My Pit-bull Bronx tore his ACL and Healthy Paws was great then after about a year he was having trouble jumping and we thought it was his hips I called Healthy paws and they said no problem I tried supplements and held off for awhile but we needed to take him to the Vet. The good news was it wasn't his hip the bad news was he tore his other ACL. so the next day he was in surgery. Healthy paws came thru again. Bronx is still recovering and hasn't had his x-ray yet put his bill is paid an he shows no signs of pain Thank You Healthy Paws I would highly recommend Healthy Paws Pet INS.