Customer Service Rating: ⭐️⭐️⭐️⭐️⭐️

Pet's Response Rating: ⭐️⭐️⭐️⭐️⭐️

Hi Charles, Hope you've been great. Thankfully, Max continues to stay stable as he approaches his 14th birthday so we're happy to report there are no changes to consider at this time. Thank you, Roxana