Best CBD Oil For Dogs With Hip Dysplasia

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Learn about hip dysplasia in dogs and how CBD can help, with CBD Success Stories & Testimonials from happy pet parents! 17 Best CBD Oils for Dogs with Hip Dysplasia

Hip Dysplasia: CBD Success Stories

We know our dogs have the time of their life running around, jumping, fetching, playing with other dogs. That’s why hip dysplasia in dogs can be so scary. Oftentimes by the time they are taken to the veterinarian, it’s usually because their activity level has already significantly decreased, they struggle to jump on the couch or run around like they used to, which is a worry for their quality of life. The good news is that there’s a lot we can do to make our dogs comfortable and ensure they still have a great quality of life.

Table of Contents

What is Hip Dysplasia in Dogs?

In order to fully understand the detrimental effects of hip dysplasia (also referred to as Developmental Dysplasia of the Hip or DDH) and weighing out the available options, it’s important to understand what hip dysplasia actually is.

Dysplasia is derived from Greek words meaning “bad formation.” Basically, that’s the description in a nutshell. Bad formation. If you take a look at the hip, you’ll see the hip is a ball-and-socket joint. The head of the femur bone is the ball. The groove on the pelvic bone (acetabulum) is the socket. When the ball doesn’t fit snug inside the socket, damage starts to occur. The bones grind together partially because the fit isn’t snug, but also because the cartilage is continuously being worn down.

This isn’t usually immediately seen. Dogs instinctively hide pain, so they aren’t likely to show it until it’s to the point where they are struggling. Once a dog is showing the pain more obviously, the cartilage has typically already been worn and the muscles have been strained. In severe cases of hip dysplasia, dogs may experience decreased mobility, arthritis in their joints, and a degree of lameness generally in their hind end.

The Cause of Hip Dysplasia in Dogs

Hip dysplasia is genetic, it’s hereditary and for many dogs, it’s just a matter of age and time. Hip dysplasia is also more commonly found in larger breeds due to the speed of their growth and the effects of weight on their ball and socket. Not all dog breeds are prone to hip dysplasia, but those that are can experience a great deal of pain by the time they are showing their symptoms.

Recognizing the Signs of Hip Dysplasia in Dogs

If you aren’t sure if your dog has hip dysplasia, it’s best to consult with a holistic veterinarian to obtain a diagnosis, but the most common symptoms include the following:

  1. Activity levels slowing: Dogs with hip dysplasia who were once active may appear to be too tired to get up. You’ll likely notice a significant decrease in activity levels over time. Your dog might sleep more and have less of an urge to go fetch the stick or play her favorite ball game.
  2. The stairs are too much: This is one of the top complaints when a dog lover brings her dog into the veterinarian’s office. My dog can’t get up the stairs or stops walking halfway through the journey. The inflammation can cause a decreased range of motion in your dog’s ‘ball and socket.’ You may also notice your dog’s hesitation or lack of ability to jump into the car or jump onto your bed as well.
  3. Weakness in the back legs: Depending on how bad your dog has instinctively allowed hip dysplasia to become, you may notice her back legs giving out from under her. Over time, the wear and tear from the bones rubbing against one another may result in your dog’s ball and socket not working at all. This results in inflammation and pain and/or the inability to use one of her back legs.
  4. Trouble Getting Up: You may begin to notice your dog has lost the ‘pep in her step’ and now has trouble getting up on her own. It may take her a few extra moments or she could struggle for a significant duration of time depending on the severity of the condition.

Conventional Options: NSAIDs to Reduce Inflammation

Traditionally, a veterinarian would recommend NSAIDs to reduce painful inflammation, but these carry a wide range of side effects. For some dogs, the disadvantages of NSAIDs outweigh the advantages. Dogs who take conventional anti-inflammatory drugs may experience vomiting, lack of appetite, depression, stomach ulcers, diarrhea, kidney failure, and/or liver failure.

Alternative Options: Glucosamine, Chondroitin, and CBD For Hip Dysplasia in Dogs

Chondroitin and Glucosamine are excellent for assisting with inflammation, but unfortunately, we have yet to find a consistently reliable source we can recommend. All the supplements we have found thus far have not been high in purity and will therefore be less effective.

