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	<title>Comments on: Two Studies of Fish Oil for Canine Arthritis</title>
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	<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/</link>
	<description>A Vet Takes a Science-Based Look at Complementary and Alternative Medicine</description>
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		<title>By: skeptvet</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-41226</link>
		<dc:creator>skeptvet</dc:creator>
		<pubDate>Mon, 17 Oct 2011 01:32:13 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-41226</guid>
		<description>I appreciate your feedback, but I think you are chastising me for a position I have not taken. My conclusion was not an &quot;absolute&quot; one nor did I discount the possibility of an effect. Here is what I said in my review of this intervention:


&lt;blockquote&gt;Essential fatty acids from fish, including EPA and DHA, have many potential benefits based on sound theoretical and in vitro work showing their potential to reduce inflammation. There have been very few studies in companion animals on their usefulness for arthritis, and these do not seem to show much if any benefit, though the work is preliminary. The research in humans is also variable in quality and in results. Fish oils are very likely safe for most pets, and they may or may not have any beneficial effects on arthritis, but the data so far is not encouraging.&lt;/blockquote&gt;

I agree that there is a plausible theoretical mechanism for a posisble benefit, I simply don&#039;t believe these studies demonstrated an actual meaningful clinical benefit. I even agreed with the study authors that further research is warranted. But it is important for people to understand that most extrapolations from fundamental principles turn out not to work in clinical practice, so just because something might work isn&#039;t proof that it does. Hopefully, further research will find real benefits, because I would love to have yet another tool for dealing with arthritis. But so far, the data are not encouraging.</description>
		<content:encoded><![CDATA[<p>I appreciate your feedback, but I think you are chastising me for a position I have not taken. My conclusion was not an &#8220;absolute&#8221; one nor did I discount the possibility of an effect. Here is what I said in my review of this intervention:</p>
<blockquote><p>Essential fatty acids from fish, including EPA and DHA, have many potential benefits based on sound theoretical and in vitro work showing their potential to reduce inflammation. There have been very few studies in companion animals on their usefulness for arthritis, and these do not seem to show much if any benefit, though the work is preliminary. The research in humans is also variable in quality and in results. Fish oils are very likely safe for most pets, and they may or may not have any beneficial effects on arthritis, but the data so far is not encouraging.</p></blockquote>
<p>I agree that there is a plausible theoretical mechanism for a posisble benefit, I simply don&#8217;t believe these studies demonstrated an actual meaningful clinical benefit. I even agreed with the study authors that further research is warranted. But it is important for people to understand that most extrapolations from fundamental principles turn out not to work in clinical practice, so just because something might work isn&#8217;t proof that it does. Hopefully, further research will find real benefits, because I would love to have yet another tool for dealing with arthritis. But so far, the data are not encouraging.</p>
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		<title>By: Beka</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-41189</link>
		<dc:creator>Beka</dc:creator>
		<pubDate>Sun, 16 Oct 2011 15:50:58 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-41189</guid>
		<description>Thank you for the analysis of these studies I found it informative in terms of the studies but not the mechanism in which these studies were based on. There is reason why doctors recommend Omega 3 supplementation in canines with OA and it is often based on the production of Eicosoniods and the Omega 3 role in lowering the level of harmful prostaglandins and leukotrienes formed. While I believe in at least one of these studies (i have not read the weight bearing study) the author never should have accepted there alternative hypothesis, I do believe at least mechanistically Omega 3s have a role in reducing the inflammatory response in dogs with OA. However, i must say that my evidence is based off of purely subjective findings. While i appreciate your candor and your logic I do believe that there is not sufficient evidence as of yet to either support or refute the hypothesis that dogs with OA could benefit from Omega 3 supplementation. As far as Omega 3s go in general they do much more then help the treatment of OA in canines which is why i will continue to recommend them as a possible supplement for