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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.

 

Pet Food at Your Doorstep (and Why Veterinarians Like Me Love It)

September 03, 2010 / (28) comments


More than ever before, people like you are buying your non-human family’s food from direct-shipping sources. And believe it or not, veterinarians are increasingly comfortable with this unorthodox arrangement. 

In case you’re unaware of the reasons why this this growing pet food marketing practice might raise eyebrows within my profession, let me offer you some history:

In the 1980s, veterinarians began to recognize that sales of prescription pet foods were bolstering their incomes significantly. Along with antibiotics and other drugs, pet foods could now legitimately (and ethically) be sold for a profit through their hospitals. Hence, the trend took off like a wildfire and soon there was a "profit center" for food in every hospital in the U.S.

Fast-forward to 2000-2005 when the trend was at its apex. Veterinarians were enjoying an incredible uptick in client compliance in the area of pet nutrition as pet owners clamored for better fare for their pets. Since then, however, things have taken a decidedly downward turn.

Because the cost of pet foods has risen so dramatically (an average of about 30 percent since that peak in profitability), veterinarians have felt increasingly compressed — crushed, even — by consumers’ unwillingness to bite at these higher price-points. Fewer sales = reduced retail prices = big squeeze.

Add in higher property and labor costs and it’s no wonder plenty of veterinarians are backing off from selling food for extra profits. After all, when space is at a premium and your staff’s time is stretched to the limit in the stocking and selling of the stuff — never mind the occasional bags that break — it stands to reason that food would begin to look way less attractive as a reliable moneymaker.

Indeed, at a recent in-hospital pizza lunch sponsored by Royal Canin (a company I do respect), I felt compelled to set the marketing exec in attendance to rights:

"Look," I said, "progressive vets are recognizing that not only do they not want to look like they’re trying to sell you something so they can make more money off you, they’re really not making very much money off you in this arena anyway. So why should vets bother? After all, the fact that I don’t make money on pet foods doesn’t mean I won’t be recommending better nutrition wherever my patients can get it, right?"

Blank stares, all around.

No matter. It seems that (as usual) the pet owning consumer is way ahead of veterinarians on this score. You’re the ones demanding better quality foods, higher quality ingredients, and more assiduous oversight over pet food safety.

Veterinarians, instead, are busy packing lecture halls with seminars on the subject of raw food rejection and the tacit acceptability of any diet billed as "balanced" (among other industry-touting topics).

Is it any wonder that pet owners are bypassing their veterinarians in an effort to get the best for their pets? Is it any wonder that mail-order sources are gaining ground over veterinary hospitals — even over high-end retailers? After all, when you’re undertaking extensive research online, does it not stand to reason that you’ll ultimately make your purchasing choices here, too?

By way of further explanation of this trend, here are the most common reasons so many pet owners are moving in this direction:

1. Choices

The proliferation of specialized pet foods in the marketplace means lots of different kinds of foods for lots of different kinds of problems. And doesn’t it stink when your veterinarian doesn’t have the food you need in-house at the time you need it? We couldn’t possibly keep all the brands we might like to recommend to clients. It’s too costly.

That fancy pet store with a zillion brands? Do they always have your exact formula in stock? Perhaps you prefer a highly specialized food that has finally cured your cat of her chronic vomiting. Maybe you’ve done extensive research of your own and that one company’s food you really want to try is only available by mail.

2. Convenience

If I didn’t work where I do, I wouldn’t want to schlep to the specialty pet place to buy my pets’ food every couple of weeks. Between the gas, mileage, time, and traffic stress, I’d definitely be willing to pay that ten percent premium. Especially when they’re willing to dump the hermetically-sealed stuff on my doorstep. It’s bliss for the busy.

Or maybe you live in the God-knows-where rural backwoods and your FedEx dude or UPS gal is your most reasonable link to the commercial world.

