Yanay & Antay
Comprehensive health, nutrition, supplementation, and routine protocol — designed from the formal diagnoses by Dr. Natalie Chow (Heartland Niagara Animal Hospital, May 19, 2026), IDEXX laboratory data, and veterinary nutrition guidelines specific to the Peruvian Inca Orchid (PSPP, Peruvian Hairless Dog).
Repeat cytology of the ventral neck came back clear: no yeast, no infection — the Malassezia has resolved. Ears are perfect (otitis resolved). The oral Ketoconazole course is complete and discontinued. Dr. Chow's plan now: continue ProHex-4 Mousse + Cortavance as maintenance, combined with the new supplements and the nutrition change, to keep the skin healthy and address the underlying atopy. The treatment detail below reflects the original May 19 plan, now in its maintenance phase.
Profiles of both dogs
YANAY
Clinical status
Malassezia & otitis resolved (June 2 recheck — clear cytology, perfect ears). Now on maintenance topicals (ProHex-4 Mousse + Cortavance) plus the new supplements and nutrition change to manage the underlying atopy. Clean bloodwork. No parasites. Kidneys and liver fully normal.
⚠ Confirmed chemical/processed food sensitivity: reacts with vomiting or acne breakout to: commercial wet food · brand-name bully sticks (Bully Bunches caused full-body acne) · scented detergents · processed snacks · pork · chicken-rice monotony. Owner-observed pattern across multiple incidents. Requires ULTRA clean single-ingredient diet — Malassezia likely secondary to atopy + repeated chemical exposure compromising skin barrier.
ANTAY
Clinical status
Generally asymptomatic. The "comedones / follicular casting" from the clinical summary = small hair-like skin projections that the owner noticed proactively and brought in for evaluation. Dr. Chow diagnosed clogged pores — responded well to more frequent washing with Nicte Cann soap (already mostly resolved). Solar lentigines are benign sun-exposure pigmentation. ALT 206 — Dr. Chow considers likely normal variant for exotic breed. Recheck August 2026.
✓ No chemical sensitivity: tolerates commercial bully sticks, snacks, etc. without reactions. Profile is maintenance, not active treatment.
Formal diagnoses (Dr. Chow, May 19, 2026)
Yanay — 5 diagnoses
| # | Diagnosis | Clinical support |
|---|---|---|
| 1 | Malassezia (yeast) dermatitis, ventral neck | Cytology confirmed 1+ yeast · June 2 re-cytology CLEAR ✓ resolved |
| 2 | Chronic pruritus with secondary lichenification | Visual exam: thickened, leathery skin · improving on maintenance + diet |
| 3 | Otitis externa secondary to excessive cerumen production | Wax buildup + large flakes both ears · June 2: ears perfect ✓ resolved |
| 4 | Mild pododermatitis (hind paws) | Visible inflammation on hind feet |
| 5 | Suspected atopy vs. nutritional imbalance | Cytology showed pollen; diet correlation |
Antay — 2 diagnoses + 1 lab finding
| # | Diagnosis | Clinical support |
|---|---|---|
| 1 | Follicular casting / comedones, dorsal neck and interscapular region | "Finger-like projections" between scapulae |
| 2 | Solar lentigines (sunspots) on body | Multiple hyperpigmented spots |
| 3 | ALT 206 U/L (ref 18–121) — monitoring | IDEXX chemistry May 20, 2026. Possibly normal for exotic breed. |
Realistic lifespan expectations (with optimal care)
The published 12–14 year average for PSPP is underestimated because it is based on a global population of approximately 1,000 dogs, most without modern dermatologic care or formulated nutrition. Comparable data from the Xoloitzcuintle (genetically related breed) show:
| Category | Published average | With optimal care | Documented case |
|---|---|---|---|
| PSPP medium | 12–14 yr | 15–17 yr | — |
| Standard Xolo | 13–18 yr | 16–18 yr | 20 yr |
| Toy Xolo | 15–18 yr | 17–19 yr | 20+ yr |
16–18 years with the current care protocol. Achievable 18–20 years if dermatologic management remains impeccable, diet is AAFCO-balanced, and breed-typical dental complications are prevented.
Factors that add lifespan (all under owner control):
- Optimal weight — overweight is the #1 factor reducing canine lifespan. Yanay borderline (BCS noted as normal with slightly tucked-in waist); Antay ideal.
- AAFCO-balanced diet — unbalanced home-cooked diets cause cumulative deficiencies that manifest at 7–10 years.
- Annual dental cleaning — periodontal disease is documented to reduce lifespan by 1–3 years.
- Intact skin barrier — chronic dermal infections in hairless dogs are entry points for systemic bacteria.
- Consistent daily exercise — 60–90 min/day. Both dogs already meet this.
- Reduced household toxins — pine oil, lavender, fragrances already removed ✓
- Annual bloodwork for early drift detection.
- Stress management — the Nov 2025 episode (3-week separation) appears to have been the trigger for Yanay's Malassezia. Minimize prolonged separations going forward.
Detailed energy calculation
Standard formulas: RER = 70 × (kg)0.75. For intact, active adults, MER = RER × 2.0. Hairless adjustment +12% in cold climate (Ontario winter) accounting for additional thermoregulation without coat.
