A daily chew made only for Cavalier King Charles Spaniels.
This breed gets more heart, eye, knee and coat problems than almost any other. So every amount in this chew is set for a 13 to 18 lb Cavalier, not for dogs from 10 to 100 lb.
One chew a day, with a meal.
“He spits out every pill I have ever tried. He runs to the cupboard for these.”
Thomas B. · Charlie, age 7 · Verified buyer
Researchers scanned 555 Cavalier King Charles Spaniels. Every single owner had declared their dog free of symptoms. At twelve months, 25% already had syringomyelia. By six years, 70% did. Not sick dogs. Dogs whose owners were certain nothing was wrong.
Of every 10 healthy-looking Cavaliers over six, 7 were already changed inside.
Here is what else is common in the breed. An estimated 50% to 95% of the breed carries Chiari-like malformation, a skull too small for the brain inside it. Over half have a heart murmur by five, and nearly all of them by ten. Mitral valve disease is twenty times more common in your dog than in the average breed, and in one US population of 300,000 dogs, 5% died of it. Among Cavaliers, 50% did.
In 2022 an Oslo court ruled that breeding this dog violates Norway's Animal Welfare Act. Norway's Supreme Court upheld it. The court decided the breed has too many inherited health problems to keep breeding.
Most vets will not bring this up at a routine check-up, because there is nothing to treat yet in a dog with no symptoms.
Heart problems usually develop before owners notice anything, which is why many Cavalier owners start supporting heart health while their dog is still young and well.

Your Cavalier's skull shape, his genes and his heart valve were all set before you got him. None of those can be changed by a supplement, and we are not going to pretend otherwise.
What you can control is his daily nutrition. The heart is a muscle, and the nutrients it uses come from his food.
The nutrient with the best evidence in canine heart health is omega-3 EPA and DHA. Veterinary cardiology's working dose for a dog in heart failure is about 65 mg per kilo per day, which for a 15 lb Cavalier is roughly 440 mg. That is the benchmark we build against.
One chew contains 300 mg of omega-3 EPA/DHA.
Four problems this breed gets most often, and the ingredient that covers each one.
Around half of Cavaliers die of mitral valve disease.
300 mg omega-3 EPA/DHA, plus CoQ10, taurine and L-carnitine.
Dry eye is common enough in Cavaliers that vets routinely test tear production.
Omega-3 supports normal tear production.
Slipping kneecaps (luxating patella) are common in the breed.
200 mg green-lipped mussel, which supports joints and mobility.
A dull coat is often one of the first signs of poor nutrition.
Omega-3 and vitamin E support skin and coat condition.
Extra weight makes all of the above worse. Keeping your Cavalier lean is one of the most useful things you can do.
One chew is 6 calories a day, so the routine will not add meaningful weight.
A cardiology workup runs about $660 a visit. A cardiac year can run $5,000. This is $0.93 a day. Doing nothing is the expensive option.
All four areas are covered by the same one chew a day.
Every amount is printed on the label. Doses are set for a 13 to 18 lb Cavalier.
This is the main ingredient and the one with the most research behind it for dog heart health. Veterinary cardiology works from roughly 65 mg per kilo of body weight per day, which is about 440 mg for a 15 lb dog.
Every amount was set for a 13 to 18 lb dog first, then checked against the amounts used in veterinary nutrition research. Nothing is hidden inside a blend.
Salmon flavoured · Formulated with veterinary input · Made in the USA in a cGMP facility · Third party tested


Photos sent in by owners. Real dogs, real kitchens, no stock photography.
See the tub4.8 out of 5 from Cavalier owners who bought it.
Finally something I can do
Our vet heard a soft murmur at Bailey's last check and I felt so helpless. Our cardiologist said these ingredients "certainly won't hurt and may help," so we started. He gobbles them like treats and honestly seems brighter in the mornings. The peace of mind alone is worth it.
Replaced five bottles
I was giving fish oil, CoQ10, taurine and a couple of others from the chemist, all guessing at doses for a small dog. This is the exact same idea, made for the breed, in one chew. So much simpler and Rosie actually eats it.
Started early on purpose
No murmur yet and I want to keep it that way for as long as we can. I love that they're honest, they don't claim to prevent anything. His coat has never looked better and he's got puppy energy at four.
My senior girl loves them
Daisy is on heart medication and I checked with our vet first, they were happy with the ingredients (and glad there's no hawthorn). She's my baby and doing this every morning makes me feel like a better dog-mum.
The picky-eater test passed
Charlie refuses most supplements, spits pills across the kitchen. He runs to the cupboard for these. Salmon flavor was clearly the right call.
Wish I'd found it sooner
Only reason for four stars is I wish I'd started years ago instead of juggling bottles. The breed-specific dosing is what sold me. Subscription means I never run out.
Reviews reflect individual owner experiences and are illustrative. Individual results vary. This product is not intended to diagnose, treat, cure or prevent any disease.
Why only one breed
A chew sold for a 10 lb dog and a 100 lb dog has to be safe at the bottom of that range, which leaves it too weak at the top. It is built for neither.
So we picked one breed. Every amount is set for a 13 to 18 lb Cavalier King Charles Spaniel, and the ingredients follow what this breed actually gets: the heart first, then eyes, knees and coat.
That decision costs us most of the dog market. It is the reason this works properly for yours.
Yes, you can. Here is exactly what you run into if you do, and why we built this instead.
Omega-3 EPA/DHA has more research behind it for dog heart health than anything else, and most dog chews carry very little of it. One of the best selling dog heart supplements gives 25 mg per serving. This one gives 300 mg.
It is in a lot of dog cardiac supplements, including one of the market leaders at 100 mg per chew, and it can interact with common heart medications such as pimobendan and ACE inhibitors. Around half of Cavaliers end up on one of those at some point, so we left it out.
Which form of CoQ10. How much taurine for a small dog. Whether the fish oil is fresh. What to leave out. Most owners end up with six to eight bottles, splitting human-sized doses, and no way to check whether the amounts are sensible.
You are not really paying for the ingredients. You are paying for the seven decisions behind them, made for one breed, with every amount printed on the label.
The honest part
No supplement can do any of these things. Mitral valve disease is genetic and nothing on a shelf prevents it.
These are nutrients that support heart function. They are not a treatment for heart disease.
A Cavalier's heart beats roughly 0 times in the time you have spent on this page. That is the muscle these nutrients support.
We would rather tell you the limits than oversell it.
Sources for the figures on this page: asymptomatic syringomyelia prevalence, Parker et al., Veterinary Record (PubMed 21672954). Chiari-like malformation prevalence, UFAW breed summary. Mitral valve disease prevalence, relative risk, mortality and progression rate, cavalierhealth.org. Norwegian Animal Welfare Act ruling, Oslo District Court 31 January 2022, upheld by the Norwegian Supreme Court. Omega-3 dosing in canine cardiac disease, Freeman, Journal of Small Animal Practice (2010). CoQ10 pharmacokinetics in Cavaliers with MMVD, PMC7555137.

