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Dear Amelie, There are many holistic and homeopathic vets in Germany, so I would definitely enlist one to help you with the process of growing your pup in a healthy manner! If you are not sure who is near you, let me know what town you live in, and I can query my German colleagues. A local...

Dear Julian, German Shepherds are a breed known for their alertness and reactivity. These are useful attributes in working dogs. though they cause conflicts in dogs that are pets. Please read my document in the files about anxiety, as that is the root cause of most reactivity. (Aruna can...

Dear Viktoriia, As Dr. Christina and Dr. Jeff point out, there are many possible tumor types for this growth on the front of your dog's elbow. We see skin masses, or tumors, in many dogs. Both benign (non-cancerous) tumors and malignant (cancerous) tumors are more common in dogs on a kibble...

Dr. Ellinger suggested Dr. Evelien van der Waa in Houten, near Utrecht. I hope this helps! Dr. Sara

I have sent out some queries regarding homeopathic vets near Utrecht. I will let you know if I have any replies. Regards, Sara

Niels, you have some excellent homeopathic vets in The Netherlands. The conference that I attended in the Netherlands was one of the best. What is your town? I can post a query to the IAVH email list to see if anyone is close to you. I only see three homeopathic vets listed on the vet...

Dear Niels, The IAVH directory is a good place to start, though not all IAVH members are listed. Where are you located? I can post your location to the IAVH email list to see if anyone is near you. Best regards, Dr. Sara

Hiya, Whitney! The differentials (possible causes) for intermittent asymptomatic bleeding from the penis in an intact dog are: Trauma - often secondary to excitement while erect, may also occur with foreign bodies / debris in the sheath; neutered dogs can and do traumatize the penis as well...

Please check the referral listings for the American Holistic Veterinary Medical Association, https://www.ahvma.org/ the International Veterinary Acupuncture Society, https://www.ivas.org/ and the Chi Institute. https://tcvm.net/ These are veterinarians who are also acupuncturists. Dr. Sara

Dear Randy, It is best to add a little water and mix any dried supplements into the food. Dogs have their nose right on top of the food while eating, and we don't want the supplements to aerosolise into their nose. If you suspect your pup has gotten a nose full of pollen or another irritant...

This is an excellent journal article about edible insects as a protein source, including a discussion of the nutritional value of various insects: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6728817/#B70 Dr. Sara

Dear Merissa, Thank you for your thorough discussion of Charlie's situation. You can certainly learn to give enemas at home, and you can also learn to help Charlie express his bladder, if he is a cooperative chap. It is important to empty the colon regularly (at least every second or third...

Dear Judy, A low amylase is of no significance. In fact, internal medicine specialists don't see any point in amylase and lipase in animals, as the values can be all over the place with no significance. A pancreatic specific lipase IS significant, if elevated. The major cause of a fasting...

Dear Monte, Dr. Jeff has provided some excellent advice on finding an holistic practitioner and thoroughly assessing your pup. It is important to have a thorough assessment of your dog. You don't mention how his hypothyroidism was diagnosed, or how the dose was adjusted. Excess thyroid...

Acupuncture and homeopathy can be used in the same patient. A classical homeopath would ask that acupuncture not be used until the patient is at a steady point, because it can make it hard to tell what effect each modality is having. Practically speaking, I may give an acupuncture treatment...

Good picture Danielle! If it makes you feel any better, it is not likely that you did this to Bobby's tooth with the rake. It doesn't look like a fresh chip - that is subjective, but the edges don't look sharp. It is pretty hard to chip a tooth a a small piece of metal unless the dog chomps...

These look like hives, or urticaria, typically seen as an allergic reaction. They will go away slowly on their own. If they itch, or are sensitive, you can likely find an appropriate treatment by matching the signs. Some possibilities are Apis or Urtica) If you do nothing, and there is no...

Super Snouts Joint Power is high quality, only NZ green lipped mussel, and has the NASC seal: https://digginyourdog.com/product/joint-power/

Dear Christine, These areas appear to be hyperpigmented, and hyperpigmented tissue can also become thickened. Hyperpigmentation and thickening are typically a response to irritation - a lot of dogs develop this after they have been licking or bothering an area, similar to the way a callus can...

Dear Whitney, Let's review Lyme disease a bit; I will address your specific concerns at the end. The tick borne diseases, particularly Lyme disease, are treated far more often than is necessary. The conventional group of internal medicine specialists, the Academy of Veterinary Internal...