PPID (Cushings) is one of the most common hormonal issues we see in older horses, but Australian data shows many cases are still slipping past owners. With around one in five horses over 15 affected, it’s far more widespread than most people realise. The challenge is that PPID doesn’t show up all at once, you need to keep a close eye on symptoms of problems with insulin and metabolic health to catch it early and keep these horses safe.