Digestive Issues, Lipoma/Cyst, and Overall Wellness Support for Senior Dog

[AudreyB]

Pet Info:

• Name: Sadie
• Age: 12½ years
• Sex: Female, not spayed
• Breed: Bichon Shih Tzu Mix
• Weight: 18 lbs

BEAM:

• Behavior: Cuddly and curious on walks; normal demeanor.
• Energy: Typical for age; naps throughout the day but enjoys long walks
• Appetite: Good now; used to be finicky but eats well with current feeding method
• Mood: Content overall, excited when I come home or we go outside, but anxious in unpredictable or new situations

History & Context
Sadie has been in my care since May 2022 after my mother passed. She’s been a family dog since puppyhood and was fed Fresh Pet refrigerated food, True Dog freeze dried raw food, and high quality home cooked/raw meat and organ meats, and given raw meaty bones. No fruit or veg. Now I follow Medical Medium info closely and make her homemade raw meals including fruit, vegetables, and MM-recommended supplements. All treats and supplements come from the MM Pet Directory

Vaccines: Last rabies shot 06/17/21 (unsure of complete vax history)
Medications: None currently
Pesticide Exposure: Sprayed occasionally around condo complex (not under my control)

Past Conditions & Vet History Highlights

• Dental disease — many extractions
• Sebaceous cyst removed surgically (back and tail)
• Positive C6 antibody test — possible Lyme disease (treated with ozone therapy)
• Diarrhea and vomiting present historically, though much improved
• Itchy paws noted by previous vet — advised to remove chicken from diet

Note: She very occasionally licks her paw (the fur has turned discolored purple/red/brown because of this), but I didn't know this was something to worry about.

Primary Issues / Questions:
1. Digestive Concerns

These symptoms occur once every couple of months or so:

• Occasional vomiting of yellow bile
• Intermittent regurgitation of food (often re-eaten)
• Occasional diarrhea or mucus in stool

Question: Could these symptoms indicate a bacterial imbalance or overgrowth? Would you recommend any testing or protocol?

Feeding schedule note: She has eaten once daily her whole life. I now offer pieces of fruit in the morning. I was advised to try morning food to prevent bile vomiting (due to an empty stomach for too long), but she still vomited bile even with shrimp or bone added in the morning.

2. Lipomas/Cysts, & Vision

• Large lipoma/cyst on back (1.5"x1") — slow growing over 2.5 years
• Firm cyst near nipple in mammary gland, size of two small pebbles — recently expressed small white fluid out of nipple when pressed
• Fatty deposit on left torso noticed since summer
• New raised moles with dark waxy coating on her back
• Early signs of eye cloudiness (potential cataracts?)

Questions:

• What can I do to stop, shrink, or prevent these lumps?
• Is the nipple discharge something to be concerned about?
• What is the best holistic approach to support her eyes and prevent/delay vision loss?
• Are the waxy moles normal for her breed and age?

3. Teeth and Bad Breath

• Bad breath present, though not extreme
• Visible tartar buildup
• Teeth Care: I use Silver Grade colloidal silver spray daily. Never had teeth brushed; she resists attempts

Question: What is the best holistic approach to begin dental care at this age?

4. Joint Issues & Past Limping

• Severe back leg limping began March 2023 (no weight bearing) Stopped going up stairs/jumping up etc.
• Diagnosed with arthritis + luxating patellas
• Front leg collar bones misaligned due to shock from jumping, received chiropractic adjustment — now using ramp to get on and off the bed and being lifted out of car
• Responded well to MM joint supplements (MSM, Glucosamine, Chondroitin) — back to running and jumping within 2 months
• Very mild front leg limp appeared recently, now on full supplement dose again after lowering it for a while

Questions:

• Is it safe to give joint supplements long term?
• Why did Dr. Feinman suggest avoiding long-term MSM use?
• What joint support would you recommend for the long haul?
  

5. Diet & Feeding Details

Feeding Schedule:

• Morning: I hand-feed a small amount of fruit (melon, papaya, watermelon).
• Dinner: One main blended meal (muscle meat + one organ + veggies + supplements) prepared in a glass food processor. I batch-prep every 2–3 days and store it in the fridge.
• Post-dinner: Raw bone or small whole prey + a few treats.

• Fruits: Tried hand feeding other fruits, but she’s not a fan. Stopped blending fruit with meat/veg because I was worried the fruit + meat combo was causing fermentation in her gut contributing to her GI issues. Used to eat a wider range of fruits when they were blended. Variety & quantity has decreased since switching to separate fruit. I occasionally add wild blueberries to mash (she won’t eat them alone.)

