In a recent assessment of hypotheses presented by Balk et al. (2009) regarding the etiology of a paralytic disease inflicting bird populations in Northern Europe, Sonne et al. (2012) “call for a major coordinated effort on research…” to “… integrate clinical, physiological, ecological and demographic investigations at all levels to better dissect the causes, the effects on ecosystems and potential impact on affected populations.” Further, they offer, “This should be undertaken before thiamine deficiency can be considered to constitute a serious problem to e.g. the Baltic ecosystems.” While we agree that holistic approaches to environmental research and management are essential, our experience suggests that waiting for definitive results from long-term research and monitoring programs prior to “consideration” of thiamine deficiency as a major factor in the paralytic disease observed in wild bird populations would hinder the ability of natural resource managers to understand and mitigate declining trends in avian population abundance.