Problems with stomach health and soundness can affect horses across all ages and activity levels. We developed this novel formula with a science-first approach, choosing ingredients shown in research to play a role in the body's preservation, protection, and healing of gastric tissue and joint integrity. The resulting combination delivers powerful gastric, joint, and soft tissue support in a bioavailable liquid. You'll love SmartPak SmartPerform Advanced Gastric & Joint Liquid because it provides: MHB3 Hyaluronan, a patented, high molecular weight HA shown in clinical studies to have gastroprotective properties and enhance gastric tissue healing in horses. Involved in the production of articular cartilage and synovial fluid, hyaluronic acid also has documented effects on joint capsule lubrication and comfort. Jiaogulan, an herb renowned for its ability to promote a normal inflammatory response as well as nitric oxide production, integral to the delivery of nutrients and oxygen to tendons for healthy, resilient soft tissue. Aloe vera, demonstrated to have mucosal-soothing and antioxidant effects that support a healthy response to inflammation and protect against cellular stress *Please Note: the pump is not included but can be purchased separately above. Which horses can benefit from advanced gastric and soundness support? Gastric ulcers are estimated to affect 60-90% of horses, occurring more frequently in performance horses dealing with the stress of training, traveling, showing, or minimal turnout. High grain diets and minimal access to forage also increase the risk of developing gastric complications. For horses with a history of gastric ulcers or those who did not respond to traditional pH-buffering routes, like calcium and magnesium carbonates, taking a gastroprotective approach to maintain stomach health and comfort may be a smart choice. The factors that increase the risk of gastric issues go hand-in-hand with those that impact joint health, so performance horses are frequently impacted. Horses with a history of joint problems, stiffness, or discomfort or older horses naturally producing less hyaluronan as they age are also ideal candidates for supporting healthy joint cartilage and synovial fluid and encouraging a normal response to inflammation.