Cosequin Optimized with MSM from Nutramax is a specially formulated joint health supplement designed to support horses with increased workloads or heavy show schedules. It contains higher levels of the same active ingredients as the Cosequin Original formula, plus 10,000 mg of high-quality MSM per two scoops of powder. Cosequin's scientifically backed, high-quality ingredients are formulated to support your horse’s joints, regardless of their discipline or performance level. When performance matters, choose Cosequin, the #1 veterinarian-recommended joint health supplement brand. This apple-flavored powder can be added to food as a top dressing or given orally.