Rapid Diet Check for Vets 

A practical, 3 step nutrition triage you can do in minutes

Good nutrition sits under every metabolic, immune and gastrointestinal process you treat in practice. The challenge is doing a meaningful diet assessment when you are in the field and tight on time.

This page summarizes the three step Rapid Field Assessment from Dr Nerida McGilchrist (presented as an invited paper at AAEP 2025).

Need to check a diet right now?

Download the MyHappy.Horse App (available on iOS) and use the ‘Rapid Diet Check’ point of care tool for veterinarians.

Why a rapid nutrition check belongs in every consult

The Rapid Diet Check gives you a structured way to answer one key question quickly:

Is this horse fed in a way that could be contributing to the problem in front of me?

Modern feeding practices are strongly linked with:

  • Colic and hindgut dysbiosis

  • Equine gastric ulcer syndrome

  • Laminitis driven by insulin dysregulation

  • Behaviour change, poor performance and welfare issues

And, many vets report low confidence in doing full ration analyses in the field.

A rapid field assessment of a horse’s diet allows you to discover any major red flags during a a consult so you can give clear, evidence based advice on the spot, including recommending a more detailed diet analysis where needed.

Here it is as the 30 second version:

  1. Is the horse receiving at least 1.5 percent of bodyweight per day as forage? 

  2. Is total cereal grain intake less than 1 lb per 100 lb BW? 

  3. Is there at least one supplement, balancer pellet or fortified feed at an appropriate rate?

If any answer is “no”, nutrition is very likely contributing to the problem in front of you and is worth correcting as part of your treatment plan.

The 3 Step Rapid Field Assessment 

The Rapid Field Assessment is designed to be done in a few minutes, using information you can gather in any yard or stable.

For the full field assessment, you are looking at:

Step 1 - Forage and cereal grain

Step 2 - Body condition, weight trend and supplementary feed

Step 3 -  Product suitability and feeding rates

Step 1 – Forage and cereal grain

1. Is there enough forage?

Use the horse’s bodyweight and the owner’s stated hay allowance (or weigh it if possible).

Calculate:

hay fed ÷ bodyweight × 100  = percent BW as ha

Quick triage thresholds are:

A diagram showing four categories for grazing pasture: Too low, Acceptable, Ideal, and High, with corresponding percentages of BW hay and time durations, and illustrated with grass icons at the bottom.

Forage intake quick triage

  • Too low: Less than 1.5% of bodyweight (BW) as hay, or overgrazed pasture, or less than 12 hours on pasture with no hay.

  • Acceptable: 1.5–2% BW as hay, or 24/7 access to slightly overgrazed pasture, or less than 12 hours on pasture plus up to 1.5% BW hay.

  • Ideal: 2–3% BW as hay, or 24/7 access to pasture, or less than 12 hours on pasture plus more than 1.5% BW hay.

  • High: More than 3% BW as hay.

Why this matters: Adequate forage intake is a fundamental part of a healthy equine diet.

2. Is forage type and quality appropriate?

Most diets should be grass based, with legumes used strategically.

Use the hay quality graphic to align what you see with what the horse needs:

A chart comparing horses based on their health and exercise levels, categorized as Poor, Average, Good, and Prime. The chart lists characteristics of horses in each category, such as weight, work, and age, with a simple illustration of horse hair at the bottom of each section.

Forage quality guide

Poor

  • Very good to good doers

  • Overweight or obese horses needing to lose weight

  • Good doers needing gut fill and/or a boredom buster

Average

  • Good to normal doers

  • Horses with restricted exercise

  • Normal doers needing gut fill

Good

  • Normal to poor doers

  • Horses in work

  • Broodmares

  • Growing horses

  • Most seniors

Prime

  • Poor doers

  • Horses in hard work

  • Some seniors

  • Broodmares

  • Horses needing to gain weight

  • Or, can form a small part of any ration

3. Is there at least some forage variety?

Aim for at least two plant species in the forage.

Grass plus legume combinations support fibre and microbiome diversity, and therefore hindgut resilience

4. Is cereal grain amount acceptable?

Convert grain intake to pounds (or kg) per 100 lb (or 100 kg) bodyweight and compare with the cereal intake graphic.:

Amount of grain fed per day / (BW in lbs / 100) = lbs of grain per 100 lb BW

A chart showing different horse weight categories and their implications. Green indicates optimal weight, yellow signifies moderate to heavy work needs, orange represents very poor condition or high work demands, and red indicates excess weight with health risks.

Cereal grain intake quick triage

  • 0 lb per lb BW: Very good doers and good doers; any horse needing a low NSC diet (e.g. laminitis, PPID, PSSM); any horse needing to lose weight; horses in light work.