Question: Is it bad to feed dogs fruit + meat together?

Raw High Quality Meats:
Chicken, beef, rabbit, quail, turkey, lamb, bison, venison, elk, fish etc. All pasture-raised, wild caught, grass fed, organic, non-GMO, hormone/antibiotic/steroid-free etc.

Question: Is pork too high in fat and thus not good to give dogs?

Organs & Bone Marrow:
(no liver per MM).

Vegetables:
2–3 raw per batch

• HMDs ingredients
• Occasionally cooked potato/sweet potato/squash or other veggies.

Feeding Ratio Question:
What’s the ideal ratio of muscle meat to organ to bone for small dogs? Do I need to rotate organ types (excreting vs. non-excreting) for balance?

Treats:
Post-dinner: freeze dried meat/fish, Green-Lipped Mussels, K9 Coconut crunchers

• Homemade treats: squash, sweet potato, coconut meat, banana, cinnamon, turmeric, honey, almond/cassava flour, beef fat

Supplements:

• Daily: Vimergy B12, Zinc, Micro-C, Propolis, Olive Leaf; SeaMeal multivitamin (or Kelp powder); Pau D’arco; Hawaiian Pharmacy “Clear Vision” & “Cleanse & Detox”
• Past: HP Immune Plus, Antioxidant Plus

Joint Support:

• Currently: BIXBI Mushroom Joint Support (6 days in)

Water: Filtered through Berkey
Note: Refuses Celery Juice

Questions:

1. MM says liver is toxic, but some MM-approved dog treats contain liver. (Remy's Kitchen Brand) Are small amounts okay? Should I stop giving her those?

1. Do eggs, dairy, gluten, and corn feed viruses in dogs like they do in humans?

1. 3. MM recommends K9 Granola Factory coconut-based treats—but they contain oats and barley flour. Should I avoid these due to the grain & gluten content?

1. Are coconut meat, almond flour, and cassava flour okay to use in homemade dog treats? Or should I stick to starchy veg (sweet potato/squash) and animal proteins/fats?

1. Could liver and grains/gluten in treats be contributing to her growing lipomas/cysts or other health issues?

1. Any recommendations for nail clipping? She won’t let me clip hers.

1. Medical Medium recommends whole meat over ground due to lower bacteria levels, so I’ve been buying whole and grinding it myself. I batch prep her meals, and leftovers sit in the fridge for a few days— I wonder if this also leads to bacteria growth comparable to buying preground meat and if this is contributing to her GI issues. I notice the top layer oxidizes slightly. What is the best storage method for raw prepped food to minimize bacterial growth for dogs with sensitive stomachs? Daily prep isn’t realistic for me.

1. I’ve been adding Sadie’s supplements to her batch-prepped meals for convenience, but I’m unsure if she’s getting the right amounts. I usually add 1 dropperful each of B12, Zinc, Propolis, Olive Leaf, and Pau D’arco for 3 days of food—so just a few drops per day. I add one opened Vitamin C capsule per batch, and follow the recommended dosage for the HP supplements, multiplying by the number of days. I eyeball the Kelp or SeaMeal multivitamin. Would it be better to measure and dose supplements fresh each day rather than mixing them into batch-prepped meals? And how can I determine the ideal daily amount of each supplement for her age, breed, and weight?

1. Slippery Elm was recommended to support her gut—do you think this could be helpful for her? If yes, what’s a good starting dose for an 18 lb dog?

10. Sadie occasionally licks the ground/dirt outside incessantly and I don't know why. What causes this?

11. MM says ticks do not cause lyme disease. What other things can ticks give dogs that I should be worried about if anything? I don't do any tick prevention other than pulling them off her when I see them. She has occasionally been bit.


Thank you so much!
Audrey

@Dr. Jeff @Dr. Christina

 

[Dr. Christina]

I will answer some, and Dr. Jeff/Dr. Hofve/members will chime in with more.
First, Sadie is a very luck dog to have had and is getting such great care.
Remember there is no one expert, no one right answer, no one right diet, no one right supplement for each individual. And sometimes needs change over the years.

Keeping track of symptoms in a journal will help you decide if one approach or another is working better than another.

do Take the 101 course which will answer some of your questions in more depth. There is a lyme disease course as well.

In lesson one you will see that most symptoms you are asking about are caused by an imbalanced vital force, not from chicken allergy, or bacteria, etc.

