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What constitutes a metabolic pull

Is there anyone on this list that can explain exactly what constitutes a
metabolic pull.  I realize that tying up and colic are metabolic pulls.
But what about if a horse doesn't recover w/in the 1/2hr criteria during a
vet check. Is that considered to be a metabolic pull, even if all the
other parameters hydration,cap refill,gut sounds,MM, and soundness the
horse gets A's and B's on.

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