The following program of supplements is to build muscle, strengthen joints and assist arthritic dogs. It may be helpful with Myasthenia Gravis.

Everything is to be given twice daily unless otherwise stated; give with food.

Complete Digestive Enzyme complex, including pancreatin, Betain, Pepsin,
Papain: Give two capsules with each meal
Vitamin A as fish oil 10,000IU - (once daily)
Salmon Oil from Wild caught salmon (Eskimo brand or Grizzly brand)
Flaxseed Oil, cold-pressed: 1,000mg
Vitamin E, 400 IU
B-Complex (coenzyme formula) in capsule, 50 mg
Vitamin C with citrus bioflavonoids including rutin and hesperin: 500mg
Choline 250mg
Inositol 250mg
Kal Brand, Chelated Amino Minerals: 2 in AM- 1 in PM
Alpha Lipoic Acid 60 mg

Full Range, Free Form, Peptide Bond Amino Acids including Branch Chain

Amino Acid group- all in capsules. At least 5 capsules daily split in AM and PM, Plus:

N-acetylcysteine 500mg
L-glutamine 500mg
L-proline 500mg
L-Glycine 500mg
L-tyrosine - 500mg
N-acetyl-glucosamine (NAG)1,000mg
Glucosamine sulfate 1,000mg
Chondroitin hcl 500mg
DL-Phenylalanine (DLPA) 1,000mg

Boswellic Acid (Ayurved formula) 500 mg 1 in AM - 2 in PM
Curcumin - 500 mg -- 3 in AM - 2 in PM
Bromelain 1,500mg
Quercetin 400mg
Licorice Root 450mg capsules - 4 daily
Cat's Claw - 4 capsules daily
Suma - 6 capsules daily

One-half cup cottage cheese (helps in assimilating the EFAs)

This program provides the amino acids your dog may not be able to synthesize plus adds amino acids to assist with that process. You'll be giving the co-factors needed to utilize the amino acids--those are B-vitamins and minerals. If you cannot get KAL brand, any brand chelated mineral complex with trace minerals is good. Other nutrients are for building collagen and cartilage, producing synovial fluid; some are anti-inflammatory which will help with current inflammatory processes and help prevent arthritic calcification. Some are for muscle building.

Continue with exercise as much as can be tolerated. Feed high quality protein that is easy to digest like cheese, eggs, chicken, turkey, fresh cooked beef, organ meats like heart and kidney.

For more information on this disease and the recommended treatment, as well as side effects of drugs used to treat the condition, please get a copy of my book: Akita-Treasure of Japan, Volume II.  It is available at the website: