Provide adequate fresh water in a clean container daily. Sorry, you need to enable JavaScript to visit this website. (2006). Since no whole foods are being consumed, your gut also gets a break from food intolerances and irritants. Orders after 2 PM EST may be delivered the following business day. Studies have shown that home-cooked diets are often not nutritionally balanced; thus, to ensure nutritional balance, a home-cooked diet should be formulated by a veterinary nutritionist. An elemental diet is intended for people who have severe digestive problems including: People who have these conditions often have a damaged digestive tract, which causes trouble absorbing foods. When veterinarians recommend these formulas, its because they trust Purinas expertise. It comes in multiple flavors including vanilla, chocolate, and peach. Several elimination diet options exist, and strict compliance is needed.1,2 Although serum, intradermal, patch, saliva, and hair allergy testing are available for the diagnosis of food allergies, studies have shown they are not reliable in dogs and cats and thus cannot be recommended.1,3. We're here to help at 1-800-672-4399. Veterinary and other retail partners should remove and destroy the affected product from their inventory. Puigdemont, A., Brazis, P., Serra, M., & Fondati, A. Sometimes your healthy diet and lifestyle take a back seat during a vacation or over the Christmas season. *Using a standard 8 oz/250 ml measuring cup which contains approximately 124 g of EL Elemental Canine Formula. Ingredients : Corn starch, tapioca starch, dicalcium phosphate, partially hydrogenated canola oil preserved with TBHQ, glycine, L-Glutamic acid, coconut oil, L-Alanine, L-Aspartic acid, powdered cellulose, L-Lysine monohydrochloride, L-Arginine, L-Leucine, sodium bicarbonate, L-Proline, L-Serine, potassium chloride, corn oil, L-Valine, tricalcium phosphate, L-Threonine, DL-Methionine, L-Isoleucine, salt, L-Phenylalanine, soy lecithin, fish oil, L-Tyrosine, L-Histidine, inulin, L-Tryptophan, choline chloride, taurine, magnesium oxide, Vitamin E supplement, zinc sulfate, ferrous sulfate, manganese sulfate, niacin (Vitamin B-3), soybean oil, Vitamin A supplement, copper sulfate, calcium pantothenate (Vitamin B-5), thiamine mononitrate (Vitamin B-1), Vitamin B-12 supplement, riboflavin supplement (Vitamin B-2), pyridoxine hydrochloride (Vitamin B-6), garlic oil, calcium iodate, folic acid (Vitamin B-9), menadione sodium bisulfite complex (Vitamin K), Vitamin D-3 supplement, biotin (Vitamin B-7), sodium selenite. Feed Purina Pro Plan EL based on the dogs body weight When it comes to dog food, lots of pup owners have adog food brand preference. Bring the whole family out to Purina Farms for animal fun! It seems likely that they help with fungal overgrowths too. The elemental diet is a meal replacement formula that is hypoallergenic, anti-bacterial and anti-inflammatory. Or fastest delivery Apr 25 - 26. Furthermore, bags with these 8-digit production codes were impacted: If you do happen to have one of the affected products, Purina advises to immediately stop feeding them to your pet and throw it away in a container where no other animalsincluding wildlifecan obtain it. 2018: Gerontology: An inside out perspective, 2017: The nexus of pet and human nutrition, Prevent clicks on page when mobile menu is being shown, Do Not Sell or Share My Personal Information. Elemental diets are an effective therapy for a wide variety of gut imbalances. Probiotics, prokinetics (for some patients) and a low FODMAP diet can all be very supportive. *Nestl Purina PetCare Company will donate $1.00 to the American Veterinary Medical Foundation (AVMF) in support of its REACH (Reaching Every Animal with Charitable Healthcare) Program for each order placed on www.proplanvetdirect.com (the Website) between 1/15/23 and 6/30/23, subject to a maximum total donation of $200,000. Purina Pro Plan Veterinary Diets Digestive Health Bites Dog Treats, 16 oz., Case of 5, 5 X 16 OZ. Item is available for purchase online only. With EL Elemental, Purina researchers leveraged these learnings and formulated a diet that now gives veterinarians the flexibility to recommend an amino acid-based elemental diet for their patients, he said. Elemental diets also help IBD patients to prevent relapses of gut inflammation and autoimmunity. ELISA testing for common food antigens in four dry dog foods used in dietary elimination trials. Enteral nutrition in Crohns disease: an underused therapy. Comparison of outcomes parameters for induction of remission in new onset pediatric Crohns disease: evaluation of