, as a quick visit to any mall will demonstrate.

What is essentially an appeal to tradition doesn't cut it unless we're also willing to classify the human ailments that hit throughout the lifespan as somehow "good" too.

Raw food and bones might indeed have some benefits over other types of food. That dogs have eaten them for a very long time doesn't prove that point at all.

20
Finaly a voice of reason!
by Dog Mama on 04/29/2010 04:25am

So glad you wrote this! While I do appreciate the potential risks, it just didn't make any sense to me! So glad you're out here to provide a voice of reason!

21
@Will and Darwin
by Dino Dogan on 04/29/2010 06:50pm

Hi Will, I have a counterpoint regarding your interpretation of evolution.

If we all agree that dogs and early dogs from hundreds of thousands of years ago, as well as doggy predecessors and direct mammalian lineage that later became modern dog, have all fed on bones, meat, later on human food-overflow (which is why dog's adopted us in the first place) and similar bone/meat stuffs, than we must agree that such lifestyle (even as adaptable as dogs are) has left an indelible imprint in doggy's DNA.

If a species spends 99% of its existence eating a certain diet, its biology becomes perfectly suited for that diet. If that diet is then changed, the effect on said species can be devastating.

Look at our fat nation's heart disease problems, type-2 diabetes, etc. Look at China and Japan whos cases of such diseases coincide with their adoption of processed foods (McDonalds is only the start, 95% of all products at your local supermarket is made by 4 food companies).

I believe my point is this. Any governing body, especially one with such horrible track record (food pyramid anyone?) is ill-suited to make legislations concerning food-stuff.

Dog food has been around for 50-60 yrs. Processed food for humans has been around for about just as long. This is not even a blip on the evolution's time line. The fact that we are currently "adequate" and surviving does not ensure our forever lasting existence as species.

Hope this was very much informative and very little confrontational.



22
by Will on 04/29/2010 11:16pm

Dino,

This is the basic assertion I object to:

"If a species spends 99% of its existence eating a certain diet, its biology becomes perfectly suited for that diet. If that diet is then changed, the effect on said species can be devastating."



If that were the case, humans wouldn't have all those various allergies to many natural foods, and there wouldn't be the fierce arguments about diets. The relative risks the media love to quote are scary but the absolute risk differences are pretty small.

The thing is, a mostly red raw meat diet might well serve wild dogs and their ancestors, who didn't live all that long. If you're a hunting carnivore, slowing down a bit or being injured means starving or being eaten by a bigger carnivore. They don't have to worry about heart attacks from sitting around watching Animal Planet while eating Klondike Bars.

What do the biologists who study wolves in the wild find? What do wolves die of if they're not hunted? That would tell us what effects eating bones regularly have. I presume they find at least some dead wolves over time and can do posts on them.

(I wouldn't call this discussion "confrontation" We're discussing things and disagreeing. No problem, that's what science and medicine are all about.)

23
FDA ha!
by Marie in Maine on 04/30/2010 11:22pm

Has anyone seen "Food Inc"? I don't have much faith in the FDA or any government run group these days.

Every dog is in indivudual so chose their chew toys (and bones) that are most appropriate for them based on that information. My pug (and frenchie when she was with us) need different bones than my akita.

And while I love raw diets myself I lack the time for prep these days. (and love Primal commercial raw for the convience when I can afford it) I also found out that the liver I was adding as organ meat was an allergen for my pug.

The word of the day is individual. Know your dog and know their limits.

http://k-9solutionsdogtraininginc.blogspot.com

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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