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Grain Free vs Grain Inclusive Dog Food: DCM Risk

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Written by Sarah

Let me be real with you — the grain-free dog food debate has gotten out of hand. On one side, you’ve got people acting like grain-free kibble is poison. On the other, brands pretending the FDA investigation never happened. Neither is helpful when you’re standing in the pet store aisle trying to figure out what to put in your dog’s bowl.

I’ve fed grain-free food to my own dogs. My Golden Retriever was on it for almost two years before the FDA reports started rolling in. That sick feeling when I read the first headlines? I remember it vividly. But after spending way too many hours reading veterinary research, talking to my vet, and actually understanding the grain free dog food DCM risk, I landed somewhere that surprised me. The answer isn’t as simple as “grain-free bad, grain-inclusive good.”

Here’s what the science actually says — and what it means for your dog.

The FDA Investigation Into Grain-Free Diets and DCM

Timeline of the FDA Reports (2018-Present)

In July 2018, the FDA’s Center for Veterinary Medicine dropped a bombshell. They announced an investigation into reports of dilated cardiomyopathy — a serious, sometimes fatal heart condition — appearing in dog breeds that don’t normally get it. The common thread? Most affected dogs were eating grain-free diets heavy in legumes and pulses.

Here’s how the timeline unfolded:

  • July 2018: FDA issues initial alert linking grain-free diets to DCM reports
  • February 2019: FDA releases updated data with 325 reports reviewed
  • June 2019: Major update — FDA names 16 specific brands for the first time
  • September 2020: FDA provides additional case data, now exceeding 1,100 reports
  • December 2022: FDA announces 1,382 total reports received, then effectively pauses public updates
  • 2023-Present: FDA says it will only issue new statements if meaningful scientific data emerges

That last part frustrates me. Over 1,300 reports, 119 confirmed dog deaths, and they just… stopped talking about it. The investigation isn’t closed. But it isn’t exactly active either.

Which Brands Were Named Most Often

In June 2019, the FDA published something unprecedented — they named 16 brands that appeared in 10 or more DCM reports. Only brands with 10+ reports made the list.

Brand Reported Cases
Acana 67
Zignature 64
Taste of the Wild 53
4Health 32
Earthborn Holistic 32
Blue Buffalo 31
Nature’s Domain 29
Fromm 24
Merrick 16
California Natural 15
Natural Balance 15
Orijen 12
Nature’s Variety 11
NutriSource 10
Nutro 10
Rachael Ray Nutrish 10

Important context: these numbers reflect reports, not confirmed causation. Some dogs ate multiple brands. Some reports didn’t name a brand at all. And more popular brands naturally get more reports simply because more dogs eat them.

But the pattern matters. Over 90% of the reported diets were grain-free. And 93% contained peas and/or lentils as primary ingredients.

Current Status of the Investigation

The FDA stopped issuing regular updates in late 2022. Their position: until there’s meaningful new science, they won’t comment further. They haven’t declared grain-free food safe. They haven’t declared it dangerous. They’ve essentially shrugged and said “we need more research.”

Meanwhile, the veterinary research community hasn’t slowed down. A 2025 narrative review published in the journal Veterinary Sciences confirmed that diet-associated DCM remains a real clinical concern, particularly with pulse-based formulas. And Tufts University’s veterinary nutrition team has been blunt — this problem hasn’t gone away just because the FDA went quiet.

What Is DCM and How Does Diet Play a Role

Dilated Cardiomyopathy Explained Simply

DCM is a condition where the heart muscle weakens and the chambers enlarge. Think of it like a balloon that’s been stretched too many times — the walls get thin, they can’t pump blood efficiently, and eventually the heart fails.

In dogs, DCM shows up as:
– Exercise intolerance (your dog gets tired way faster than usual)
– Coughing, especially at night or after lying down
– Rapid or labored breathing
– Loss of appetite and weight loss
– Fainting or collapse in advanced cases

The scary part? Early-stage DCM often has zero visible symptoms. My vet told me she’s caught it on routine echocardiograms in dogs whose owners had no idea anything was wrong.

Historically, DCM was considered a genetic disease — certain large and giant breeds were predisposed. Then dogs started showing up with DCM who had no genetic reason to have it. Golden Retrievers. Miniature Schnauzers. Mixed breeds. The common denominator kept pointing back to diet.

