Adequan does not recommend monthly use of their product as it is ineffective.
In order to get the full effectiveness of the product you must use it once every 4 days for 7 shots. I do 3-4 rounds of Adequan a year, as often as my vet suggests. I just started a cycle now, and will likely do 1 or 2 more before show season is over.
If your vet is recommending otherwise you need to ask them why and ask them why they are going against the manufacturers recommendations. My vet is adamant that the only way to get max results is with the rounds and that the monthly injections are ineffective. He is a sport horse and lameness specialist.
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