Yanay (15.4 kg)
Antay (8.9 kg)
Macronutrient targets
Daily caloric distribution tailored to each profile. Yanay: skin-supportive (high omega-3, quality protein). Antay: liver-friendly (moderately reduced fat, antioxidants, adequate protein for lean mass).
| Macro | Yanay summer | Yanay winter | Antay summer | Antay winter | Notes |
|---|---|---|---|---|---|
| Protein 28% | 76 g | 85 g | 50 g | 57 g | 1 g = 4 kcal |
| Fat (Yanay 14% / Antay 11%) | 17 g | 19 g | 9 g | 10 g | 1 g = 9 kcal · Antay reduced for ALT |
| Carbohydrates 40–42% | 109 g | 122 g | 76 g | 85 g | 1 g = 4 kcal · low-glycemic |
| Fiber 5–8% | 5–9 g | 6–10 g | 3–6 g | 4–7 g | Mostly from vegetables |
| Omega-3 (EPA+DHA) | 1,300 mg | 1,300 mg | 700 mg | 700 mg | From fish oil supplement |
| Calcium | ~1,000 mg | ~1,000 mg | ~600 mg | ~600 mg | Target Ca:P ratio 1.2:1 |
| Phosphorus | ~800 mg | ~800 mg | ~500 mg | ~500 mg | From protein + vegetables |
Protein catalog — full options with nutritional profile
Data per 100 g cooked. Ranked by suitability for Yanay's and Antay's profiles. Rotate 3–4 proteins per week to minimize sensitization to any single antigen.
| Protein | Protein g | Fat g | Kcal | Omega-3 | Allergy risk | Suitability |
|---|---|---|---|---|---|---|
| Wild salmon, cooked | 22 | 13 | 208 | High | Low | Top choice — both |
| Sardines, canned in water | 25 | 11 | 208 | Very high | Low | Top — includes natural calcium (soft bones) |
| Mackerel, fresh | 19 | 14 | 205 | Very high | Low | Top — limit to 1×/wk (mercury) |
| Lean turkey, skinless | 29 | 7 | 189 | Low | Very low | Excellent novel protein |
| Rabbit | 29 | 8 | 197 | Low | Very low | Classic hypoallergenic option |
| Duck, skinless | 23 | 11 | 201 | Medium | Low | Novel protein, iron-rich |
| Lean lamb | 25 | 10 | 206 | Medium | Medium | Good but limit to 2×/wk |
| Cod / haddock | 22 | 1 | 105 | Low | Very low | Lean, ideal for Antay (low fat) |
| Whole cooked egg | 13 | 10 | 155 | Low | Very low | Biological gold standard |
| Lean beef (sirloin) | 26 | 8 | 183 | Low | Medium | Maintain but rotate |
| Chicken (elimination 4–6 weeks) | 31 | 4 | 165 | Minimal | High (#1) | Reintroduce after elimination trial |
| Pork | 26 | 12 | 218 | Low | Antay trigger | NO for Antay (acne correlation) |
Weekly protein selection
- Yanay (skin focus): 4 days fatty fish (salmon/sardines/mackerel) + 2 days turkey/rabbit + 1 day duck or lamb. Whole egg 2–3×/week as additional.
- Antay (liver-friendly): 3 days lean fish (cod + sardines) + 3 days turkey/rabbit + 1 day duck. No pork ever. Whole egg 2×/week.
Carbohydrate catalog
Slow carbs (low glycemic index) preferred. Avoid wheat and barley initially. Carbs provide energy, fiber, and prebiotics for gut flora.
| Carbohydrate | Carbs g/100g | Kcal/100g | Glycemic Index | Benefit |
|---|---|---|---|---|
| Cooked sweet potato | 20 | 90 | ~63 (medium) | Vitamin A (beta-carotene), fiber, antioxidant |
| Cooked pumpkin | 12 | 49 | ~75 (med-high) | Soluble fiber, aids digestion |
| Cooked quinoa | 21 | 120 | ~53 (low) | Additional complete protein + magnesium |
| Cooked brown rice | 23 | 112 | ~68 (medium) | Sustained energy, B vitamins |
| Cooked steel-cut oats | 12 | 68 | ~55 (low) | Beta-glucans, anti-inflammatory |
| Cooked lentils (red/green) | 20 | 116 | ~32 (very low) | Plant protein + fiber · use in moderation |
| White rice | 28 | 130 | ~73 (high) | Only for diarrhea (highly digestible) |
| Wheat pasta | 25 | 131 | ~50 | AVOID initially (gluten allergen) |
Vegetable catalog
Vegetables provide fiber, antioxidants, vitamins, minerals, and volume with minimal calories. Steam to preserve nutrients. Finely chop or purée (dogs poorly digest raw cellulose).
