# EMS Is Not Just For The Easy Keeper

Page: https://stenobird.com/podcast/the-equine-connection-podcast-3424653/ems-is-not-just-for-the-easy-keeper
Text version: https://stenobird.com/podcast/the-equine-connection-podcast-3424653/ems-is-not-just-for-the-easy-keeper.md
Podcast: [The Equine Connection Podcast](https://stenobird.com/podcast/the-equine-connection-podcast-3424653)
Published: 2026-03-04T13:00:00+00:00
Episode link: https://equineconnectionpod.podbean.com/e/ems-is-not-just-for-the-easy-keeper/
Audio file: https://mcdn.podbean.com/mf/web/xihqe9etrmm4t6pa/Tribute_EMS_4_March_FINAL6m2r6.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-equine-connection-podcast-3424653/episodes/ems-is-not-just-for-the-easy-keeper
Duration seconds: 1563

## Resource

Dr. Nicole Rambo and Sarah unpack equine metabolic syndrome (EMS), explaining that it’s not just a disease of overweight “easy keepers” but a form of insulin dysregulation that increases laminitis risk, even in lean or performance horses. They clarify its relationship to PPID and highlight steroid therapies as a common trigger that can temporarily worsen insulin sensitivity. Subtle warning signs, including mild hoof soreness and regional fat deposits, are often overlooked. The conversation emphasizes proactive testing, including fasted insulin, glucose, and oral sugar tests. They also outline practical feeding strategies focused on lower sugar and starch, higher fiber and fat to support metabolic stability. You can learn more about these topics by visiting our expertise page HERE If you have any questions or concerns about your own horse, please contact us HERE This podcast was brought to you by Tribute Superior Equine Nutrition

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## Transcript

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