So Equinety Horse XL is 100% safe to give with a Cushing's horse even giving medications such as Prascend or whatever else you might be giving your Cushing's horse. It is 100% safe. We have seen through the years that with some of the severe Cushing's horses it helps get rid of that barrel belly, maybe some of the crustiness. They will slick out and shed out faster. We have had some really great results with Cushing's horses.