Joint Max Triple Strength Soft Chews are recommended to help animals maintain healthy joints. Just like the Joint Max Double Strength Soft Chews, the Triple Strength chews contains: Glucosamine, Chondroitin, Zinc, Vitamin C as well as, MSM, EPA, DHA, Creatine, Manganese and N-acetyl-cysteine. This powerful mixture of ingredients targets three areas: maximum joint support, antioxidants, and overall skin health and is intended for large and small dogs who have advanced joint disease.