| Vegetable | Kcal/100g | Key nutrient | Specific benefit |
|---|---|---|---|
| Steamed broccoli | 35 | Vit C, K, sulforaphane | Anti-cancer antioxidant, hepatoprotective (good for Antay) |
| Steamed spinach | 23 | Iron, vit K, folate | Anti-inflammatory · limit 2×/week (oxalates) |
| Cooked carrot | 35 | Beta-carotene | Vit A, eye health, fiber |
| Zucchini | 17 | Vit C, potassium | Low calorie, high water content |
| Steamed cauliflower | 25 | Vit C, glucosinolates | Anti-cancer, fiber |
| Green beans | 35 | Vit K, fiber | Ideal low-calorie filler |
| Celery | 16 | Potassium | Mild diuretic, hydration |
| Cucumber | 15 | Water, silica | Summer hydration |
| Ripe tomato | 18 | Lycopene | Only fully ripe · NO green (toxicity) |
| Red pepper | 31 | Massive vit C | OK in small quantities |
Fruits (small amounts, 1 tsp 2–3×/week)
Fat sources
Fats provide essential fatty acids (omega-3, omega-6), absorption of fat-soluble vitamins (A, D, E, K), and palatability. For Antay with elevated ALT: moderate but do not eliminate — essential fatty acids are critical.
| Source | Fat/amount | Fatty acid type | When to use |
|---|---|---|---|
| Salmon oil (fish oil) | ~9 g per 1 tsp | EPA + DHA (omega-3) | Daily · only from Nordic Naturals supplement |
| Extra virgin olive oil | 14 g per 1 tbsp | MUFA (omega-9) | 1/2 tsp in food 3×/wk · skin health |
| Egg yolk | 5 g per yolk | Lecithin, good cholesterol, EPA | 2–3×/week whole egg |
| Intrinsic fish fat | — | Natural omega-3 | Inherent to salmon/sardines |
| Almond butter (no salt/sugar) | 9 g per tbsp | MUFA + vit E | 1/2 tsp occasional "treat" |
| Topical coconut oil on neck | — | — | NO Yanay (feeds Malassezia) |
| Oral coconut oil | 14 g/tbsp | MCT | Small OK · NOT while Yanay's skin is active |
| Sunflower oil | 14 g/tbsp | High omega-6 | Disrupts omega-6:omega-3 ratio · AVOID |
Absolutely toxic / forbidden foods
These can cause severe harm or death. Keep out of reach at all times.
Specific to each dog's conditions
- Coconut oil on neck (feeds Malassezia)
- Chicken (4–6 week elimination trial)
- High-fat dairy (cheese, cream)
- Wheat / wheat pasta (potential allergen)
- Commercial snacks with preservatives
- Beef liver in excess (high copper)
- Open Farm kibble if moving to 100% home-cooked (Dr. Chow decision)
- Pork permanently (acne correlation)
- Fried fats (hepatic load with ALT 206)
- Chicken (same elimination trial as Yanay)
- Copper-rich supplements without Rx
- High-glutathione foods without Dr. Chow OK
- Any herbal extract without vet approval (hepatic interaction)
- Acetaminophen / human ibuprofen (liver toxic)
Cooking methods — what preserves nutrients, what destroys them
| Method | Nutrient retention | Recommended use |
|---|---|---|
| Steaming | Excellent | Best method for vegetables. Retains vit A, C, E. No leaching of minerals to water. |
| Poaching (water simmer 70–85°C) | Very good | Ideal for fish (salmon, cod). Preserves omega-3. |
| Sous-vide / slow cooker on low | Excellent | 55–80°C preserves zinc, iron, B vitamins. Ideal for meal prep batch. |
| Low-temp baking (160°C / 320°F) | Good | OK for proteins on a tray. Not for delicate vegetables. |
| Boiling | Medium | Leaches B1, B2, B6, C into water. Workaround: use minimal water and reuse the broth in the meal. |
| Pressure cooking (Instant Pot, low) | Medium-good | OK but less temperature control. Keep times short. |
| Microwave | Poor | Uneven heat damages proteins. Only for reheating, not cooking. |
| Frying / hot oil | Very poor | NEVER for the dogs. Damages Antay's liver, oxidizes omega-3. |
| Grilling above 200°C | Poor + carcinogens | Forms HCAs and PAHs (carcinogens). Avoid. |
Cooking rules for their meals
- Protein: poach or steam at 70–80°C until cooked through. Fish: opaque all the way. Poultry: 74°C internal.
- Vegetables: steam 6–10 min until tender-firm. Chop fine or purée after.
- Carbs: cook in sufficient water, then drain or incorporate broth.
- Egg: hard-boiled or poached. Never raw (Salmonella risk + biotin binding).
- No salt, no seasoning, no added oil (except measured olive oil).
- Cool to body temperature before serving (~38°C). Never hot, never cold from fridge.
Real feeding system (REVISED — adapted to owner's actual practice)
This section replaces the theoretical recipe with the owner's real, working system, adjusted to correct nutritional gaps and reduce Yanay's flare triggers.
Base: slow cooker 2× per week (Ninja Cooker High × 3h)
| Ingredient | Amount per batch (3-4 days, both dogs) |
|---|---|
| Protein (ROTATE Week A/B) | Week A: 4-5 chicken thighs (~2 kg total, $0.88/lb Walmart Buffalo NY) with ~50% skin removed Week B: 4-5 turkey thighs or ground turkey (~2 kg) Every 4 weeks: lamb stew meat if available at Costco / Wegmans |
| Raw rice | ½ cup (~100g raw → ~300g cooked). White or brown, alternate. Rice is NOT bad — that was grain-free marketing myth. |
| Chopped vegetables | 100-200 g: broccoli, sweet potato, carrot, pumpkin (already practiced) |
| Cooking liquid | Discard liquid fat after cooking (already practiced) ✓ |
| Storage | Refrigerate in glass container, lasts 3-4 days. Microwaved per serving. |
Yanay reacts with acne flare to chicken-rice monotony + to pork. Rotating chicken ↔ turkey weekly provides variety without forcing foods he won't eat. Walmart Buffalo turkey is accessible and palatable. Chicken does NOT need elimination — just not every day for months on end.
