Is it a food allergy or a food intolerance? Could it be environmental? In this podcast produced by Clinician’s Brief, Dermatologist Andrew Rosenberg (DVM DACVD) talks us through his step by step approach to tackling these cases in practice. He starts by explaining the difference between allergies and intolerances and how each presents. He goes on to discuss diagnostic methods and their reliability including food trials, serum testing and immunotherapy. Persuading owners to adhere to strict dietary trials is often a challenge – Dr Rosenburg gives some useful tips that can help encourage them. We hear how to combine medication with dietary trials and what information we can gain from each. Finally a word on raw and grain free diets and some recent evidence around their use.