I had just about given up on Cuddles my 17 year old Maltese who weighs about ten pounds. It’s only been a few days and he is already doing better. He seems to have more energy and his bowels are moving well and he is even barking again for me to let him outside for him to do his business. He prances around the yard for a few minutes now and is spending less time sleeping. This is only after a few days. He is still bumping into things so he seems to be doing better physically than cognitively. Thank you for your concern about Cuddles and your patience with me. It is wonderful that you are willing to work with me to help my senior dog have a better quality of life.