Dear Dr. James,

I just wanted to drop you a quick note to tell you how pleased we are with Sadie’s progress after her ACL surgery. Although we haven’t been able, due to time constraints, to follow your protocol to the letter, we’ve had great success. Sadie is now solidly on all four legs after 7 years (negligent previous owners) of lameness. It’s still too soon to let her run off the leash but she is trotting along at a good pace and doing great at hill climbing. We hope to get her out on the hiking trail for short hikes very soon after we check in with her vet and get his approval.

We were very concerned about Sadie’s recovery due to the length of time she’d been without the use of her leg. But thanks to Dr. Hawman and your booklet, we’ve got her up and running (almost). Thank you so much for your guidance.

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Lindsay Noisom

I downloaded your CCL rehabilitation information a while ago. Our dog did have surgery 5 weeks ago. I took the information to share with the vet doing surgery. He looked it over, said that he “doesn’t want anyone messing with his surgical repair and that dogs do their own physical therapy.” So… I listened to his comments with a grain of salt, and when my dog came home (we boarded him with the vet for the first 4 weeks, as we knew the only way we could keep him quiet was to have him heavily sedated – not an option in my mind) I began following your protocol. He is doing very well, getting stronger, and does not seem to have much pain. As a physical therapist, I know people don’t always follow our recommendations and often have poor outcomes, which they blame on the surgeon. I think you need to start the education process for vets in veterinary school. It’s difficult to get people to change when they feel what they have been doing is working Any way, thanks so much for the information.

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Elizabeth Gordon

When my 7 year old year old Yorkie had ACL surgery I was devastated.  I spent hours searching through the web for information on the recovery process but could not find anything satisfactory until I came upon the Top Dog Heath Website. It was a God send, the website not only had a depth of information but many testimonials on other dog owner’s experiences.

I downloaded the Home Rehabilitation Booklet and followed the instructions. I found the instructions and information most helpful and it helped my dog’s recovery. The website gave me a piece of mind and helped speed up my dogs recovery. This site is a must for any dog owner and is highly recommended.

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Wilton Tsang

This ACL post op guide was awesome. The instructions from my Vet were so minimal and conflicted with what the surgeon said to do the first time Harley ruptured his other ACL. My beagle lab mix just had a second ACL repair with suture like the first one that he recovered from completely. He didn’t rupture the second one for 4 years! He weighs 50 pounds and we are in week 7 post surgery. He is 7 years old. It is good to see he is progressing normally. This has been a long 7 weeks but I know time invested now will pay off for him later.

Thank you so much!

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Linda and Harley


Just wanted to let you know I am so glad Top Dog was recommended to me . The book on MPL has helped me alot . Ava is doing wonderfully .  The week by week guide is very easy to understand , we are on week four and Ava is walking and moving around very nicely with great range of motion, she thinks we are playing a game with the sit and stand exercises . Thank you so much for having a guide for the rehab at home .Also brought the  book with me to the follow up appointment and the Doctor was very impressed with your guide . Thank you again

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Eve and Ava

Thank you very much – I love your website and the “personal” feel I get from the follow-up emails and advice.  My dog required TWO surgeries as a result of a fall while hunting that dislocated his right hip.  The second surgery was necessary because the vet did not realize (during the first repair) that the head of his femur was fractured, so the mesh repair didn’t work and a FHO was necessary.

It’s been a long haul for sure (we’re approaching 3 months from the initial injury) but thanks to your brochure of physical therapy exercises we’ve been able to make progress and the other day he actually stood flat-footed and bore weight on the leg for the first time.  In addition to your therapy regimen, I found a place where we can do hydrotherapy as well.  So I’m optimistic that the combination will bring him back to a [relatively] normal state.  “D’Art” loves the GlycanAid supplements.  We’re still on our first bottle (I give him 1 morning and night) and I’ll continue the regimen after this bottle is gone.  I’ve also recommended it to a friend, whose dog has been having her own issues with her back legs and lower spine.

