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Panosteitis is a painful orthopedic condition of Mastiff or other large breed puppies. Here is a proven nutritional pano home remedy for a puppy in pain…

If your Mastiff puppy is in pain, you are likely here looking for answers.  For hope.

Imagine there was a natural way to relieve the pain and inflammation of panosteitis.  A panosteitis home remedy that required minimal time and minimal cost yet produced maximal relief for your puppy in pain.

In this post, you will learn about the nutritional formula that has been relieving panosteitis pain in Mastiff puppies for decades with tremendous success.

Bone Growth Spurt in a Giant Breed Puppy

Junior was 16 weeks old when I began to notice some alarming changes to his behavior and movement.  Over the course of a few days, I observed my once silly, playful mastiff puppy become less and less interested in playing.

Starting on Saturday at Puppy Socialization class, I noticed him sitting back more from the other puppies and preferring to watch them rather than get in the middle and play as he had done during previous classes. 

He was so laid back that afternoon that a few of the other puppy owners in the class asked if he was “always so calm?”  I laughed it off at that moment, but over the next couple of days, the changes in his movement proved this was no laughing matter.

On Sunday I found myself having to really work to get Junior to either want to play or to get up from a sitting or lying position. In typical mastiff fashion, he never cried, yelped, or whimpered, but I could see my Mastiff puppy was in pain.  The movement in his rear legs was clearly off to me.  Something was terribly wrong!

After a trip to Junior’s vet and consulting with his breeder, after ruling out other possible causes such as an injury, both agreed the most likely cause of my puppy’s growing pains was Panosteitis.   “Pano…what,” you ask?

What is Panosteitis?

Panosteitis Xray Image

Panosteitis, or Pano as it is often referred, is a self-limiting and very painful condition in the long bones of young dogs (between 4-18 months of age).  It is a common cause of pain in dogs.  While panosteitis is most common in large and giant breed dogs, it can occur in smaller breeds as well.  Pano is caused by the too rapid growth of the long bones which leads to inflammation.

This inflammation can affect one or more of the dog’s legs, most commonly in the front, but also in the rear, making it very painful for the dog to move.

The most common symptoms are limping and soreness due to the inflammation deep within the bone.  However, some owners report their dog limping on their front leg but with no obvious signs of pain.  Some dogs can also exhibit, fever, depression, weight loss, and anorexia, or in severe cases left untreated, atrophy of the muscles due to lack of use.

panosteitis home remedy

If you suspect your puppy might have panosteitis, you should get a formal diagnosis (usually with an x-ray) from your veterinarian first.  There are other things that would cause the same symptoms, like elbow dysplasia or a shoulder problem, or OCD.

There are times to save money on a vet – this is not one of them.  Please listen to your veterinarian and follow his/her recommendation.

However, if your puppy is in pain and you are wondering what you can give him at home for pain relief, keep reading.

Panosteitis Home Remedy

If Pano is the diagnosis, the following is a nutritional formula that has been used within the mastiff community for many, many years with tremendous success.  Patti Groppetti, a long-time Mastiff breeder is credited with coming up with this recipe and from whom I have permission to post it for you here.  It has been used both as a preventative and a pano treatment once a Mastiff or other large breed puppy starts showing symptoms.


Feeding this nutritional formula DOES NOT take the place of the advice of your veterinarian.  I provide it as an adjunct to, not a replacement for, qualified medical advice.

The following are a few comments from some Mastiff puppy owners who have found relief from this home remedy.

“I fed Patty’s Pano Recipe to [puppy] when he was a youngster – after six months of Pano and trying everything else – it took a whole seven days to see a 100% improvement. Coincidence? I think not. I was impressed – still am!!!”

“We had it here pretty bad.  We started Patty’s formula and I think it took about 8 days but haven’t had a problem since.  It does work!”

“…if you do get Pano in your puppy, [this is a] nutritional formula passed down to me from another Mastiff breeder of many years, that really works well to cure this problem, and usually in just a week or so.  I have tried probably every cure there is and find this formula to be above and beyond all others in results!”