3. Price

Sometimes it’s not even a ten percent surcharge we’re talking about. No, sometimes it’s a win-win in all directions, shipping included. And unless you go out of your way to do the math, you’ll never know. Is your pet food source cheaper? If it is, consider this: How does the extra expense of directly-shipped pet food stack up against the price of gas, the time you’d save, and the fact that you can select among a wider array of brands?

4. Freshness

I’d always rather buy from a source that keeps food moving consistently. Too many rely on a hefty dose of preservatives to keep foods longer on the shelves. But not all do. Some brands will even release their exact manufacturing date. For example, I happen to know that Nulo is one brand that ships direct with a guarantee of freshness. Plenty of direct pet food suppliers will offer similar services. And you can imagine why they’re capable of doing so — selling larger volumes with just-in-time supply chain management means they can afford to do so.

5. Safety

Then there’s this issue: After the last recall (which included Rx foods we carried), our hospital spent umpteen hours calling clients to offer credits (i.e., cash back) for food, offer explanations (you can imagine how long this takes), and issue apologies for someone else’s mess.

Can you expect the same careful attention if a recall should befall you after you’ve bought your food at a big-box pet retailer? I don’t think so.

You deserve to be the first to know when things go wrong. And direct-ship sellers are more than capable of getting the word out to you when you’ve been affected by a recall. That alone is a big selling point for me.



If I’m honest with myself, I’ll confess to taking an excessive interest in this distribution approach by way of passing the buck. I never want to serve as a retailer in a pet food recall situation ever again. I’ve said it here before, and will reiterate it again and again:

  • Prescriptions foods (aka therapeutic diets) are not regulated by the FDA. They are "prescription foods" in name only. It’s only the marketing and distribution that require a written Rx for pet foods. Brilliant marketing, actually. That is, if you want veterinarians who make money as the exclusive sellers of your food to market them for you.
  • I didn’t go to veterinary school so I could make my money selling pet foods. The very thought of it is distasteful. The reality of pet food distribution, however, forces reluctant veterinarians like me to carry these foods for your convenience.


Which is why some of us are actively touting these food delivery services. As in, "No, we do not carry these foods but we do have a relationship with a company that will ship this diet directly to you." Our hospital uses two different pet food distributors (annoying that we can’t just have one, but that’s another symptom of the pet food problem for vets), one of which offers a direct-shipping service to our clients, and we are actively letting people know about them, along with a couple of other responsible direct shippers out there.

So, in the absence of your veterinarian’s direct recommendation, how do you find a good one?

For starters, you could ask your veterinarian directly. Even if they don’t actively push the service, they may well know of it or be well-disposed to looking into it for you.

Veterinarians like me are also increasingly aware of these services because a few of our clients may use them to purchase prescription foods, for which we must actively provide written prescriptions. Via this second-hand exposure, we’re in a position to be familair with some of the direct shipping services our clients rely on, and whether they’re satisfactory or not.

You can also do your own due diligence. Ask the company you’re considering doing business with whether their policy for recalled foods includes a personal contact to alert you as soon as the recall is issued (via e-mail or otherwise). I would accept nothing less from a direct shipper. It’s part of the premium you pay for cultivating a personal relationship with this distributor-retailer hybrid.

That’s all I’ve got on this subject — for now, anyway. Now it’s your turn. Does your veterinarian offer direct shipping? Do you use one of these services? If not, would you consider it? If not, what’s the hangup? As a veterinarian who sees pet foods moving in this direction for the benefit of both pet owners and veterinarians, I really want to know.

 


Dr. Patty Khuly

 

 

Pic of the day: "must BARKBARKBARK at the bringer-of-catalogs" by mtstradling

 

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COMMENTS (28)
1
Mail Order Pet Food
by catsuz50 on 09/03/2010 05:43am

I personally use one of these services (petfooddirect.com)and am very pleased with it. I find that on top of it being ultra convenient, I am able to get the food I want at about the same price I would pay in a big box pet store IF they carried what I wanted. The variety is another plus. My cats eat Royal Canin, and my local big box stores don't carry the products they eat.

