I never realized what a difference a good vet can make in the quality of our dog's life. Dr. Donofro uses supplements and has knowledge of great new medical treatments. For instance there is a monthly shot for dermatitis.... NO MORE NONSTOP ITCHING ALL SUMMER LONG. AMAZING!!! Also his bonded mate died recently and her recommendation of doggie Sam-e made all the difference in the world for his depression. I honestly thought he was going to die of grief. Now this is a Vet who knows her stuff!!!!!