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Alzheimers
Doggie and kitty Alzheimer’s:
Can we prevent and treat cognitive disorder?


Most of us are familiar with Alzheimer’s disease, a devastating progressive neurological disorder that usually appears in older men and women. It is estimated that 45% of people over the age of 85 will develop Alzheimer’s disease, and death usually occurs within eight years of the initial diagnosis. Of course, some people develop Alzheimer’s at a much younger age, with an equally grim prognosis. The disease is so prevalent that doctors can diagnose Alzheimer’s with 85% to 90% accuracy prior to death, and researchers are working long and hard to prevent and reverse this tragic disease.

What you might not know is that a comparative disease occurs in dogs and cats. Called canine and feline cognitive disorder (“doggie and kitty Alzheimer’s”), respectively, veterinarians see it most commonly in older animals. It is estimated to affect 10 million to 15 million dogs and cats in the U.S. alone. The cause is not known. However, it appears that inflammation may have a role. Microscopically, beta amyloid plaques and neurofibrillary tangles (abnormal protein accumulations) occur within the brain, and its blood vessels become visible (as in people with Alzheimer’s). Ultimately, the brain lesions interfere with proper nerve transmission (especially of nerves which use acetylcholine).

The drug AniprylR has been approved for treating cognitive disorder in dogs; no medication is available for cats. While effective in some patients, the drug can have rare side effects such as restlessness, disorientation, confusion, vomiting, increased thirst, anemia, stiffness and lack of appetite. If effective, AniprylR must be used for the lifetime of the dog. Since the medication is expensive, people with older animals may prefer to look at alternative therapies.

Top signs of cognitive disorder in dogs and cats
• Deafness
• Lethargy/lack of energy
• Excess sleep (sleeps a lot during the day)
• House-training problems (usually urinating inside the house or outside the litterbox)
• Staring at the wall
• Occasional lack of recognition of the guardian
• Lack of awareness of surroundings
• Poor coat

While many different natural therapies (including antioxidants, ginkgo biloba, omega-3 fatty acids, and acetyl-L-carnitine) help dogs and cats with cognitive disorder to some degree, my favorite therapy utilizes choline (phosphatidylcholine) supplementation. In particular, the patented product CholodinR has shown to be beneficial for many pets. Cholodin contains choline, phosphatidylcholine, methionine and inositol. Recently, in an attempt to quantify response to the supplement, the manufacturer of the product provided funding for a study in dogs and cats. The results of these two studies are presented below.

Twenty-one dogs of various breeds were enrolled in the study: nine neutered males and 12 spayed females. The age of the participants ranged from 10 to 16 years of age.

At the beginning of the study, the dogs’ people were asked to identify any problems commonly associated with cognitive disorder. They reported the following abnormal behaviors:
• Deafness
• Lethargy/lack of energy
• Excess sleep (sleeps a lot during the day)
• House-training problems (usually urinating inside the house)
• Staring at the wall
• Occasional lack of recognition of the guardian
• Lack of awareness of surroundings

A blood profile including a T4 test was performed prior to the start of the study. Each pet was supplied with a two-month supply of Cholodin and instructed to administer it according to label directions. At the end of a 30-day period of treatment, the dosage was doubled if improvement was not seen.

The results were tabulated with the following scoring system. The animals were scored as having no response to the supplement, minimal response, moderate response (up to 50% better) and significant response (greater than 50% improvement in clinical signs.)

The results of the study indicated the following:
1 dog showed no response
5 dogs showed minimal response
4 dogs showed moderate response
5 dogs showed significant response
3 dogs were lost to follow-up
1 dog was euthanized for acute liver failure not related to cognitive disorder or the supplement

Two dogs, in the care of the same person, showed an exaggerated response and became quite hyperactive, causing the individual to stop the supplement. As a result, the two dogs reverted to showing signs of cognitive disorder, which the person involved felt was more desirable than the improved, hyperactive state.

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Published in the April/May 2005 issue of Animal Wellness

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