Serving quantities (2 meals/day — noon by mother + after evening walk)
YANAY (target ~1,090 kcal/day)
Approximately 1 large chicken/turkey thigh + ~½ cup cooked rice + ~75g vegetables per meal × 2 meals = ~650-750 kcal from slow-cooker batch.
+ ~250-350 kcal from: Open Farm kibble (puzzle) + organs on rotation + Omega-3 supplement + Hilary's Blend.
= ~1,000-1,100 kcal/day total (summer). Winter: add 100-120 kcal.
ANTAY (target ~720 kcal/day)
~½ large thigh (smaller portions) + ~⅓ cup rice + ~50g vegetables × 2 meals = ~430-510 kcal from batch.
+ ~200-300 kcal from: kibble + organs + Omega-3 + Hilary's Blend + Vit E.
= ~700-800 kcal/day total.
Pork, snacks, organs — differential management
Pork (important change for Yanay)
YANAY — limit strongly
Maximum 1×/week, very small portion. Pork + chicken-rice monotony cause his acne to flare for 1-2 days. For palatable treats, prefer cooked turkey, Open Farm pieces, or homemade pig ears.
ANTAY — moderate OK
1-2×/week OK — Antay does not react like Yanay. Given elevated ALT 206, avoid large portions of pure pork fat (ribs with low fat OK). Small pieces fine.
Organs (already excellent — minor adjustment)
- Raw beef liver: reduce to max 1×/week (copper + vit A cumulative)
- Boiled chicken liver / gizzards: 1-2×/week — perfect
- Boiled beef heart / pork heart: rotate 1-2× per 2 months ✓
- Boiled beef stomach / intestines: rotate 1-2× per 2 months ✓
- Raw beef kidney: 1× per 2 months ✓
Soft stool for 1 walk after an organ-heavy day = NORMAL. Next meal corrects it. System working.
Single-ingredient snacks — CRITICAL for Yanay
| Snack | Yanay | Antay | Frequency |
|---|---|---|---|
| Homemade air-fryer pig ears | SAFE | SAFE | 1-2×/month |
| Bully Bunches brand sticks | CAUSED FULL-BODY ACNE | OK | Discontinue for Yanay |
| Other brand single-ingredient bully sticks | Trial cautiously | OK | 1-2×/month |
| Cooked chicken/turkey bones from slow-cook | 19+ yr history, safe in this owner's hands | OK | Daily with meals |
| Cold cooked turkey as treat | SAFE | SAFE | Ad lib |
| Commercial snacks with preservatives | NO EVER | Limit | — |
Bully Bunches → full-body acne · commercial wet food → immediate vomiting · scented detergent → skin reaction · any processed snack → flare. The Malassezia is secondary to atopy + repeated chemical exposure. Maintaining an ultra-clean dietary and household environment is as important as any prescribed medication.
Cooked chicken bones — note for Dr. Chow
Owner's practice: dogs eat the soft ends and lick out marrow from slow-cooked chicken thigh bones. Owner has had four dogs over 19+ years (chihuahuas Lala lived 14.5 yr, Nemo lived ~19 yr, plus Yanay and Antay at 3.5 yr) without a single episode of bone-related vomiting, blood in stool, or tooth fracture. The slow-cook 3h on High results in softer bones than oven-roasted. Owner's empirical track record validates this practice. No action required to change; continue monitored as is.
Cooking — important update
Has Slow Cook (High AND Low), Sear, Steam, Braise, Bake. No new equipment needed yet.
Recommendation: switch to Slow Cook LOW × 6-7 hours (from High × 3h)
| Method | Temp | Time | Nutrient retention | Texture / bones |
|---|---|---|---|---|
| Slow Cook LOW (recommended) | ~95°C | 6-7h | ★★★★ Good | Falls off bone · bones slightly softer (safer for owner's chewing practice) |
| Slow Cook HIGH (current practice) | ~100°C | 3h | ★★★ Acceptable | Tender but less so · more evaporation · B1/B6/C loss |
| Sous vide (optional, Anova ~$130 CAD) | 60-65°C | 2-3h | ★★★★★ Excellent | Maximum nutrient preservation · bones don't soften same way |
Switch today: same Ninja, just press LOW instead of HIGH and cook 6-7h. Start 8am → ready 3pm. Gains: 15-20% more B vitamin + mineral retention + more tender meat + manageable bone softness. Zero new equipment.
Meat sources — all options (physical + online)
Organized by price tier. Mix according to budget. Walmart Buffalo as economic base; $$$ and $$$$ reserved for variety (rabbit, duck, lamb) or if escalating to Phase B chicken elimination.
