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).

Version 1.0 · May 26, 2026 Yanay · 15.4 kg · 3.5 yr Antay · 8.9 kg · 3.5 yr Heartworm NEG · both Malassezia RESOLVED · Jun 2
June 2, 2026 recheck (Dr. Chow) — Yanay

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

BreedPSPP (Peruvian Inca Orchid)
SexMale, intact
DOBNov 13, 2022
ColorBlack
Weight15.4 kg (35.2 lb)
BuildShort-legged, thick-necked
Microchip900255000519962
Rabies tag25662133
Heartland Patient ID18547
Vaccines valid untilJul 14, 2028

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

BreedPSPP (Peruvian Inca Orchid)
SexMale, intact
DOBNov 16, 2022
ColorCopper / caramel
Weight8.9 kg (19.6 lb)
BuildLight, slender
Microchip900255000519961
Rabies tag25662134
Heartland Patient ID18548
Vaccines valid untilJul 14, 2028

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

#DiagnosisClinical support
1Malassezia (yeast) dermatitis, ventral neckCytology confirmed 1+ yeast · June 2 re-cytology CLEAR ✓ resolved
2Chronic pruritus with secondary lichenificationVisual exam: thickened, leathery skin · improving on maintenance + diet
3Otitis externa secondary to excessive cerumen productionWax buildup + large flakes both ears · June 2: ears perfect ✓ resolved
4Mild pododermatitis (hind paws)Visible inflammation on hind feet
5Suspected atopy vs. nutritional imbalanceCytology showed pollen; diet correlation

Antay — 2 diagnoses + 1 lab finding

#DiagnosisClinical support
1Follicular casting / comedones, dorsal neck and interscapular region"Finger-like projections" between scapulae
2Solar lentigines (sunspots) on bodyMultiple hyperpigmented spots
3ALT 206 U/L (ref 18–121) — monitoringIDEXX 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:

CategoryPublished averageWith optimal careDocumented case
PSPP medium12–14 yr15–17 yr
Standard Xolo13–18 yr16–18 yr20 yr
Toy Xolo15–18 yr17–19 yr20+ yr
Reasonable target for Yanay & Antay

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):

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)

RER70 × 15.40.75 = 544 kcal
MER intact, active (×2.0)1,088 kcal
Winter hairless adjustment +12%+131 kcal
Summer / heated home target1,090 kcal/day
Winter / outdoor target1,220 kcal/day

Antay (8.9 kg)

RER70 × 8.90.75 = 361 kcal
MER intact, active (×2.0)722 kcal
Winter hairless adjustment +12%+86 kcal
Summer / heated home target720 kcal/day
Winter / outdoor target810 kcal/day

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).

MacroYanay summerYanay winterAntay summerAntay winterNotes
Protein 28%76 g85 g50 g57 g1 g = 4 kcal
Fat (Yanay 14% / Antay 11%)17 g19 g9 g10 g1 g = 9 kcal · Antay reduced for ALT
Carbohydrates 40–42%109 g122 g76 g85 g1 g = 4 kcal · low-glycemic
Fiber 5–8%5–9 g6–10 g3–6 g4–7 gMostly from vegetables
Omega-3 (EPA+DHA)1,300 mg1,300 mg700 mg700 mgFrom fish oil supplement
Calcium~1,000 mg~1,000 mg~600 mg~600 mgTarget Ca:P ratio 1.2:1
Phosphorus~800 mg~800 mg~500 mg~500 mgFrom 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.

ProteinProtein gFat gKcalOmega-3Allergy riskSuitability
Wild salmon, cooked2213208HighLowTop choice — both
Sardines, canned in water2511208Very highLowTop — includes natural calcium (soft bones)
Mackerel, fresh1914205Very highLowTop — limit to 1×/wk (mercury)
Lean turkey, skinless297189LowVery lowExcellent novel protein
Rabbit298197LowVery lowClassic hypoallergenic option
Duck, skinless2311201MediumLowNovel protein, iron-rich
Lean lamb2510206MediumMediumGood but limit to 2×/wk
Cod / haddock221105LowVery lowLean, ideal for Antay (low fat)
Whole cooked egg1310155LowVery lowBiological gold standard
Lean beef (sirloin)268183LowMediumMaintain but rotate
Chicken (elimination 4–6 weeks)314165MinimalHigh (#1)Reintroduce after elimination trial
Pork2612218LowAntay triggerNO for Antay (acne correlation)

Weekly protein selection

Carbohydrate catalog

Slow carbs (low glycemic index) preferred. Avoid wheat and barley initially. Carbs provide energy, fiber, and prebiotics for gut flora.

