“How do I know for sure my horse really has EPM?” It’s the number one question Dr. Steve Reed from @roodandriddle hears about equine protozoal myeloencephalitis. Because so many horses carry antibodies, a blood test alone can’t confirm disease. True diagnosis depends on seeing the big three signs—ataxia, asymmetry, and atrophy—and comparing antibody levels in blood and spinal fluid. That’s why a spinal tap remains the gold standard for accuracy. #EPM #EPMhorse #EPMtreatment #horsehealth | TheHor