My DD has two Maltese. Only one health problem, they can't get their shots anymore. The shots are too strong for them. If your small breed dog ever loses control of their hind legs, not many vets know to treat with Valium. Only two vets in the state knew this would correct the problem in time to save their life. Usually happens after all the shots the dog gets once a year. This is a $1850 worth of advice. LOL We love our pets like family.