2
TOTALLY AGREE
by beachpoet on 09/03/2010 06:58am

As the owner of a veterinary practice, I couldn't agree more with the points you're making. Whenever we recommend a special diet and the client asks where they can buy it, I cringe as I say "from us." I feel as though it diminishes our recommendation, even though I know that our recommendation is sincere.

I would love to get rid of the "prescription" diets we stock. They take up valuable space in the clinic and consume time better spent elsewhere. The only reason I haven't sought out other sources for my clients is that these diets are already absurdly expensive and I've thought adding shipping fees would only make them more so. But maybe I need to take another look at the various vendors. Thanks for the heads up - I'll look into it.

3
I cringe, too
by Dr. Patty Khuly on 09/03/2010 07:54am

I completely understand that sentiment. When I make a recommendation––whether it's a diet, a supplement or a tool (like the Furminator or therapeutic booties like those cool Dog Pawz)––I have an easier time recommending it if I don't carry it in house. I feel my recommendation carries more weight if it's obvious I'm not benefiting from its sale. And yes, I've cringed when I've had to say, "Sorry, you can only buy that from us." So it makes me feel much better when I can say they can find X foods online.

4
Pet Food at your doorstep
by Akita6 on 09/03/2010 07:59am

I feel a vet peddling dog food is demeaning.
A vet selling dog food would also make the pet owner believe it's the best for their dog.
Loss of income can readily be made up with unnecessary vaccinations
and tests. Vets should refer pet owner to a specialty vet rather than throw pharmaceuticals against the wall and see which one sticks.

I home cook.
WHY?
I got tired reading of Recalls.

Is it convenient? NO!
My convenience doesn't matter when it comes to my pup!

Pet owners should undertake gaining more knowledge!

-Stan





5
by itserich on 09/03/2010 08:03am

I make a trip to a meat locker once a month to pick up mostly hearts and gizzards. It is intimidating at first to learn what to do and does take longer than pouring from a bag. I think pouring from a bag to feed three dogs might take 2 minutes, cutting up hearts and feeding raw might take 7.

My meat is less than 70 cents a pound, far less than bagged food. I would like to buy from the local family farmer as I do eggs, but do not want to pay $3 per pound.

www.dogaware.com is my favorite source for dog nutrition.

6
Pet Food at your doorstep
by Akita6 on 09/03/2010 08:16am

In my previous post I left out the following:

DISCLAIMER:
All dogs are different and so are Vets.

-Stan

7
Vets selling pet food
by whitedogresq on 09/03/2010 08:57am

If a trusted vet sells pet food, it must be safe and nutritious, right? WRONG!

Selling or even recommending "prescription" dog food consisting of corn, pork fat and peanut hulls with their exorbitant prices borders on fraud.

Vet schools need to be teaching their own nutrition classes rather than relying on a representative of Hills to do it for them. Then when a vet recommended a food or diet, they would be doing so with actual knowledge and hopefully with their clients' best interests foremost.

8
Awesome post!
by morrow10 on 09/03/2010 10:05am

I couldn't agree more with your take on this subject. Pet food has been my passion for the last few years since we adopted our four year old Boston Terrier/Cockapoo mix. Milo developed what our vet said was food allergies and then prescribed a food that had the chicken and rice that our vet was saying he might be allergic to. I have known and loved our vet for 30 years, but I couldn't agree with this approach. I did my homework and consulted another vet at his practice (one who was a little more open minded about this) and we switched Milo to duck protein based foods with marvelous success. I still love our vet and for physical illness he is still the person I trust on the health of our dogs. It just wasn't logical that switching to a food full of the exact things Milo was allergic to would make a difference. This experience could have let me with distrust for my vet, but it actually forced me to do my research and reading to better understand that vets are doctors. And my human doctors don't sell me my ingredients for my food at their offices.

9
WAY TO SAY IT!
by NMDVM on 09/03/2010 10:45am

Here! Here! Last year we made the call to stop stocking regular diets and just keep prescription foods on hand. I love being able to recommend a quality diet without having a dog in the fight. We have a pet food retailer in our area now, so clients have another resource besides veterinarians for higher quality diets.