CarbohydrateCarbs g/100gKcal/100gGlycemic IndexBenefit
Cooked sweet potato2090~63 (medium)Vitamin A (beta-carotene), fiber, antioxidant
Cooked pumpkin1249~75 (med-high)Soluble fiber, aids digestion
Cooked quinoa21120~53 (low)Additional complete protein + magnesium
Cooked brown rice23112~68 (medium)Sustained energy, B vitamins
Cooked steel-cut oats1268~55 (low)Beta-glucans, anti-inflammatory
Cooked lentils (red/green)20116~32 (very low)Plant protein + fiber · use in moderation
White rice28130~73 (high)Only for diarrhea (highly digestible)
Wheat pasta25131~50AVOID 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).

VegetableKcal/100gKey nutrientSpecific benefit
Steamed broccoli35Vit C, K, sulforaphaneAnti-cancer antioxidant, hepatoprotective (good for Antay)
Steamed spinach23Iron, vit K, folateAnti-inflammatory · limit 2×/week (oxalates)
Cooked carrot35Beta-caroteneVit A, eye health, fiber
Zucchini17Vit C, potassiumLow calorie, high water content
Steamed cauliflower25Vit C, glucosinolatesAnti-cancer, fiber
Green beans35Vit K, fiberIdeal low-calorie filler
Celery16PotassiumMild diuretic, hydration
Cucumber15Water, silicaSummer hydration
Ripe tomato18LycopeneOnly fully ripe · NO green (toxicity)
Red pepper31Massive vit COK in small quantities

Fruits (small amounts, 1 tsp 2–3×/week)

Blueberries (#1 antioxidant) Raspberries Apple, no seeds Pear, no seeds Watermelon, no seeds Banana (tiny portion) Mango limited (high sugar) Grapes / raisins (TOXIC) Avocado (persin toxin) Citrus (irritant)

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.

SourceFat/amountFatty acid typeWhen to use
Salmon oil (fish oil)~9 g per 1 tspEPA + DHA (omega-3)Daily · only from Nordic Naturals supplement
Extra virgin olive oil14 g per 1 tbspMUFA (omega-9)1/2 tsp in food 3×/wk · skin health
Egg yolk5 g per yolkLecithin, good cholesterol, EPA2–3×/week whole egg
Intrinsic fish fatNatural omega-3Inherent to salmon/sardines
Almond butter (no salt/sugar)9 g per tbspMUFA + vit E1/2 tsp occasional "treat"
Topical coconut oil on neckNO Yanay (feeds Malassezia)
Oral coconut oil14 g/tbspMCTSmall OK · NOT while Yanay's skin is active
Sunflower oil14 g/tbspHigh omega-6Disrupts omega-6:omega-3 ratio · AVOID

Absolutely toxic / forbidden foods

Never give

These can cause severe harm or death. Keep out of reach at all times.

Chocolate Grapes & raisins Onion (raw, cooked, powder) Garlic (in excess) Avocado Xylitol (sugar-free gum/candy) Coffee/caffeine Alcohol Macadamia nuts Raw yeast dough Cooked bones (splinter) Artificial sweeteners Excess salt Spoiled meat Wild mushrooms Green tomato Raw potato Processed meat (ham, salted bacon)

Specific to each dog's conditions

YANAY — avoid
  • 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)
ANTAY — avoid
  • 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