Pano home remedy ingredients

Alfalfa Tablets (500mg) – Original recipe calls for 15, however, I use 5-10 (use fewer if stronger than 500mg)

Alfalfa contains Saponin, which may have some anti-inflammatory properties.  Additional research in baby chicks has shown that saponins appear to be partly responsible for a decreased growth rate in those chicks fed alfalfa.

Cod Liver Oil – 2 Tsp

One of nature’s richest sources of omega-3 fatty acids (EPA & DHA) which have natural anti-inflammatory properties. Cod Liver Oil is also an excellent source of vitamin D which plays an essential role in healthy bone metabolism, and a great source of vitamin A, an important antioxidant that reduces oxidative stress thereby inflammation levels.

Wheat Germ Oil – 2 TBSP

Wheat germ makes up about 2.5% of the wheat kernel but is packed with nutrients.  It is high in octacosanol which helps to enhance endurance, performance, and reaction time during physical activity.  Wheat germ is also a wonderful source of vitamin E and unsaturated fatty acids, such as omega-3, which have strong anti-inflammatory properties.  Studies have shown wheat germ oil is helpful in reducing pain in people suffering from rheumatoid arthritis through its anti-inflammatory action.

Lecithin Granules – 1 Tsp

Lecithin is important for the functioning of a key neurotransmitter, acetylcholine, which helps nerves communicate and muscles to move.  It is a source of an essential micronutrient, choline.  Choline plays a role in methylation, a process that affects every cell in the body (create DNA, nerve signaling, detoxification).

Yogurt (plain) – 4 TBSP

Yogurt contains calcium and probiotics.  Calcium, together with adequate levels of vitamin D, play a major role in increasing bone density and supporting overall skeletal health. Many brands of Yogurt contain good bacterium, lactobacillus acidophilus.  L. acidophilus is key to your digestion of dairy products and produces vitamin K, which is essential to proper blood clotting and bone formation and repair.  For more on probiotics like L. acidophilus, read Probiotics for Dogs: The Facts and Strains that Matter Most.

Egg – 1 (RAW, minus shell)

World Health Organization uses the egg as the standard for evaluating protein quality in other foods.  Free-range eggs are high in omega 3’s and choline which decrease inflammation. Eggs are one of the few natural sources of collagen when uncooked.  Collagen provides joint and connective tissue support, increases range of motion, and decreases pain and stiffness.

Ingredients you’ll need

Is Your Puppy in Pain? A Proven Panosteitis Home Remedy [That Works] Panosteitis is a painful orthopedic condition of Mastiff or other large breed puppies. Here is a proven nutritional pano home remedy for a puppy in pain…
Is Your Puppy in Pain? A Proven Panosteitis Home Remedy [That Works] Panosteitis is a painful orthopedic condition of Mastiff or other large breed puppies. Here is a proven nutritional pano home remedy for a puppy in pain…
Is Your Puppy in Pain? A Proven Panosteitis Home Remedy [That Works] Panosteitis is a painful orthopedic condition of Mastiff or other large breed puppies. Here is a proven nutritional pano home remedy for a puppy in pain…
Is Your Puppy in Pain? A Proven Panosteitis Home Remedy [That Works] Panosteitis is a painful orthopedic condition of Mastiff or other large breed puppies. Here is a proven nutritional pano home remedy for a puppy in pain…

Panosteitis Prognosis in puppy

So, I am sure at this point you are wondering what happened with Junior.  How is he doing since starting the panosteitis home remedy?

The day I spoke with Junior’s vet and breeder, I switched Junior’s diet from raw to a lower protein kibble and started the pano recipe.  I could see improvement the next day with his movement and playfulness and within 3 days he looked like a new dog!

Panosteitis Home Remedy

While I am a FIRM believer in a raw diet and have fed raw for many years to Sulley with no issues, I surmised Junior’s issues were due to the chicken in his diet. 

Chicken is extremely high in Omega 6 fatty acids and is pro-inflammatory meat. The exact opposite of what I should have been feeding him, especially when he was in pain.