10
Great article great posts
by divs on 09/03/2010 10:55am

I've been aware of the lack of nutritional education in the veterinary school for some time. Small and large animal alike. So I too have taken on the responsibility of knowing exactly what is on my dogs plate. Thanks to the vast information on the net I feel confident I can provide a balance diet. However my vets don't have the same confidence. They are afraid for me and my pets. I admit I was afraid at first too.I wish my vets had the time to do more research on that subject.

I never felt the prescription diets in the hospitals was anything more than convenience for the pet owners.

Thanks for the good read.

11
Pet Food Subscriptions
by Tripawds on 09/03/2010 11:38am

We don't take advantage of direct shippig since we travel half the year and Wyatt primarily eats a home cooked diet.

But we did write about National Pet Pharmacy's auto-ship food program in the Tripawds Nutrition blog. We recommend this subscription based food delivery for the wide selection of premium foods and prescription diets, as well as the convenience of having the food delivered according to a set schedule you determine.

12
by babysweet on 09/03/2010 01:04pm

How no one recognizes this post for the Nulo sell out it so obviously is - is beyond me.

Profit Margins for Hill's Pet Foods are between 40-60% from the retail end ALONE. Broken bags are returned by the company - easily. Hill's is one of those bend-over-backwards to kiss your arse kinda companies.

Nulo, however, PetMD's latest sponsor (who, by the way, is going to be responsible for me dropping my Fully Vetted subscription thanks to their constant emails - and for the record, 30% off coupons? I wouldn't feed that stuff if you paid me $30) is real big on the direct mail.

Oh, and "freshness guarantee"? What a crock of horse crap. How about a guarantee that all food sources are passed fit for human consumption, meeting EU standards and testing to guarantee the product free from ethoxyquin/BHA/BHT?

No, this is just another pet food company spreading their kool-aid... and their plain and average product.

As for freshness from mail order businesses, this is questionable as well - check itchmo forums for all the people who mail ordered expired food or got food with "new" best by dates glued on top of old ones. No, thank you. I'll be using my retail outlet where not only can I hold the product in hand before purchase, but there's someone to actually come back and speak to when there's a concern.

13
Wow
by Dr. Patty Khuly on 09/03/2010 01:19pm

Babysweet: You have GOT to be the most cynical human being reading this blog. I'm so sorry that something in this world has driven you to believe that everybody has a commercial agenda in mind every time they open their mouths.

btw, Nulo has never paid me a dime and never will.

This is how I work: If I happen to like a product, I reference it. Or I'll work with them on a project, as I did with Nulo. If I'm being paid by an entity, I won't plug it directly and, frankly, will go to great pains not to ruin my credibility in so doing.

14
Mail Order Pet Food
by TheOldBroad on 09/03/2010 08:07pm


Being a bit of a dinosaur and still mistrustful of using a credit card on the web, I politely declined when my regular vet clinic stopped stocking most pet food.

I totally understand that it takes a great deal of space and labor and don't blame them at all.

They provide a link through their website where food can be ordered and it will be delivered directly to your doorstep. That would be great if I had a porch or even an overhang of some type. As it is, anything delivered during the day is right out there for everyone to see as well as vulnerable to rain and snow.

Bless their hearts, they offered to order it on their credit card for me and put it on my bill, but that didn't take care of the problem of having it delivered when I'm not home.

What they did was make arrangements for me to get specialty and prescription foods from another clinic. This clinic was thrilled because I use Purina N/F and they need a minimum weight to order. I am able to order exactly what I need (yeah, the really big bag), when I need it and pick it up when it comes in a few days later.

A win-win-win situation and it showcased once again how hard my regular clinic works to help in every way they can.