$ Budget (under $5/lb)
| Source | Distance | For what |
|---|---|---|
| Walmart Buffalo NY | ~30 min cross-border | Chicken thighs $0.88/lb (10 lb packs), ground turkey ~$2/lb, beef liver $1-3/lb, chicken liver and gizzards cheap |
| Walmart Canada | local | Chicken $2-3/lb, turkey $3/lb |
| Costco Welland / Burlington | 15-45 min | Chicken thighs ~$2/lb, ground turkey bulk, wild salmon fillet (premium but good bulk price) |
$$ Mid ($5-10/lb)
| Source | Distance | Specialty |
|---|---|---|
| Fortinos / Sobeys / Loblaws | local | Regular cuts, occasional lamb, ground turkey |
| T&T Supermarket (Mississauga) | ~45 min | Asian market: organs (intestines, gizzards, duck liver), fish variety, duck wings |
| Starsky Fine Foods (Mississauga / Etobicoke) | ~1h | Polish/European: whole or part rabbit, fresh duck, lamb cuts, varied organs, tripe, lamb kidney |
| Halenda's Meats (Hamilton, Burlington) | ~45 min | Premium butcher: whole turkey, lamb, nitrate-free sausages |
$$$ Mid-premium ($10-15/lb)
| Source | Type | Specialty |
|---|---|---|
| Stoney Creek Farmer's Market (Saturdays AM) | Physical ~35 min | Local farmers: pasture chicken/turkey, rabbit, lamb, fresh organs, eggs, game |
| Beretta Family Farms (Niagara region) | Local, call to order | Grass-fed lamb + beef + eggs direct from local producer |
| halendasonline.com | Online Canada | Rabbit, duck, lamb, organs · Ontario delivery |
| uswellnessmeats.com | Online US (ship to NY mailbox) | Premium grass-fed organs (superior quality beef liver, kidney, heart) |
$$$$ Premium ($15+/lb, USD usually)
| Source | Specialty |
|---|---|
| D'Artagnan | Best US for game. Rabbit $25/lb, whole pekin duck, partridge, venison, quail, premium organs |
| Fossil Farms | Whole rabbit, bison, venison, wild boar, alligator |
| Crowd Cow | Grass-fed beef + pork + chicken + turkey · subscription |
| Porter Road | Premium pastured meat, organs, lamb |
| White Oak Pastures | Regenerative farm: multi-protein pasture-raised organic |
Pet food specialty
| Brand | Origin | For what |
|---|---|---|
| Open Farm | Canadian | Current kibble + freeze-dried raw + single-ingredient treats · reliable backup |
| Big Country Raw | Canadian | Frozen raw multi-protein for dogs (including novel proteins) |
| Raw Paws Pet Food | US (ship to NY mailbox) | Frozen raw variety: rabbit, duck, venison, beef |
Two-phase chicken protocol — decision logic
Chicken is statistically the #1 canine allergen. Yanay shows acne flares with chicken-rice monotony, but it is unclear whether the trigger is the monotony or chicken itself. Only a rigorous elimination trial confirms this. We're using a two-phase protocol to keep the diet sustainable while gathering data.
Phase A (weeks 1-4 — current)
- Chicken (Week A) ↔ Turkey (Week B) rotation in slow-cook LOW 6-7h
- No pork for Yanay (tiny portion occasional for Antay only)
- Hilary's Blend integrated into every meal
- Nordic Naturals Omega-3 daily
- Open Farm RawMix Front Range in puzzle (no chicken in formula — appropriate)
- Full bath every Sunday (weekly)
- Photo of Yanay's neck every 3-4 days, same angle, same lighting
Decision point — Day 28 (Tuesday June 23, 2026)
If Yanay CLEARLY improved
Neck much clearer, no new flares, lichenification reducing.
→ Chicken NOT main problem. Continue Phase A indefinitely. Rotation alone is sufficient.
If Yanay same or sporadic flares
Still flares post-chicken or no clear improvement vs day 0.
→ Escalate to Phase B — rigorous 8-week chicken elimination.
Phase B — rigorous chicken elimination (8 weeks)
Gold standard veterinary derm protocol for confirming protein allergy.
- ZERO chicken in any form for 8 weeks: cooked, kibble, broth, treats — read ALL labels
- Proteins: turkey, rabbit, duck, lamb, salmon, sardines, beef
- Kibble during Phase B: switch to Open Farm Wild Caught Salmon Recipe (no chicken)
- Treats: only homemade pig ears and cooked turkey pieces
- Extra cost: ~$80-120/month for alternative proteins × 2 months = $160-240 total
- Photo of Yanay's neck every 3-4 days
Day 56 of Phase B (~mid-August if escalating)
- If significantly better: confirmed chicken allergy, avoid permanently
- If same or worse: chicken was not the primary issue. Chemical sensitivity is the main driver. Reintroduce chicken normally.
Free-feeding kibble system (owner's validated practice)
Kibble: Open Farm RawMix Grain-Free Front Range
Premium Canadian brand. Multi-protein (beef + lamb + venison + bone broth + freeze-dried raw bits). Constitutes ~25% of daily caloric intake — not a snack but a real nutritional component. Dispensed via FOXMM Interactive Puzzle Toy (small dispenser, 3-4 fills/day, small portions each fill).
When current 20 lb bag is finished, consider rotating to Open Farm Wild Caught Salmon Recipe to add natural omega-3 without forcing fresh fish (which dogs reject).
Free-feeding philosophy (respected)
Owner's philosophy: "Dogs should have access to food like humans have a refrigerator." Both dogs are not obese, self-regulate, and only access kibble when nothing better is available. System works for these specific dogs. Maintain as is.