[READ: Natural Pain Relief for Dogs: 5 Supplements You MUST Try! and Omega-3 Fatty Acids for Dogs: What Every Dog Owner Must Know]

Junior comes from a line of huge boned mastiffs, many of whom suffered from leg pain, limping, and growing pains from panosteitis, so I plan on keeping Junior on Patty’s pano home remedy until he is a year old as a preventative.

Experience with Panosteitis Treatment

I would love to hear about your experience with pano.  What treatments have you tried and what were the results? 

Have you tried this panosteitis home remedy?  Did it help your puppy in pain? Tell me what you think in the comments below.  Please also consider sharing this if you feel it could help other big dog owners you know.

Consider pinning one of the PINS on this page and downloading your FREE Pano Formula Recipe Card!

And in case you missed it, I took the opportunity to answer some frequently asked questions about panosteitis and this particular home remedy during a recent Facebook Live.  Check it out here:

VIDEO: FAQs About Panosteitis in Dogs Facebook Live

Home Remedy for Panosteitis

This nutritional formula has been relieving panosteitis pain and inflammation in Mastiff puppies for decades with tremendous success. This simple, all-natural home remedy requires minimal time and minimal cost yet produces maximal relief for your puppy in pain.
Print Recipe
Panosteitis Home Remedy
Prep Time:5 minutes
Cook Time:0 minutes
Total Time:5 minutes


  • 1 Dog Bowl This pano recipe is the amount you will feed per day.


  • 5-10 tablets Alfalfa (500 mg) Reduce quantity (3-7) if giving 650 mg tabs
  • 2 tsp Cod Liver Oil
  • 2 TBSP Wheat Germ Oil
  • 1 tsp Lecithin Granules
  • 4 TBSP Yogurt (plain)
  • 1 Raw Egg (minus shell)


  • Mix all ingredients together and feed it with morning or evening meal.
  • Feed entire recipe once per day.
  • You can decrease the amounts fed, but decrease them proportionately.
  • This recipe can be fed continuously or on an as needed basis.
Servings: 1 meal
Author: BigDogMom
Cost: $30

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  1. Hi, there
    We have a 6 month old male mastiff that seemingly out of nowhere started experiencing sever acute pain in his front legs. After a trip to a vet where little was accomplished other than some anti inflammatories and pain medication, I started some research where I learned of pano. I too have been raw feeding Samson because after loosing our third dog to cancer I truly believe the commercial dog food industry has a lot to to with the hi cancer rates.
    Anyway, I thought we had a good slow growth rate which was consistently four pounds a week which put him at 100lb at 6 months. I also feel that in his case I have his calcium levels too high and not necessarily his protein. I am really struggling with going to a kibble so Im trying a dehydrated base from the “honest kitchen ” brand and adding my own protein source. My intent is to lower the bone content in his diet as well as the over all protein level to slow his growth rate down. In addition to this I started pattys pano plan today. I truly hope it helps and that I can find the right nutrition level to raise a strong healthy dog for many years to come. If you should have any thoughts that may help they would also be greatly appreciated . In addition thanks for the good information provided here regarding the ingredients and their properties.
    Thank you

    1. Hi John – I apologize for the delay in responding. Thank you for your kinds words, and I’m sorry about what you and your boy are going through. Junior and I were in the same boat not that long ago. I have three articles related to feeding a raw diet and struggling with growth issues. I definitely recommend reading those for the background on what I was dealing with back in January. I have had lots of time and done enough research I think to have a few theories as to why my Junior had some issues on his raw diet early on. I originally thought I was giving too much bone and possibly feeding too much as well. While both are not good or balanced, I am not sure that was the cause for us. I believe it had to do with feeding chicken. I will link to the article that I believe explains why today on my Big Dog Mom Facebook page (@bigdogmomusa) in case this might help you as well. It does sound like your boy has a touch of pano. While I’m not a vet, I would consider adding some of the supplements in Patti’s recipe to see if that doesn’t help. The raw diet I feed today is different than what I was feeding back in January due to more research on my part. It includes less than 5% chicken – 95% beef, pork, fish, turkey, & duck and whatever else I can get from my co-op. I also balance their meat, bone, and offal ratio daily which I wasn’t doing before. Lastly, while I dislike kibble as much as you do, you have to do what is right and best for your boy. I was at a loss with Junior and needed time to figure out what I was doing wrong so that’s what I did. Because mastiffs are so big, commercial raw diets aren’t in the budget for most people, but that would be an option as well if you can afford it. I guess what I’m saying is don’t beat yourself up and realize nothing you do has to be forever. It can be for just a month or two while you figure things out. I hope some of that is helpful. I would love an update on how your boy is doing.