I’ve also recommended your website to a NUMBER of people.  (Including giving you credit in an article I just wrote about “D’Art’s Misadventure” for our Breed Club Newsletter.)  D’Art is a field trial and show champion – and GREAT hunting dog.  Our goal is to hopefully get him to a point where he can hunt again.  Maybe not field trial, but at least hunt – because he loves it so much and he is such a joy to hunt over.  I am so grateful for the guidance I’ve got from you.  I know it is helping.  THANKS!

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Lynda L. Kieres

Dr. St Clair,

I wanted to thank you for the product GlycanAid HA Factor. Roughly a year ago my 6 year Beagle, Tahoe, suddenly showed obvious problems with her back legs. Initially, we suspected a strain and provided her plenty of rest to heal. The problem worsen to the point where Tahoe could barely walk on her rear legs and most dragged her back end around until she could finally stand up. Having seen this I took Tahoe to our Vet and had X-Ray’s done and the diagnosis was the equivalent of an ACL tear in both legs, the right more severe than the other. I was provided with surgical options and
costs involved and the recovery procedure. Being the beginning of the winter months I consulted with our vet about the ramifications of delaying the surgeries until the spring for ease of recovery. This didn’t present an issue and our Vet’s recommendation was to watch her diet and prescribed pain killers for the bad days.

That day I became to search for options on the internet that may provide some relief and/or help in the recovering and rebuilding of Tahoes knees after surgery. Which is how I found I didn’t want to use the prescribed pain killers too often due to possible side effects, so after researching your product GlycanAid HA Factor I felt it was worth a try.

Began Tahoe on the 2 per day and continued this as directed and in a short period of time not only I saw the improvement in Tahoe’s mobility, but others did as well. After 2 full months, the improvement was astonishing, Tahoe was walking again with no dragging of either leg and begin to once again use the stair without any assistance.  Needless to say, I continued the GlycanAid HA Factor and her improvement continued as well. As of today Tahoe shows no signs of issues within her rear legs and is now not only walking but using the stairs (up and down), jumping on the bed and furniture
(no way she could do this a year ago) and again accompanies me on walks where we jog at times as well. After all the activity, again Tahoe shows no signs of pain and anyone meeting her for the first would never know the condition she was in a short time ago.

I have no doubt in my mind that GlycanAid HA Factor and the weight reduction were the reasons for her turnaround. Tahoe has come such a long way her surgeries were canceled and she is living a fun-filled active life again. I continue to buy GlycanAid HA Factor to this day and will do so for as long as I am a pet owner. My other dog is also taking GlycanAid HA Factor just as a maintenance preventative and I have recommended the product to several friends.

We feel very fortunate that Tahoe did not have to undergo the invasive surgery planned and has returned to her playful self. Thank you for GlycanAid HA Factor.
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Rodney Wells

Our dog Cali had FHO surgery last year…your information was a Godsend in helping us understand the steps to assist in making her recovery much easier!  She has less severe dysplasia in her “good” hip.  We give her Glycanaid HA and it makes a HUGE difference.   My daughter now gives it Rider, her elderly Lab. She was giving him another brand of joint supplement which didn’t seem to help much.  Since he as been taking the Glycanaid HA, we can’t believe the difference…he now runs up and down the stairs, and is able to jump on the sofa and bed…not sure if they’re happy about those improvements :)

 After seeing what the Glycanaid HA has done for Cali and Rider, my brother started giving Glycanaid HA to his two 13-year-old Labs.  They have seen some improvement in their dogs’ ability to get around, and they will keep giving it to them with the hope that they see further improvement.

Thanks again, and we’ll keep spreading the word about your products!

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Mary Ann Stroich

Thank you so much for your weekly guides for TPLO surgery.  My 10 year old Boxer had his TPLO surgery 2 1/2 weeks ago and your newsletter emails are such a help!  Very little was explained after the surgery other than to keep him crated.  Thank you – thank you – thank you!!  It’s good to have a planned outlined such as yours.  We receive the Glycanaid HA yesterday and both of my Boxers have started the supplements. They both LOVED them and I didn’t have to sneak them into cream cheese like everything else!

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