  • Up to 0.5 lb per 100 lb BW: Normal doers in moderate to heavy work; horses needing to gain weight; poor doers.

  • Up to 1 lb per 100 lb BW: Very poor doers (e.g. seniors with poor dentition); horses in very hard work (e.g. polo, racing); horses needing to gain significant amounts of weight.

  • More than 1 lb per 100 lb BW: Too much, and other means of meeting the horse's energy requirement need to be utilized.

5. Is the grain likely to be digested in the small intestine?

Poorly digested grain, even at moderate intakes, pushes starch into the hindgut and increases risk of acidosis, leaky gut and laminitis.

A three-column infographic comparing digestive qualities of grains. The first column, pink, indicates very poor digestibility with raw cereal grains and ground corn. The middle, orange, shows average digestibility with oats, steam-flaked, and micronized grains. The third, green, signifies good digestibility with extruded, popped, or boiled grains, illustrated with small green grain icons.

Cereal grain digestibility

Very poor digestibility

  • Any raw cereal grains with the exception of oats, including cracked or ground grains

  • Raw corn (maize) is particularly damaging and should be avoided

Average digestibility

  • Oats

  • Steam-flaked grains*

  • Micronized grains*

Good digestibility

  • Extruded, popped or boiled grains

* Micronized and steam-flaked grain digestibility varies according to the specific process used to make them. The higher the moisture and temperature used during processing, the higher their digestibility. Where limited to no additional water is used, and/or time kept at a higher temperature is short, digestibility remains average to poor.

Step 2 – Body condition, weight trend and supplementary feed 

1.     Body Condition Score (BCS)

Use the Henneke 1 to 9 scale[29]. Briefly, easily visible ribs (BCS <4), indicate the horse is thin, whereas hard to feel ribs and/or a neck starting to fill with fat (BCS>6), suggest excess weight.

BCS guide:

  • BCS 3: Too thin

  • BCS 4: Lean

  • BCS 5: Ideal

  • BCS 6: Ideal

  • BCS 7: Fleshy

  • BCS 8: Too fat

Diagram of a horse with different body condition score (BCS) categories, from 3 to 8, showing the body appearance and fat levels. BCS 3 is too thin, BCS 4 is lean, BCS 5 is ideal, BCS 6 is also ideal, BCS 7 is fleshy, and BCS 8 is too fat.

2. Is the horse losing, gaining or holding weight?

Determine current state of weight change; is the horse losing, gaining or holding weight.

Use historic weight measurements, the horse owner’s observation or your own periodic observations of the horse to determine weight change.

3. Does the calorie intake match the horse in front of you?

Broad triage:

  • Likely appropriate if

    • BCS is in the target range and weight is stable

    • Thin horse is gaining

    • Overweight horse is losing

  • Potentially inappropriate if

    • Ideal BCS but active weight gain or loss

    • Thin horse is only holding or still losing

    • Fat horse is holding or still gaining

Step 3 – Product suitability and feeding rates

Here you are checking if the vitamin and mineral supply makes sense.

Commercial products designed to meet vitamin & mineral requirements usually fall into three groups:

  • Vitamin and mineral supplements

  • Balancer pellets

  • Fortified feeds

All are formulated to meet requirements when fed at their intended rate. Underfeeding any of them means nutrient gaps. Overfeeding increases cost and, in some cases, risk of toxicity.

A simple way to check:

  • Convert each product to a fraction of its recommended rate

  • Add the fractions together

For example:

  • Product 1: fed at half the recommended rate → 0.5

  • Product 2: fed at half the recommended rate → 0.5

  • Combined: 0.5 + 0.5 = 1.0 → roughly 100% of intended combined rate

If the total is:

  • < 1.0 – likely vitamin and mineral deficiencies

  • > 1.0 – oversupply of some nutrients

  • 0 (no product) – major gaps, especially for horses on conserved or mature forage

How the MyHappy.Horse Rapid Diet Check helps

The Rapid Diet Check in the MyHappy.Horse app does all the heavy lifting for you and flags red and amber risks. You can discuss these risks with the horses owner and agree on next steps.

Get started

  1. Download MyHappy.Horse

  2. Open Rapid Diet Check for Vets 

  3. Enter details and review summary 

  4. Share with the horse owner and recommend next steps

Summary

The Rapid Field Assessment gives you a practical, three step structure to decide whether nutrition is likely to be helping or hindering the horse in front of you. The MyHappy.Horse Rapid Diet Check turns that structure into a quick, app based tool that helps you:

  • See the diet clearly

  • Communicate risks simply

  • Make better feeding recommendations with confidence

Use it alongside your usual clinical workups to bring nutrition into every case where it matters.