MethodNutrient retentionRecommended use
SteamingExcellentBest method for vegetables. Retains vit A, C, E. No leaching of minerals to water.
Poaching (water simmer 70–85°C)Very goodIdeal for fish (salmon, cod). Preserves omega-3.
Sous-vide / slow cooker on lowExcellent55–80°C preserves zinc, iron, B vitamins. Ideal for meal prep batch.
Low-temp baking (160°C / 320°F)GoodOK for proteins on a tray. Not for delicate vegetables.
BoilingMediumLeaches B1, B2, B6, C into water. Workaround: use minimal water and reuse the broth in the meal.
Pressure cooking (Instant Pot, low)Medium-goodOK but less temperature control. Keep times short.
MicrowavePoorUneven heat damages proteins. Only for reheating, not cooking.
Frying / hot oilVery poorNEVER for the dogs. Damages Antay's liver, oxidizes omega-3.
Grilling above 200°CPoor + carcinogensForms HCAs and PAHs (carcinogens). Avoid.

Cooking rules for their meals

  1. Protein: poach or steam at 70–80°C until cooked through. Fish: opaque all the way. Poultry: 74°C internal.
  2. Vegetables: steam 6–10 min until tender-firm. Chop fine or purée after.
  3. Carbs: cook in sufficient water, then drain or incorporate broth.
  4. Egg: hard-boiled or poached. Never raw (Salmonella risk + biotin binding).
  5. No salt, no seasoning, no added oil (except measured olive oil).
  6. 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)

IngredientAmount 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 rice½ cup (~100g raw → ~300g cooked). White or brown, alternate. Rice is NOT bad — that was grain-free marketing myth.
Chopped vegetables100-200 g: broccoli, sweet potato, carrot, pumpkin (already practiced)
Cooking liquidDiscard liquid fat after cooking (already practiced) ✓
StorageRefrigerate in glass container, lasts 3-4 days. Microwaved per serving.
Why rotate protein (key change vs. current)

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)

Soft stool for 1 walk after an organ-heavy day = NORMAL. Next meal corrects it. System working.

Single-ingredient snacks — CRITICAL for Yanay

SnackYanayAntayFrequency
Homemade air-fryer pig earsSAFESAFE1-2×/month
Bully Bunches brand sticksCAUSED FULL-BODY ACNEOKDiscontinue for Yanay
Other brand single-ingredient bully sticksTrial cautiouslyOK1-2×/month
Cooked chicken/turkey bones from slow-cook19+ yr history, safe in this owner's handsOKDaily with meals
Cold cooked turkey as treatSAFESAFEAd lib
Commercial snacks with preservativesNO EVERLimit
Yanay's chemical/processed food sensitivity — confirmed pattern

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

Equipment: Ninja Foodi PossibleCooker Pro MC1001C (Canadian model)

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)

MethodTempTimeNutrient retentionTexture / bones
Slow Cook LOW (recommended)~95°C6-7h★★★★ GoodFalls off bone · bones slightly softer (safer for owner's chewing practice)
Slow Cook HIGH (current practice)~100°C3h★★★ AcceptableTender but less so · more evaporation · B1/B6/C loss
Sous vide (optional, Anova ~$130 CAD)60-65°C2-3h★★★★★ ExcellentMaximum 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)

SourceDistanceFor what
Walmart Buffalo NY~30 min cross-borderChicken thighs $0.88/lb (10 lb packs), ground turkey ~$2/lb, beef liver $1-3/lb, chicken liver and gizzards cheap
Walmart CanadalocalChicken $2-3/lb, turkey $3/lb
Costco Welland / Burlington15-45 minChicken thighs ~$2/lb, ground turkey bulk, wild salmon fillet (premium but good bulk price)

$$ Mid ($5-10/lb)

SourceDistanceSpecialty
Fortinos / Sobeys / LoblawslocalRegular cuts, occasional lamb, ground turkey
T&T Supermarket (Mississauga)~45 minAsian market: organs (intestines, gizzards, duck liver), fish variety, duck wings
Starsky Fine Foods (Mississauga / Etobicoke)~1hPolish/European: whole or part rabbit, fresh duck, lamb cuts, varied organs, tripe, lamb kidney
Halenda's Meats (Hamilton, Burlington)~45 minPremium butcher: whole turkey, lamb, nitrate-free sausages

$$$ Mid-premium ($10-15/lb)

