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We group breeding programs into three levels based on testing depth. Ask your breeder directly which level they meet.
A breeder at the Great level performs all mandatory tests plus 2 additional clinically recommended screenings that reduce risk in this breed.
In addition to mandatory tests:
Hyperuricosuria(HUU)
Nieren
Hyperuricosuria is an inherited metabolic disorder affecting the renal system, specifically how the kidneys process uric acid. Due to a genetic mutation, excess uric acid is excreted into the urine rather than being broken down. This high concentration can cause the acid to crystallize, leading to the formation of painful bladder or kidney stones, also known as uroliths.
Koerperfluessigkeiten · Passing: Clear or Carrier
Lysosomal storage diseases(LSD)
Stoffwechsel
Lysosomal storage diseases are inherited metabolic disorders where a dog's cells lack the specific enzymes needed to break down cellular waste. Without these enzymes, waste products build up inside the cells and cause severe, progressive damage to organs, particularly the brain and nervous system.
DNA · Passing: CLEAR
These levels are a comparison framework, not an official certification. They help compare breeding programs at a glance.
A complete checklist with every mandatory and recommended test plus identity and rearing questions — take it with you.
Open the full checklistFor breeders
Machine-readable mating rules, minimum ages, scoring schemes, and what's required for HonestDog verification — as a printable guide.
Example rule — Elbow Dysplasia
Both parents must be FCI 0 or OFA Normal or better.
We compile mandatory tests from official breed regulations and veterinary databases — and check every uploaded certificate for authenticity.
L1 = mandatory under breed-club regulations. L2 = recommended or clinically indicated. L3 = lower prevalence. Every assignment carries a source and confidence rating.
VDH-Zuchtordnungen, CIDD (University of PEI), OMIA (University of Sydney), curated veterinary input.
Uploaded certificates are AI-extracted and reviewed by our team for authenticity, date, and result.
2 tests are currently mandatory under the relevant breed-club regulations. The most common are Elbow Dysplasia (ED), Hip dysplasia (HD). Every test must be completed before mating, and the result must fall within the threshold defined by the regulation.
See breeders who have already uploaded their mandatory tests for verification.
View verified breedersHealth Testing Guide
Which tests are mandatory, how to spot responsible breeders — and what it costs when things go wrong.
For the American Bulldog we have compiled 2 mandatory and 2 recommended health tests, drawn from breed-club regulations, the University of PEI (CIDD), and OMIA — weighted by severity and heritability.
What this grade means
The American Bulldog receives a grade of C because, despite its robust build, the breed is prone to serious joint conditions such as elbow dysplasia (ED) and hip dysplasia (HD). Additionally, the hereditary skin disorder ichthyosis is a known risk that should be avoided through genetic testing of the parent dogs. Buyers must consistently insist on seeing official health test results to prevent the dog from suffering from chronic pain later in life.
Every breed is susceptible to certain inherited conditions. Just like humans, dogs inherit predispositions from their parents. Responsible breeders screen their breeding dogs for these conditions and make informed mating decisions to reduce the risk passed on to puppies.
No — but it's the strongest tool we have. Diet, exercise, environment, and genetics all contribute to whether a dog develops a condition. When breeders use the right tests to identify risk in potential parents, the likelihood of many conditions appearing in the puppies drops significantly.
There's no one-size-fits-all here. For the American Bulldog we track 2 mandatory tests plus 2 additional recommended ones. The specific tests and passing thresholds are detailed further below.
Keep in mind
Reliable screening tests still don't exist for many hereditary conditions, and tests for complex polygenic conditions are not always predictive of severity in the puppies. Even so, they're a powerful tool used by every responsible breeder.
There are two main types of health tests:
Screen the dog's DNA for known disease-causing mutations. Can be performed from puppyhood and give a binary result (clear / carrier / affected).
Clinical and imaging exams like X-ray, ultrasound, or ophthalmoscopy. They show how a predisposition actually manifests — usually only conclusive after 12–18 months.