  2. Hi. How long do you keep feeding the formula after the symptoms have subsided? Do you slowly ween the dog off it? Feed every other day, or twice a week?

    1. Hi Ron – Thank you for your question. The answer varies depending on who you ask. I only used this formula for a short time while Junior had his bout with Pano, and then off and on as needed. When he was painful, I would feed it once a day, every day for a week or two depending on the severity. That said, many in the mastiff community swear by it and use it pretty consistently for the first year of life. I am not a vet and would definitely consult your veterinarian whatever you decide to do.

  3. When you say to mix ingredients together in their entirety and feed over food, do you feed ALL of the mixture once/day? Is this dependent on pup’s size/weight/age?

    1. Hi Kelly – Yes, that is what I have done. Some mastiff people I know continue to feed the pano recipe for their puppy’s first year, however, I only ever fed it as needed. This recipe was developed by a mastiff breeder primarily for mastiff puppies. You can definitely adjust the amounts down if your puppy is significantly smaller than that. Pano is quite common in large and giant breed puppies before the age of 1 so age shouldn’t be a factor unless they are much older than this. I would not start it on very young (less than 8 weeks) puppies either. I hope that helps!

  4. I have a 9month Golden Retriever puppy that presented just like your Junior. Ava was crazy hyper and energetic to laying around lethargic abd depressed at times. I have to make her boiled chivken and rice. She will not eat kibbles. Do you think I should try this with my Golden?

    1. I’m so sorry to hear your Golden isn’t feeling well. As long as you’ve had her seen by a vet that has ruled out injury or some other cause for her change in behavior, I think you would be safe to start this. But I wouldn’t diagnose pano without a veterinarian’s input. In Junior’s case, my vet ruled out injury and together, given Junior’s age, size, and breed, we determined his issues to be panosteitis. I hope this helps!

    1. In the spirit of full transparency, when Junior was first diagnosed with Panosteitis, I switched him to adult Dog Chow. He was about 12 weeks old at the time. I wrote about that in this post if you would like more of the background ( I have learned so much since that time, that I would not recommend doing what I did, though he did get better almost immediately. The general rule of thumb with large and giant breed puppies is that you want to slow down their growth as much as you can. If you do not want or can’t go to a natural, raw diet, choosing a food that is low in protein and has a close balance of 1:1 Ca/Ph ratio are important factors to consider. I list a few different brands that I have used in the past. Zignature is one of the better ones in my opinion if you can find it. I hope that helps. I have written quite a few posts on the topic of canine nutrition, raw feeding and my journey with Junior and Sulley so I encourage you to read those when you have a moment. I am always here if you have additional questions as well. Best of luck!

      1. When you say “Choosing a food that is low in protein” what percentage of protein are you referring to? I have a Great Pyrenees who has recovered from pano but I have a puppy (8 weeks old) and I have been told to get a kibble that has 28-30% protein………that seems high to me to try to prevent pano. What are your thoughts? And do you think Nutri source is a good food? TY!

  5. Hi there, my name is Megan. I have a 6 month old Bullmastiff that was diagnosed with pano around 3 months. We have been treating him with rimadyl and tramadol which does not seem to help with the pain like i would like it to. It kills me to see him in pain like that. I was interested in trying this food recipe and was wondering about the alfalfa tablets and if you just drop the tablets in and how you decide how many to use. Your help would be really appreciated! Thank you so much.

    1. Hi Megan – thank you so much for your question. I am so sorry that your bullmastiff puppy is in so much pain. I know how heartbreaking that can be to watch. Assuming this is pano and not due to an injury or other cause, when I was treating Junior, I used the 650 mg tablets and would grab between 5-10 of them. I would just mix them right in with his food and he never had an issue eating them. Remember, pano is caused by too rapid growth in the long bones of large and giant breed puppies (primarily). You want to try to slow down that growth, and reduce the inflammation (which is causing the pain) as much as possible through diet and supplementation. All of the ingredients in this pano recipe are geared toward slowing growth and reducing inflammation. I hope that helps. Please keep me posted on how your puppy is doing. Best of luck!