SourceTypeSpecialty
Stoney Creek Farmer's Market (Saturdays AM)Physical ~35 minLocal farmers: pasture chicken/turkey, rabbit, lamb, fresh organs, eggs, game
Beretta Family Farms (Niagara region)Local, call to orderGrass-fed lamb + beef + eggs direct from local producer
halendasonline.comOnline CanadaRabbit, duck, lamb, organs · Ontario delivery
uswellnessmeats.comOnline US (ship to NY mailbox)Premium grass-fed organs (superior quality beef liver, kidney, heart)

$$$$ Premium ($15+/lb, USD usually)

SourceSpecialty
D'ArtagnanBest US for game. Rabbit $25/lb, whole pekin duck, partridge, venison, quail, premium organs
Fossil FarmsWhole rabbit, bison, venison, wild boar, alligator
Crowd CowGrass-fed beef + pork + chicken + turkey · subscription
Porter RoadPremium pastured meat, organs, lamb
White Oak PasturesRegenerative farm: multi-protein pasture-raised organic

Pet food specialty

BrandOriginFor what
Open FarmCanadianCurrent kibble + freeze-dried raw + single-ingredient treats · reliable backup
Big Country RawCanadianFrozen raw multi-protein for dogs (including novel proteins)
Raw Paws Pet FoodUS (ship to NY mailbox)Frozen raw variety: rabbit, duck, venison, beef

Two-phase chicken protocol — decision logic

Note for Dr. Chow: we are not certain about chicken

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)

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.

Day 56 of Phase B (~mid-August if escalating)

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)

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.

Dr. Chow's recommendation (email of May 19, 2026)

"Use Hilary's Blend OR Balance IT. Follow the recipe exactly as written. Do not interchange supplements from multiple sources." Pick ONE complete system.

System chosen: Hilary's Blend (Canadian, primary)

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.

SupplementPriorityYanay doseAntay doseDuration
Hilary's Blend Canine SupplementPRIMARYPer site recipePer site recipePermanent
Balance IT Canine Plus (alternative)Plan BPer calcPer calcIf Hilary's unavailable
Nordic Naturals Omega-3 PetEssential2 ml/day1 ml/dayPermanent
FortiFlora probioticTransitional1 sachet/day4–6 weeks
Vitamin E (liquid)Antay only100 IU/dayUntil Aug recheck
Glucosamine + chondroitin (preventive)Optional500 mg/day300 mg/dayPermanent

1. Hilary's Blend Canine Supplement (PRIMARY — Dr. Chow recommended)

Hilary's Blend Canine Supplement CAD $35–60 per size · lasts 1–3 months

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.

How to choose recipeGo to CookBook-Recipe-List on hilarysblend.ca · select "Chicken + Rice" or "Turkey + Rice" · follow exactly as written
Yanay dosePer selected recipe (typically ~1 tsp/day)
Antay dosePer selected recipe (~½ tsp/day)
AdministrationMix into cooked food. Not on hot food (preserve vitamins). Incorporate well.
StorageSealed, cool dry place
ShippingCanada domestic, 2–3 days, no customs

1. Omega-3 (EPA + DHA) — Nordic Naturals Omega-3 Pet

Nordic Naturals Omega-3 Pet Liquid USD $40–65 / 8 fl oz · lasts ~3 months for both dogs

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.

Concentration736 mg EPA + 506 mg DHA per 1 tsp (5 ml) = 1,242 mg combined
Yanay dose2 ml/day (≈1,000 mg combined — target 1,300)
Antay dose1 ml/day (≈500 mg combined — target 700)
How to administerMix into the complete AM meal. Do not give separately (oxidizes).
StorageRefrigerate after opening. Opaque bottle. 90 days once opened.
Gradual startDay 1–5: 50% dose. Day 6+: full dose. (Prevents loose stools.)

Alternatives if Nordic Naturals not available

2. Balance IT Canine Plus — the vitamin-mineral premix

Balance IT Canine Plus USD $14–140 per size · lasts 1–3 months

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.

