Top tips for horses with Cushing’s (PPID) in autumn
DIET
Forage management - soak safely when needed
- Soaking hay can lower soluble sugars BUT the process also removes vitamins, minerals, micronutrients and some soluble protein.
- If you need to soak, do so with plenty of water for at least 30-60 minutes to reduce water soluble carbohydrates/sugar content. Ensure to feed a balancer alongside.
Low sugar and starch is crucial
- Aim for a high-fibre diet.
- Choose late-cut, native hay or appropriate low-sugar products.
- Even on medication, insulin spikes after large meals can persist. Use a balancer for a smaller daily feeding rate while providing the nutrients your horse needs.
- Control grazing intake by using a grazing muzzle, strip grazing or a track system.
Feeding Chaste Tree Berry
- Chaste tree berry (Vitex agnus-castus) is a herbal supplement used in horses to support hormonal balance and pituitary function.
- You'll find further benefits of feeding chaste tree berry as the blog continues below.

LAMINITIS
Be extra vigilant for laminitis, autumn is high-risk
- Autumn is a time when horses with PPID are at higher laminitis risk.
- Weight control and swift action can reduce long-term damage.
- Monitor hooves daily for heat, check for a bounding digital pulse and look out for other signs such as reluctance to move.
- Call your vet immediately if you suspect laminitis.

COAT AND CLIPPING (The well known "curly coat")
Avoid over-rugging, let the coat do some work
- Horses with PPID commonly display abnormal sweating and poor thermoregulation.
- Over-rugging can reduce activity/movement and therefore metabolic rate which can lead to weight gain (this needs to be avoided for laminitis risk).
- In autumn, rug sensibly, monitor coat condition and body condition score and rug only if truly needed for the horse’s comfort.
Manage coat and clipping carefully
- Many PPID horses have delayed shedding and thick coats.
- Supplementing with chaste tree berry can stimulate shedding, improve coat condition, and reduce the persistence of excessive hair.
- If you clip, do so thoughtfully, clipping can help prevent painful excessive sweating and skin infections, but clipping also increases heat loss and may require extra grazing/rugging.
EXERCISE
Keep exercise and weight under control.
- Appropriate exercise (depending on laminitis risk) helps insulin sensitivity and reduces the chance of weight gain.
- Chaste tree berry can help if your horse is lethargic or has low energy, as supporting hormone balance can help to increase energy levels.
- Continue to body condition score and weigh tape regularly (and ideally record every measurement for long term tracking).
- Always aim for slow, steady weight loss if required.
- If laminitis is active, follow your vet’s exercise restrictions.
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OTHER CONSIDERATIONS
Infection and skin care over autumn/winter
- Horses with PPID can have impaired immunity, so be mindful to watch for infections, delayed healing, rain scald or mud fever.
- Early intervention and targeted treatment prevent more serious complications.
- Good stable hygiene, regular grooming, and avoiding prolonged exposure to wet conditions also helps.
Mood/Behaviour
- Horses with PPID or hormonal imbalance can become irritable, anxious and maybe even difficult to handle.
- Chaste tree berry is often used to help stabilise mood and help your horse become easier to manage.
Both Senior and Senior Plus contain chaste tree berry and a whole host of other supplements to ensure your older horse is specifically supported as they age.
Any more questions? ...