  6. Hello! I know I’m very late to this party, but just got a diagnosis of pan on my just 6 month old mixed large breed. She looks all mastiff! “Edith” has been on anti inflammatory for two weeks and confinement with no results.. Starting this diet plan today! Do I feed it three times a day? And should I gradually cut back to the low protein kibble, mixing with her current high protein puppy kibble? She is also a farm girl and gets plenty of raw bones to chew. Cut those out? Sorry if repeat questions. And thank you for giving us hope!

    1. Hi Pollyanna – thank you so much for such great questions. I’m so sorry about Edith’s pain. I’m assuming your vet has diagnosed her with pano and ruled out all other possible causes for her pain. If that’s the case, here’s what I would recommend as it relates to using this formula. Feed her twice a day if that’s what you have been doing. There is no reason to feed more often. Secondly, I would be very cautious about feeding a “high protein kibble” to her at all if she is a large or giant breed puppy. I recommend feeding these puppies an adult diet which facilitates slower growth. So, if I were you, I would transition her to an adult kibble, that is if you are unable to feed her a raw, natural diet. The raw bones should be completely fine and great to feed her depending on what they are. Just add the formula (eggs, cod liver oil, etc) to her kibble and feed as you normally do. No need, other than the high protein kibble, to change anything you are doing in my opinion. Let me know what additional questions you have. Keep me posted on her progress.

  7. Hi! Our 9 week-old puppy just got diagnosed with pano after only having her for a week. 5 trips to the vet, fever, listlessness. We are relieved to finally know what it is. Is cod liver oil ok to give to a puppy this young? She is a multi-gen labradoodle. Right now she is eating the Kirkland brand chicken and pea dog food as recommended by the breeder, but now I’m tempted to wean down her chicken.

    Thanks for any advice, precautions I should take with a pup this young. xo Angie

    1. Hi Angie – Huge congratulations on your new puppy and thank you for your question. First, I definitely don’t think there is a problem with giving cod liver oil to a puppy. Some of the big dog breeders I know start giving this formula around 8 weeks or so as a preventative because pano is so common for giant breed puppies. You can cut the amounts in the formula to about half given your puppy is not very old and is likely on the smaller side given her breed. I think you are right to consider a diet change. The peas aside which I know have gotten some recent press, chicken is definitely going to contribute to worsening any inflammation she is experiencing. If you can offer a protein like beef, lamb, or turkey, those are going to help reduce the inflammation. I am assuming with all of this that your vet diagnosed the pano and that he/she ruled out any type of injury. If that’s not the case, be sure to have her checked by a vet. I hope this helps. Feel free to comment below and let me know or email me directly as well. Good luck!

  8. Hi BigDogMom,
    I’ve just rescued a Dobie X German Shepherd puppy and my vet suspects Pano. I’ve started her on your diet but at only 18kg and roughly 4.5 months I’m guessing she’s smaller than Junior was so was thinking of halving the amounts – what do you think?

    Eleanor XX

    1. Thank you so much for your question, Eleanor! Yes, I don’t think there is anything wrong with cutting back on the amounts of this formula, however, you may want to keep the relative amounts the same. So in other words, if you choose to decrease it by 50%, reduce all of the ingredients by 50%, so that you keep the balance the same. I hope that makes sense. Best of luck with your new puppy!! I bet she’s a cutie!

  9. Hello Big Dog Mom,

    Thank you for the recipe and for posting this for us big dog owners. My questions are rather simple and more a need for clarification. The recipe calls for 7500mg of alfalfa tablets, is this per a day?Should the alfalfa tablets be crushed or pulverized? Do you feed them the entire recipe/concoction at once or do you separate into each separate feeding? I have a 4 month old GSD.