DosingUse free calculator at balance.it based on weight + recipe. Enter grams of each ingredient, the system tells you the exact grams of Balance IT to complete.
Approximate Yanay dose~6–8 g/day (1.5–2 tsp)
Approximate Antay dose~4–5 g/day (1 tsp)
How to administerMix directly into cooked food. NOT just sprinkled on top — incorporate well so they eat all of it.
StorageSealed, cool dry place. 18-month shelf life unopened.
Sizes20g pouch (~$7) · 200g multi-pack (~$57) · 600g bag (~$140)
Balance IT workflow (step by step)

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

3. Calcium — homemade eggshell powder (only if not using Balance IT)

Homemade eggshell powder $0 — completely free

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.

DIY recipe12 organic eggshells · wash and dry · bake 200°F (95°C) for 10 min to sterilize · grind in coffee grinder to fine powder · sift · store in airtight jar
Yield12 shells ≈ 30–40 g powder · 4 weeks for one medium dog
Yanay dose2.5 g (≈1/2 tsp) = ~1,000 mg Ca
Antay dose1.5 g (≈1/4 tsp) = ~600 mg Ca
How to administerMix well into moist food · DO NOT give dry (irritates throat) · always with liquid
StorageAirtight jar, dry place. Lasts 6+ months.

4. Probiotic — Purina Pro Plan FortiFlora

FortiFlora Canine Probiotic Supplement USD $30–40 / 30-sachet box

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.

Yanay dose1 sachet/day for 4–6 weeks (during + 4 weeks post Ketoconazole)
Antay doseOptional · 1 sachet/day for 4 weeks if simultaneous gut support desired
How to administerSprinkle on food at serving time · DO NOT mix with hot food · NOT simultaneously with Ketoconazole (separate by 2h)
StorageRoom temperature OK · avoid moisture · use before exp date
Optimal timingWith PM meal (separated from AM Ketoconazole by 8–12h)

Alternatives

5. Liquid Vitamin E — Antay only (hepatic antioxidant)

Vitamin E (d-alpha-tocopherol) liquid USD $10–20 / 1 oz bottle · lasts months

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.

Antay dose100 IU/day (≈ 1 drop or per product label)
How to administerMix in food containing fat (improves absorption — fat-soluble)
DO NOT overdoseMore than 400 IU/day can inhibit vitamin K (coagulation)
StorageDark bottle, cool, dry

6. Optional supplements (consult Dr. Chow)

Glucosamine + chondroitin (preventive joint support)

Glucosamine + Chondroitin (Cosequin Advanced or Dasuquin) USD $30–60 / month, both dogs

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.

Yanay doseCosequin Advanced 1 chewable/day
Antay doseCosequin Small/Toy 1 chewable/day

Milk thistle (silymarin) — Antay only, only with Dr. Chow approval

Milk Thistle (Silymarin) extract USD $15–25 / bottle

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).

Standard dose50–100 mg/day for Antay (consult Dr. Chow)
DO NOT start before June 2Wait for vet approval

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)

Golden rule

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

MomentActionWhy
AM with foodBalance 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 supplementsKetoconazole needs acidic pH — supplements don't interfere if separated
PM with foodFortiFlora probiotic (sprinkled on top)Separated from Ketoconazole by 8–12h · fresh probiotic
Before any new supplementStart at 50% for 3–5 daysAllows intestinal adaptation, detects intolerances

Tricks if they refuse food with supplements

Medication 1: Oral Ketoconazole (Yanay, 14 days)

Course complete — discontinued

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.

Yanay dose200 mg × 1/2 tablet (100 mg) every 24h, 14 days
When to giveAM with fat-containing meal (improves absorption 50–100%)
Ideal food typeSmall portion with salmon, egg, or olive oil
DO NOT give withAntacids · omeprazole · famotidine · any acid reducer within 2 hours
Side effects to monitorVomiting, diarrhea, lethargy, jaundice (yellow eyes/skin), loss of appetite
If vomits within 1h of doseCall Heartland · DO NOT repeat dose without instruction
StorageRoom temperature · out of reach of children · not in bathroom (humidity)
Note for Fetch insurance claim

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.