The Taurine Connection

Taurine is an amino acid that’s essential for heart muscle function. Dogs can synthesize taurine from methionine and cysteine (two other amino acids), so it’s not technically “essential” in the way it is for cats. But here’s where it gets interesting.

Some dogs on grain-free diets showed dramatically low taurine levels. And when those dogs were switched to grain-inclusive diets and supplemented with taurine, many recovered. Their hearts actually improved. That’s remarkable — and it’s a very different outcome from genetic DCM, which is usually a one-way street.

The working theory: certain grain-free formulas don’t provide enough of the building blocks dogs need to make adequate taurine. The pulse ingredients (peas, lentils, chickpeas) might also interfere with taurine absorption or synthesis. UC Davis has been at the forefront of this research, and their findings consistently show lower taurine levels in dogs eating pulse-heavy diets.

But — and this matters — not every dog with diet-associated DCM is taurine-deficient. Some dogs develop DCM on grain-free diets while maintaining normal taurine levels. So taurine is part of the puzzle, not the whole picture.

Legume and Potato-Heavy Formulas: The Real Concern

This is where most articles get it wrong. The issue isn’t that a food is grain-free. It’s what replaces the grain.

When manufacturers remove rice, barley, oats, and other grains, they need another carbohydrate source. Most turn to peas, lentils, chickpeas, and potatoes. In many grain-free formulas, these legumes appear as the first, second, and third ingredients — sometimes in multiple forms (pea protein, pea fiber, pea starch) that obscure just how much legume is actually in there.

The grain free dog food DCM risk appears to be concentrated in formulas where legumes and pulses make up a massive proportion of the total recipe. A grain-free food with moderate legume content and high-quality animal protein as the true primary ingredient is a very different product than one where peas are doing all the heavy lifting.

This distinction matters. A lot.

Breeds at Higher Genetic Risk for DCM

I have to talk about Goldens specifically because this breed pops up in the DCM data more than almost any other — and because I’ve owned them.

Golden Retrievers appear to have a unique vulnerability to taurine-related DCM. Compared to other breeds, Goldens seem less efficient at synthesizing taurine from dietary precursors. When you combine that genetic quirk with a pulse-heavy diet that may already be low in sulfur-containing amino acids, you’ve got a recipe for trouble.

The UC Davis veterinary cardiology team found that Goldens on certain grain-free diets had whole blood taurine levels well below the critical threshold of 150 nmol/mL. Normal range is 200-350 nmol/mL. Several of these dogs were already developing early cardiac changes before anyone noticed symptoms.

If you have a Golden Retriever, I’d be extra cautious with grain-free food. That’s not fear-mongering. It’s just acknowledging that this breed has a specific metabolic characteristic that makes them more vulnerable.

Other Predisposed Breeds

Beyond Goldens, these breeds have documented genetic predisposition to DCM:

High genetic risk:
– Doberman Pinschers (highest incidence of any breed — up to 58% prevalence)
– Great Danes
– Irish Wolfhounds
– Boxers
– Newfoundlands

Moderate genetic risk:
– American Cocker Spaniels
– English Cocker Spaniels
– Portuguese Water Dogs
– Scottish Deerhounds
– German Shepherds

Breeds unexpectedly appearing in diet-associated DCM reports:
– Miniature Schnauzers
– Shih Tzus
– Bulldogs
– Mixed breeds of all sizes

That last group is what really got researchers’ attention. When breeds with zero historical DCM risk start developing it, something environmental is going on. And diet kept coming up as the common factor.

How to Evaluate Your Current Dog Food

Reading the Ingredient Panel for Red Flags

Grab your dog’s food bag. Look at the first five ingredients. Here’s what I look for:

Green flags:
– Named animal protein first (chicken, beef, salmon — not “meat meal”)
– Whole grains or moderate legume content lower in the list
– Specific fat sources (chicken fat, salmon oil)

Yellow flags:
– Legumes in the top 3 ingredients
– Multiple forms of the same legume (pea protein + peas + pea fiber)
– “Meal” as the first ingredient with legumes immediately after

Red flags:
– Legumes as #1 and #2 ingredient
– More plant protein sources than animal protein sources
– Potato or sweet potato as a primary ingredient alongside legumes
– Ingredient splitting that disguises legume content

That ingredient splitting trick is sneaky. A formula might list “chicken” first, but then include pea protein, peas, pea fiber, and pea starch as separate ingredients. Add those together and peas actually outweigh the chicken by a mile.