15
pet food on your doorstep
by amirek on 09/03/2010 08:44pm

I have my dog food delivered right to my doorstep, but I don't pay a penny for shipping or delivery. Why? Because I use a local distributor, and she delivers the food right to my front door. In fact, she even puts it in my dog food container. I buy around 40 lbs. of dog food and it's very good quality. My dogs love it and they've finally lost all the fat they had on them from eating junk dog food. I mix in "people" food with their dry food, or a little canned dog food. I only pay about 3 cents more per pound for the good quality food, DELIVERED! :)

16
pet food online
by sunnyblu on 09/03/2010 09:00pm

I sometimes order online from onlynaturalpet.com - they carry the wellness brand Core that I feed my dogs. But I also pick it up from Petco as well. I don't like the Petco store near my house because I have too often found insects in the food products (dog treats, small animal food, etc) and it makes me really angry to deal with that. I just seem to not always plan far enough ahead with the food and end up having to run to the store and unfortunately, no other pet store near me carries this brand. I need to research and see if I can find the dry food at a place that offers free shipping if possible. But as for the vet selling food - I just hated it when YEARS ago my vet started selling science diet - if I had a question about food, all I would hear is that I should feed science diet. I never believed it was really better food - my feeling was that the vets were just recommending it because it's what they sold. And I loved my old vet - I didn't "hold it against him" in any way as I assumed they made a good profit by selling it and that is what business is about after all. But at the same time I did resent it a bit that they didn't sell any other brands to compare to. I would buy the prescription brands from them as needed though. I've seen those for sale now at petsmart but you have to have a prescription from your vet to buy it from them, they told me.

17
Pet Food
by kay morris on 09/03/2010 11:56pm

I make my Dogs (kids) food, my husband says they eat better than him, they do, one of them live 21 yrs. mostly about 16 yrs. So we are too old to change, now. LOL

18
Ship my food! Yes!
by getyourleash on 09/04/2010 08:03am

I will soon have my dog's raw rabbit(FDA inspected) shipped to me 1 day air, packed in dry ice, to my doorstep. You can't beat it and yes, I'm willing to pay the little extra.

I'm all for taking the burden off veterinarians. Why should you have to push that *ahem* junk, anyway?

The internet and worldwide shipping have opened up the world to a whole new way of caring for our animals, not just feeding them.
To give you a quick example - My male Boston Terrier kept getting ridiculous ear infections that would not go away and the medication was difficult to administer without getting too much in his ear. I did some online research and found a product called Zymox Otic. You flood the ear with the stuff. Harpo has not had an ear infection since. Don't know why it worked better than the 40.00 (tiny tube) stuff at the vet, but it did. Otherwise, I think I'd still be going to the vet 3x a month with my boy due to his ear infections. His ears have cleared up completely. Now I'm not saying you can find solutions to everything on the net and to stay away from your veterinarian -- no, no not at all. I'm simply saying that sometimes the internet has just the ticket at the right price.

I'll be curious to see how this shipped raw food works out. This is a trial run for me.

19
by Celeste Treadway DVM on 09/04/2010 11:43am

Dr.Khuly,
Which mail order companies have your clients used and been happy with? This is something we've been wanting to look into (despite "babysweets" comments, the profit margin on rx food is practically nil, and a LOT of work without any enjoyment...), but I wasn't happy with VetCentric's model when I looked at it a couple years ago, as it looked like it would end up costing my clients QUITE a bit more. Would love to know what's worked for you.
Thanks, excellent post,
Celeste Treadway DVM
Austin TX

20
Vegetarian Dogs
by itserich on 09/04/2010 11:54am

Dr. Khuly -

Can dogs go vegetarian? I would love to do it if possible. Thank you.

21
What my clients use
by Dr. Patty Khuly on 09/04/2010 01:32pm

My clients tend to use one of two services: Either Royal Canin's distributor (sorry, can't remember the name of the company (which also offers other brands) or Pet Food Direct (which someone else mentioned early on in this thread).

I agree that the VetCentric model had some very expensive flaws. But so do the others––some more than others. I find that the pet owners who will save money on these services are generally the consumers who have been paying top-of-the-food chain retail rates. However, as I outlined above, I do believe there are other valuable reasons to go for direct-shipped foods so I tend to think it's worth the premium.

