Dock is a three year old Lab. Just had his birthday on April Fool’s Day. On September 12, 2013 he had TPLO surgery on his right hind leg. He had struggled with lameness issues for a nine month period prior to surgery. We tried several treatment options to try to determine the cause of his lameness. If wasn’t until we had the knee scoped that a cruciate ligament partial rupture became apparent. He never did exhibit the defining ”drawer movement” symptom.

We were home for two weeks post op when I accidentally found the Top Dog Health site and the wonderful TPLO Home Rehab Guide. This was such an amazing resource. It reduced personal anxiety, gave forward direction, things to avoid and how to do exercises the correct way. The support videos were incredible. Best of all was the interaction with Dr. J when a setback occurred.  At this point we ordered the GlycanAid HA supplement. Dock has been on it ever since.

We have had our challenges trying to get in enough walking outdoor this winter. The snow in Dock’s yard was over three feet deep at its lowest depth for most of the winter. We have done a lot of the exercises outlined in the guide in our rec room. The bone in Dock’s leg was healed by our twelve week visit. Since that time we have seen a certified rehab therapist to further assist in Dock’s recovery. Walking incorrectly to avoid pain for those pre-surgery months led to some compensation injuries.

We had our final planned program visit on March 31, 2014. The veterinary therapist measured his legs, watched him walk, and trot out. He had met the goals on the Recovery Check List.  “He strides evenly, no sign of a limp. If you took him in obedience classes now he would win.”Yahoo!

Thank you Dr. J for all your help and for developing this great supplement.  It has made a big difference in Dock’s recovery and he is so happy he has now been cleared to have supervised play with other dogs.

Thank you so much!
read more

5 star glycanaid review
Dock and Evelyn Elliott

Kayla is a beautiful German Shorthaired Pointer that has been extremely active all her life. Unfortunately, she’s had a few injuries over the years but never really slowed her down.

However, in October 2011, two days after the loss of my big boy, and Kayla’s brother Chilco to cancer, Kayla was tackled by accident by another dog while on our walk.  Kayla slipped, yelped and was hardly able to walk.  It turned out that she had torn the ACL in her left hind leg.  Her Vet was hoping is was only a partial tear and recommended full rest for my girl.  It became obvious that she was not getting any better so Kayla was referred to an orthopedic surgeon.  He diagnosed Kayla with a full tear of her ACL and partial tear of the meniscus.  The surgeon recommended the TPLO surgery, which I immediately agreed to.

When I got home, I wanted to educate myself more about ACL injuries and TPLO surgery.  That’s when I came across the TopDog Health website and was extremely amazed that Dr. St. James had a wealth of information and was also offering a “free” rehabilitation guide post TPLO.

I then read about his product, GlycanAid HA-Factor.  I really liked what I was reading about the product but decided to do more research about what else was being offered out there as a similar product.  Honestly, I was disappointed that I couldn’t find anything remotely close to this product in Canada.  After comparing many available products, I came to the conclusion that the GlycanAid HA-Factor was probably the best product I could find.  I decided to order some so I could start Kayla on it immediately after her surgery, which took place just before Christmas in 2011.

Kayla was 12 years old at the time and I had already had her on other type of joint supplement but never really noticed any real differences.  Of course, Kayla went through several months of rehab, hydro-therapy after her surgery, but when she started to walk without a limp, I should note that I followed Dr. St. Clair’s Guide to TPLO rehab, which Kayla’s surgeon was even impressed with!

I became a firm believer that GlycanAid HA-Factor was really helping her.  Her “old” joints seem to be like new and no longer bothering her after exercising.  For me, it was like a miracle and for Kayla it was like she was given a new life!  Kayla has been on GlycanAid HA-Factor since and I have no intent of stopping.  My girl turned 14 1/2 yrs a couple days ago and she still loves going for walks, swimming.  Of course, she’s slowing down and can’t jump in the truck anymore but I’m sure she’d be in worse shape if I wouldn’t discovered this amazing product. Kayla’s Vet is amazed how she’s doing right now considering her age.  Kayla is also on medication for hypo-tyrodism, liver and recently on heart meds because of her murmur getting worse but nothing is stopping her for enjoying life.  I made her a promise when she was 2 months old, that I would give her the best life possible, which includes the best care, nutrition and supplements available. GlycanAid HA-Factor is one of them!  Nothing but the BEST for my girl Kayla!