Legume-to-Meat Ratio: What to Look For

There’s no official standard for this, but here’s my rule of thumb. Count how many of the first 10 ingredients are legumes or potatoes versus named animal proteins.

A safer grain-free formula might look like:
1. Deboned chicken
2. Chicken meal
3. Sweet potato
4. Peas
5. Chicken fat

That’s 3 animal-sourced ingredients to 2 plant carb sources in the top 5. Not bad.

A riskier formula:
1. Peas
2. Chicken meal
3. Pea protein
4. Lentils
5. Canola oil

Two of the top four are legumes, the only animal protein is a meal, and there’s no whole meat. That’s the kind of formula that worries me.

AAFCO Feeding Trial vs Formulated Standards

Here’s something most dog owners don’t know. There are two ways a food can meet AAFCO standards:

“Formulated to meet…” — A computer analyzed the recipe and calculated that it meets minimum nutrient levels on paper. No dogs actually ate it during testing.

“Animal feeding tests…” — Real dogs ate the food for at least 26 weeks. Vets monitored their weight, bloodwork, and overall health throughout. This is the gold standard.

The difference is enormous. A food can be “formulated to meet” standards and still cause nutritional deficiencies because nutrient availability on paper doesn’t always match what a dog can actually absorb from those ingredients.

Always check the nutritional adequacy statement on your dog’s food. It’s usually in tiny print near the ingredient panel. If it says “animal feeding tests” or “feeding trial,” that’s significantly more reassuring than “formulated to meet.”

Safe Grain-Free Options That Minimize Risk

What Makes Some Grain-Free Foods Lower Risk

Not all grain-free foods carry the same risk profile. Lower-risk options tend to share these traits:

  • Animal protein dominates — Named meat or fish as the first two ingredients, with legumes further down the list
  • Feeding trial validated — The company conducted actual AAFCO feeding trials, not just formulation
  • Established manufacturer — Companies with full-time veterinary nutritionists and quality control labs
  • Moderate legume content — Legumes present but not as primary carb sources; alternatives like sweet potato or tapioca used
  • Taurine-conscious formulation — Added taurine and adequate methionine/cysteine levels

3 Grain-Free Brands With Feeding Trial Data

If your dog genuinely needs grain-free food (more on that below), these manufacturers have completed AAFCO feeding trials and employ board-certified veterinary nutritionists:

1. Purina Pro Plan Sensitive Skin & Stomach (Salmon & Field Pea) — Purina has the research infrastructure to back their formulas. Their grain-free line uses salmon as the primary protein with moderate legume content. Feeding trial validated.

2. Hill’s Science Diet Grain-Free — Hill’s employs over 220 veterinarians and PhD nutritionists. Their grain-free recipes are feeding trial tested and include added taurine. They were not among the 16 brands named in FDA reports.

3. The Honest Kitchen Grain-Free Dehydrated — Completed comprehensive in-home AAFCO feeding trials spanning six months with eight dogs per trial. Human-grade ingredients with transparent sourcing.

I want to be clear: I’m not getting paid to recommend any of these. I’m highlighting them because they’ve invested in actual feeding trials — something most grain-free brands haven’t done. That extra step matters.

When Grain-Free Makes Medical Sense

Confirmed Grain Allergies (Rare but Real)

Here’s a stat that surprises almost every dog owner I talk to: true grain allergies affect less than 1% of dogs. Let that sink in. The pet food industry convinced millions of people that grains are bad for dogs, when in reality, the most common food allergens in dogs are beef, dairy, chicken, and wheat — mostly animal proteins.

Only about 0.2% of all dogs have any type of confirmed food allergy. Among those few, grains rank near the bottom of the allergen list. Your dog is far more likely to be allergic to the chicken in their food than the rice.

So when does grain-free actually make medical sense?

  • Your dog has a vet-confirmed grain allergy through a proper elimination diet (not a mail-in saliva test — those are unreliable)
  • Your dog has a specific medical condition that benefits from controlled carbohydrate sources
  • Your veterinary dermatologist has recommended it as part of a treatment plan

That’s basically it. “My dog seems to do better on grain-free” isn’t the same as a confirmed allergy. Dogs can “seem better” on a new food for lots of reasons — different protein sources, different fat content, or just the novelty effect.

