I took our puppy to the Vet today due to her losing her fur. (this started two weeks ago) We assumed she had mange, (we looked it up) So I made her an appt and Wow at how much it cost! It was 221.00 for the visit and medicine. ): I guess this is something she will always have, but the meds will help her I guess. It wii def be worth it! Other than that she is a very healthy girl!