NEW FOR AUTUMN 2026: POOR PERFORMANCE CLINICS with Drs. Mark Meter and Katie Snalune

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Did you know that over the past 10+ years of performing Gastroscopy clinics, over 75% of cases we scope have some form of Equine Gastric Ulcer Syndrome. All of the cases we gastroscope are showing some form of poor performance.

 

Poor performance is a multifactorial syndrome, commonly associated with subclinical disorders, that when added up together cause a behaviour change or loss of performance. Over 35% of the cases we scope also have musculoskeletal abnormalities, i.e. lameness/orthopaedic issues, and stay on at the hospital for further work-up.

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Whilst lameness and/or neurological issues are most common, medical disorders are also common, and their identification can be complex. It is frequent that failing to take a holistic approach to the horse and a multidisciplinary approach leads to failure to detect other accompanying subtle causes of poor performance and can ultimately lead to a poor response to Gastric Ulcer treatment if other causes of pain and poor performance are not addressed together.

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This is why this Autumn we have decided to upgrade our Gastroscopy clinics as we care about a holistic approach to the success of your horse or pony and only with an expert multidisciplinary team can you achieve the best outcome. 

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Poorly performing horses are mostly normal on physical examination, and the identification of underlying orthopaedic or medical issues requires dynamic tests. It can also be difficult to determine the contribution of each condition to the performance of your horse. 

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Musculoskeletal (lameness/orthopaedic) disorders are the most common cause of decreased performance followed by medical disorders such as respiratory diseases affecting the upper and lower airways, myopathies (muscle disorders), equine gastric ulcer syndrome and cardiac arrhythmias.

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In a recent study of medical causes of poor performance in Standardbred racehorses, 11.6% had a single disorder, 25.9% had two concomitant disorders, 37.4% had 3 disorders, 18.5% had 4 disorders and 5.8% had 5 disorders  (Lo Feudo et al. 2023). In other words, over one third of cases had 3 concurrent medical conditions. 

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Sadly, with the popularity of using multiple separate vets, there is often a breakdown in joined-up care, and the lack of knowledge of other causes of lameness or medical problems, can lead to failure of treatments. We want your horse to see experienced experts and that is why we have combined the expertises of Dr. Mark Meter and Katie Snalune in this all encompassing Autumn package. Dr. Mark Meter has nearly 30 year's experience in Competition and Sports horse performance. He regularly works at Chelmsford racehorse and works primarily on lameness and orthopaedic complaints in Sports horses in the South of England. Dr. Katie Snalune also has nearly 30 years experience and is a RCVS Recognised and EBVS European Specialist in Equine Internal Medicine. Whilst Mark concentrates on the lameness causes of poor performance, Katie will concentrate on the medical causes of poor performance, and together they can provide a holistic approach to get the best out of your horse or pony. 

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Once a month throughout the rest of 2026, Mark and Katie will be teaming up to offer this fantastic package.

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The package includes:

(Performed on Mondays)

DETAILED PERFORMANCE HISTORY

STATIC ORTHOPAEDIC EVALUATION

DYNAMIC ORTHOPAEDIC ASSESSMENT

FULL INTERNAL MEDICINE EVALUATION

Overnight stay 

(Performed on Tuesdays)

GASTROSCOPY

FURTHER WORK-UP AS ADVISED AT TIME (separate charges apply)

FULL WRITTEN REPORT

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ALL FOR £399 inc. VAT

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Clinic dates are as follows:

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24-25th August

21-22nd September

19-20th October

16-17th November

14-15th December

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For more information, call our helpful reception team on 01622 737884 and get booked in.

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Terms and Conditions  

• Payment is required in advance to secure your booking as places are limited.

• Prescriptions for medications can be provided or treatment can be purchased through KEH. 

• Treatment may be covered by your insurance policy; please bring insurance documents with you at the time of the appointment.

• KEH reserves the right to change the terms and conditions of this offer without notice. 

• KEH reserves the right to end this clinic early without notice. 

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