22
Veggie dogs
by Dr. Patty Khuly on 09/04/2010 01:33pm

That's a post topic. Stay tuned. I'll do it next week or the week after (I already had two food-related posts for next week but I'll get on the veggie one soon. Thanks!

23
by RealityCheck on 09/06/2010 02:00pm

I order raw food all the time online from several sources and never have had an issue. In fact, since there are so few raw food manufacturers across the country, it would be impossible to order from them if they didn't offer it online.

babysweet, I did check itchmo and found many posts from members saying they order online all the time without any problems. I actually don't see what the issue is either if people make profits off selling pet food (it's called capitalism).

24
by cesg on 09/07/2010 04:56pm

I was wondering why I was getting emails from Nulo.. must have been from my registering here.

As someone who is interested in proper nutrition for pets, and who is sick and tired of seeing inappropriate ingredents in pet foods being touted as healthy for pets because we humans have come to recognize they are healthy for humans. Cats just do not have the ability to properly digest flaxseed or oat bran - http://www.catinfo.org

I really appreciate a vet who wants to get out of the food peddling business. I just wish more information was out there and easily accessable to people to help them understand that cat foods with corn and fruits and vegetables aren't the healthiest options. (and the same goes for the info out there for the healthiest dog food options)

25
Home 'pet food' delivery
by DocWriter on 09/08/2010 08:31pm

We used to use home delivery, but our new pooch, a Doberman, didn't do well on the food. After nine months of diarrhea and countless dog foods, we finally found foods which suit him! I really liked the home delivery, too. It was easy, and the foods were great :)

26
About time!
by labrawdor on 09/09/2010 09:47am

It is very refreshing to hear you and a few other vets who have commented acknowledge that your clients are more and more likely to regard your recommendations with a raised brow if you happen to gain financially from them. A vet who recommends a food that they sell even makes me question other recommendations that they offer because they might have vested interest in that too. Like the recent vet I saw who scolded me for giving my 105lb dog human glucosamine supplements rather than those intended for a dog (where I have to give 10 pills a day to achieve a therapeutic dose)! Or my last vet who (on the last time I went there- will not be going back!) recommended a flea preventive and got very short with me when I would not buy it from him even though I would have to buy two doses per month for my large dog (when other brands make single doses for his size). Ugggh! To the other vets out there who have not come to this conclusion yet, please know that your clients will see this as you having your interest before the animal's and that can't be a good business model!
I am also curious about your respect for Royal Canin? I am not asking in a cynical way, genuinely curious. Based on the listed ingredients of their kibble I do not consider them even among the better quality brands. As consumers we have no choice but to use the listed ingredients to evaluate a kibble and their large breed formula includes corn gluten meal as their 4th ingredient and they use 'splitting' (listing rice and brown rice separately) likely as a way to make it appear as though chicken is the top ingredient. Maybe it is, maybe it isn't but when I see two basically identical ingredients split in to two listings I see it as likely a dishonest practice. So is there some other reason you find the brand more respectable? I have read a few other posts and do respect your point of view and feel there must be a reason!
Thanks!

27
Article feedback
by Simbasdad on 09/15/2010 08:47am

I am new here.
Do you own this page? If so, why is there an ad for Science Diet starring us in the face?

28
Pet food Nulo
by Simbasdad on 09/15/2010 09:05am

This is my first and last time here. Someone posted this site on my Facebook page so I felt obligated to check it out. I will be deleting the post too.
First off, Baby sweet is right on. You recommend Nulo? It is trash like so many others. Do some research and learn the truth about ingredients. I don't care if you make money or not off of it. you are recommending a garbage product and that shows your ignorance is still present.
I am switching to a raw homemade diet for my 5 kitties. Human grade ingredients is the best I or anybody else can do. PERIOD. And it doesn't get any fresher than that too, plus it is in my doorstep and not outside it.
Just like the Frontline and Science Diet ads all over this page. You are pushing crap and poison. You should be ashamed of yourself and go back to school and become a holistic vet. Maybe then you will be able to give sound advice a bit.

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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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