What they DON'T eat (and not to force)
- Fresh fish / salmon: rarely tried
- Whole eggs: rarely, sometimes just yolk
- Fruits: never (no blueberries, no apple)
- Vegetables alone: only when mixed into chicken-rice base in small amounts
- Raw chicken: no
- Commercial processed wet food: no (Yanay vomits)
Previous theoretical plan with "salmon 4 days/week, blueberries, steamed vegetables as standalone" did not apply to their reality. This revised plan respects what they DO eat and compensates via supplements for what they don't.
Supplements — plan overview
A home-cooked diet, however carefully designed, has typical gaps in vitamins and minerals that food alone cannot cover: zinc, vitamin D, vitamin E, iodine, balanced copper, selenium, manganese, vitamin B12, vitamin K. Supplements cover those gaps AND deliver therapeutic doses of omega-3 that food alone cannot reach.
"Use Hilary's Blend OR Balance IT. Follow the recipe exactly as written. Do not interchange supplements from multiple sources." Pick ONE complete system.
Hilary Watson, Canadian veterinary nutritionist, Ontario-based. Domestic Canadian shipping (2–3 days, no customs). Same scientific basis as Balance IT. Balance IT remains as Plan B if Hilary's unavailable.
| Supplement | Priority | Yanay dose | Antay dose | Duration |
|---|---|---|---|---|
| Hilary's Blend Canine Supplement | PRIMARY | Per site recipe | Per site recipe | Permanent |
| Balance IT Canine Plus (alternative) | Plan B | Per calc | Per calc | If Hilary's unavailable |
| Nordic Naturals Omega-3 Pet | Essential | 2 ml/day | 1 ml/day | Permanent |
| FortiFlora probiotic | Transitional | 1 sachet/day | — | 4–6 weeks |
| Vitamin E (liquid) | Antay only | — | 100 IU/day | Until Aug recheck |
| Glucosamine + chondroitin (preventive) | Optional | 500 mg/day | 300 mg/day | Permanent |
1. Hilary's Blend Canine Supplement (PRIMARY — Dr. Chow recommended)
Vitamin-mineral premix formulated by Hilary Watson, Canadian veterinary nutritionist. Designed to complete home-cooked diets of chicken, turkey, beef. Pre-balanced recipes on their site (include chicken + rice + vegetables — fit PERFECTLY with what the owner already cooks). Dr. Chow recommended specifically in her email of May 19, 2026.
1. Omega-3 (EPA + DHA) — Nordic Naturals Omega-3 Pet
EPA+DHA omega-3 reduces dermal inflammation (key for Yanay's Malassezia + atopy), supports hepatic function (key for Antay's elevated ALT), improves skin barrier in hairless dogs specifically.
Alternatives if Nordic Naturals not available
- Welactin Canine — EPA+DHA softgels. Solid reputation, more economical. Find on Chewy.
- Grizzly Salmon Oil — pure salmon oil, more natural. Find on Amazon.
- Vetoquinol Triglyceride Omega Supplement — veterinary-grade alternative.
- Do NOT use generic human cod liver oil without standardized EPA+DHA labeling.
2. Balance IT Canine Plus — the vitamin-mineral premix
Formulated by Sean Delaney, DVM, ACVIM (nutrition) at UC Davis. Covers the exact gap of home-cooked diets: vitamins A, D, E, K, B-complex, calcium, phosphorus, zinc, copper, iodine, selenium, manganese, amino acids. The "Plus" version is heatable (can be baked), ideal for batch cooking.
1) Create free account at balance.it · 2) Select "Adult Maintenance Recipe" · 3) Enter each dog's weight · 4) Enter ingredients with grams · 5) System provides exact grams of Balance IT to add · 6) Print recipe and save. Repeat each time the composition changes significantly.
Professional alternatives
- Hilary's Blend Canine Supplement — popular alternative
- Wholistic Pet Organics Canine Complete
- Homemade eggshell powder — but covers only calcium, NOT the rest of vitamins/minerals. Would need 5–6 separate supplements to cover what Balance IT does in one.
3. Calcium — homemade eggshell powder (only if not using Balance IT)
Highly bioavailable calcium carbonate. 1 g eggshell powder ≈ 380–400 mg elemental calcium. If NOT using Balance IT (which already includes calcium), you need calcium supplementation to maintain Ca:P ratio of 1.2:1 with meat-heavy diets.
4. Probiotic — Purina Pro Plan FortiFlora
Yanay is on oral Ketoconazole for 14 days — this alters intestinal flora. A probiotic during and after protects the microbiome, reduces diarrhea/loose stools, and supports the skin-gut axis (balanced microbiome = more resilient skin). Strain Enterococcus faecium SF68 is the most-studied in dogs.
Alternatives
- Proviable-DC — multi-strain, also excellent
- Visbiome Vet — high CFU count, premium
- YumPro BiotiX
5. Liquid Vitamin E — Antay only (hepatic antioxidant)
Antay has ALT 206 (ref 18–121). Although Dr. Chow considers this likely a normal variant, vitamin E is a safe hepatic antioxidant and may help while we make dietary changes. Re-evaluate after the August recheck.
6. Optional supplements (consult Dr. Chow)
Glucosamine + chondroitin (preventive joint support)
Preventive against patellar luxation (common in breed). Dogs benefit most when started BEFORE clinical signs. At 3.5 years it's a good time to start.
