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We recently had our horses spring check-ups. I decided to do blood work for my mare since we've not done any since we've owned her (2 years). The vet called this week and said her CK level was high, not abnormally high, just above the normal range. Then he asked if I knew what "tying up" was. I've heard the term but not having a horse with the condition I didn't know specifics (I've since researched some on the subject). He said the higher level could have come from just her over-exerting herself in turnout or something. He will be mailing me the results so I've not actually looked at them but my concern is should I be alarmed at this? I did ask if there was anything I should do or look for and he starting talking about watching her for Cushings/PPID (which was a concern I had for my older gelding). She's never had an actual episode of tying up that I know of. She was a brood mare for the majority of her life prior to our ownership. She's just living the life of retired pasture pet now and she's not ridden. She's a pretty easy keeper with just pasture, hay, and a small amount of concentrated feed. She has always been somewhat stiff-moving off and on which myself, farrier, and another vet attributed to thin soled feet. I've read about the low carb/low sugar, higher fat diet that seems to help PSSM diagnosed horses and wonder if this is something I should look into just for a preventative? I guess I'm just wondering if I'm over-reacting to one test result or looking for something that possibly isn't there. Any thoughts?