{"id":3031,"date":"2024-10-01T22:44:06","date_gmt":"2024-10-01T20:44:06","guid":{"rendered":"https:\/\/www.ngdcare.nl\/product\/uncategorized\/pain-protocol\/"},"modified":"2026-11-11T23:23:10","modified_gmt":"2026-11-11T22:23:10","slug":"pain-protocol","status":"publish","type":"product","link":"https:\/\/www.ngdcare.nl\/en\/product\/search-by-body-area\/search-by-complaints\/aging-animal\/pain-protocol\/","title":{"rendered":"Joint Support Trajectory"},"content":{"rendered":"
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QUICK SUMMARY<\/strong><\/p>\n

The Joint Support Program<\/strong> is a layered supplement program for dogs and cats, formulated for supple joints and the maintenance of healthy cartilage.<\/p>\n<\/div>\n

Why a program and not a separate supplement?<\/h2>\n

A joint consists of cartilage, synovial fluid?<\/span><\/span><\/span>, the capsule, and surrounding muscles. Cartilage contains no blood vessels and receives nutrients via the synovial fluid. Consequently, regeneration is slow. <\/p>\n

This program therefore combines different groups of substances: building blocks for cartilage, fatty acids for cell membranes, and substances for supple joints. For large breeds, you can start during the growth phase; for other dogs, from 2 to 5 years of age, depending on size. <\/p>\n

Four processes in and around the joint<\/h2>\n

A joint is much more than two bones moving against each other. How it functions depends on the cartilage, synovial fluid, surrounding muscles and nerves, and signaling molecules in the tissue. This program was developed from this systems biology perspective. <\/p>\n

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1. The cartilage<\/div>\n

Cartilage is the smooth layer on the ends of bones. It consists of a network of type II collagen?<\/span><\/span><\/span>, interspersed with water-retaining substances such as chondroitin sulfate?<\/span><\/span><\/span>. Cartilage has no blood vessels of its own, and therefore renews slowly. <\/p>\n<\/div>\n

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2. The synovial fluid<\/div>\n

Synovial fluid lubricates the joint and nourishes the cartilage. It contains hyaluronic acid?<\/span><\/span><\/span>, which gives the fluid its viscosity. During movement, the fluid is pressed in and out of the cartilage like a sponge. <\/p>\n<\/div>\n

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3. Muscles, tendons, and nerves<\/div>\n

Muscles and tendons keep the joint stable and absorb part of the load. Nerves in and around the joint communicate the joint’s position and movement. Regular, gentle exercise keeps this system in condition. <\/p>\n<\/div>\n

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4. Signaling molecules in the tissue<\/div>\n

Cells in the joint communicate via signaling molecules. Omega-3 fatty acids are incorporated into cell walls, and enzymes?<\/span><\/span><\/span> convert them into signaling molecules. PEA?<\/span><\/span><\/span> and boswellic acids?<\/span><\/span><\/span> are being researched in relation to these signaling pathways. <\/p>\n<\/div>\n<\/div>\n

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Why this order?<\/p>\n

The base layer contains building blocks for cartilage, fatty acids, MSM?<\/span><\/span><\/span>, and substances involved in tissue signaling pathways. You can then add PEA Complex and CBD oil, and finally a layer with substances for the immune system, the antioxidant system, and cellular energy. <\/p>\n<\/div>\n

How does the Joint Support Program work?<\/h2>\n

The program consists of three layers, with nutrition as the foundation. The ingredients are listed for each supplement. <\/p>\n

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N<\/div>\n
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Nutrition as a basis<\/div>\n
A fresh and varied foundation<\/div>\n<\/div>\n<\/div>\n

Oily fish provides omega-3 fatty acids, and cartilage and bone provide building blocks also found in the joint. A healthy weight reduces the load on the joints. <\/p>\n

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The basic advice<\/div>\n

Variation in fresh meat<\/strong> as a base: beef, chicken, lamb, game, fish, etc. Preferably raw (BARF, or Biologically Appropriate Raw Food, or KVV). Rotate protein sources regularly. <\/p>\n

20% pureed vegetables<\/strong> added to the meal: zucchini, spinach, broccoli, carrot, pumpkin, etc. Pureed and steamed, they are more digestible for dogs and cats. <\/p>\n<\/div>\n

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What to look out for<\/div>\n
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\u2713<\/span> Fresh food as the main diet<\/div>\n
\u2713<\/span> Rotating protein sources<\/div>\n
\u2713<\/span> Low in grain and starch<\/div>\n
\u2713<\/span> Few highly processed snacks<\/div>\n<\/div>\n<\/div>\n