owners to consider. There is also a study that shows that when Omega 3 is used in conjunction with Carprofen it lowers the lowest effective dose thereby saving the owner some money. I realize my analysis of your interpretation is not by any means extensive and while I may disagree with your discounting of Omega 3s as a possible supplement for OA I do agree with your analysis of these papers (despite its at times questionable objectiveness when analyzing the discussions). Being a skeptic is hard and i appreciate what you do and now after finding your blog i will be happy to continue reading. I just ask that you be a bit more careful about drawing absolute conclusions from two papers written by the same author. I know you mean well i just like to see people fully informed about all the mechanisms and studies out there. I would love to see you develop this section a bit further including the mechanisms of Omega 3 and why it may be recommended, as well as other studies done to assess it&#039;s efficacy.</description>
		<content:encoded><![CDATA[<p>Thank you for the analysis of these studies I found it informative in terms of the studies but not the mechanism in which these studies were based on. There is reason why doctors recommend Omega 3 supplementation in canines with OA and it is often based on the production of Eicosoniods and the Omega 3 role in lowering the level of harmful prostaglandins and leukotrienes formed. While I believe in at least one of these studies (i have not read the weight bearing study) the author never should have accepted there alternative hypothesis, I do believe at least mechanistically Omega 3s have a role in reducing the inflammatory response in dogs with OA. However, i must say that my evidence is based off of purely subjective findings. While i appreciate your candor and your logic I do believe that there is not sufficient evidence as of yet to either support or refute the hypothesis that dogs with OA could benefit from Omega 3 supplementation. As far as Omega 3s go in general they do much more then help the treatment of OA in canines which is why i will continue to recommend them as a possible supplement for owners to consider. There is also a study that shows that when Omega 3 is used in conjunction with Carprofen it lowers the lowest effective dose thereby saving the owner some money. I realize my analysis of your interpretation is not by any means extensive and while I may disagree with your discounting of Omega 3s as a possible supplement for OA I do agree with your analysis of these papers (despite its at times questionable objectiveness when analyzing the discussions). Being a skeptic is hard and i appreciate what you do and now after finding your blog i will be happy to continue reading. I just ask that you be a bit more careful about drawing absolute conclusions from two papers written by the same author. I know you mean well i just like to see people fully informed about all the mechanisms and studies out there. I would love to see you develop this section a bit further including the mechanisms of Omega 3 and why it may be recommended, as well as other studies done to assess it&#8217;s efficacy.</p>
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		<title>By: Andrew at arthritis in dogs</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-4729</link>
		<dc:creator>Andrew at arthritis in dogs</dc:creator>
		<pubDate>Tue, 31 Aug 2010 20:12:01 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-4729</guid>
		<description>As a specialist veterinary orthopaedic surgeon in the UK, I would agree with the thrust of this post, which is that there is very minimal or no evidence that these supplements are beneficial for dogs with arthritis. I have had a few owners who thought they may have helped, but even this highly anecdotal evidence was fairly half-hearted. I&#039;m open-minded and willing to consider alternative or complementary therapies- but the fish oil data is extremely underwhelming and I won&#039;t be recommending it any time soon. Thanks for this interesting post.</description>
		<content:encoded><![CDATA[<p>As a specialist veterinary orthopaedic surgeon in the UK, I would agree with the thrust of this post, which is that there is very minimal or no evidence that these supplements are beneficial for dogs with arthritis. I have had a few owners who thought they may have helped, but even this highly anecdotal evidence was fairly half-hearted. I&#8217;m open-minded and willing to consider alternative or complementary therapies- but the fish oil data is extremely underwhelming and I won&#8217;t be recommending it any time soon. Thanks for this interesting post.</p>
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		<title>By: Bonnie</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-3768</link>
		<dc:creator>Bonnie</dc:creator>
		<pubDate>Fri, 13 Aug 2010 02:07:04 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-3768</guid>