The main addition I would do to your care for Sadie, therefore, is to become a patient of a veterinary homeopath or great chinese medicine veterinarian. See article on finding one. All symptoms resolve when the energy field is balanced and the mitochondria are functioning properly.

Primary Issues / Questions:

1. Digestive Concerns

These symptoms occur once every couple of months or so:

• Occasional vomiting of yellow bile
• Intermittent regurgitation of food (often re-eaten)
• Occasional diarrhea or mucus in stool

Question: Could these symptoms indicate a bacterial imbalance or overgrowth? Would you recommend any testing or protocol?

I would not.

Feeding schedule note: She has eaten once daily her whole life. I now offer pieces of fruit in the morning. I was advised to try morning food to prevent bile vomiting (due to an empty stomach for too long), but she still vomited bile even with shrimp or bone added in the morning.

Keep experimenting with how you feed, or the supplements, while the deeper energy healing is done.

2. Lipomas/Cysts, & Vision

• Large lipoma/cyst on back (1.5"x1") — slow growing over 2.5 years
• Firm cyst near nipple in mammary gland, size of two small pebbles — recently expressed small white fluid out of nipple when pressed
• Fatty deposit on left torso noticed since summer
• New raised moles with dark waxy coating on her back
• Early signs of eye cloudiness (potential cataracts?)

Questions:

• What can I do to stop, shrink, or prevent these lumps?
• Is the nipple discharge something to be concerned about?
• What is the best holistic approach to support her eyes and prevent/delay vision loss?
• Are the waxy moles normal for her breed and age?

While we do commonly see skin issues with aging, when the vital force is balanced they dissolve or at least grow much more slowly. Many of the techniques discussed in the webinars (Bengston method, reiki, eden energy, EFT, quantum touch, HTA, etc) can be done to help all the problems you mention here and below, especially for lumps.

3. Teeth and Bad Breath

• Bad breath present, though not extreme
• Visible tartar buildup
• Teeth Care: I use Silver Grade colloidal silver spray daily. Never had teeth brushed; she resists attempts

Question: What is the best holistic approach to begin dental care at this age?

Take the time to allow your fingers to rub her teeth. Even my human dentist says that is sufficent! You can train Sadie to love this taking very slow steps and letting her choose a treat (food, play, petting) and touching teeth, or not getting the treat. tiny steps. Touch head. touch mouth. touch lips. touch one tooth. Etc. This may be over months.

There are other supplements you can try - go to library on teeth.

4. Joint Issues & Past Limping

• Severe back leg limping began March 2023 (no weight bearing) Stopped going up stairs/jumping up etc.
• Diagnosed with arthritis + luxating patellas
• Front leg collar bones misaligned due to shock from jumping, received chiropractic adjustment — now using ramp to get on and off the bed and being lifted out of car
• Responded well to MM joint supplements (MSM, Glucosamine, Chondroitin) — back to running and jumping within 2 months
• Very mild front leg limp appeared recently, now on full supplement dose again after lowering it for a while

Questions:

• Is it safe to give joint supplements long term?
• Why did Dr. Feinman suggest avoiding long-term MSM use?
• What joint support would you recommend for the long haul?

When supplements or avoiding specific foods is needed, palliation is happening and the underlying energetic imbalance is not being addressed, which allows all problems to worsen over time. Soothing treatments (supplements, massage, HTA, Eden, etc) can be used while working to rebalance the problem. If supplements are needed long term it is best to rotate through different formulations at the end of each bottle, avoiding ones that cause a problem.

5. Diet & Feeding Details

Feeding Schedule:

• Morning: I hand-feed a small amount of fruit (melon, papaya, watermelon).
• Dinner: One main blended meal (muscle meat + one organ + veggies + supplements) prepared in a glass food processor. I batch-prep every 2–3 days and store it in the fridge.
• Post-dinner: Raw bone or small whole prey + a few treats.
• Fruits: Tried hand feeding other fruits, but she’s not a fan. Stopped blending fruit with meat/veg because I was worried the fruit + meat combo was causing fermentation in her gut contributing to her GI issues. Used to eat a wider range of fruits when they were blended. Variety & quantity has decreased since switching to separate fruit. I occasionally add wild blueberries to mash (she won’t eat them alone.)

Question: Is it bad to feed dogs fruit + meat together?

It depends on the dog. Notice the difference doing it for a week and not, etc.

Raw High Quality Meats:
Chicken, beef, rabbit, quail, turkey, lamb, bison, venison, elk, fish etc. All pasture-raised, wild caught, grass fed, organic, non-GMO, hormone/antibiotic/steroid-free etc.