Milk thistle (silymarin) — Antay only, only with Dr. Chow approval
Classic hepatoprotectant. Protects hepatocytes. Useful if ALT remains elevated at recheck. Request a written prescription from Dr. Chow on June 2 to potentially have it covered by Fetch (must be in Plumb's Handbook).
Zinc (skin-specific) — usually covered by Balance IT
Do not supplement separately if using Balance IT. Excess zinc is toxic to dogs.
How to administer ALL supplements (practical routine)
Supplements always go with food, never on an empty stomach. Food improves absorption of fat-solubles (A, D, E, K, omega-3) and reduces gastric irritation of the others.
Order and timing
| Moment | Action | Why |
|---|---|---|
| AM with food | Balance IT + Omega-3 + (Vit E for Antay) | Fat-solubles need dietary fat |
| AM with food + Ketoconazole (Yanay) | Ketoconazole separately: give first, wait 30 min, then food with supplements | Ketoconazole needs acidic pH — supplements don't interfere if separated |
| PM with food | FortiFlora probiotic (sprinkled on top) | Separated from Ketoconazole by 8–12h · fresh probiotic |
| Before any new supplement | Start at 50% for 3–5 days | Allows intestinal adaptation, detects intolerances |
Tricks if they refuse food with supplements
- Mix very thoroughly (especially Balance IT powder)
- Add 1 extra tsp of plain yogurt to mask
- Warm food slightly to body temperature (not hot)
- If rejected: try giving 30 min after a walk (hungrier)
- Last resort: pill pocket or cooked salmon to wrap capsules
Medication 1: Oral Ketoconazole (Yanay, 14 days)
The 14-day course finished ~June 2 and was stopped; the June 2 re-cytology confirmed the yeast cleared. Kept below for reference and in case of future recurrence.
Systemic antifungal. Treats Malassezia that topical cannot reach. Potentially hepatotoxic — hence the importance of baseline ALT (part of the rationale for the bloodwork in the Fetch claim). Not prescribed for Antay since his skin issue is mild.
The May 19 bloodwork is JUSTIFIED as diagnostic baseline pre-medication for Ketoconazole — primary argument in the claim. Veterinary standard of care requires baseline ALT before initiating Ketoconazole. This is medically necessary, not "preventive screening."
Medication 2: Cortavance spray (Yanay, 7 days)
Topical hydrocortisone aceponate — a controlled steroid for rapid inflammation + pruritus reduction while Ketoconazole + topical antifungal take effect.
Medication 3: ProHex-4 Mousse (Yanay, 14 days)
Topical antibacterial + antifungal mousse (chlorhexidine + climbazole). Reduces Malassezia + secondary bacterial load. Advantage: leave-on, no rinse.
Medication 4: Burrows ear drops (Yanay, indefinite)
2% aluminum acetate + 1% hydrocortisone — astringent solution with mild anti-inflammatory. Keeps ears dry, reduces cerumen + inflammation, prevents recurrent otitis.
Medication 5: Simparica Trio (both dogs, monthly, permanent)
Sarolaner + moxidectin + pyrantel chewable. Covers heartworm + 6 tick types + fleas + roundworm + hookworm in a single monthly tablet. Critical given frequent cross-border travel.
Feeding schedule
Two meals per day separated by 10–12 hours. Regularity stabilizes glycemia, supports regular elimination, and reduces food anxiety.
| Time | Action | Who |
|---|---|---|
| 7:00–7:30 AM | Short walk (10–15 min) — bladder/bowel | Both |
| 7:30 AM | Ketoconazole tablet (with small piece of cooked salmon or low-fat cheese) | Yanay |
| 8:00 AM | Main breakfast — 50% of daily ration + Balance IT + Omega-3 + Vit E (Antay) | Both |
| 8:15–8:30 AM | Apply Cortavance spray (while active) + ProHex mousse neck/shoulder | Yanay (while active) |
| 12:00–13:00 | Main walk (45–60 min) | Both |
| 14:00–15:00 | Optional light protein snack (30 g cooked turkey) | Yanay if hungry |
| 18:00 PM | Dinner — remaining 50% of ration + FortiFlora probiotic | Yanay (dinner with probiotic) · Antay normal |
| 18:30 PM | Apply Cortavance second dose + ProHex second application | Yanay (while active) |
| 20:00–21:00 | Short evening walk (15–20 min) — final elimination | Both |
| 22:00 PM | Bedtime · quick skin check (10 sec each) · lights out | Both |
Full day — visual timeline
15 min walk · bladder empty · stimulate bowel transit
Give 1/2 tablet with small piece of cooked salmon or cottage cheese. Wait 30 min before full breakfast.
Yanay: ~450 kcal from recipe + Balance IT + 1 ml Omega-3. Antay: ~360 kcal + Balance IT + 0.5 ml Omega-3 + 100 IU Vit E.
Cortavance spray (1 neck + 1 left axilla + 1 right axilla). ProHex mousse to neck/shoulder (1–2 pumps massaged). Elizabethan collar if prone to licking.
45–60 min · active pace · varied terrain · Antay can run · Yanay steady walk. Apply Nicte Cann Bloqueador Solar before if strong sun.
If hungry: 30 g cold cooked turkey for Yanay · 15 g for Antay · NEVER commercial snacks with preservatives.