the porto IBD group growth relapse and outcomes with therapy (GROWTH CD) study. Its meant for people with serious health conditions and should be monitored by a health-care provider. There are two versions of the elemental diet, the full elemental diet and the semi- or half-elemental diet. Polymeric diet alone versus corticosteroids in the treatment of active pediatric Crohns disease: a randomized controlled open-label trial. Ive done it before, and so have many clients of Dr. Mike T. Nelsons. Nestl Purina Petcare Company Voluntarily Recalls Purina Pro Plan Veterinary Diets EL Elemental Dry Dog Food in the U.S. Due to Potentially Elevated Vitamin D. New Customer? When to Switch From Kitten Food To Cat Food? Fortiflora does not have any negative side effects observed or expected. Elemental diets usually last 2 to 6 weeks to allow healing or other treatment, depending on the condition. This condition can make it hard to eat, which can lead to weight loss and other problems. FortiFlora should not cause diarrhea. I also recommend adding a healthy oil, like MCT oil, to the shakes. Shop specialized and performance formulas with advanced nutrition. Questions & answers are typically posted within 24 hours, pending approval. Purina offers an array of dog food products, specially formulated to meet your dogs unique needs. Your doctor might suggest an elemental diet for 6 weeks to allow your esophagus to heal. There is a significant overlap between IBS and SIBO patients, with SIBO found in up to 78% of IBS patients [41]. No product order inquiries. Learn more about how Calming Care helps dogs maintain calm behavior on package labels or on this websites Calming Care page. Choose from Purina's solutions for a variety of health issues, including allergies, gastroenteritis, dental health, overweight management, joint mobility, kidney function, and more. Preliminary data shows that elemental diets can improve IBS, SIBO, and rheumatoid arthritis, and they may also be helpful for those with Celiac disease [36, 37, 38, 39]. July 30, 2020, Written by We fully recognize that dog owners who rely on PPVD EL Elemental are anxiously awaiting its return to market, and we are working hard to make this unique and life-changing formula available again within the next few months. This article contains scientific references. Purina Pro Plan Veterinary Diets EL Elemental Formula Dog You can download this resource as a PDF, share on social media or send this pages URL via email. Once again, theres a lot more observational data from clinicians here than research. There is no difference in how the diets are prepared and consumed. By subscribing to automatic shipments, you agree to the Terms of Sale including the subscription program terms and conditions. Rd.com, Courtesy Nestle Purina Petcare Company. The Dynamic Interplay between the Gut Microbiota and Autoimmune Diseases. The recall, first announced last month, relates. This liquid diet is very easily absorbed in your digestive tract and supplies all of your macronutrients and essential vitamins. What Purina dog food was recalled? Takagi S, Utsunomiya K, Kuriyama S, et al. arrowDown arrowLeft Well, theres little research looking at these. Sorry, you need to enable JavaScript to visit this website. Purina Pro Plan Veterinary Diets EL Elemental is an amino acid-based diet, formulated for dogs with food sensitivities. Hair and saliva test fails to identify allergies in dogs. The proteins are broken down into simple amino acids, and they have very little fat. A past food I was feeding my dogs gave one of them hotspots. Yes, it is possible to overdo exercise. It is a strict diet that is intended for medical use only. Immunologic responses against hydrolyzed soy protein in dogs with experimentally induced soy hypersensitivity. or more as an adult). An elemental diet may also ease symptoms of digestive disorders like: Some people are drawn to the elemental diet for weight loss. on automatic orders of eligible items on a schedule that is convenient for you. Shop Chewy for the best deals on Purina Dog Food and more with fast free shipping, low prices, and award-winning customer service. Mix up enough formula for 3-4 hours at a time. Established through decades of research and supported by a global network of scientists, each recipe is formulated to deliver advanced nutrition for your pet. Each diet is formulated specifically to meet unique nutritional needs, often with innovative ingredients backed by the latest research in pet nutrition. Eosinophilic esophagitis is a long-term (chronic) allergic condition in your esophagus, the tube that sends food to your stomach. Food getting stuck. If you are managing an inflammatory condition, its not unusual to have an occasional flare up. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. Learn More. Yes. Whether you have a puppy, adult or senior dog, you want to avoid grains or you prefer a natural dog food, we have something for everyone and every dog. Since its a very safe treatment [43, 44, 45], patients can simply do a trial of the elemental diet and see if it works for them. The elemental diet is a meal replacement formula that is hypoallergenic, anti-bacterial and anti-inflammatory. The dietary restrictions can also be challenging for parents and families of children on the diet.. According to a U.S. Food and Drug Administration (FDA) announcement, the voluntary recall affects 8 and 20-pound bags of Purina Pro Plan Veterinary Diets EL Elemental prescription dry dog food. Go To Homepage But remember, your gut has a strong influence on your immune system, and thus, anything you do to improve your gut health may help with autoimmunity [53]. (2) The Ruscio Institute is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites. Purina Pro Plan Veterinary Diets EL Elemental Formula Dog Food. Food allergy in dogs and cats: A review. Company Announcement. An elemental diet can help lower disease activity and improve your overall nutrition. It's our most advanced elimination diet yet. Explore Popular Dog Food Categories If dogs do exhibit these symptoms after having consumed this dog food, its important to contact your vet immediately. Get Started. Contact your closest emergency pet hospital. This episode includes research that answers once and for all, Is coffee good for you?. Polymeric enteral diets as primary treatment of active Crohns disease: a prospective steroid controlled trial. Elemental diets: An amino acid-based diet from Purina is a new tool for veterinarians to diagnose and manage adverse food reactions. Because of the change in food intake, an elemental diet can be very emotional. Verlinden, A., Hesta, A., Millet, S., & Janssens, G. P. J. Using an elemental diet as your only source of calories for 2-3 weeks often achieves results when other gut therapies have failed. Nestl Purina Petcare Company Voluntarily Recalls Purina Pro Plan Veterinary Diets EL Elemental Dry Dog Food in the U.S. Due to Potentially Elevated Vitamin D. New Customer? If the pet reacts and then improves again once the elimination diet is restarted, an adverse food reaction has been confirmed. Purina Pro Plan Veterinary Canine Diet EL Elemental 8 lb . Verma S, Brown S, Kirkwood B, Giaffer MH. Purina Pro Plan Veterinary Diets formulas play an important role in nutritionally managing dogs and cats with certain health conditions. Your price may change as provided in the Terms of Sale . I also recommend adding a healthy oil, like MCT oil, to the shakes. Manufacturer: Nestle Purina *Disclaimer - This image may not be an Nestl Purina PetCare has released a therapeutic dog food formulated to assist in elimination diet trials and the nutritional management of dermatological and gastrointestinal conditions. The elemental diet can be very helpful for quickly relieving inflammation and calming the immune system. And now, our progressive science has led to EL Elemental built with purified amino acids. You do not need a prescription for Purina Pro Plan Veterinary supplements. That's why we're proud to offer a full spectrum of performance and specialized nutrition formulas, including options that support healthy aging, reduce cat allergens, provide guaranteed live probiotics, and more. Purina Pro Plan Veterinary Diets EL Elemental Formula Dog Food is a quality food that contains purified amino acids that support dermatological and gastrointestinal health. A263921. The affected dry dog food was distributed throughout the United States by prescription only through veterinary clinics, Purina Vet Direct, Purina for Professionals, and other select retailers with the ability to validate a prescription. We will ONLY use your email to notify you in regards to your submission. * This fund is used to offset a veterinarians costs when they donate their time and services to help pets in need. Purina Pro Plan Veterinary Diets is committed to the health of every pet, especially those with unique nutritional needs. EL Elemental is built with purified amino acids.Its our most advanced elimination diet yet. For a prescription or to purchase Purina Pro Plan Veterinary Diets contact your veterinarian. Research clearly shows that both versions are equally effective [54]. Vitamin D toxicity may include vomiting, loss