When Your Dog Gets Older: A Complete Senior Care Guide
"Their paw prints grow slower, but they leave deeper marks on our hearts."
Let's face it: no one wants to see their dog grow old. That first gray hair on the muzzle, that moment when climbing the stairs is no longer automatic, that slightly more distant look… it hurts. But the good news — and the truth few people talk about — is that the senior stage can be one of the most beautiful and rewarding phases of life with your dog.
It's not a goodbye. It's a new way of being together.
In this complete guide, we'll walk through every aspect of the care your senior dog needs: from when old age really begins (spoiler: it depends a lot on the breed), to how to adapt their diet, exercise, environment, and most importantly, how to tell if they're truly enjoying this stage.
Because the goal isn't just to lengthen their life. It's to make sure every one of those extra days is a good day.
1. When is my dog considered senior?
This is the million-dollar question. And the answer is not "at 7 years old" as it used to be said. Canine old age doesn't arrive the same way for everyone: it depends on size, breed, individual genetics, and health history.
The most widely accepted general rule today is:
| Size | Weight range | Approximate age to be considered senior |
|---|---|---|
| Small breeds | < 10 kg | 10-12 years |
| Medium breeds | 10-25 kg | 8-10 years |
| Large breeds | 25-45 kg | 7-8 years |
| Giant breeds | > 45 kg | 5-7 years |
And this translates into concrete differences between breeds. Here is a more detailed table with some of the most common breeds:
Average life expectancy and senior age by breed
| Breed | Average life expectancy | Considered senior from |
|---|---|---|
| Chihuahua | 14-18 years | 10-12 years |
| Toy Poodle / Mini Toy | 14-16 years | 10-11 years |
| Yorkshire Terrier | 13-17 years | 10-11 years |
| Jack Russell Terrier | 13-16 years | 9-10 years |
| Shih Tzu | 11-16 years | 9-10 years |
| Beagle | 12-15 years | 8-9 years |
| Cocker Spaniel | 12-14 years | 8-9 years |
| French Bulldog | 10-12 years | 8-9 years |
| Border Collie | 12-15 years | 8-9 years |
| German Shepherd | 10-13 years | 7-8 years |
| Golden Retriever | 10-12 years | 7-8 years |
| Labrador Retriever | 10-13 years | 7-8 years |
| Boxer | 9-12 years | 7-8 years |
| Siberian Husky | 12-15 years | 7-8 years |
| Rottweiler | 8-10 years | 6-7 years |
| Doberman | 10-12 years | 7-8 years |
| Great Dane | 7-10 years | 5-6 years |
| Saint Bernard | 7-10 years | 5-6 years |
| English Mastiff | 6-10 years | 5-6 years |
| Dogue de Bordeaux | 5-8 years | 4-5 years |
💡 Key fact: Mixed-breed dogs tend to live, on average, 1-2 years longer than purebred dogs of the same size. Their genetic diversity makes them statistically more resistant to certain hereditary diseases.
The individual factor matters more than statistics
These tables are guidelines, not prophecies. I've known 15-year-old Chihuahuas that seemed like they were 5, and 6-year-old Great Danes that already had the air of a wise old grandpa. Every dog ages at their own pace, and the important thing is to observe yours, not to watch the calendar.
The signs that your dog is entering the senior stage include:
- Less energy for long walks or intense play
- Gray hairs appearing — especially around the muzzle and eyes
- More time sleeping (senior dogs sleep 14-18 hours a day)
- Vision changes: slightly cloudy eyes (nuclear sclerosis, natural) or bumping into objects
- Difficulty getting up, climbing stairs, or jumping onto the sofa
- Coat changes: drier, more brittle, or bald patches
- Lower tolerance to extreme heat or cold
If you recognize several of these signs in your dog, welcome to the senior club. And don't worry: this is not the beginning of the end, it's the start of a new stage of more conscious and loving care.
2. Normal vs. alarming physical changes
One of the biggest challenges of the senior stage is separating normal aging from what needs veterinary attention. Not every change is illness, but ignoring warning signs can cost your dog quality of life.
Normal aging changes
These are expected physiological processes. They don't require treatment, only adaptation and monitoring:
👁️ Cloudy but functional eyes Nuclear lenticular sclerosis is a natural hardening of the lens that occurs in practically all dogs over 8-9 years old. It looks like a blue-gray haze. The key difference: the dog can still see well, can navigate, recognizes people, and doesn't bump into familiar objects. It doesn't hurt and requires no treatment.
