By Dr Nicola Menzies-Gow MA VetMB Ph.D. DipECEIM CertEM(IntMed) FHEA FRCVS During this episode, Dr Nicola Menzies-Gow discusses pituitary Pars Intermedia dysfunction and the challenges horse owners face when treating the disease. Nicola talks through some of the reasons why you may see treatment failure with long-term treatments, on certain individuals, and options available to support the horse and owner. Diagnostics and some of the debates surrounding certain diagnostic tests, including testing for insulin dysregulation and ACTH, are also discussed.  If you have any questions or formulation list requests regarding this or other Bova UK podcasts then please email [email protected]