You may ask yourself, “Is CBD good for dogs with hip dysplasia?” The answer is yes! Full Spectrum CBD oil for dogs with hip dysplasia is a side-effect free, safe option for your dog.

Inflammation is the root cause for hundreds of issues. Any time you (or your pet) experience chronic pain, arthritis, allergies, anxiety, pancreatitis (or any diagnosis ending in “itis”), diabetes, autoimmune diseases, IBD, and other GI issues– it is inflammation that causes the symptoms to worsen, or even the cause of the issue itself. Full spectrum hemp extract (CBD) has been proven to shorten the duration and frequency of inflammation-related issues including hip dysplasia, arthritis and joint pain, seizures, pancreatitis, allergies, anxiety, diabetes, Cushing’s Disease and other autoimmune diseases.

Full Spectrum CBD is also great for reducing pain. Cannabis has been used as an effective analgesic dating back thousands of years. One of the ways it does this is actually by changing the way their central nervous system communicates the sensation of pain to our brains.

CBD ‘talks to’ specific receptors in a dog’s body to help reduce the inflammation caused by the wear and tear, and damage of the ball and socket joint (and other joints you may not be aware of being damaged). In CBD’s ‘talk’ with a dog’s body, the receptors, pain is also reduced significantly.

How Much CBD Should You Give a Dog With Hip Dysplasia?

The amount of Full Spectrum CBD for dogs with hip dysplasia depends on how difficult it is for your dog to get around and your dog’s pain level. Start with a daily 9-18mg of CBD for dogs with arthritis. For our Ease tincture, this is about 1-2mLs (1mL contains 9mg of CBD), a standard eye dropper full. Remember also that CBD remains in the bloodstream for about 6-8 hours. For this reason, we recommend splitting your daily dosage into 2-3 doses.

If you don’t notice a difference in one to two weeks, try increasing the dosage. You can increase by another 9-18 mg, until you see results. You’ll know you found the correct dose when you see your dog run faster, jump higher, and become puppy-like again.

If your dog’s optimal dose is higher than 35mg of CBD a day, you may want to consider our Heal tincture. This tincture has 37mg of CBD per 1mL. Instead of giving 4mLs of Ease to achieve 35mg of CBD, you would only give 1mL of Heal, daily.

Take Action Now

The sooner you take action, the more successful the outcome with be, and the less damage your dog inflicts on their joints. This is particularly true for large-breed dogs. Since they are more prone to hip dysplasia, it’s definitely a condition to watch for. Look for symptoms so you’re able to take action swiftly. We want to make sure we help as quickly as possible to allow our pups to live longer, happier, and healthier.

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Success Stories

Belle

Belle was always an active dog. Her owner, Sandra describes the now 12 year old shepherd, wolf hound as one who loves to run fast, play hard and hop around the fields behind their house.

Like many dogs, as Belle got into her senior years her pet parents started to notice some changes in her mobility. Her hips started to show signs of weakness and discomfort and after a few triggering events, she began to lose her mobility faster and faster.

Unfortunately, some breeds, no matter how well loved and cared for, can be prone to certain degenerative diseases. German shepherds, a breed from which Belle certainly takes some genetic heritage, are prone to issues with the hind quarters. Hip dysplasia in dogs is extremely common and often leads to a debilitating pain and loss of mobility.

After using numerous other hemp products before for her dogs, Sandra talks about some of the reasons she believes CBD Dog Health’s EASE and HEAL have worked so much better for her dogs. First of all, these products are all full-spectrum.

“I like the fact that it’s full spectrum, I get that. It’s like with whole foods versus a single vitamin. when you get the whole food you can think of it like a whole orchestra playing. But if you just take like vitamin C, it might just be like a certain section of the orchestra playing and it doesn’t sound as good when you really want the whole orchestra working together to create the best music. “

After just a short time using EASE and HEAL CBD oil for arthritis and hip dysplasia, Belle started loosening up and growing more comfortable doing some of the activities she used to love. She was able to walk further, play longer and enjoy her time with her sister Pups.

“The less pain she’s in, the more I can exercise her the more the muscles can kind of get a little stronger. So my goal for her was to try and increase a little bit of that muscle mass that we initially lost because of the slowness or the degenerative disease.”

Belle is now getting back to her normal self and feeling a pep in her step again, without the pain from inflammation and pain in her back legs.

