Its too soon to write a complete review since my puppy girl is experimenting bleeding in the urine, little traces (said the Vet) but blood speaks loud and I am concern. She also is having bolding spots behind ears, this is almost solve with Ox-E topical drops, the new fur is growing pretty soon and healthy as the skin is improving. For the bleeding I am following recommendations from Kara which is a nice lady face of the company. In fact, so satisfied so far. Thank you!