Question: Is pork too high in fat and thus not good to give dogs?

I feel it is fine in rotation with other meats.

Organs & Bone Marrow:
(no liver per MM).

I love heart, tongue, a little organic liver, kidneys, tripe and other organs.

Questions:

1. MM says liver is toxic, but some MM-approved dog treats contain liver. (Remy's Kitchen Brand) Are small amounts okay? Should I stop giving her those?

Fine to give some.

1. Do eggs, dairy, gluten, and corn feed viruses in dogs like they do in humans?

Not in my opinion.

3. MM recommends K9 Granola Factory coconut-based treats—but they contain oats and barley flour. Should I avoid these due to the grain & gluten content?

Watch and see what difference they make. Try many different foods. Do not stick with any one treat. Use some freeze dried foods as treats, or reserve certain fresh foods she loves as treats.

1. Are coconut meat, almond flour, and cassava flour okay to use in homemade dog treats? Or should I stick to starchy veg (sweet potato/squash) and animal proteins/fats?

I would say rotate and you are ok. Dr. Jean Hofve?

1. Could liver and grains/gluten in treats be contributing to her growing lipomas/cysts or other health issues?

Probably not since she is getting mostly high quality protein.

1. Any recommendations for nail clipping? She won’t let me clip hers.

Take the time, as described for teeth, to train her. Yes, old dogs can learn. Work with a great trainer, or maybe an animal intuitive to help or just be very very patient.

1. Medical Medium recommends whole meat over ground due to lower bacteria levels, so I’ve been buying whole and grinding it myself. I batch prep her meals, and leftovers sit in the fridge for a few days— I wonder if this also leads to bacteria growth comparable to buying preground meat and if this is contributing to her GI issues. I notice the top layer oxidizes slightly. What is the best storage method for raw prepped food to minimize bacterial growth for dogs with sensitive stomachs? Daily prep isn’t realistic for me.

no need to grind meat. I agree to not buy ground meat.

1. I’ve been adding Sadie’s supplements to her batch-prepped meals for convenience, but I’m unsure if she’s getting the right amounts. I usually add 1 dropperful each of B12, Zinc, Propolis, Olive Leaf, and Pau D’arco for 3 days of food—so just a few drops per day. I add one opened Vitamin C capsule per batch, and follow the recommended dosage for the HP supplements, multiplying by the number of days. I eyeball the Kelp or SeaMeal multivitamin. Would it be better to measure and dose supplements fresh each day rather than mixing them into batch-prepped meals? And how can I determine the ideal daily amount of each supplement for her age, breed, and weight?

i suggest giving all supplements not in the batch meals, nor even in the main meal. Do them at a treat time. And I do like to rotate all supplements. Listen to our many webinars on supplements. MM good start, but still better to have variety.

1. Slippery Elm was recommended to support her gut—do you think this could be helpful for her? If yes, what’s a good starting dose for an 18 lb dog?

I would not use regularly. If needed for diarrhea while rebalancing the energy field, use marshmallow root as it is more gentle and does not hurt the environment.

10. Sadie occasionally licks the ground/dirt outside incessantly and I don't know why. What causes this?

Occasional is great - they need some dirt, but incessantly is one of the early warning signs of internal imbalance and this should resolve with deeper treatment.

11. MM says ticks do not cause lyme disease. What other things can ticks give dogs that I should be worried about if anything? I don't do any tick prevention other than pulling them off her when I see them. She has occasionally been bit.

A weak and imbalanced vital force has less resistance to any of the tick borne diseases, so deep healing will help. Pulling them off is fine. We have several webinars and a course on ticks.

There is a wealth of information and paradigm shifting speakers, so dig in a study all that we offer.

Dr. Christina

 

[NancyK]

Whenever my dogs are "off" I go back to basics. First of all, I stop all supplements. I also eliminate all "extras" like veggies and fruits. For treats, I only feed single ingredient meat treats. For diet, I feed bone, meat and organs and go light on the organs and fat if there is a digestive issue. I also use slippery elm if necessary and if more help is needed I also add digestive enzymes. I never feed mine fruit or veggies because it does nothing but cause problems for my dogs. However, if you really want to feed fruit and veggies, you could try adding some back in very small quantities after your dog is stable and see how it goes. Please make sure the veggies are cooked to reduce the antinutrients they contain and make them more digestible. Fruit is very high in sugar so I would keep the amount very small. The fruit of today is not like it used to be. It is hybridized to be as sugary as possible, including those big fat blueberries they sell in the grocery store. These are not what a wolf would find in the wild. I also think a healthy dog will detox themselves if necessary and no magical additives are necessary. They will be healty if feeding them foods they thrive on and removing the aggravating foods. I know some people feel that a particular dog should be able to eat anything but I disagree. My dogs do terrible on veggies and fruit. Anyway, this is just my honest opinion of things to try.