Yanay dose1 spray to neck + 1 spray each axilla, BID (AM + PM), 7 days
Day 1 of CortavanceMay 19 or 20 · Day 7 = May 25 or 26 (today or yesterday was the last)
After day 7PAUSE · wait for the June 2 appointment · Dr. Chow will decide whether to continue, stop, or replace
DO NOT apply onBroken skin · wounds · eyes · mouth · genitals
After applicationWait 30 min before Yanay scratches or licks the area · use Elizabethan collar if self-licking
Wash handsImmediately after · absorbable by human skin too

Medication 3: ProHex-4 Mousse (Yanay, 14 days)

Topical antibacterial + antifungal mousse (chlorhexidine + climbazole). Reduces Malassezia + secondary bacterial load. Advantage: leave-on, no rinse.

Yanay dose1–2 pumps to affected areas (neck + shoulder), BID, 14 days
ApplicationMassage gently to penetrate · DO NOT rinse · let air dry · gentle brushing after
Do not combine withOther topicals in the same area same day · wait 4h between different products
Side effects to monitorSkin becomes drier, irritated, or red · if so, call Heartland

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.

Yanay dose1/2 dropper in each ear · 2–3×/week · indefinite maintenance
How to apply1) Shake well · 2) hold ear up · 3) instill drops · 4) massage base of ear 30 sec (squelching sound) · 5) let dog shake head · 6) wipe excess with cotton
Do not use ifTympanic membrane perforated (Dr. Chow must verify) · pus or yellow/green discharge (call vet first)
StorageRoom temperature · dark bottle
Expires (current lot)06/20/2026 — use before that date. Request refill in June before expiry.

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.

Yanay (15.4 kg / 35.2 lb)Simparica Trio 22.1–44 lb BLUE box · 1 chewable/month
Antay (8.9 kg / 19.6 lb)Simparica Trio 11.1–22 lb CARAMEL box · 1 chewable/month
Start dateJune 1, 2026 (per Dr. Chow's plan)
Fixed monthly dayDay 1 of each month · mark calendar · 6 months dispensed (June–November)
How to giveWith or without food · meat-flavored chewable · most dogs eat as treat. If refused, hide in turkey piece
Side effects to monitorVomiting first 2h · tremors · seizures (rare · call vet immediately if it happens)

Feeding schedule

Two meals per day separated by 10–12 hours. Regularity stabilizes glycemia, supports regular elimination, and reduces food anxiety.

TimeActionWho
7:00–7:30 AMShort walk (10–15 min) — bladder/bowelBoth
7:30 AMKetoconazole tablet (with small piece of cooked salmon or low-fat cheese)Yanay
8:00 AMMain breakfast — 50% of daily ration + Balance IT + Omega-3 + Vit E (Antay)Both
8:15–8:30 AMApply Cortavance spray (while active) + ProHex mousse neck/shoulderYanay (while active)
12:00–13:00Main walk (45–60 min)Both
14:00–15:00Optional light protein snack (30 g cooked turkey)Yanay if hungry
18:00 PMDinner — remaining 50% of ration + FortiFlora probioticYanay (dinner with probiotic) · Antay normal
18:30 PMApply Cortavance second dose + ProHex second applicationYanay (while active)
20:00–21:00Short evening walk (15–20 min) — final eliminationBoth
22:00 PMBedtime · quick skin check (10 sec each) · lights outBoth

Full day — visual timeline

7:00 AM
Wake + short walk

15 min walk · bladder empty · stimulate bowel transit

7:30 AM
Yanay's Ketoconazole with fat-bite

Give 1/2 tablet with small piece of cooked salmon or cottage cheese. Wait 30 min before full breakfast.

8:00 AM
Full breakfast both

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.

8:30 AM
Yanay topicals

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.

12:00 PM
Main walk

45–60 min · active pace · varied terrain · Antay can run · Yanay steady walk. Apply Nicte Cann Bloqueador Solar before if strong sun.