Nutritional support works gradually, so it is most useful during the years when your dog still seems completely well. That is the main reason owners start early rather than waiting for a diagnosis.
Most owners tell us the same two things: their dog seems livelier in the mornings, and they feel better knowing they are doing something practical for a breed with known health risks.
Cavaliers live about 9 to 10 years on average. Supporting his health early is the part you can act on now.
Start the daily routineIf you are not happy within 90 days, email us and we will refund you in full. You do not need to send the tub back.

In the 555-dog study every owner described their dog as healthy, and a quarter of the one-year-olds already had spinal changes. In this breed, "no symptoms yet" is common. There is no minimum age for a food-based supplement like this one, and most owners start early because heart and joint problems usually develop before any signs show. Check with your vet first if your dog is under a year old or on medication.
Yes. 13 to 18 lb is the breed standard and it is what we formulated around, but plenty of real Cavaliers sit above it. The doses here are nutritional rather than pharmaceutical, and the margin is comfortable across the range a Cavalier actually comes in. If your dog is well over 20 lb, mention it to your vet and they will tell you whether to adjust.
No supplement is proven to slow or prevent mitral valve disease, and we do not claim it does. What we can show you is the dose. Omega-3 EPA/DHA has the best evidence of anything in canine heart health, veterinary cardiology works around 65 mg per kilo per day, and a 15 lb Cavalier getting an all-dog chew is typically receiving under 100 mg. We give 300 mg. We are not claiming a cure. We are saying that if you give your dog omega-3 at all, the amount should be high enough to matter.
Most vets are comfortable with these ingredients and will often say they "won't hurt, and may help." We deliberately left out hawthorn precisely because it can interact with common heart medications. Always show the label to your vet if your Cavalier is on medication, we made it easy to do exactly that.
You absolutely can, many owners do. The trouble is dosing six or eight human bottles for a 15-pound dog, and getting a fussy Cavalier to swallow them. This puts the same ingredients into one chew at doses already set for a 13 to 18 lb dog, so there is nothing to measure or split.
Palatability is the number-one complaint about every other supplement, so we made it our priority. It's a soft chew, not a hard pill. If your dog won't take it, the 90-day promise has you covered, keep the tub, get your money back.
In: Omega-3 (EPA/DHA), CoQ10 as Ubiquinol, Taurine, L-Carnitine, Magnesium glycinate, Vitamin E, and Green-Lipped Mussel. Out: hawthorn (interaction risk), artificial colors, flavors, preservatives, and grain. Made in the USA in a cGMP facility, third-party tested.
Nutritional support is a long game. Many owners mention a livelier step and a shinier coat within the first three to six weeks, but the real value is in daily consistency. Give it a full 90 days, that's why the guarantee runs that long.
Yes. We only make products for Cavalier King Charles Spaniels. The dose, the format, and the whole formula are built around a 13 to 18 lb dog and the concerns this breed is known for. It's the entire reason we exist.
Subscribe & Save takes 20% off and ships automatically, skip, change or cancel anytime, no phone calls. Not happy within 90 days? Keep the tub and email us for a full refund. No return, no hassle.

Like a lot of Cavalier people, we learned the breed's heart story the hard way, and found ourselves standing in the kitchen every morning, sorting human supplements into a pill organizer, guessing at doses, hoping we were helping. There was no product made for our dogs. So we made one: a single chew with the same ingredients, dosed properly for a Cavalier.
We cannot promise you more years with your dog, and we will not pretend to. What we can promise is that the ingredients and doses are exactly what the label says.
The ValioMed team
Start your Cavalier's daily routine