		<description>Thank you for this. I just got back from the vet, who just &quot;prescribed&quot; this for my dog&#039;s arthritis. This was my 2nd visit and I was hoping for a more substantial treatment. I didn&#039;t want to be argumentative, but after reconsidering I asked her if there were studies looking into the efficacy of this. After a long pause, she said something like the surgeon has seen good results with it - anecdotal. I wasn&#039;t sure if it had been studied in dogs, and found this post before hitting pubmed. I appreciate your saving me the time of combing through the data. Looks like it&#039;s trip #3....</description>
		<content:encoded><![CDATA[<p>Thank you for this. I just got back from the vet, who just &#8220;prescribed&#8221; this for my dog&#8217;s arthritis. This was my 2nd visit and I was hoping for a more substantial treatment. I didn&#8217;t want to be argumentative, but after reconsidering I asked her if there were studies looking into the efficacy of this. After a long pause, she said something like the surgeon has seen good results with it &#8211; anecdotal. I wasn&#8217;t sure if it had been studied in dogs, and found this post before hitting pubmed. I appreciate your saving me the time of combing through the data. Looks like it&#8217;s trip #3&#8230;.</p>
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		<title>By: Pheromone Therapy for Dogs and Cats&#8211;What&#8217;s the Evidence? &#171; The SkeptVet Blog</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-1889</link>
		<dc:creator>Pheromone Therapy for Dogs and Cats&#8211;What&#8217;s the Evidence? &#171; The SkeptVet Blog</dc:creator>
		<pubDate>Wed, 23 Jun 2010 01:22:22 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-1889</guid>
		<description>[...] recommended for anyone interested. Having read through the full report, I am convinced that unlike others I have reviewed, the conclusions of the authors of this systematic review are supported by the methods and results [...]</description>
		<content:encoded><![CDATA[<p>[...] recommended for anyone interested. Having read through the full report, I am convinced that unlike others I have reviewed, the conclusions of the authors of this systematic review are supported by the methods and results [...]</p>
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		<title>By: Rita</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-404</link>
		<dc:creator>Rita</dc:creator>
		<pubDate>Sat, 30 Jan 2010 17:29:06 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-404</guid>
		<description>The fish will welcome your report, too - ah humans! always trading the out-group&#039;s interest for the in-group&#039;s.</description>
		<content:encoded><![CDATA[<p>The fish will welcome your report, too &#8211; ah humans! always trading the out-group&#8217;s interest for the in-group&#8217;s.</p>
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		<title>By: skeptvet</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-377</link>
		<dc:creator>skeptvet</dc:creator>
		<pubDate>Tue, 26 Jan 2010 21:37:38 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-377</guid>
		<description>Thanks for the comment, and the erratum!. I copied the page numbers off Pubmed, as easier then typing them in, but I have made the correction.</description>
		<content:encoded><![CDATA[<p>Thanks for the comment, and the erratum!. I copied the page numbers off Pubmed, as easier then typing them in, but I have made the correction.</p>
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		<title>By: PamSB</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-375</link>
		<dc:creator>PamSB</dc:creator>
		<pubDate>Tue, 26 Jan 2010 18:22:58 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-375</guid>
		<description>Thank you for this review.  As the owner of a dog with arthritis, this review will prove useful if my vet suggests this treatment option.  I&#039;ve already resisted the suggestion to try acupuncture.

BTW, the page numbers on the second citation should be 67-73.</description>
		<content:encoded><![CDATA[<p>Thank you for this review.  As the owner of a dog with arthritis, this review will prove useful if my vet suggests this treatment option.  I&#8217;ve already resisted the suggestion to try acupuncture.</p>
<p>BTW, the page numbers on the second citation should be 67-73.</p>
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		<title>By: The Buffalo Post » Blog Archive » Colorado looks to reduce &#8230; &#124; Educational Colorado</title>
		<link>http://skeptvet.com/Blog/2010/01/two-studies-of-fish-oil-for-canine-arthritis/comment-page-1/#comment-374</link>
		<dc:creator>The Buffalo Post » Blog Archive » Colorado looks to reduce &#8230; &#124; Educational Colorado</dc:creator>
		<pubDate>Tue, 26 Jan 2010 17:19:59 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=321#comment-374</guid>
		<description>[...] Two Studies of Fish Oil for Canine Arthritis « The SkeptVet Blog [...]</description>
		<content:encoded><![CDATA[<p>[...] Two Studies of Fish Oil for Canine Arthritis « The SkeptVet Blog [...]</p>
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