🦷 Tartar and tooth wear Teeth wear down over the years and some level of tartar is normal. If there's no pain when eating, extreme bad breath, or bleeding gums, it's part of the process.
🦵 Moderate muscle mass loss Especially in the back and hindquarters. Sarcopenia (age-related muscle loss) is normal, but it should be gradual. Rapid muscle loss is not.
💤 Altered sleep pattern Senior dogs sleep deeper and longer. They may also sleep worse at night and more during the day. This is normal as long as it's not accompanied by severe disorientation or nighttime separation anxiety.
🧏 Gradual hearing loss Many dogs lose hearing progressively. If they respond to loud noises but not to your voice at a normal tone, they're probably losing their hearing. It's not painful, but it requires you to communicate through body language and visual cues.
🔊 Hoarser or weaker voice Barks may become deeper or less powerful with age. Normal.
Warning signs: when to go to the vet RIGHT NOW
These symptoms are not normal even if your dog is very old. They indicate illness and require veterinary attention:
| Symptom | Possible cause | Urgency |
|---|---|---|
| Limps or cries when moving | Arthritis, hip dysplasia, severe joint pain | Medium-High |
| Drinks much more water than usual | Diabetes, kidney disease, Cushing's | High |
| Urinates indoors (never did before) | Incontinence, urinary tract infection, diabetes | Medium |
| Accelerated weight loss | Kidney disease, cancer, diabetes, thyroid issues | High |
| Panting for no apparent reason | Pain, heart problems, heat stroke | High |
| Persistent vomiting or diarrhea | Digestive issues, pancreatitis, toxins | High |
| Very pale, bluish, or yellow gums | Anemia, lack of oxygen, liver problems | VERY HIGH |
| Severe disorientation (stares at walls, doesn't recognize familiar places) | Cognitive dysfunction syndrome (canine dementia), neurological issues | Medium |
| Difficulty breathing | Heart or lung problems | VERY HIGH |
| Lumps that grow quickly | Tumors, some malignant | High |
| Very strong mouth odor | Severe periodontal disease, infections | Medium |
| Red eyes, with discharge or pain | Glaucoma, corneal ulcers, conjunctivitis | High |
⚠️ Golden rule: If you notice ONE significant change in your dog's behavior, eating, drinking, breathing, or mobility that lasts more than 24-48 hours, see the vet. Don't put it off "hoping it passes."
The canine old age traffic light
A simple way to monitor your senior dog is to use this traffic light system:
🟢 Green (normal): Sleeps more, moves slower, has gray hair, loses a bit of hearing/vision, drinks and eats normally.
🟡 Yellow (observe): Drinks more water than usual, has difficulty getting up, trips occasionally, has lost weight without changing diet, has persistent bad breath.
🔴 Red (act): Won't eat, vomits, has bloody diarrhea, pants for no reason, has difficulty breathing, can't get up, is disoriented, has seizures.
3. Diet adaptation
Diet is probably the most powerful tool you have to influence your senior dog's health and longevity. A 10-year-old dog doesn't have the same nutritional needs as a 2-year-old. Their metabolism has slowed down, their digestive system is more delicate, and certain nutrients become especially important.
The fundamental change: fewer calories, more quality
With age, dogs lose muscle mass and their basal metabolism decreases by 15-30%. This means they need fewer calories, but paradoxically, more specific nutrients.
Rule of thumb: A healthy senior dog at an ideal weight needs approximately 20% fewer calories than a young adult of the same weight.
| Dog's weight | Daily calories (active adult) | Daily calories (healthy senior) |
|---|---|---|
| 5 kg | ~350 kcal | ~280 kcal |
| 10 kg | ~600 kcal | ~480 kcal |
| 20 kg | ~1,000 kcal | ~800 kcal |
| 30 kg | ~1,400 kcal | ~1,120 kcal |
| 40 kg | ~1,800 kcal | ~1,440 kcal |
Key nutrients for the senior dog
🐟 Omega-3 fatty acids (EPA and DHA) These are probably the most important supplement for senior dogs. They reduce joint inflammation, support cognitive function, and improve skin and coat health.
Sources: Fish oil (salmon, anchovy, sardine), krill oil, marine algae. Typical dosage: 100 mg/kg of combined EPA+DHA per day (consult your veterinarian).
