Horses with these conditions that develop laminitis should be removed from pasture. Other nutritional trigger factors such as hay and concentrate intake should be reviewed and diet revisions made, if necessary. The horse should be fed low-NSC hay at the rate of 1.5% to 2% of body weight. Alfalfa hay (lucerne) can be part of the diet during the acute stages. Chaff, beet pulp, and soy hulls can provide part of the fiber intake.
If weight loss is required, it is best to stabilize the horse medically before embarking on a weight-loss program with major caloric restriction. Now is not the time to feed just limited amounts of poor-quality grass hay, as the horse needs a balanced diet with all essential nutrients supplied. This can be accomplished by feeding an appropriate ration balancer at a rate of 0.5 kg to 1 kg (1 lb. to 2 lb.) per day to supply amino acids, minerals, and vitamins.
While there are no specific data on its use, some horse owners have tried providing increased amounts of biotin (15 mg to 30 mg per day), zinc, and methionine to support optimum hoof growth and quality. Increased hoof growth allows more rapid trimming and reshaping of the hoof in the event of coffin bone rotation. As oxidative stress is involved in the laminitis process, higher than maintenance intakes of vitamin E are recommended.