of appetite, increased thirst, increased urination, and excessive drooling to renal (kidney) dysfunction. Find a formula for your cat's unique needs & preferences. Tsertsvadze A, Gurung T, Court R, Clarke A, Sutcliffe P. Clinical effectiveness and cost-effectiveness of elemental nutrition for the maintenance of remission in Crohns disease: a systematic review and meta-analysis. Some underweight patients may actually gain weight on an elemental diet because they start to absorb nutrients better. One of the most effective therapies for gut healing is the elemental diet. Otley AR, Russell RK, Day AS. However, it is not recommended for dogs with severely compromised immune systems. Get Started, New Clinic? Jessica Kaplan became the Assistant Editor of Trends in 2022. Privacy Policy | Elemental diets consist of individual amino acids, similar to pediatric infant formulas for children with adverse food reactions. Nestl Purina Petcare Company Expands Voluntary Recall of Purina Pro Plan Veterinary Diets El Elemental Dry Dog Food in the U.S. Due to Potentially Elevated Vitamin D. Yes. Evaluation of the clinical and allergen specific serum immunoglobulin E responses to oral challenge with cornstarch, corn, soy and a soy hydrolysate diet in dogs with spontaneous food allergy. Prevent clicks on page when mobile menu is being shown, Do Not Sell or Share My Personal Information, Pro Plan Adult 7+ Bright Mind Chicken & Rice Formula, Pro Plan Adult 7+ Bright Mind Large Breed Chicken & Rice Formula, Pro Plan Adult 7+ Bright Mind Small Breed Chicken & Rice Formula, Pro Plan Adult 7+ Complete Essentials Shredded Blend Chicken & Rice, Pro Plan Adult 7+ Senior Complete Essentials Chicken & Rice Entre Classic Wet Dog Food, Pro Plan Adult 7+ Senior Complete Essentials Turkey & Rice Entre Classic Wet Dog Food, Pro Plan Adult 7+ Sensitive Skin & Stomach Salmon & Rice Senior Dog Food, Pro Plan Adult 7+ Sport Performance 30/17 Chicken & Rice Senior Dog Food, Pro Plan Adult Calm & Balanced Chicken & Rice Dog Food, Pro Plan Adult Calm & Balanced Chicken & Rice Small Breed Food, Pro Plan Adult Complete Essentials Shredded Blend Lamb & Rice, Pro Plan Adult Complete Essentials Shredded Blend Chicken & Rice. Allergies cause white blood cells to gather in your esophagus, causing inflammation and damage. | Cookie Settings. Even a half elemental diet (up to 50% of daily calories from elemental shakes) reduces gut symptoms and flares [18]. Drinking the formulas cold or making them into a smoothie with ice can help.. Diet elimination trials are the gold standard for the diagnosis of food allergies and food intolerances,1,2 considered adverse food reactions. according to instructions on the label. Please contact our team directly Monday - Saturday, 8am - 5pm CST at 1-800-345-5678 or via email at https://www.purina.com/contact- us for questions or assistance in getting a refund. Purina Pro Plan Veterinary Diets EL Elemental is an amino acid-based dry food containing omega fatty acids, vitamin A and zinc to support skin health and prebiotic fiber for the GI tract. Jackson, H. A., Jackson, M. W., Coblentz, L., & Hammerberg, B. Learn how to cancel, Nestl Purina Petcare Company Voluntarily Recalls Purina Pro Plan Veterinary Diets El Elemental Dry Dog Food in the U.S. Due to Potentially Elevated Vitamin D.Read More. This item is already on your Subscription schedule! EL Elemental is made with high-quality ingredients. These issues depend on the level of vitamin D and the length of exposure dogs experience to it. The same goes for veterinary and retail partners of Purina, who the FDA advises to remove and destroy the food from their inventory. We recommend our users to update the browser. Try Pro Plan today and discover what advanced . The following feeding program is recommended as a guideline only, with discretionary clinical adjustments for proper weight maintenance.FEEDING GUIDE. 1-800-MIDWEST; Reset Password; Sign Up; Log In; . special offers and other marketing communications from Purina Pro Plan Veterinary Diets and Purina and its brands. These formulas have been formulated to help veterinarians nutritionally manage dogs and cats with certain health conditions. (2006). Browse a wide selection of great-tasting treats, as well as litter. Purina is committed to the health of every petespecially those who have unique nutritional needs. Hydrolyzed protein diets for dogs and cats. Hear the warning New research reveals how natural health remedies, such as Vitamin D, omega-3s, mindfulness, and ketamine impact mental health and physical health. Purina offers an array of dog food products, specially