🦴 Glucosamine and chondroitin These are the basic building blocks of joint cartilage. They help keep joints lubricated and slow the progression of arthritis.
Sources: Specific supplements, green-lipped mussel. Typical dosage: 500-1,000 mg of glucosamine and 400-800 mg of chondroitin per day for a 20-30 kg dog.
🥩 High-quality protein Contrary to the myth that "old dogs should eat less protein," senior dogs need more high-quality protein to combat muscle loss (sarcopenia). Protein restriction is only indicated in specific cases of advanced kidney disease.
Recommendation: Protein should make up at least 25-30% of the food's dry matter.
🌿 Antioxidants (Vitamin E, C, selenium, beta-carotene) They help combat oxidative stress, which accelerates cellular aging. They are especially important for brain health.
🧠 MCTs (Medium-Chain Triglycerides) Found in coconut oil, they are an alternative energy source for the brain and have shown benefits in dogs with cognitive decline.
💧 Water, water, and more water Senior dogs dehydrate more easily. Ensure fresh water is always available, and consider adding water to their food (especially if they eat kibble).
Commercial senior food or natural diet?
There's no single answer. Both options can be excellent if done correctly:
Commercial senior food: ✅ Complete and balanced (if quality) ✅ Practical ✅ Specifically formulated for seniors ❌ Some have low-quality fillers ❌ Can be high in carbohydrates
Natural diet (BARF or cooked): ✅ Fresh, controlled ingredients ✅ High hydration ✅ Customizable ❌ Requires nutritional supervision (risk of imbalances) ❌ More work and cost
💡 Hybrid alternative: Many owners choose a high-quality commercial food as a base and add fresh toppings: canned sardines (no salt), cooked pumpkin, blueberries, steamed spinach, or an omega-3 supplement. It's practical and adds nutritional value.
Recommended foods and foods to avoid
👍 Superfoods for senior dogs: - Sardines (in water, no salt) — omega 3 - Cooked pumpkin — gentle fiber - Blueberries — antioxidants - Steamed spinach — iron and vitamins - Cooked carrot — beta-carotene - Ginger — natural anti-inflammatory (pinches) - Turmeric (with black pepper) — anti-inflammatory - Coconut oil — MCTs for the brain - Bone broth — collagen, hydration
👎 Foods to limit or avoid: - Generic kibble (supermarket) — fillers, few nutrients - Processed treats with lots of salt or sugar - Table scraps with salt, seasonings, or fats - Grapes, raisins, onion, garlic in quantity, xylitol — toxic
Practical diet adjustments
- More frequent, smaller meals: 2-3 meals a day instead of just one. Improves digestion and stabilizes energy.
- Soaked kibble if they have dental issues. Add a little warm water and wait 5-10 minutes.
- Elevated food bowl: For large and giant breeds, it reduces neck strain and aids digestion. For small dogs or those with heart conditions, it may not be recommended — consult your vet.
- Monthly weight check: Weigh them every month or feel their ribs to make sure they maintain a healthy weight. Neither fat nor thin.
📏 Rib test: You should be able to feel your dog's ribs when gently running your hand over them, without them being visibly prominent. If you can't feel them, they're overweight. If they're visible to the eye, they're too thin.
4. Exercise in old age
Exercise for a senior dog is not optional. Just because they're older doesn't mean they should stop moving. In fact, movement is their best medicine against arthritis, muscle loss, cognitive decline, and obesity.
But the type of exercise changes. The 2-hour park sprints are over. Welcome to mindful walks and low-impact movement.
Senior exercise principles
| Before (young adult) | Now (senior) |
|---|---|
| High intensity | Low intensity |
| Long duration (1-2h) | Moderate duration (20-45 min) |
| Running, jumping | Walking, gentle trotting |
| Few breaks | Frequent breaks |
| Varied terrain | Stable, soft terrain |
The 50% rule
An excellent practical rule for senior dogs: the maximum exercise your dog could do at age 3 should now be half in intensity and duration. If they used to run for 1 hour, now they walk for 30 minutes. If they used to chase the ball 20 times, now 10 times with breaks.