Thanks Dr. St. Clair for caring so much for our furry family members, and sharing your knowledge & expertise with us.
read more

5 star glycanaid review
Mike and Kayla
I love my TPLO book! We had his surgery done at our local vet by a traveling surgeon.  The rehab paperwork was lacking in any instruction other than PROM and keep him contained for 2 months. I didn’t think this made sense as I have recovered from an ACL surgery and thought my slow PT was so beneficial. Why wouldn’t that help a dog? Your book has been a great source for slow rehab. My dog is so happy to get out and have his exercise walks as he was getting a bit of “cabin fever”. His 1 month check up was very good and on track. He likes your supplement and eats it quite happily.
Thank you so much!

read more


Thank you so very much for your video on TPLO SURGERY (that’s how I found you) & your online booklet & weekly guidance as well as your products, love & support.  I am so very grateful for finding you. I found you the day before my 5 yr old Siberian Husky’s TPLO surgery & all info have been a godsend to me & my little girl.  She is right on schedule in her recovery & I JUST ordered (today) your joint supplement to help in her life journey. Thank you again so very much!
((( BIG HUGS )))

PS.. Thank you for your love & compation for animals… It’s a great thing.
read more

Penny Sharpe
Hi Dr James,
Thank for the Home Rehabilitation Guide it is an excellent guide, much more informative than any information/guidance I had from my Vet.   My vet was delighted with Rex’s progress after his TPLO operation, it was thanks to your guide and supporting e-mails.  It certainly was a time consuming and energy sapping time for me, but worth every second.   A year on and Rex has just had his annual Mountain climb to a height of 3,000 feet, he was scrambling over boulders and going down steep ravines just like a mountain goat, he loves it.   At the end of the walk he was tired but with such a sparkle in his ear and wide grin on his face that said thank you, and he was glad that he was still able to do the things he loved.  He has a slight limp in his rear leg, but that is due to the amount of ligament that had to be cut away, it doesn’t bother him at all.
Thank you once again!

read more

Rosemarie and Rex age 13 1/2

Dear Dr. St. Clair,

I just wanted to thank you for your TPLO pamphlet. SUPER helpful, and I wish I had it 6 weeks ago when my dog first had surgery. I’m working with Patti at the Canine Joint for my dog’s rehab, which is how I found out about you.

I could write a lengthy email about my experiences with the pitfalls and perils of rehab and what the surgeons don’t tell you, with humans and with canines, but I don’t have time at the moment. I just want to say you are SO smart to be putting out educational materials for free. An equivalent in the human world that I know of is the Hospital for Special Surgery.
read more

Cherry Arnold

Dear Dr. J,

On July 19, 2013, Kona had TPLO surgery on her right knee.  It was such a difficult decision whether to have this surgery or not.  This would be Kona’s third knee surgery (same knee!)  The previous two surgeries were unsuccessful.  Kona is an avid hiker, swimmer, and all around very athletic girl.  The pain she was experiencing indicated to us that TPLO was our final answer.  We knee the surgery would be a tough one, tougher than the previous two.  But we had no idea what was really involved until we got her home after four nights at the vet hospital post surgery.