2:00 PM
Optional snack

If hungry: 30 g cold cooked turkey for Yanay · 15 g for Antay · NEVER commercial snacks with preservatives.

6:00 PM
Dinner

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).

6:30 PM
Yanay PM topicals

Cortavance second dose. ProHex second application.

8:30 PM
Evening walk

20 min · calm walk · final elimination · soft street light

10:00 PM
Bedtime check

Quick skin inspection of both (10 sec each). Any new outbreak → photo. Lights out.

Weekly routine

DaySpecial action
MondayBurrows ear drops (1/2 dropper each ear) · weigh Antay and Yanay if scale available
WednesdayBurrows ear drops (second weekly application)
ThursdayPhoto of Yanay's neck, same angle, same lighting (visual tracking)
FridayBurrows ear drops (third application)
SaturdayPhoto of Antay (full skin + interscapular area for comedone tracking)
SundayBatch prep 4h (cook food for the week) · check supplements remaining · order refills if needed · review Apple Reminders

Monthly routine

Day of monthAction
Day 1Simparica Trio both dogs · mark calendar · photo of empty package (tracking)
Day 7Weigh both dogs · log it · if >5% change, adjust calories
Day 15Full skin review · photo if changes
Day 28Verify 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

Call Heartland (905-357-6777) immediately if:
  • 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
Call Heartland (non-urgent, but soon):
  • 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)

Tue
May 26
  • Order Balance IT online
  • Order Nordic Omega-3
  • Yanay day 8 Ketoconazole
  • Yanay day 8 ProHex
  • Cortavance last day
Wed
May 27
  • No more Cortavance
  • Continue Keto + ProHex
  • Burrows ear drops
  • Photo of Yanay's neck
Thu
May 28
  • Keto + ProHex
  • Buy batch ingredients
Fri
May 29
  • Keto + ProHex
  • Burrows ear drops
  • Photo of Antay
Sat
May 30
  • Keto + ProHex
  • Receive Balance IT
  • Receive Nordic Omega
Sun
May 31
  • Batch cooking 4h
  • Setup containers
  • Photo comparison
Mon
Jun 1
  • Simparica Trio dose 1
  • Start Omega-3 50%
  • Last night of Keto

Roadmap — Week 2 (Tue Jun 2 – Mon Jun 8)

Tue
Jun 2
  • Yanay appt 11 AM
  • Bring this protocol
  • Request Rx omega-3, milk thistle
  • Request treatment letter for Fetch
Wed
Jun 3
  • Day 1 diet transition: 75% old / 25% new
  • Omega-3 full dose
Thu
Jun 4
  • 75/25 day 2
  • Burrows ear drops
  • Photo of Yanay
Fri
Jun 5
  • 75/25 day 3
  • Submit Fetch claim (combined May 19 + Jun 2)
Sat
Jun 6
  • 50/50 day 1
  • Photo of Antay
Sun
Jun 7
  • 50/50 day 2
  • Weekly batch cooking
Mon
Jun 8
  • 50/50 day 3
  • Weigh both dogs

Roadmap — Week 3 (Tue Jun 9 – Mon Jun 15)

Tue
Jun 9
  • 25/75 day 1
Wed
Jun 10
  • 25/75 day 2
  • Burrows ear drops
  • Photo of Yanay
Thu
Jun 11
  • 25/75 day 3
Fri
Jun 12
  • 100% new diet
  • Weigh both
Sat
Jun 13
  • 100% day 2
  • Photo of Antay
Sun
Jun 14
  • Batch cooking
  • Weekly review
Mon
Jun 15
  • Yanay skin review (1 month from start)

Roadmap — Week 4 (Tue Jun 16 – Mon Jun 22)

Tue
Jun 16
  • 100% new diet established
Wed
Jun 17
  • Burrows ear drops
  • Photo of Yanay (compare with day 1)
Thu
Jun 18
  • General observation
Fri
Jun 19
  • Weigh both
  • Report month 1 results
Sat
Jun 20
  • Photo of Antay (4 weeks)
Sun
Jun 21
  • Batch cooking
  • Verify supp stock
Mon
Jun 22
  • 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