Nutritionist Dave Coast Digs Into Grain-Free Dog Food & Heart Disease

Dog food trends follow food trends in the human world. So, in the early 2010s when the “paleo diet” exploded into the mainstream, it was only a matter of time before it made its way to dog food. A paleo diet typically includes lean meats, fish, fruits, vegetables, nuts, and seeds — foods that in the past could be obtained by hunting and gathering. And it limits foods that became common when farming emerged about 10,000 years ago: dairy products, legumes, and grains. 

By 2016, the year I got Stanley, grain-free dog food was all the rage. Marketed as the “wild” and “more natural” alternative to traditional dog food, it felt like the obvious choice at the time. And since I was working as a nutritionist myself, I made sure to read the food labels thoroughly. I finally landed on Taste of the Wild kibble, where the first ingredient was real meat, and it also included antioxidant-rich fruits and vegetables, not to mention probiotics and Omega-3s. I would occasionally try to switch Stanley to a “healthier” alternative to kibble, like freeze-dried dog food from Stella and Chewy or human-grade dog food from The Farmer’s Dog, but he never liked them and they were expensive AF. It started to feel like a waste of money, and since he was happy with his grain-free kibble, I gave up my search for alternatives. Until recently… 

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I was at the vet for Stanley’s annual check-up and got scolded by the veterinarian for feeding him grain-free dog food. While I had recently heard about some studies that suggested dogs eating grain-free food were experiencing heart disease at a higher rate, I assumed some other factors were at play (exercise, food quality). The vet said that while they don’t know exactly why grain-free food is bad, it likely had to do with the fact that dogs have evolved tremendously over the last 10,000 years, alongside humans of course, who were eating grains the entire time (agricultural revolution anyone!?). Dogs were being fed human food scraps, so it’s safe to assume that over the last 10,000 years, dogs have also evolved to eat grains as well. Interesting.

That said, I left the vet office more confused than ever. I don’t take switching Stanley’s food lightly and I did a ton of research, ultimately landing on Sundays For Dogs, a human-grade, fridge-free, hassle-free dog food with quinoa (yes, grains!) that doesn’t contain potatoes or peas — two ingredients that may be linked to the grain-free issue. I still occasionally feed Stanley leftover salmon skins and other healthy scraps from the kitchen, like carrots and cucumbers (which he loves because they’re crunchy). But I’m still left wondering, what’s really the optimal diet for a dog? So, I turned to Dr. Angie Krause, DVM, CVA, CCRT, and consultant for holistic pet food brand “I and love and you.” She is a holistic veterinarian who honors a diverse set of pet care principles — incorporating traditional Chinese medicine, acupuncture, herbal formulas, and personalized diets into her practice.

Do dog probiotics actually work? If so, what are the benefits of adding them to a pet’s diet?

There is a growing body of research supporting the use of probiotics in dogs. Bacteria that lines the gastrointestinal tract of dogs can affect digestive health, immune function, and overall wellbeing. Probiotics can help increase the number of good bacteria and benefit your dog’s health in a variety of ways.

What diet would you recommend for a dog with food allergies?

The best diet for a dog with food allergies is a balanced diet free of Allergan (or whatever ingredient is triggering your dog’s allergies). For dogs with one-two allergies, this can be easily attainable. For dogs with many allergies, a hydrolyzed diet may be the best option. 

What are some easy, nutritionally balanced meals you can make for your dog at home — ideally using ingredients from the grocery store?

While it is possible to make easy home-cooked meals for your dog, it’s not possible to easily make a balanced diet simply from the ingredients in your kitchen. This is important because if your dog’s daily diet is not balanced appropriately, they will be missing vital vitamins and minerals that are essential for their health and wellness. 

Food allergies can cause myriad symptoms in dogs including ear infections, itchy skin, scooting, and stomach upset. When I suspect food allergies in my patients, I consider the following options to help pet parents identify the offending foods: an amino acid-based diet or a limited-ingredient, home-cooked diet — which is a more natural way of helping identify food allergens, plus preparing the diet in your kitchen helps prevent cross contamination.

There’s a big fuss about grain-free dog food being bad for heart health. What’s going on — do dogs need grain or is something else about that type of food causing heart issues?

When the pet food industry started mirroring the paleo fad in human diets, they eliminated grains in dog foods. In order to keep kibble crunchy, these ingredients were replaced with large amounts of legumes, like peas and lentils. This ingredient swap was never studied and may be implicated in causing a nutritional deficiency related to a heart condition in dogs.

Golden Retrievers seem to be more prone to develop this heart condition. However, reports of other breeds of dogs that are not genetically prone to this heart disease have been on the rise as well. It’s hypothesized that the large amount of legumes in the diet block the absorption or production of certain amino acids. This causes a heart disease that can sometimes be reversed with supplementation of  taurine, along with a change in diet. In summary, the fuss is less about grains and more about the presence of legumes in a dog’s diet. I go into more detail on grain-free foods on my blog.

My vet told me that game meat is more problematic for a dog’s digestion than chicken or beef. Is that true, and if so, why is that (I would think descendants from wolves would be built for eating game meat)?

I have not heard this or experienced this in practice. Venison is often used as a novel protein for dogs with food allergies. 

I was also told that protein size could have an effect on food allergies. What does that mean? 

Think of proteins like a pearl necklace. Each pearl is an amino acid. The longer the chain of amino acids, the bigger the protein. Bigger proteins are more likely to cause an immune reaction. With hydrolyzed diets, the amino acids are cut into smaller sequences making them less allergenic.

Editor’s Note: Plant-based diets for dogs are increasingly popular. Stay tuned for an upcoming feature about the vegan, sustainable pet food world.