A Revised View on Equine Hypertriglyceridemia, Hyperlipidemia, and Hyperlipemia

Hypertriglyceridemia, also known as hyperlipidemia or hyperlipemia, affects equids of all breeds and ages, mostly secondary to a negative energy balance triggered by a disease process. Increased triglyceride concentrations (TG) have been described in well-eating equids with endocrinopathies, atypical myopathy, severe liver disease, and after treatment with sodium-glucose transporter 2 inhibitors. The fact that equids can have substantially increased TG without showing clinical signs prompted reevaluation of the clinical effects of hypertriglyceridemia. As long as the consequences of high TG are not completely understood, decreasing TG by establishing a positive energy balance, treating endocrine disease, or discontinuing medications is indicated.