    1. Thank you for your questions, Eric! So, yes, the amount would be given per day and I just tossed the tablets in Junior’s food whole. Junior never had a problem eating them right with the rest of his food. And I just added everything into one meal, but you don’t have to. You might have to play with it depending on how finicky your puppy is about new tastes. Junior never had a problem with it, but every dog will be different. And feel free to cut back on the amounts since my guess is your puppy is significantly smaller than a 4 month old Mastiff puppy. If you do cut it back, do so in the same relative amounts. Keep the proportions the same between ingredients. I hope this helps! Please keep me posted on how your puppy is doing. Best of luck!!

      1. I haven’t used capsule – the alfalfa I bought was in hard tablets. I’m sure pouring the powder from inside the capsule is fine, unless the product packaging says otherwise.

  10. Thank thank you thank you! My 90lb 1yo German Shepherd was diagnosed with pan last week. The vet suggested a few ideas, but said he would grow out of it. Leo was in so much pain, depressed and losing weight fast. My husband found your website, I bought the ingredients and 1 day later I see a huge change in his disposition. He is smiling, relaxed and ready to eat. First time in two weeks. I can not wait to see what the future brings.

    1. I am SO happy to hear this, Laura! I found with Junior that pano seemed to come and go as he aged – with limping episodes even when he was around 1 year old. I used the formula consistently when he was young (prior to 6 months) and used it as needed after that. Some folks just give it daily for the dog’s first year. It’s up to you. It definitely won’t hurt him and, as you can see, it can really help him! Healing thoughts and prayers are coming your way. 🙂

  11. HI,
    My rescue dog they thing border collie and lab mix was just diagnosed with pano. After many stressful tests I was a bit relieved. He is only 37 pounds , what would the amount be for this diet? Should I switch him to a adult dog food permanently or just when he has his painful episodes.

    1. Thank you for your questions, Kristen! You didn’t mention how old your dog is, so I would venture to say, yes on the adult dog food since you referred to him as a dog and not a puppy. That’s an assumption on my part, so let me know if that’s not the case. As far as how much to feed, I would probably just decrease the amounts by about half and see how he does. None of the supplements on this list will hurt him if given in the amounts suggested, but I think you’d be fine to decrease them by 50% as well and still get the benefits.

  12. Very helpful recipe, our 6 month german Shepard was having pano really bad and this turned him around so he was feeling better and not favoring his lame leg in a matter of 2 or 3 days. Thank you very much.

  13. I have a Great Dane puppy who just turned 10 months old and is 120lbs, out of nowhere I saw him come back to my house limping after being outside for about 5 minuets to go to the bathroom, I figured he just injured it, now it’s 4 days later and he’s still limping on it. Took him to the vet and the Dr. said that it was “growing pains” and prescribed an anti-inflammatory. After doing research of my own I came across your website and your recipe, I just bought all of the ingredients and will be trying it out this evening for his dinner meal.

    I do have a question, I have been feeding him a few scoops of cooked chicken breast mixed with his dry Taste of the Wild food in his meals for breakfast, lunch, and dinner for about the past 5 months, he absolutely loves it, I would hate to think that the higher amounts of protein in his diet is what caused this. What are your thoughts and should I stop doing this moving forward and stick strictly to your recipe?