Kona walked out of the hospital with a square shaved area on her rear from the epidural, a narcotic pain patch on her left rear leg, a sling, pain pills, anti-inflammatory pills and a list of rules and instructions.  Once we got her loaded into the back of the SUV, she then had a 2-1/2 hour drive home to our mountain community, curving roads and all.  She was in so much pain it was horrible to watch.  We got her settled in the house, but she wasn’t comfortable for days.  I spent the night on the floor with her trying to keep her comfortable.  Neither of us got much sleep.  I sure was questioning myself about doing the right thing for her.  She had no interest in food and not much in water.  I hand fed her for several days so that we could get her pills down her with something on her stomach.  Thank goodness I am retired and was able to just sit and care for my girl.  She needed that one-on-one care for about 7-10 days.  At about day three or four, I couldn’t stand watching what she was going through and after a very unsatisfying chat with the vet that did the surgery, I decided to go online and see what more information I could find about post TPLO surgery.  Thanks goodness I found Dr. J and Top Dog Health!  I immediately saw that this was a site that would help me and downloaded everything I could from him.  In the first video, Dr. J says “Take a deep breath, we are going to get through this.”  It was exactly what I needed to hear.  A vet that understood I was having trouble and fearful for my dog.  Dr. J took me through everything on what to expect, how to help her in every aspect.  I followed his instructions to the tee!  Not only did it help Kona, it helped me!  I was seeing progress and felt like I was an active participant in healing my dog.

Upon our first follow-up appointment with the surgeon, he was very pleased with Kona’s progress and told us to keep up the good work.  I told him the only reason we both survived the first four weeks was because of Dr. J and his instructions.  We started Kona on the Glycanaid-HA supplements at this point.  Her healing process seemed to speed up and she was using her leg more.  We were all housebound for the full eight weeks, no stairs, no running, etc.  Again, sure glad I was able to stay home and watch her every second.  At the eight week check-up with the surgeon, he of course x-rayed her and stated that her knee is completely stable and healing perfectly.  He stated “I wish all my patients were doing this well at eight weeks, keep doing whatever it is you are doing.”  I had printed up the materials from Dr. J’s site and recommended to him that he provide this thorough of a guide and information to all of his TPLO patients, it is what saved Kona and I.  He assured us that he would, and I truly hope that he does.  We needed this information up front, not finding it on my own.

As of today we are almost five months into Kona’s recovery time.  She still pulls her leg up occasionally when she trots, but bears full weight on it most of the time.  She hiked with me for two miles and did great!  She swims on a regular basis too, but no more bounding into the water, nice slowly emerging is the goal.  Because Kona is 7 years old, has had two previous knee surgeries, and some hip dysphasia on the right side, she will never be 100%.  We were just hoping to get her out of pain and able to continue to do the sports that she loves.  With TopDog Health and Dr. J, we have achieved that goal.  Words alone could never express our gratitude for providing the very best advice, video demonstrations, and joint supplement on the market. I am convinced that the outcome for Kona would not have been as positive without the help and guidance provided by TopDog Health.  I wish everyone that out there that is considering TPLO surgery for their pet, or has had it, contact Dr. J and TopDog Health now.  No matter how great the surgeon and/or vet, this program is the answer to an informative surgical decision and successful recovery!

Again Many Thanks for all that you have provided to our family!
read more

5 star glycanaid review
Mike & Deanne Johanson & Kona

I would just like to take a moment to thank you for your unmatched help in the recovery of my Boxer, Pago. He tore his ACL and Meniscus last January running in the snow.  He had TPLO surgery with some instructions; however, your information on your website was invaluable.  He and my other dog are both on GlycanAid.  You gave us step by step instructions to his rehabilitation and it’s one year later with no problems. Pago is 11 years old and is slowing down, but for a Boxer it’s unbelievable!  Thank you, thank you, thank you!!  We couldn’t have done it without your helpful website.  We live 2 hours from Seattle and required a ferry service to get to the clinic; so it was prohibitive for us to go there for rehab.  You gave us a workable situation at home.


read more

Deb Allen & Pago

Hello!  I am a veterinary assistant in a veterinary hospital, but my purchase was actually for my sister.  Her 4 year old lab mix had a TPLO procedure done and I wanted her to have some guidelines for at home care to help with the healing of her knee as she is a very active dog.  I thank you for having such a product available to help people help their animals.  Thank you.

read more