Recommended types of exercise
🚶 Short, frequent walks (the foundation) - 2-3 walks of 15-20 minutes per day (or one long and two short) - Gentle pace, following your dog's rhythm - Flat, soft terrain (avoid hot asphalt in summer) - Bring water for both of you
🏊 Swimming (the star exercise for seniors) Swimming is, without question, the best exercise for a senior dog: - Zero impact on joints - Strengthens all muscle groups - Improves circulation and cardiovascular capacity - Helps maintain range of motion - Relieves joint pain (buoyancy reduces pressure)
Important: Canine life jacket, warm water (never cold), constant supervision. Not all dogs know how to swim — introduce them at their own pace.
🧘 Gentle stretching and canine physiotherapy Gently extend their hind and front legs after walks (when muscles are warm). If you can afford it, a few sessions of canine physiotherapy with a professional work wonders.
🐾 Balance exercises (proprioception) Walking on slightly unstable surfaces (mat, firm cushion) strengthens stabilizing muscles and improves balance. This prevents falls.
Signs that exercise is too much for them
⚠️ Stop exercise if you observe: - Excessive panting that doesn't stop when resting - Limping that appears during or after the walk - Falls behind, sits down, or lies down mid-walk - Very red or very blue tongue - Glassy eyes or vacant stare - Refuses to move (clear language: "this is as far as I go")
🛑 Common mistake: "But he used to walk 2 hours and now only 20 minutes — poor thing, he'll get bored." No, he won't get bored. He'll get injured. Senior dogs can't always self-regulate. Many will still want to accompany you even if it hurts. You are their borrowed brain: decide for them.
When NOT to exercise
- Extreme temperatures (above 30°C or below 0°C)
- Very windy or humid days that affect their joints
- Immediately after eating (wait at least 1 hour)
- If they are visibly sore, lethargic, or having a bad day
- If they have an advanced heart condition (consult the vet)
5. Home adaptations
Your home, which has always been their territory, can become an obstacle course for an aging dog. An adapted home is a home that allows them to be independent for longer, and that's a huge gift to their self-esteem and quality of life.
The 7 essential adaptations
1. 🛏️ Orthopedic bed — the most important investment
Cheap, thin-fill beds won't work for a senior dog. They need a bed that: - Has memory foam at least 8-10 cm thick - Is firm but yielding, doesn't sink completely - Has raised edges for head support (senior dogs appreciate cervical support) - Is in a warm place, free from drafts
Budget alternative: A thick yoga mat covered with a fleece blanket.
2. 🚧 Non-slip rugs — the adaptation you most underestimate
Wood, tile, or vinyl floors are dangerous for senior dogs. Their paws lose traction, splay out (like a baby learning to walk), and that strains their joints.
Place non-slip rugs (with rubber backing) in: - Main hallway - Eating and drinking area - Resting area - In front of the door leading outside
💡 Fact: Dogs with hip or knee arthritis can slip on smooth floors and seriously injure themselves. A rug can prevent an injury that requires surgery.
3. 📐 Ramps — goodbye to jumping
Jumping onto the sofa, bed, or into the car is one of the most damaging movements for a senior dog's joints. It's pure impact on elbows, shoulders, hips, and spine.
- Ramp for sofa/bed: Look for one with a gentle incline (no more than 30°) and a non-slip surface
- Car ramp: Essential for large dogs. Many are foldable
- Foam steps: An alternative to ramps for small dogs, they take up less space
Teach them to use it with treats and patience. The first few days they may seem like they don't understand, but they'll learn.
4. 🥣 Elevated food bowl — in moderation
An elevated food bowl is beneficial for large and giant breeds (reduces neck strain and improves swallowing). For small dogs or those with certain heart conditions (risk of gastric torsion, though the debate continues), it may not be.
Recommended height: At the level of your dog's chest when standing in a natural position. No higher, no lower.
5. 🚪 Dog door or free access to outside
If they have incontinence issues or need to go out more frequently: - A dog door is a wonderful solution - If that's not possible, make sure someone is always available to let them out - Put visual cues (a bell, a colored ribbon) so they associate the door with going out
6. ☀️ Warm, cushioned space near the action
Senior dogs want to be near you but sometimes the sofa is too high or the floor is too cold. Place their orthopedic bed in the living room, close to where you spend most of your time. That way they won't feel isolated.
7. 💡 Night lighting
Night vision deteriorates with age. Soft LED lights in hallways and near their bed will help them orient themselves if they wake up during the night and need to move around. This reduces nighttime anxiety and accidents.