“The only thing I wish is that, I would have had it a little bit earlier for Belle, you know? So as soon as symptoms started, I would have been able to start to help her because then I think it’s easier for the body to heal itself.”

Tater

Tater, an adorable Chihuahua, has two luxating patellas and hip dysplasia in both hips. To add to it, he also has arthritis. Tater was barely able to walk when he was brought in by his foster parents. The effects from his health were so severe he barely had an appetite.

The recommendation? Tater was provided with 1 mL of HEAL 1100 mg Full Spectrum Hemp Extract CBD for hip dysplasia once daily each morning.

When we asked the foster parents how he was doing, the update was sensational. Tater is now able to walk, AND RUN, without pain! His foster family added his appetite has increased and his arthritis has improved. Before the CBD for hip dysplasia was introduced, his quality of life was extremely low. He is now soaking up the simple, but BIG, joys in life, as he continues to take HEAL daily.

Miss Daisie

14 year old Black Lab, Miss Daisie, could barely use her back legs prior to starting CBD for hip dysplasia and pain. What was her recommendation? A full drop of HEAL in the morning and another full dropper at night. She was provided a heavier dose than average due the severity of her pain each day.

“She could barely use her back legs and was dragging them behind her – although she wanted to be part of the pack, she could barely keep up. She is given a dropper full of HEAL in the am and PM. Its a heavier dose but she was also suffering from a tumor and was in a lot of pain. Today she can run, play, and even jump on the couch.”

The success stories shared with us are critical to understanding how much CBD can change your dog’s life. From severe pain to the ability to willingly and happily play, run, and jump? We couldn’t be happier.

Do you have your own CBD Success Story after using our products? Submit your pet’s CBD Success Story here!

17 Best CBD Oils for Dogs with Hip Dysplasia

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If your dog is struggling with hip dysplasia, you may be looking for ways to help relieve their pain. CBD oil has been shown to be an effective treatment for many conditions in dogs and may be able to help with hip dysplasia as well.

In this article, we’ll take a look at 17 of the best CBD oils for dogs with hip dysplasia.

EVN CBD Tincture

Honest Paws CBD

Innovet CBD Oil

NuLeaf Naturals Pet CBD

Green Roads Pet CBD Oil

Charlotte’s Web Hemp Extract

PureKana Pure Pets CBD

Cannanine™ Ultra-Premium Broad Spectrum Hemp CBD Oil

Cornbread Hemp CBD Oil for Pets

Relievet Pet CBD Oil

Can I give my dog CBD oil that’s made for humans?

The short answer is, yes. CBD sourced from hemp is legal to purchase online, and there are many companies that sell it for human consumption that also produce CBD oil for pets.

The best thing to do is check the ingredients list on the bottle of oil you’re considering buying. You need to ensure that the CBD oil was extracted from hemp plants grown legally in the United States because that ensures that the oil is free of THC.

Also, find out if the company you’re considering buying from tests their products for contaminants like mold and other potentially harmful chemicals to ensure that it’s safe for pets. Once you’ve done due diligence on both counts, then it’s okay to give your dog CBD oil made for humans.

How much CBD oil should I give my dog?

The best dosage for your pet depends on their weight and the severity of their condition. A good rule of thumb is one drop of CBD oil per 10 pounds of body weight.

If you’re using a dropper bottle, this means you’d start with a single drop and increase if necessary until you see beneficial results.

If your pet is on other medications, talk to your vet before adding CBD oil. It’s also important to note that many vets are not knowledgeable about the use of cannabis products for pets and may advise against it. As more research becomes available, this could change, but at present, it’s best to be cautious.

Are CBD products safe for dogs?

Yes, CBD oil is safe for dogs. It’s also safer than many conventional treatments since it doesn’t contain the addictive properties of opioids or the over-sedating effects of benzodiazepines.

However, before giving your pet any cannabis product, including CBD oil, you need to do your research. Only purchase CBD oil that’s been extracted from hemp sourced in the United States, organically grown if possible, and free of contaminants.

Since there are still unanswered questions about CBD oil for dogs, it’s best to start with a low dose and work your way up until you see beneficial effects. Monitor your pet for any changes in behavior or appearance, especially before and after meals.

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If you have any concerns about your pet’s health or their reaction to CBD oil for dogs, contact your vet immediately.

What is hip dysplasia in dogs?