As far as ground meats, I always feed meat in chunks as this will be helpful for the teeth. Anything ground is going to be higher in bacteria and histamines, and will stick to the teeth more. By removing the veggies and fruit from the diet you will essentially be removing carbohydrates which is the root cause of dental disease in both dogs and humans. Her breath may be coming from her gut and removing carbs should help that as well. I would be open to the fact that not all dogs thrive on fruits and vegetables. I faced that with mine. They are now 16 and almost 17 and very healthy.

Nancy

 

[GinnyW]

To add only a bit to these wonderfully comprehensive replies: Dogs are carnivores, and don't require, strictly speaking, carbohydrates such as fruits and veggies in quantity or regularity. Healthily raised meat, including bone and organs- and that including liver and tripe when possible - is their evolutionary diet. Plants - fruit and veg - are nonessential, pretty much, but may be offered as an opportunistic ingredient in small amounts. That said, I agree that all her various symptoms are not caused by one or another ingredient, but are part of her inherited or acquired chronic mistunement. Tinkering with excursions from a properly evolutionary diet will only complicate the picture further. She needs help from either an expert classical homeopath, or possibly an experienced traditional Chinese medicine - for animals! - practitioner to allow her system to sort itself out. And she needs you to stop experimenting and just trust she can cure herself with a little systemic guidance.
The one exception to the "non-interference", in my mind, would be a thorough dental examination and cleaning, with extractions if indicated. Bad teeth can cause real havoc and cloud or prevent healing elsewhere, and you may not notice the drain on the system.
So, there is a ton of things you can do, but quite a bit you can stop trying. It's "big picture" time....

 

[Dr. Jeff]

Wow, Audrey! That's an amazing first post!!

You’re clearly doing a lot with love and thoughtfulness, and Sadie is lucky to have such a dedicated guardian.

I couldn't agree more with Nancy about going back to basics.

As Dr. Rosado just said on tonight's Mon. webinar about food, the most important part of feeding is for the pup (or kitty) to be happy with what they are eating, and their life. And to let dogs be dogs as nature intends...

Full disclosure about my other thoughts. I will be replying based on a combination of my Path to Pet Wellness (PPW) framework as well as Anthony Williams info:

We always start with SoS: Significance of Symptoms. Every one of Sadie’s symptoms—be it the occasional vomiting, the paw licking, the growths, or eye clouding—are messages from her body. Rather than signs of something to "fix," they're clues about how her internal energy balance is shifting. They help us tune into susceptibility, or how resilient she is at any given moment.

From what you describe, Sadie has a pretty stable BEAM (Behavior, Energy, Appetite, Mood), which is great. That suggests her vitality is still relatively high and responsive to your care. You’ve already started many beautiful terrain-balancing strategies with her fresh, living foods and emotional connection. Let’s refine and build from there.

Her occasional symptoms are signs of minor terrain imbalance, often linked to liver/gallbladder sluggishness, stomach acid variations, or microbiome shifts. MM often attributes yellow bile vomiting to long fasting periods or adrenal/liver stress. Sadie’s once-a-day main feeding may be contributing to this.


PPW Tip: Look at energy conservation—if Sadie’s body is overextending itself during long fasts or processing heavy meals in one go, this can deplete energy and trigger symptoms.

• Maybe offer a light, liver-supportive morning mini-meal (e.g. papaya, steamed squash, or watermelon with parsley).
• Try adding Slippery Elm Bark powder for gut-soothing (1/8 to 1/4 tsp mixed into a small spoonful of food or water daily).
• Consider liquid zinc and Micro-C given apart from food for better absorption.

On Fruit + Meat: MM recommends not mixing fruit with fat or protein in the same meal to avoid fermentation—so your instinct to separate them is sound in that way. However, it really is her susceptibility to any food that is key so if the fruit was better accepted when blended in, and she had fewer symptoms then, trust that. Her symptoms and BEAM are your most reliable guides.

Lipomas, cysts, and skin growths can be signs of an attempt by the body to detox but lymphatic sluggishness and impaired detox drainage is getting in the way. This is especially true in older dogs or any pet whose vitality is suboptimal.