Adaptations for dogs with specific needs
🐕 For blind dogs: - Don't move the furniture around - Place rugs of different textures as zone "markers" (rug = safe zone) - Use scents (a drop of lavender on their bed, vanilla near the food bowl) - Speak to them before touching them so you don't startle them - Put protectors on furniture corners
🐕 For deaf dogs: - Learn visual signals (flashlight hand signal, visible clap) - Don't approach from behind — always approach from the front - Use vibrations to get their attention (gentle taps on the floor) - Get a vibrating collar to call them from a distance (not electric)
🐕 For dogs with incontinence: - Use waterproof mattress covers on their bed and sofa - Reusable canine diapers (more comfortable and eco-friendly) - Increase the frequency of outdoor trips - Never scold them — they don't do it on purpose and stress makes the problem worse
6. Mental stimulation: keeping the senior brain active
Aging doesn't only affect the body: the brain also ages. It's estimated that between 30% and 60% of dogs over 11 years old show some degree of cognitive decline (the canine equivalent of Alzheimer's).
But there's hope: neuroplasticity also exists in the aging brain. Regular mental exercise can slow decline and keep your dog more alert and happier for longer.
Canine Cognitive Dysfunction Syndrome (CCD)
It's important to know the signs to tell when normal forgetfulness becomes a problem. They are known by the acronym DISHA:
| Letter | Meaning | Examples |
|---|---|---|
| D | Disorientation | Stares at walls, gets lost in the house, doesn't recognize familiar people |
| I | Interactions | Changes in how they relate: more irritable, more dependent, or more withdrawn |
| S | Sleep-wake cycle | Sleeps poorly at night, wanders, wakes up confused |
| H | House-training | Forgets where to do their business, urinates/defecates indoors |
| A | Activity | Decreased activity or purposeless repetitive behavior |
If you recognize several of these signs, consult your veterinarian. There are treatments (such as selegiline, a drug approved for canine CCD) and supplements that can help.
Games and activities for the senior brain
🧩 Scent games (the best for senior dogs) A dog's sense of smell doesn't age like their sight or hearing. In fact, smell is often the last faculty to deteriorate. Harnessing it is a powerful way to keep them stimulated.
- Scent mat: Hide treats among the folds of a felt mat. Let them sniff and search.
- The 3 cups game: Hide a treat under one of three cups and have them find it.
- Indoor tracking: Leave a trail of treats down the hallway for them to follow.
- Find "their" person: Have someone hold them, another person hide, and they go find them.
🎾 Food-dispensing toys (slow feeders, Kongs) A Kong stuffed with wet food and frozen is an excellent mental challenge that also keeps them busy for 30-45 minutes. Put food they like: pâté, plain yogurt, pumpkin, chicken bits.
🐾 Teaching new tricks (yes, it's possible!) Senior dogs can learn new things. The trick isn't in difficulty but in repetition and positive reinforcement.
Ideal tricks for senior dogs: - Touch: Touch the palm of your hand with their nose (easy, useful, no movement required) - Nose pointing: Indicate objects with their snout - "Between my legs": Walk between your legs (gentle movement, strengthens) - Walk backwards: One step back (strengthens hindquarters and is mentally challenging)
⭐ The 3-minute rule: Senior training sessions should not last more than 3-5 minutes. Better to have 3 short sessions a day than one long one.
🎵 Music and sounds Dogs respond well to music therapy. Play soft classical music or music specifically designed for dogs (like Through a Dog's Ear) during their rest times. Some studies suggest it reduces anxiety and confusion in senior dogs.
Routine as cognitive medicine
Senior dogs benefit enormously from predictable routines:
- Meals at the same time
- Walks at the same time
- Playtime at the same time
Predictability reduces anxiety and helps the brain function better. Always take them on the same walking route or, if you want to vary, make it the exception, not the rule.
7. Quality of life: how to know if they're happy
This is, perhaps, the most important and hardest question to answer. Because when our dog ages, we start wondering: are they suffering? are they happy? do they know we love them?
Dogs can't tell us how they feel with words, but they tell us constantly through their behavior. We just have to learn to read them.
The HHHHHMM Quality of Life Scale
Developed by Dr. Alice Villalobos, this scale is used by palliative care veterinarians to objectively assess the quality of life of senior dogs. It evaluates 7 key areas:
1. Hurt
Is pain controlled with medication? Can your dog breathe well?
- ✅ Yes, they are comfortable and without evident pain
- ⚠️ Occasionally shows discomfort but responds to medication
- ❌ Frequent pain, not controlled with medication
2. Hunger
Does your dog eat enough? Do you need to hand-feed them?
