Dutch has been such a huge help for me and my little Shih Tzu. He started having these awful itchy skin issues, and it was so tough watching him suffer. The vet prescribed Apoquel, and wow, what a difference! His itching reduced so much, and I can even see new hair sprouting up. We did a follow-up appointment because he was still itching a bit, and Dr. Lewis recommended another temporary medication, a flea/tick/mite treatment, and a special shampoo with mousse. I had no idea mites could be causing allergies and itching! Being disabled, trips to the vet are really hard, especially with my dog's anxiety. Dutch makes it all so easy and affordable. The only hiccup is their shipping could be faster, but honestly, Dutch is fantastic!