Eye clouding may reflect liver stress (MM) or early lens aging (PPW sees this as a shift in terrain).

Perhaps support drainage pathways: Add gentle lymph movers like parsley, cilantro, or celery leaf into her meals (if accepted).

• Try topical castor oil compresses over the lipoma for 5–10 mins/day.
• Consider burdock root tea added to food (1 tsp or less) for liver/lymph.
• For eyes: continue the “Clear Vision” supplement; add a few wild blueberries daily (frozen is fine).

On the nipple discharge: Since this came with pressure and no signs of infection, monitor it. However, given her age and intact status, it’s worth gently checking for mammary hyperplasia or benign gland activity. If it recurs or changes, holistic vet evaluation is advised.

Her bad breath and tartar suggest microbial imbalances, likely worsened by age-related gum shifts.
Suggestions:

• Transition gradually to brushing (finger brush or soft gauze with coconut oil + a drop of propolis or neem).
• Add kelp powder daily (which you’re already doing!)—this may help reduce tartar.
• Consider PlaqueOff (Ascophyllum nodosum) or a similar seaweed or enzyme-based dental supplement.
• TEEF for optimization of her oral microbiome

It’s wonderful that Sadie responded so well to joint support! Regarding long-term use:

• Lower doses (like the 5mg in my Arthritis Support supplement) of MSM are often fine short-term. I agree with Anthony that it can stress vitality and the liver over time or become stimulating. If used long-term, balance with liver support (e.g., dandelion, burdock, or milk thistle extract). Ideally, speak with your vet homeopath about using MSM. IMHO it is introducing a new variable (physiologic doses of Sulphur) which can affect the response and evaluation of the constitutional homeopathic medicine.
• You might rotate or take MSM breaks every 2–3 months while continuing glucosamine + chondroitin + turmeric or bone broth with collagen.

You’re doing an incredible job with whole foods and variety. To refine further:
Ideal ratios: 70-80% muscle meat, 10-15% organs (rotated—heart, kidney, spleen), 10% bone. MM avoids liver, but you can use other non-excreting organs for balance. Occasionally giving those MM-approved liver treats is likely okay, especially if Sadie’s BEAM stays high.
Pork: Can be fatty, but if lean and well-sourced, it’s okay occasionally. Observe how she does with it.
Storage tips: Store raw meals in glass, not plastic. You can freeze prepped meals in single portions and thaw daily to reduce oxidation and bacterial load. Light oxidation isn’t inherently bad but may stress sensitive guts.
Supplement dosing: Yes, it’s better to dose separately, especially for B12, zinc, olive leaf—their potency can degrade when stored in pre-mixed food. Consider adding them freshly once a day (use a tiny measuring spoon or micro-dropper for accuracy).

---

​

• Dirt licking: May indicate energetic imbalance, mineral deficiency or microbiome signaling. Try offering Humic/Fulvic acid drops or adding a pinch of azomite or food-grade bentonite clay to her food.
• Tick bites: Consider spraying Path Away on newer tick bites. Your ozone therapy sounds like a solid detox choice. Consider adding lemon balm, cat’s claw, or monolaurin for ongoing gentle support.
• Treat ingredients: Occasional use of coconut, cassava, almond flour is generally fine, especially in a well-balanced diet.
• Nail trimming: Try after a warm bath, or while drowsy. A rotary nail grinder is sometimes better tolerated. Or check out Fear Free groomers who specialize in gentle, low-stress trims.

You are clearly tuned in to Sadie’s energy and rhythm—and that’s the foundation of everything in both the Path to Pet Wellness and Medical Medium philosophy. Keep tracking her BEAM and letting those small shifts guide you more than any lab or theory. You’re already doing so much right.

Let us know how she continues to do, and we’re here to support every step of the way.

 

[AudreyB]

Thank you so so much @Dr. Jeff your response has calmed so much of my concerns, given me great insight and reassurance, and just really helped me. I am going to slowly go back over each response and take the actions suggested in good time. My next step is to find a holistic vet like is suggested. I will let you know how things go as I start to implement these shifts and changes. Sadie truly is my sweet girl and my lifeline-- a last little living piece of my mom-- so I really truly appreciate this compassionate guidance.

Thank you @Dr. Christina for your in depth response as well and to the others who responded as well. I will go back through thoroughly as I move forward with Sadie.

Full of Gratitude,
Audrey

 

[Dr. Jeff]

YW Audrey. And I'm so sorry to hear about your mom's passing.