- ✅ Eats with normal appetite or needs small incentives
- ⚠️ Only eats if hand-fed or with very appealing food
- ❌ Won't eat, needs to be force-fed or tube-fed
3. Hydration
Does your dog drink water normally? Are they hydrated?
- ✅ Drinks water on their own
- ⚠️ Drinks less than normal but stays hydrated with wet food
- ❌ Evident dehydration, requires subcutaneous or intravenous fluids
4. Hygiene
Can they keep their coat clean? Can they urinate and defecate without soiling themselves?
- ✅ Grooms themselves (or with help) and keeps their area clean
- ⚠️ Needs help cleaning up but is comfortable
- ❌ Constantly dirty, with recurrent urinary infections or bedsores
5. Happiness
Do they show interest in things they used to enjoy? Do they have moments of joy?
- ✅ Wags tail, seeks your attention, shows interest in food or walks
- ⚠️ Has good days and bad days, but still responds to positive stimuli
- ❌ Shows no interest in anything, doesn't interact, seems absent
6. Mobility
Can they get up and move without help?
- ✅ Gets up on their own, walks without assistance
- ⚠️ Needs help getting up or walking, but does move
- ❌ Cannot get up without help, needs to be carried everywhere
7. More good days than bad
When you add everything up, are there more days when they seem happy than days when they suffer?
- ✅ Clearly more good days
- ⚠️ It's 50/50
- ❌ More and more bad days
📊 Interpretation: If most of your answers fall under ❌ or there's a clear worsening trend, it's time to have an honest conversation with your vet about quality of life and, when the time comes, about dignified goodbyes.
Weekly quality of life checklist for senior dogs
Print this list (or copy it to your phone) and review it each week:
| Indicator | ✅ Good | ⚠️ Fair | ❌ Bad |
|---|---|---|---|
| Do they eat with appetite? | |||
| Do they drink water normally? | |||
| Do they do their business without accidents? (or minimal) | |||
| Can they get up on their own? | |||
| Do they walk without evident pain? | |||
| Do they sleep well at night? | |||
| Do they wag their tail at least 1-2 times a day? | |||
| Do they seek attention or interaction? | |||
| Do they show interest in food or treats? | |||
| Do they have moments of alertness and curiosity? |
The small pleasures of a senior dog
Beyond lists and scales, there are simple things you can do today to improve their quality of life:
- ☀️ 5 minutes of morning sun in a comfortable spot
- 🫂 Gentle massages on their back and legs before sleep
- 🧊 An ice cube of salt-free chicken broth as a refreshing treat
- 🐾 An extra 5-minute walk if you see they have energy (even if it's "just" to sniff around)
- 🧶 A soft blanket to wrap them up on cold nights
- 👂 Speaking to them with affection even if they can't hear well — the vibrations of your voice reach them
- 📸 Taking their photos like you always have — they don't know they're old, they're still the same
Epilogue: the privilege of being with them until the end
There's a truth that all of us who have loved an older dog know: aging with them is a privilege, not a burden.
Not all dogs make it to old age. Many leave earlier, due to illness or accident. If your dog has reached the senior stage, it means you had the honor of giving them a life good enough, safe enough, and loved enough for their body to make it this far.
Every gray hair on their muzzle is a reminder of all the happy days you shared. Every slower step is a lesson in dignity and resilience. Every grateful look they give you from their orthopedic bed is worth more than a thousand runs in the park.
Your dog took care of you in their own way all these years. Now it's your turn to take care of them in yours.
It's not sadness. It's love at a different frequency.
Is your dog in the senior stage? Tell us in the comments how you're adapting to their new needs. Every story helps another owner going through the same journey.
References and recommended reading:
- Canine Cognitive Dysfunction: Pathophysiology, Diagnosis, and Treatment — Landsberg et al. (Vet Clin North Am Small Anim Pract, 2012)
- HHHHHHMM Quality of Life Scale — Dr. Alice Villalobos (official PDF)
- Nutrient Requirements of Dogs and Cats — National Research Council (National Academies Press)
- The Essential Nature of Dietary Omega-3 Fatty Acids in Dogs — Journal of the American Veterinary Medical Association (JAVMA, 2016)
- Good Old Dog: Expert Advice for Keeping Your Aging Dog Happy, Healthy, and Comfortable — Cummings School of Veterinary Medicine at Tufts University (recommended reading)