Hip dysplasia is a common genetic condition in dogs that leads to an abnormal formation of the hip joints. This leads to pain, inflammation, and arthritis, which worsen over time if left untreated. It’s more common in certain breeds, including German shepherds, Labradors, basset hounds, and golden retrievers.

How does hip dysplasia in dogs get diagnosed?

The most common way to diagnose hip dysplasia is with a series of x-rays. In some cases, your vet might also recommend blood tests or an MRI scan to rule out another condition causing the symptoms.

Are there any treatments for hip dysplasia in dogs?

There’s no cure for hip dysplasia, but it can be managed with medications and surgery.

Medications

Strong painkillers like tramadol or buprenorphine can help manage the symptoms, but they’re not a long-term solution due to the side effects.

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as Rimadyl and Metacam, can also help manage pain and reduce inflammation.

Surgery

A surgery called a triple pelvic osteotomy (TPO) is recommended in cases where hip dysplasia causes arthritis that interferes with mobility. This surgically reshapes the pelvis and removes any arthritic bone surfaces in order to restore mobility.

CBD oil for dogs with hip dysplasia can also help manage the symptoms, without side effects common to conventional medications for pets.

What are the benefits of CBD oils for dogs with hip dysplasia?

CBD oil is an excellent treatment option for pain and inflammation in animals that suffer from arthritis or other joint-related problems like hip dysplasia. It also has anti-anxiety effects which can help your pet cope with any anxiety related to their condition.

Here are some other benefits of using CBD oils for your dog:

● CBD oil has anti-inflammatory and analgesic properties which can help reduce pain and inflammation in dogs with hip dysplasia.

● CBD oil is also a natural antioxidant that can protect your pet’s cells from damage.

● CBD oil may also help improve your dog’s joint mobility and flexibility.

How do I use CBD oil for dogs with hip dysplasia?

CBD oil should be administered orally, twice a day. The best dosage depends on the weight of the dog and the severity of their condition, so it’s a good idea to consult your vet for the right dosage.

CBD oil should not be used on dogs under 3 months of age, pregnant or nursing dogs, dogs with liver or kidney disease, and dogs taking certain types of medications.

Are there any side effects of CBD oils for dogs with hip dysplasia?

CBD oil is considered safe for most pets, but there are some side effects that you should be aware of before using it. The most common ones include diarrhea, fatigue, decreased appetite, and changes in activity level.

These symptoms typically disappear when the dosage is reduced, or treatment is stopped. If your pet experiences any side effects when using CBD oil, contact your vet.

You can also keep an eye on your pet for any changes in behavior or appearance, especially before and after meals. If you have any concerns about your pet’s health or their reaction to CBD oil for dogs, contact your vet immediately.

Is CBD oil or hemp oil better for dogs?

CBD oil and hemp oil are both made from CBD-rich hemp plants, but there is a difference between the two. It’s important to know this because CBD products for dogs may contain varying concentrations of CBD depending on how they’re produced, so it’s essential you choose the right one.

Hemp oil contains low levels of CBD, so it’s not an effective treatment for pets with hip dysplasia.

CBD oil contains high concentrations of pure CBD and has the potential to treat your dog without causing any side effects. However, keep in mind that there are no scientific studies on using CBD oil for dogs with hip dysplasia, so consult your vet before starting treatment.

An alternative to CBD oils for dogs with hip dysplasia?

CBD oil isn’t the only way to treat your dog’s condition, though it is a safer choice than conventional medications. A great alternative to CBD oil is turmeric because it has anti-inflammatory properties and can help manage pain in pets.

Turmeric

Turmeric can help reduce inflammation, which is one of the most common symptoms associated with hip dysplasia in dogs. This powerful herb has been used in alternative medicine for years and works great with dogs that have arthritis or hip dysplasia.

How does turmeric work?

Turmeric contains curcumin, one of the main active ingredients that provide antioxidant and anti-inflammatory benefits. Curcumin protects your dog’s cells from damage caused by free radicals.

As an added benefit, turmeric has been shown to improve blood flow in dogs with hip dysplasia. It is recommended to give turmeric to dogs orally, at a dosage of 100 mg per 10 lb of body weight twice daily. You can mix it with your dog’s food and they will love the flavor.