  14. Today my little one,Lukas has his second bout of Pano. He is a GSD, and his first bout was at 11 weeks old. He was fine one moment and screaming the next at every move or touch.
    I sent for the vet as I couldn’t move him without him screaming in pain.
    He was taken into hospital for 2 days and it seems the vets didn’t know what was wrong with him??
    He had xrays, bloods taken, his white blood count was up.and his temperature was very high. I was told he probably has a auto immune disease and it didn’t look good, and the best way to find out more was a MRI scan…. Sadly I don’t have that kind of money, around two thousand pounds!
    He was sent home with some pain meds and told to give him paracetamol
    I have a homeopathic vet who works solely on follow up and referals, he made him some medicine for Luke, to be given straight away, but the vets refused to let him have while with them? When I got him home I made a emergency appointment to take him to see my homeopathic vet, while I had all Luke’s medical records sent to him.
    On seeing my homeopathic vet the day after Luke’s discharge from the other vet, he examined him and said he had Pano.
    He prescribed another set of remedys as Luke’s temperature was still very high and no real change had occurred while he was in hospital. He had recovered fully after 4 days of his remedys !
    The first remedy was personal to Luke, as he is a very sensitive little boy and the screaming was a huge issue as it was impossible to touch him as the more upset he got the worse he got into hysteria through the pain . This calmed him and helped him to relax. The pain remedy were Belladonna 1M, and Eupatorium Perf in a 30x, given 4 times a day, (both remedys were mixed in together as a liquid )
    The Eupatorium perfoliatum, remedy is a bone pain remedy and the belladonna was for the high fever and also covers many other things as well.
    He began a swift recovery and was fine in a few days and back to normal!
    Yesterday he began another bout, I spoke to my homeopathic vet, and we again pick up where we left off, and this time Luke’s a lot calmer and has has a couple of months with no symptoms or pain until now.
    Luke , was reared on raw, I weaned him off it as I have other dogs, and I feed him three times a day, a good quality tinned food and a mixed biscuit, and one meal of Harringtons, puppy, Turkey and rice. The vet said this is ok for him. However, the day before he was poorly again this time, he did have a meal of raw for one meal only, with mixer,this made me wonder if this was maybe the trigger?
    It’s hard to tell, so we go on, and hope his recovery comes soon, as we resume his homeopathy and and a quarter of a 500mg of paracetamol every twelve hours.
    I am putting this out here incase it helps some poor little one who suffers severely like Like does with Pano as without my homeopathic vet my other vets last words to me were, if he doesn’t get better soon, then it will be time to think of euthanasia!!!!!
    I am horrified this vet practice I’ve used for over 20 yrs have since my old vet passed away now have vets who don’t seem to know of Pano at all and if not for my wonderful homeopathic vet Luke’s pain would have not been diagnosed and treated with such a swift and positive outcome.
    Anyone who’s little one gets pano severly, or even at all, please consider using a homeopathic vet. I only wish I had been able take Luke to him straight away, but it was nightime when Luke was so ill, hence emergency call out, as I was sure something awful had happened to him and I wasn’t going to wait until morning!
    To all dog parents out there who’s little ones suffer this, there is another way, and it does work, and I hope one day we will find a cure for this really unpleasant disease, until then we can only share what works for us and hope it works for another little one in such awful pain. Oh and one more important thing, it cost me a quarter of what I had to pay them for a virtual non treatment he got from the first vet, to both see and get the healing treatment we got for Luke, from his homeopathic vet, something that helps very much as what I had to pay for him to be sent home with a few pain meds and paracetamol, and a overall dire and heart breaking no hope outlook of euthanasia.

  15. Would it be safe to use this recipe if the dog is also on prescribed medication from the vet? Or are you only using this formula by itself? We are on some prescribed anti inflammatory & pain relief meds and they work somewhat but not really enough.

    1. Hi Tammy! Thank you for your question. Yes, you should be fine to give both at the same time. Since this recipe is a combination of nutritional supplements, there shouldn’t be any conflicts with prescription anti-inflammatories. But if you want confirmation of that, consult your vet or a pharmacist. They have more expertise with the specific meds your dog is on, so it may be worth a phone call just to be sure.

  16. We have a 3 yr old Labrador that they think is having a relapse of pano from when he was a puppy. I was wondering if the recipe above should be increased based on the size/weight of the dog or just give it as is? He is currently 50 lbs. Do you give just this or do you give the pain meds from the vet too?

    1. Hi Tracie – I’m so sorry about your boy. I am so hopeful this recipe will help relieve some of his pain. There is no need to adjust the amount of the recipe for a dog his size. Many Mastiff breeders I know use it in their puppies for the entire first year of life without adjusting the amount. For very small dogs or puppies you can decrease the amount if you want, but just be sure to do it proportionally. You can give this with any meds from your vet. The only thing you might watch out for is loose stool. You could separate the meds from the recipe if you notice any GI symptoms… but I think you will be fine. Let me know how it goes. 🙂

  17. I stumbled across your site looking for a home remedy for pano. My male doberman puppy was diagnosed at 10 months old by my vet. She put him on carprofen for a few weeks. He is now 16 months old and has had a few flare ups. He is on an ALS kibble. His last flare up has been pretty bad, I have put him on a lower protein kibble and have started your feeding program for pano. I don’t want to give him anymore carprofen because of the possible damage they could have on a growing puppy. The new feeding plan has helped tremendously, however, he is still slightly limping. Since he is larger and older than a young puppy, would feeding the pano supplements twice a day instead of only once a day provide more benefit for him? He has been on the pano feeding plan for two weeks now.

