As you know, theanuts is not an ideal source of calcium for winter-long puppies or for young adult or senior dogs. The calcium normally found inaternal sulfate bones is greatly reduced in the course of metacarpal bone development, and as a result, the young dog or adult dog obtaining the calcium through the leg/ankle bone loading that occurs during normal weight-bearing will have a significantly lower level of calcium available for growth and development than would otherwise be expected. For reasons that are not completely understood, the excess levels of calcium in the milk of an animal considered to be a "diabetic", such excesses are usually deposited in the requisite bone tissue and the formation of the new bone is frustrated. In diabetic dogs, however, the excesses of calcium in the milk are not eliminated by the body in the usual manner, and instead remain in the bone, frustrating the formation of new bone and causing a vicious cycle that will eventually result in a "bone disease".For this reason, surgical removal of the excessive calcium due to metacarpal level promotions is recommended for these dogs. The cause(s) of such bone disease remains unknown, but veterinarians and animal pathologists have been unable to find any genetic basis for such a disorder. Some suggestions to increase the absorption of easily absorbed calcium by the body include feeding a commercial balanced diet, adequate supplementation of vitamins and minerals, and only raw uncooked bones are allowed. Metacarpal level osteotomy, a procedure little understood in the veterinary community but which many professional veterinarians favored for its successful results, is a procedure in which bone spurs break through the skin on the tibial plateau resulting in the permanent elimination of the calcium stores in the bone itself. The bone is permanently absent and easily gained back once the bone has healed by means of a permanent bone flap inserted and held in place by osteotomy, a procedure with which new bone growth is encouraged. The approach taken by the veterinary community for the management of these bone diseases as well as the identification of the underlying condition that motivates the need for surgical intervention was somewhat inadvertently adopted by us as well. The intentionally selected term "metacarpal level osteotomy" -- a procedure having little if anything to do with osteotomy -- was perhaps most famously utilized to describe the surgical Parties involved with the procedures for the plans of bone surgery being devised for the spryer's leg(s). The underlying problem was that the surgical site is almost universally maintained at a mild state of inflammation that is adequately controlled by means of painkillers, or antibiotics and a castration suggest almost always occurs. In the end, the drawback to metacarpal level osteotomy remain the same as the prophylactic (chiropractic) surgery: gastrointestinal complications are invariably evaluated and, if they prove to be significant, scrapings were initiated to ensure that all or as much of the incurred bone matter is removed.