Check out the 17 best CBD oils for dogs with hip dysplasia below:

1. Penguin CBD Oil

Image courtesy Penguin CBD

Make your dog happy and relaxed with Penguin CBD oil! This product is made from non-GMO hemp that’s grown in Oregon, Colorado. Every batch goes through rigorous testing for quality assurance so you can be sure it’s the best option for CBD oils for dogs with hip dysplasia.

2. Everest Full-Spectrum CBD Oil

Image courtesy Everest

Everest’s potent CBD oils are made with high-grade, naturally grown hemp. These non-psychoactive plants provide the benefits of cannabis without any psychotropic effects – making them perfect for dogs with hip dysplasia.

3. Verma Farms Salmon CBD Oil

Image courtesy Verma Farms

Verma Farms is a top name in the CBD industry. Though best known for their gummies, this brand has crafted all sorts of products that promote health and wellness – from pet tinctures to skin serums.

They offer full lines at affordable prices so your furry friend will be happy too! For smaller dogs who don’t need an intense dose, their lower dose will do just fine. For the larger dogs, maybe grab the larger dose of salmon CBD oil.

4. Medterra Pets CBD Tincture

Image courtesy Medterra

Medterra’s CBD pet tinctures are formulated with your furry friend’s needs in mind. These organic, all-natural flavors will keep them feeling their best! With 99%+ pure ingredients, you can use this product without worry.

5. EVN CBD Tincture

Image courtesy EVN

Why not give your furry friend the best CBD oil pet treatment around? With absolutely no THC and a lack of side effects, EVN’s natural tinctures are perfect for both humans and pets alike.

For those who have been looking to find non-psychoactive options in their wellness routine without giving up on any effective properties that can help them live a more vibrant life full of energy! And don’t forget about their vegan-friendly dog treats as well – they’re made with high-quality organic ingredients too.

6. Honest Paws CBD

Image courtesy Honest Paws

With so many CBD oil options on the market today, it can be difficult to know which one is best for your dog. However, you don’t have to worry about finding an excellent product because Honest Paws offers a high-quality tincture that promotes calmness in dogs and comes with 30 days of satisfaction guaranteed or you get your money back.

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7. Holistapet CBD

Image courtesy Holistapet

With a full spectrum of natural plant compounds, Holistapet’s CBD tincture is formulated specifically for pets. It lacks THC – meaning there are no psychoactive properties or hallucinogenic effects. The product comes in different strengths depending on your pet’s weight.

8. cbdMD Paw CBD

Image courtesy cbdMD

Would you like to give your dog a happy and healthy life? If so, CBD oil from cbdMD is sure to make them feel great. The high-quality ingredients in these pet tinctures will help ease their hip dysplasia symptoms. cbdMD offers five concentrations to ensure you get the right measurement of CBD for your dog’s size.

9. Innovet CBD Oil

Image courtesy Innovet

Innovet has created a CBD tincture for dogs that not only provides hip and joint relief but also promotes internal balance. The unique formulated full spectrum golden hemp oil is sourced from organically grown plants to ensure quality standards are met in addition with third-party lab results confirming its safety!

10. NuLeaf Naturals Pet CBD

Image courtesy NuLeaf Naturals

NuLeaf Naturals’ Pet CBD is made with high-quality, full-spectrum cannabidiol oil that will help your furry friend feel his or her best. Whole-plant extract offers the full scope of cannabinoids and terpenes which makes it beneficial for both human health as well as animal wellbeing.

11. Green Roads Pet CBD Oil

Image courtesy Green Roads

Green Roads offers premium CBD drops for dogs of all shapes and sizes. All tinctures are dairy-free, corn-free and soy-free. The company also formulates their pet prescriptions with broad-spectrum cannabidiol (CBD) combined with an MCT oil base which makes them easy on digestion too.

12. Charlotte’s Web Hemp Extract

Image courtesy Charlotte’s Web

Charlotte’s Web has formulated a high-quality tincture that’s designed just for dogs. This CBD contains whole-plant hemp extract, which includes the full spectrum of cannabinoids from U.S.-grown plants – all without any flavor added.

13. Joy Organics

Image courtesy Joy Organics

Joy Organics just released their premium organic CBD pet tincture made for dogs and cats! This formula contains only two ingredients- CBD extract, with powerful terpenes and cannabinoids that will support your pup’s health, plus olive oil. Broad-spectrum extract means it has everything you need to calm down or energize any furry animal friend in need of care.