Want guidance on switching to different food? Schedule an intake with Stefan Veenstra DVM via NatuurlijkGezondeDieren.nl<\/a>. <\/p>\n<\/div>\n

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1<\/div>\n
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Layer 1: Preventive feeding & Musculoskeletal system. Lifelong. <\/span><\/div>\n
Building blocks, fatty acids and MSM<\/div>\n<\/div>\n<\/div>\n

The base layer provides substances that occur naturally in the joint or are incorporated there. Mobility Support<\/strong><\/a> contains eggshell membrane?<\/span><\/span><\/span>, collagen type II, glucosamine?<\/span><\/span><\/span> and chondroitin sulfate. These are the same types of substances that make up cartilage and synovial fluid. Omega 3-Calanus Oil<\/strong><\/a> provides EPA?<\/span><\/span><\/span> and DHA?<\/span><\/span><\/span>, which are incorporated into cell walls, including those in the joint capsule. Enzymes convert them into different signaling molecules than those from omega-6 fatty acids. Joint Support<\/strong><\/a> combines green-lipped mussel, MSM, PEA, boswellia?<\/span><\/span><\/span> and coenzyme Q10?<\/span><\/span><\/span>. MSM is a source of sulfur, which is found in the sulfate groups of cartilage and helps retain water there. <\/p>\n<\/div>\n

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2<\/div>\n
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Layer 2: Cartilage & Connective tissue. Lifelong <\/span><\/div>\n
Signaling molecules and the endocannabinoid system?<\/span><\/span><\/span><\/div>\n<\/div>\n<\/div>\n

The second layer adds substances involved in signaling between cells and nerves in and around the joint. PEA Complex<\/strong><\/a> provides extra PEA and boswellia in addition to Joint Support. PEA is being studied in relation to mast cells?<\/span><\/span><\/span> and glial cells, which are involved in nervous system signaling. Boswellic acids are being studied in relation to the 5-LOX?<\/span><\/span><\/span> enzyme. CBD oil<\/strong><\/a> contains CBD from hemp. CBD is being studied in relation to the endocannabinoid system, the body’s own signaling system, which is also present in joints and nerves. <\/p>\n<\/div>\n

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3<\/div>\n
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Layer 3: Immunity, antioxidants?<\/span><\/span><\/span>, and energy<\/div>\n
Immunity, antioxidants and energy<\/div>\n<\/div>\n<\/div>\n

The third layer adds substances for the immune system, the antioxidant system and cellular energy. Liposomal Curcumin<\/strong><\/a> contains curcumin from turmeric, a polyphenol?<\/span><\/span><\/span> being studied in relation to signaling pathways in cartilage cells. Myco Immune Complex<\/strong><\/a> contains beta-glucans?<\/span><\/span><\/span> from four mushrooms, which are recognized by immune cells. The joint capsule also contains macrophages that carry these receptors. Liposomal Coenzyme Q10<\/strong><\/a> is part of energy production in the mitochondria?<\/span><\/span><\/span>. Cartilage cells live with little oxygen and are energy-efficient. <\/p>\n<\/div>\n<\/div>\n

How do you use the program?<\/h2>\n

Give the supplements twice daily for the first month. Thereafter, give them once daily. The dosage per weight is listed for each supplement. Consult your veterinarian if your pet is on medication, and never change medication yourself. <\/p>\n

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Do you have questions during the program, or want to tailor the schedule to your pet? Schedule an intake with integrative veterinarian Stefan Veenstra<\/a>. <\/p>\n<\/div>\n

Frequently asked questions<\/h2>\n
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At what age can I start?<\/h3>\n

For large breeds, during the growth phase; for other dogs, from 2 to 5 years, depending on size.<\/p>\n<\/div>\n

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Do I need to use all layers?<\/h3>\n

No. The base layer can be given on its own. If in doubt, please discuss via a consultation. <\/p>\n<\/div>\n

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Why give it for a longer period?<\/h3>\n

Cartilage receives its nutrients via the synovial fluid and renews slowly.<\/p>\n<\/div>\n

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Can this be used with medication?<\/h3>\n

Consult your veterinarian first.<\/p>\n<\/div>\n<\/div>\n

Why the NGD Care Joint Support Program?<\/h2>\n
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Feature<\/th>\nNGD Care<\/th>\n<\/tr>\n<\/thead>\n
Composition<\/td>\nA schedule with NGD Care supplements, in a fixed order.<\/td>\n<\/tr>\n
Human grade<\/td>\nWe use human-grade ingredients.<\/td>\n<\/tr>\n
Individual guidance<\/td>\nWould you like personal advice for your animal? This is possible via a consultation with Stefan Veenstra<\/a>. <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Scientific literature<\/h2>\n