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Gastric ulceration is common across all types of horses, although prevalence varies by breed, use, and training level. Thoroughbred racehorses are most commonly affected, but studies show 17–58% of showing and sport horses and up to 59% of pleasure horses may also develop ulcers. Symptoms can include colic, poor appetite, weight loss, poor coat condition, diarrhoea, behavioural changes, and reduced performance.