Remaining 50% of recipe. Yanay: add 1 FortiFlora sachet + 1 more ml Omega-3. Antay: 0.5 ml Omega-3 + Balance IT (what wasn't given AM).
Cortavance second dose. ProHex second application.
20 min · calm walk · final elimination · soft street light
Quick skin inspection of both (10 sec each). Any new outbreak → photo. Lights out.
Weekly routine
| Day | Special action |
|---|---|
| Monday | Burrows ear drops (1/2 dropper each ear) · weigh Antay and Yanay if scale available |
| Wednesday | Burrows ear drops (second weekly application) |
| Thursday | Photo of Yanay's neck, same angle, same lighting (visual tracking) |
| Friday | Burrows ear drops (third application) |
| Saturday | Photo of Antay (full skin + interscapular area for comedone tracking) |
| Sunday | Batch prep 4h (cook food for the week) · check supplements remaining · order refills if needed · review Apple Reminders |
Monthly routine
| Day of month | Action |
|---|---|
| Day 1 | Simparica Trio both dogs · mark calendar · photo of empty package (tracking) |
| Day 7 | Weigh both dogs · log it · if >5% change, adjust calories |
| Day 15 | Full skin review · photo if changes |
| Day 28 | Verify supplement stock (Balance IT, Omega-3, FortiFlora) · order refills 5–7 days before running out |
What to observe and track (daily / weekly / monthly)
Each day
- Appetite (ate all, partial, refused)
- Energy (low / normal / hyper)
- Water intake (approximate ml)
- Stool (count, color, consistency 1–7 Bristol)
- Urine (color, frequency)
- Excessive scratching / licking
- New skin outbreaks
Each week
- Weight (pet scale or household scale)
- Photo of Yanay's neck (same angle)
- Photo of Antay's skin (interscapular)
- Paw status (Yanay pododermatitis)
- Ear wax/dryness (Yanay)
- Breath and teeth (plaque, odor)
- Average week energy
Each month
- Compare photos month-over-month
- Weight trend (up/down)
- Plan adherence (% days)
- Monthly total cost (food + supps + meds)
- Review upcoming vet appointments
- Verify microchip registration valid
When to call the vet urgently
- Vomiting 2+ times in 12 hours · or vomit with blood
- Bloody or very dark diarrhea
- Yellow color in gums, eyes, or skin (jaundice — hepatic emergency)
- Extreme lethargy, won't stand, no food or water for 12+ hours
- Seizures or uncontrollable tremors
- Torn skin with blood or yellow/green pus
- Breathing difficulty · persistent cough
- Facial swelling / hives (food anaphylaxis)
- Blue/purple gums (hypoxia)
- Accidental supplement or medication overdose
- Skin worsens rather than improves after 7–10 days of treatment
- New itching in a different area
- Loss of appetite 2–3 days
- Significant weight change (more than 5% in a week)
- Question about medication or supplement interaction
- Any unexpected side effect of treatment
Roadmap — Week 1 (Tue May 26 – Mon Jun 1)
- Order Balance IT online
- Order Nordic Omega-3
- Yanay day 8 Ketoconazole
- Yanay day 8 ProHex
- Cortavance last day
- No more Cortavance
- Continue Keto + ProHex
- Burrows ear drops
- Photo of Yanay's neck
- Keto + ProHex
- Buy batch ingredients
- Keto + ProHex
- Burrows ear drops
- Photo of Antay
- Keto + ProHex
- Receive Balance IT
- Receive Nordic Omega
- Batch cooking 4h
- Setup containers
- Photo comparison
- Simparica Trio dose 1
- Start Omega-3 50%
- Last night of Keto
Roadmap — Week 2 (Tue Jun 2 – Mon Jun 8)
- Yanay appt 11 AM
- Bring this protocol
- Request Rx omega-3, milk thistle
- Request treatment letter for Fetch
- Day 1 diet transition: 75% old / 25% new
- Omega-3 full dose
- 75/25 day 2
- Burrows ear drops
- Photo of Yanay
- 75/25 day 3
- Submit Fetch claim (combined May 19 + Jun 2)
- 50/50 day 1
- Photo of Antay
- 50/50 day 2
- Weekly batch cooking
- 50/50 day 3
- Weigh both dogs
Roadmap — Week 3 (Tue Jun 9 – Mon Jun 15)
- 25/75 day 1
- 25/75 day 2
- Burrows ear drops
- Photo of Yanay
- 25/75 day 3
- 100% new diet
- Weigh both
- 100% day 2
- Photo of Antay
- Batch cooking
- Weekly review
- Yanay skin review (1 month from start)
Roadmap — Week 4 (Tue Jun 16 – Mon Jun 22)
- 100% new diet established
- Burrows ear drops
- Photo of Yanay (compare with day 1)
- General observation
- Weigh both
- Report month 1 results
- Photo of Antay (4 weeks)
- Batch cooking
- Verify supp stock
- Reintroduce chicken in small quantities · observe skin
Protocol v1.0 · compiled May 26, 2026 · based on: Heartland clinical summary May 19, 2026, IDEXX labs May 20, 2026, Fetch policy WAG0544553-02 / WAG0544554-02, veterinary nutrition research for PSPP/Xolo
Update after: June 2 appointment, Antay August ALT recheck, November heartworm recheck