14. PureKana Pure Pets CBD

Image courtesy PureKana

Your dog will love the bacon taste of this CBD oil. Made in certified GMP facilities and organic by PureKana’s standards. These premium pet drops are made with full-spectrum hemp seeds as well. Not only does it have an excellent flavor but also provides 500 mg worth for each bottle you buy so that Fido can feel better than ever before too!

15. Cannanine™ Ultra-Premium Broad Spectrum Hemp CBD Oil

Image courtesy Cannanine

Cannanine’s pet tinctures can help ease many common problems, including allergies and mobility issues. Cannabinoids are full-spectrum extract that offers unparalleled botanical support for your dog’s health and wellness with no THC – free ingredients!

16. Cornbread Hemp CBD Oil for Pets

Image courtesy Cornbread Hemp

Your furry friend will be happy with this delicious, organic CBD oil from Cornbread Hemp. The brand is committed to providing safe and natural products for pets alongside our signature vegan corn dog flavoring!

17. Relievet Pet CBD Oil

Image courtesy Relievet

Relievet’s premium CBD oil is made with the finest Colorado grown hemp, and it comes in four different strengths (based on weight). The natural terpenes plus fatty acids will keep your dog feeling his best.

How to Choose the Best CBD Oils for Dogs with Hip Dysplasia

If you’re looking for the best CBD oil for dog hip dysplasia, it’s important to know what you’re looking for. A high-quality tincture will have the desired effect, but only if it meets all of your criteria.

Here are some things to look out for:

Full Spectrum or Broad Spectrum

Full-spectrum CBD products are also more likely to be organic and vegan than other options. However, these products will be slightly more expensive because they contain a full profile of all the ingredients.

Broad-spectrum CBD oil is made from hemp extract and contains only trace amounts of THC. This option may be a better choice for those who have specific health concerns or don’t want to experience the psychoactive effects of CBD oil.

Isolate

While full-spectrum CBD products are the best choice when it comes to pain management, anxiety relief, and overall wellness, some pet owners may want to go with an isolate instead. Isolate is pure CBD extract that has been isolated from all other cannabinoids for purity purposes.

For pets with sensitivities to certain ingredients, like THC or terpenes, an isolate might be the best choice. However, an isolate is not as effective for pain management or other wellness concerns because it does not contain other helpful ingredients.

Price

An inexpensive CBD oil may seem like the best choice at first, but that does not mean it is the best quality. You get what you pay for with CBD oil, and it’s worth investing in a high-quality product to ensure your furry friend has the best chance of recovery.

Trustworthy Companies

Look for companies that provide clear and user-friendly labeling so you know exactly what you’re buying and what you’re giving to your pet.

Ideally, the company should also test their products for purity and potency before putting them on the market to ensure they’re safe and effective.

Flavor

Dogs are picky eaters by nature, but that doesn’t mean they want an unpleasant-tasting CBD oil product either. If you’re committed to giving your pet the best life possible, you’ll want one of the best CBD oils for dog hip dysplasia that they actually enjoy.

The good news is that these products come in a variety of flavors, from peanut butter to beef and bacon. No matter what your pet’s favorite flavor is, there will be a match on this list.

How Safe Are CBD Oils for Dogs?

Because CBD oil is a relatively new product, there isn’t a lot of information out there about how it affects pets. However, CBD oil is generally safe and non-toxic to dogs when they receive the correct dosage. In most cases, it’s even safe for cats.

It’s also important to note that CBD oil is not a miracle cure. Most of the products on this list will work best for older dogs who have been experiencing pain, discomfort, and arthritis symptoms for some time.

It can take up to two weeks or more before CBD has an impact, though most owners report positive changes by the end of the first month.

Final Thoughts on CBD Oils for Dogs with Hip Dysplasia

CBD oil is a great option for dogs who are suffering from hip dysplasia. Not only does it decrease pain and inflammation, but CBD also has the potential to increase cognitive function so you don’t have to go through life worrying about your furry friend’s health.

It’s important to know that not all CBD oils for dogs with hip dysplasia are created equally. With so many options on the market, it can be difficult to know where to start. We hope that our list has helped provide some insight on which CBD oil will be best for your dog with hip dysplasia.

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