09/04/2026
EPM. It can come in all shapes and sizes. Yes even EPM can present with masseter atrophy. One of the hallmark clinical signs of EPM is muscular atrophy. Obviously rule out other mundane causes of dysphagia such as TMJ pain and dental abnormalities. Nutritional myopathies such as vitamin E and selenium deficiency must also be considered. Adding high doses of vitamin E can markedly improve nerve and muscle function, thus treatment success rates. Call the equine team. We are here to help.