    1. Thank you so much for your question, Amanda! I’m so sorry about your boy. No, I would not double the recipe. Instead, I would look to add things like high(er) dose omega 3 fatty acids and turmeric paste to his diet. Both are natural and will help with reducing inflammation and pain. And if all of that isn’t keeping him comfortable, I don’t think it’s bad to give the occasional carprofen (or generic truprofen) if he needs it. Here are a couple posts you might find helpful:

  18. My soon to be 9 month old 50lbs black lab terrier mix (possibly schnauzer too) can’t walk as he cries to go to the bathroom. I catch him before he falls over. It’s been almost 2 weeks dealing with this with 5 trips to the vet. He has changed from a happy puppy to a completely different dog whom doesn’t want to move and interact. To top it off, we are moving this week to a home with more stairs. I have found your recipe as I’m panicked looking for a remedy. I’m going to review the recipe with his vet as we are headed back again this morning. Any suggestions on the amount of of ingredients to add over his kibble? I’m at a loss as he is the runt of his litter and his sibling are close to 80lbs. or more. Thank you so much for sharing this as I’m searching for a cure. Best of luck to your 2 beautiful pups!

    1. Ps – in my sleep deprived message, I forgot to include he was diagnosed misdiagnosed with lyme disease even though he tested negative. After xrays, they confirmed it is pano.

  19. I started my boxer (72 lbs) on the Pano recipe. He loved it. Later in the day I noticed he wasn’t eating. And just by looking at him I can tell something is wrong. Could it have given him an upset stomach? He only had his morning meal. Rufus was diagnose with Pano at 3 months. The vet told me he should grow out of it by a year old. Rufus will be 15 months in a few days. A little over a month ago he had another painful episode. I can always tell when he’s starting to have pain. I started him back on the prednisone. I took him into vet office. A new Vet told me he was fine and that I should wing him off the prednisone. So I did……within day he was in extreme pain. So I took him back into Vet office and she gave me paperwork telling me he had HOD. And started him back on the prednisone and tramadol. On this paperwork it said he would not grow out of it until he is 20 moths old. So this is the reason I started looking elsewhere because these two Vets could not give me any other remedies for him beside keeping him on the predisone. It is so heartbreaking to see him in so much pain!

  20. I have a Boerboel puppy that started limping around 7 months old. He was dragging his feet so bad he wore his claws down to the nubs and they were bleeding 😔. Several trips to the vet, and they would give him a 10 day supply of Anti-inflammatories and pain meds. He’s miraculously feel better, and 2-3 days after the meds were gone, and he would be in excruciating pain again.
    I found your site, and bought all the ingredients, fed him the Pano recipe for over a month now, with the NSAID, and he was doing great, until yesterday. His leg is swollen and he all of a sudden doesn’t want to walk on it again. It’s been in the same left shoulder/leg since the beginning, and I’m starting to think it might be OCD instead. Does Pano cause a swelling? Is it common to not move around to different long bones?

  21. Hi! I have a 4 month old Can Corso (Italian mastiff). She seems to struggle sometimes getting up after playing a lot! I’ve given Your recipe but she doesn’t seem to like it much… is that just because it’s new? Also, have you experienced loose stools when starting it? Does that goes away after a bit?

  22. Can you email me the pano diet recipe card? It won’t come up and I am desperate to help my Newfy girl asap! Thanks so much for all your info here!

  23. Hi, thanks for the info on Pano in puppies, I will try this recipe on my 5 month old Lab. As an additional thought, is this recipe ok to use on older dogs with arthritis problems as it is helpful for joint problems?

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