Working With Your Vet on Elimination Diets

If you genuinely suspect a food allergy, here’s the right way to do it. Skip the grain-free aisle and go straight to your vet.

A proper elimination diet takes 8-12 weeks. Your vet will put your dog on a hydrolyzed protein diet or a novel protein diet — something your dog has never eaten before. During this period, your dog eats nothing else. No treats. No table scraps. No flavored medications if you can avoid it.

After symptoms resolve, you reintroduce ingredients one at a time to identify the specific trigger. It’s tedious. It takes patience. But it’s the only reliable way to identify a true food allergy. Blood tests and saliva tests for food allergies in dogs are notoriously unreliable — don’t waste your money.

If the elimination diet reveals a grain allergy, then yes — grain-free food is the right call. Just choose one from a manufacturer that’s done feeding trials and doesn’t rely on legumes as primary ingredients.

One more thing worth knowing: you can get your dog’s taurine levels tested. It’s a simple blood draw that your vet sends to a diagnostic lab — UC Davis and the University of Missouri both run taurine panels. Cost runs about $100-200 on top of the office visit. Normal whole blood taurine is 200-350 nmol/mL. Anything below 150 nmol/mL is critical. If you’re feeding grain-free and want peace of mind, this test is absolutely worth it, especially for Goldens and other at-risk breeds.

Frequently Asked Questions

Is grain-free dog food safe?

It depends on the specific formula. Is grain free dog food safe as a category? That’s like asking if all cars are safe — it varies enormously by product. Grain-free foods where legumes are minor ingredients and animal protein dominates are likely fine. Grain-free foods where peas, lentils, and chickpeas are the first several ingredients carry more risk based on current evidence. The safest approach is choosing a brand that’s completed AAFCO feeding trials and employs veterinary nutritionists.

What did the FDA say about grain-free dog food?

The FDA investigated a potential link between grain-free diets and dilated cardiomyopathy (DCM) starting in 2018. They received over 1,382 reports, including 119 dog deaths. The FDA grain free dog food warning named 16 brands that appeared most frequently. However, the FDA has not established direct causation and paused public updates in late 2022, stating they’d only comment again when meaningful new science becomes available.

Can my dog recover from diet-associated DCM?

Yes, in many cases. This is actually the encouraging part. Unlike genetic DCM, diet-associated DCM is often reversible. Dogs switched to grain-inclusive diets and supplemented with taurine have shown significant cardiac improvement — sometimes full recovery. Early detection is key. If your dog has been eating a pulse-heavy grain-free food and you’re concerned, ask your vet about an echocardiogram and taurine blood test.

Should I switch my dog off grain-free food immediately?

Don’t panic-switch overnight — that’ll just give your dog digestive upset. But yes, unless your dog has a diagnosed medical reason for avoiding grains, transitioning to a grain-inclusive food is the more conservative choice right now. Transition gradually over 7-10 days, mixing increasing amounts of the new food with decreasing amounts of the old. If you’re concerned about your specific brand, call your vet for guidance tailored to your dog.

Are grains actually good for dogs?

Dogs are omnivores who have evolved alongside humans for thousands of years. They’ve developed the enzymatic ability to digest starches and grains efficiently — it’s actually one of the key genetic differences between dogs and wolves. Whole grains like brown rice, barley, and oats provide fiber, B vitamins, and slow-release energy. For the vast majority of dogs, grains are not only safe but beneficial.

How much does it cost to test my dog’s taurine levels?

A whole blood taurine test typically costs $100-200 at diagnostic labs like UC Davis or the University of Missouri Veterinary Diagnostic Lab. Your vet will draw the blood (green-top heparin tube) during a regular office visit and ship it to the lab. Results come back in about 5-7 days. Given the potential stakes — especially for at-risk breeds — that’s a small price for peace of mind.


The grain-free debate isn’t going away anytime soon. But you don’t need to wait for the FDA to issue a final verdict to make a smart decision for your dog. Look at the ingredients, not the marketing. Choose foods backed by feeding trials. And if your dog doesn’t have a confirmed grain allergy, there’s really no reason to roll the dice on a legume-heavy formula when perfectly good grain-inclusive options exist. Your dog doesn’t care about food trends. They just need solid nutrition.

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