“…Laminitis may appear as a primary condition, but it is more often secondary to rumen acidosis [ 9 , 10 , 15 , 42 , 81 , 86 , 87 , 88 , 89 , 90 , 91 ], in which the risk of lameness increases [ 26 , 66 , 71 , 92 ]. Fructans and glucose have been shown to increase lactic acid production, thereby increasing the risk of laminitis [ 93 ].…”