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Grain-free diets for dogs are becoming increasingly popular, but concerns are emerging following the FDA’s recent investigation that there might be a link between grain-free diets and DCM in dogs with no known genetic predisposition. Contrary to the majority of the public thought, dogs do nutritionally require grains, and there is rarely a medical reason to switch to a grain-free diet. Not all cases of DCM are linked to diet, and many dogs who are fed grain-free diets do not develop the disease; the extent of this issue therefore is not entirely known. This review aims to explore what is known about DCM and grain-free diets and discuss the issues in researching this potential tie. DCM is linked to grain-free diets mainly through inadequately low taurine levels, due to the grain-free substitutes that have skewed macro nutritional ratios and poor bioavailability.  Owning a dog offers many challenges and, in the modern day, technology allows for such a quantity of pet products to be advertised and available that it can be confounding to pick even a basic product: dogs’ food. With the pet market on the rise, businesses employing effective marketing strategies, and the pet food market guidelines scarcely being monitored, it is not surprising that fad and boutique diet types are flying off the shelves with little regard to short– or long–term effects on pets. Among the most popular of these are grain–free diets. However, evidence is emerging that these grain–free diets may not be as healthy as marketed, and in contrast may be causing a fatal disease, Dilated Cardiomyopathy (DCM), in dogs with otherwise no known genetic or environmental predisposition to the disease.

Reviewing the Potential Link between Grain-free Diets and Dilated Cardiomyopathy in Canines