formulated to meet your dog's unique needs. Effect of elemental diet on mucosal immunopathology and clinical symptoms in type 1 refractory celiac disease. Amino acid-based enteral diets may help reduce potential complicating factors inelimination diet trials, including sensitization to multiple allergens, failure to select novel proteins and persistent allergenicity of hydrolysates, Purina reported. Pet owners who purchased bags of the product listed above are asked to immediately stop feeding and throw it away in a container where no other animals, including wildlife, can get to it. These flares can cause symptoms like: If flares last a long time, you have a high risk for dehydration and malnutrition, especially if there is diarrhea.. 4 Many pet owners will have tried numerous diets prior to seeking veterinary care for their pet's potential adverse food reaction. Clinically, I have found elemental diets to be very effective for all of these conditions and even some others not mentioned in the research, such as reflux. Questions & answers are usually published within a day once approved. An elemental diet is a very restrictive diet that replaces foods and drinks with special formulas. The Impact of Exclusive Enteral Nutrition (EEN) on the Gut Microbiome in Crohns Disease: A Review. Purina Pro Plan Veterinary Diets EL Elemental comes in 8- and 20-pound bags. Purina Pro Plan Veterinary Diets formulas play an important role in nutritionally managing dogs and cats with certain health conditions. The original announcement was made on February 8, 2023. Read ratings and reviews so you can find the right Purina Dog Food for your pet. Learn more on package labels or on this websites NeuroCare page. Knight C, El-Matary W, Spray C, Sandhu BK. There fur is shiny and skin healthy. Per FDA guidelines for therapeutic pet food, you need a prescription forPurina Pro Plan Veterinary Diets. Sixty-five percent of patients in the same study experienced an improvement in their IBS symptoms. In these cases, an elemental diet can be helpful. Olaussen RW, Lvik A, Tollefsen S, et al. EL Elemental is made with high-quality ingredients. If signs such as weight loss, excessive drooling, vomiting, loss of appetite or increased thirst or urination have occurred in their dog while eating this diet, pet owners should contact their veterinarian. Manufacturer Item: 0038100191905. All you have to do issign up here(and renew each year). For your pets health, see your veterinarian regularly. Day AS, Whitten KE, Sidler M, Lemberg DA. Many SIBO patients have IBS symptoms, including diarrhea, constipation, bloating, cramping and abdominal pain. Hiwatashi N. Enteral nutrition for Crohns disease in Japan. The animal digest in FortiFlora comes from hydrolyzed pork liver and poultry. We dont yet have a lot of research into elemental diets and SIBO, one exciting study saw lactulose breath tests normalize in 80% of SIBO patients after two weeks on the elemental diet [40]. Nestl Purina PetCare has released a therapeutic dog food formulated to assist in elimination diet trials and the nutritional management of dermatological and gastrointestinal conditions. We recommend Purina Pro Plan Veterinary Diets HA Hydrolyzed Canine Formula (Vegetarian), please ask your Veterinarian about feeding this product. Is rheumatoid arthritis a disease that starts in the intestine? This can lead to malnutrition, dehydration, and other serious problems.. Elemental diets were developed as a medical food to treat patients with severe digestive issues. They love it and do great on it. Nestl Purina PetCare Company is voluntarily recalling select lots of Purina Pro Plan Veterinary Diets EL Elemental (PPVD EL) prescription dry dog food due to potentially elevated levels of vitamin D. Vitamin D is an essential nutrient for dogs; however, ingestion of elevated levels can lead to health issues depending on the level of vitamin D and the length of exposure. Purina Pro Plan EL provides effective support for dogs dermatological and gastrointestinal health. Most elemental formulas contain l-glutamine, an amino acid that has been shown to heal leaky gut syndrome [24]. Wet Dog Food, Major Breakthrough in Managing Cat Allergens. Elemental shakes are a quick and easy meal replacement. Changing the Conversation. Revolutionizing the Elimination Diet. Probiotics can also be a helpful follow-up to a gut reset. Kansal S, Wagner J, Kirkwood CD, Catto-Smith AG. Big bags, cases of cans, even litterno matter how heavy, shipping is free. Studies have shown that elemental diets are as effective as anti-inflammatory drugs like prednisone and help up to 80% of patients achieve remission [46, 47, 48, 49]. Consume elemental shakes exclusively for 24-48 hours and then restart your healthy diet. SIBO can be hard to treat because bacteria can become resistant to antibiotics and quickly grow back. All rights reserved. New Kitten Checklist: What Does a Kitten Need? Berni Canani R, Terrin G, Borrelli O, et al. Eight-pound and 20-pound bags of Purina Pro Plan Veterinary Diets EL Elemental dog food with the following UPC and production codes should be. The difference is in how completely the proteins in the formula have been broken down: either fully into amino acids or partly into whey protein. View Dr. Ruscios, DC additional resources. In 2020 this ingredient was renamed as liver flavor. Learn more about FortiFlora ingredients on package labels, or on this websites FortiFlora Canineor FortiFlora Feline pages. Purina Pro Plan is the most advanced nutrition for your pet's best life. Inflammatory bowel diseases (IBD) are autoimmune diseases that cause inflammation in your digestive system. Animal feeding tests using AAFCO procedures substantiate that Purina Pro Plan Veterinary Diets EL Elemental Canine Formula provides complete and balanced nutrition for growth of puppies and maintenance of adult dogs, including growth of large sized dogs (70 lb. . Or, perhaps the improvements were due to treating underlying SIBO, which is one reason that Celiac patients dont fully respond to a gluten-free diet. EL Elemental can be used to diagnose and nutritionally manage dogs with adverse food reactions. Pick a newer, better tasting formula as it will make sticking with the diet much easier. Again. (new Image()).src = 'https://capi.connatix.com/tr/si?token=38cf8a01-c7b4-4a61-a61b-8c0be6528f20&cid=877050e7-52c9-4c33-a20b-d8301a08f96d'; cnxps.cmd.push(function () { cnxps({ playerId: "38cf8a01-c7b4-4a61-a61b-8c0be6528f20" }).render("6ea159e3e44940909b49c98e320201e2"); }); While healthy amounts of vitamin D are beneficial and imperative to canine health, an excess can cause several health issues. I switched to the Pro Plan and it cleared right up. Too much bacteria in the small intestine can cause digestive problems like: These symptoms usually happen after you eat certain foods. ST LOUIS, Feb. 8, 2023 / PRNewswire / -- Nestl Purina PetCare Company is voluntarily recalling select lots of Purina Pro Plan Veterinary Diets EL Elemental (PPVD EL) prescription dry dog food due to potentially elevated levels of vitamin D. Vitamin D is an essential nutrient for dogs; however, ingestion of elevated levels can lead to health Sign up to automatically ship your next purchase so you never run out of food. Find honest and helpful reviews for Purina Pro Plan Veterinary Diets HA Hydrolyzed Vegetarian Dry Dog Food at Chewy.com. Long-term management of pets with confirmed food allergy or intolerance requires avoidance of the identified allergen or ingredient. Feeding treats, table scraps, flavored medications, supplements, or chew toys (such as rawhides) can compromise the elimination trial. The formulas used in an elemental diet usually come in liquid or powder form.. I have been feeding my dog this food for a while now. Try Pro Plan today and discover what advanced . As pet experts and pet parents ourselves, the health and well-being of pets is our top priority, and all necessary measures are being taken to ensure this error is never repeated. All rights reserved. Hydrolyzed diets contain proteins broken into small pieces that are less likely to elicit an allergic response even if the pet is sensitized to that protein. Use caution if you have blood sugar issues. Its sold as a powder that you simply mix, blend or shake up with water. Theres a lot of conflicting information about coffee. Nakahigashi M, Yamamoto T, Sacco R, Hanai H, Kobayashi F. Enteral nutrition for maintaining remission in patients with quiescent Crohns disease: current status and future perspectives. These special foods often have to be prescribed by your doctor. Learn more on the ForiFlora package labels. NeuroCare does not have any expected negative side effects. Ruemmele FM, Veres G, Kolho KL, et al. Mandal A, Mayberry J. Elemental diet in the treatment of refractory coeliac disease. Narrow esophagus. Nutritional therapy for the treatment of pediatric Crohns disease. (2019). Purina Pro Plan Veterinary Diets EL Elemental (PPVD EL) 8 lb and 20 lb bags. Xu H, Liu M, Cao J, et al. PURINA PRO PLAN VETERINARY DIETS EL Elemental Canine Formula Dry Dog Food, 8-lb bag - Chewy.com We're sorry, this item isn't available any more.
purina elemental diet
purina elemental diet
purina elemental diet